Publications by authors named "Kettani N"

Gardner syndrome is a subtype of familial adenomatous polyposis (FAP) characterized by colonic manifestations, multiple skull osteomas, dental abnormalities, benign soft tissue tumors, and a high risk of development of both colorectal cancer and papillary thyroid carcinoma. Many patients are incidentally diagnosed when presenting with craniofacial tumefactions related to osteomas. In such cases, further exploration of family history and other clinical manifestations often reveals positive findings.

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Dysembryoplastic neuroepithelial tumors (DNETs) are benign cortical tumors frequently associated with medically incurable focal epilepsy. These tumors occur most commonly in children. Given the fact that they rarely become malignant, the long-term prognosis in terms of mortality is excellent, however its similar appearance with other tumors of the central nervous system increases the potential for misdiagnosis and the risk of a pejorative clinical evolution.

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Article Synopsis
  • Hemiconvulsion-hemiplegia-epilepsy syndrome is a rare neurological disorder that can occur in infants and young children after prolonged seizures known as status epilepticus.
  • It is marked by long-lasting seizures on one side of the body, which can lead to temporary or permanent weakness (hemiplegia) on the same side.
  • A case report discusses a 3-year-old girl who developed ongoing weakness on her left side after experiencing focal seizures at age 2, and tests confirmed she has this syndrome in a chronic stage.
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Carotydinia, also called transient perivascular inflammation of the carotid artery (TIPIC) is a rare diagnostic entity related to an inflammation over the carotid bifurcation region. Despite the confusion about the definition of this term, neck pain remains the main symptom. Several articles revealed the relevance of imaging in the diagnosis of this disease.

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We report an uncommon case of primitive neuroectodermal tumor/ Ewing's sarcoma of the lumbar and sacral nerve plexus in a 17years old boy who presented with an intense pain in the lower back radiating to legs. Magnetic resonance imaging showed a soft tissue mass with thickening of lumbar and sacral spinal nerve roots (L5-S3 level), along with widening of the corresponding foramina. There was also posterior scalloping of L5/S1 vertebrae and invasion of the sacral bone.

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Craniocervical junction infections are considered a rare condition and can be associated with degradation of the odontoid ligaments and, the risk of a subsequent atlantoaxial subluxation or dislocation. Osteomyelitis at this level is often seen in immunocompromised patients with, intravenous drug use or infective endocarditis. Atlantoaxial subluxation associated with pharyngeal infection or its surrounding tissues is called Grisel's syndrome.

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Article Synopsis
  • * People can show different symptoms at different times, so it's important to keep checking for changes, and it can be diagnosed at any age.
  • * A 22-year-old woman had her first seizures as an adult, and doctors found tumors in her brain and kidneys, confirming she had tuberous sclerosis complex.
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Cervical spondylotic myelopathy, characterized by chronic spinal cord compression resulting from degenerative spine changes, manifests with a spectrum of neurological and pain symptoms. Despite the complexity of intramedullary spinal cord abnormalities, employing a systematic approach to differential diagnosis, considering factors such as lesion location, cord length, segment involvement, and enhancement pattern, can significantly aid in narrowing down the potential diagnoses, potentially avoiding invasive diagnostic procedures and guiding treatment decisions. This article presents two cases of cervical spondylotic myelopathy characterized by progressive weakness and paraesthesia, exhibiting progressive bilateral upper extremity numbness, tingling, and impaired gait, with cervical myelopathy evident on MRI displaying transverse pancake-like gadolinium enhancement.

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Article Synopsis
  • - This article describes a rare case of a 66-year-old patient experiencing weakness and sensory issues on the left side of the body after a left occipital stroke, challenging the common belief that strokes lead to problems on the opposite side.
  • - Neuroimaging revealed a chronic left occipital infarct and uncrossed corticospinal tracts at the medulla, suggesting unusual neural pathways in this case.
  • - The discussion includes the anatomy of corticospinal tracts, historical cases of ipsilateral strokes, and the significance of advanced imaging in diagnosing atypical stroke presentations.
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Chondroblastic osteosarcoma of the nasal cavity is a rare and aggressive tumor that presents diagnostic challenges due to its variable clinical and radiological features. Histological analysis is crucial for an accurate diagnosis, despite morphological similarities with chondrosarcoma. We present a case of primary craniofacial chondroblastic osteosarcoma originating from the nasal cavity in a 17-year-old adolescent.

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Skull base osteomyelitis is a rare and life-threatening infection of the skull base, commonly seen in elderly diabetic patients as a result of otogenic or paranasal infection. The diagnosis is based on a series of arguments, including a high clinical suspicion, imaging findings, negative biopsies for malignancy, and microbiological isolation. Complications, including abscess formation and vascular involvement, mandate a multidisciplinary treatment approach, primarily involving broad-spectrum antibiotics and surgical debridement, but the prognosis is usually poor.

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Article Synopsis
  • Leukocoria is when one eye has a white or gray reflection instead of the usual red, which can signal eye problems like retinoblastoma, a type of cancer.
  • A 17-month-old boy had leukocoria, and doctors suspected it might be retinoblastoma, but tests showed signs of a different condition called Coats disease.
  • Coats disease usually affects one eye and is more common in boys, causing issues like unusual blood vessels; understanding and treating eye problems quickly is very important.
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Amyotrophic lateral sclerosis is a progressive neurodegenerative pathology. It involves both upper and lower motor neurons, leading to their degeneration. Lower motor neurons can be detected with an electromyogram, but the detection of upper motor neuron dysfunction may be more accurate using MRI.

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Article Synopsis
  • Schizencephaly is a rare brain condition that causes a split in the brain and can lead to issues like weakness, delays in development, or seizures.
  • It can be diagnosed with MRI scans, which help doctors rule out other problems.
  • The report shares a case of a 43-year-old who had seizures as an adult but showed no symptoms as a child, emphasizing how important imaging tests are for understanding this condition.
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Septo-optic dysplasia (SOD) is a rare malformation defined by septum pellucidum abnormalities and hypoplasia of the optic nerves and chiasm. It can be associated with cortical development malformations such as schizencephaly, which is then called septo-optic dysplasia plus. It usually manifests at birth, although it may not be diagnosed until childhood, or rarely, adolescence.

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Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is known as a therapy of choice of advanced Parkinson's disease. The present study aimed to assess the beneficial and side effects of STN DBS in Moroccan Parkinsonian patients. Thirty five patients underwent bilateral STN DBS from 2008 to 2016 in the Rabat University Hospital.

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Article Synopsis
  • * Treatment involved prescribing a mood stabilizer and an anxiolytic for 6 months, which helped reduce self-harming actions but did not alleviate her exaggerated hypochondriacal concerns.
  • * The discussion highlights the complexity of diagnosing factitious disorder, especially when it coexists with other psychiatric issues like dermatillomania, indicating that the boundaries between these conditions are often blurred.
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Laryngeal tuberculosis is a rare disease. It is almost always associated with pulmonary tuberculosis. It occurs generally in adults without BCG vaccination or in cases of the acquired immune deficiency syndrome.

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Bone metastases in the hand and foot bone (acrometastases) are rarely observed. The authors report a case of a 57-years-old man diagnosed as hand tumour, revealing a bronchic adenocarcinoma. Radiography showed destruction of the phalanx, and histology study confirmed a metastasis of the lung cancer.

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