Focal drug-resistant epilepsy: Progress in care and barriers, a Morroccan perspective.

Introduction: The aim of this study is to determine the clinical, paraclinical, therapeutic and outcome aspects of drug resistant patients with epilepsy in our region and consequently to discuss methods that may improve the management of these patients.

Patients And Methods: This paper presents a retrospective study of 25 adult patients that were followed for focal drug resistant epilepsy in epileptology unit of the University Hospital of Fez, Morocco.

Results: This study recorded 25 patients including 48% of males and 52% of females.

Cerebral venous thrombosis: a Moroccan retrospective study of 30 cases.

Cerebral venous thrombosis (CVT) is a rare origin of stroke, the clinical presentation and etiologies vary. The prognosis is shown to be better than arterial thrombosis. Magnetic Resonance Imaging (MRI) and MR Venograpgy (MRV) are currently important tools for the diagnosis.

Psychiatric disorders revealing multiple sclerosis after 20 years of evolvement.

Previous research indicates that the onset of psychiatric disorders is sometimes associated with multiple sclerosis (MS) evolving several years later. However, information on why this might occur, and on the outcomes of such patients, is still lacking. We aim to discuss these limitations with the current paper.

[Ischemic stroke secondary to spontaneous arterial dissection of the internal carotid artery: a rare postpartum complication].

We report a case of ischemic stroke caused by internal carotid artery dissection in a 35-year-old woman in postpartum following spontaneous labor and vaginal delivery. Ischemic stroke due to arterial dissection requires rapid diagnosis and anticoagulation.

Syphilitic limbic encephalitis revealed by status epilepticus.

Limbic encephalitis (LE) is an inflammatory disorder of the limbic system; the clinical features are diverse, characterised by the development of neuropsychiatric symptoms, its aetiologies are various; syphilis is a rare entity. We report the case of a 50-year-old-man with syphilitic LE revealed by an inaugural status epilepticus. Diagnosis was made considering clinical, biological and radiological arguments.

Midbrain hematoma presenting with isolated bilateral palsy of the third cranial nerve in a Moroccan man: a case report.

Introduction: Bilateral third nerve palsy secondary to a hemorrhagic stroke is exceptional. To the best of our knowledge, no similar case has been reported in the literature.

Case Presentation: We describe the case of a 69-year-old Moroccan man who presented with isolated sudden bilateral third nerve palsy.

Hemichorea-hemiballismus as an initial manifestation in a Moroccan patient with acquired immunodeficiency syndrome and toxoplasma infection: a case report and review of the literature.

Neurologic signs and symptoms may represent the initial presentation of AIDS in 10-30% of patients. Movement disorders may be the result of direct central nervous system infection by human immunodeficiency virus (HIV) or the result of opportunistic infections. We report the case of a 59 years old woman who had hemichorea-hemiballismus subsequently found to be secondary to a cerebral toxoplasmosis infection revealing HIV infection.

Infectious endocarditis complicated by an ischemic stroke and revealing Marfan syndrome.

Marfan syndrome is a systematic genetic disease of the connective tissue. The cardiac affection would predict the prognosis and ischemic stroke might complicate it. The purpose of this work is to discuss the mechanisms of the ischemic stroke in Marfan syndrome which have to be considered in all young patients of ischemic strokes.

[Cardiac myxoma complicated with cerebral aneurysms and revealed by an ischemic stroke].

Introduction: Myxoma is a rare benign primary cardiac tumor. It may cause vascular complications. Neurological symptoms may precede or accompany the diagnosis of myxoma with systemic embolization occurring most often in the cerebral circulation.

Thyroiditis of Hashimoto and myotonia.

Hypothyroidism is frequently associated with different neuromuscular disorders. However, myotonia is rarely a revealing feature. We report a case of hypothyroidism secondary to Hashimoto's thyroiditis and myotonia.

[Systemic lupus erythematosus after thymectomy].

Thymectomy has a broad indication for the treatment of myasthenia gravis. Occurrence a few months or years after thymectomy of a number of autoimmune diseases including systemic lupus erythematosus in myasthenic patients is very rare. We report a 51-year-old woman who developed a systemic lupus 1 year after the thymectomy.

[Cerebral venous thrombosis secondary to essential thrombocythemia].

Introduction: Essential thrombocythemia (ET) is a myeloproliferative syndrome; cerebral venous thrombosis (CVT) is a rare complication.

Observation: We report the case of a 20-year-old woman with an uneventful history who was admitted with intracranial hypertension syndrome which had developed over the last four months in association with bilateral decline of visual acuity. Physical examination at admission revealed stage II papilloedema and absence of any focal neurological signs.

[Aseptic cerebral venous thrombosis and multiple cerebral tuberculomas associated with pulmonary miliary tuberculosis].

Introduction: Severe pulmonary tuberculosis may be complicated by deep vein thrombosis due to a state of hypercoagulability.

Observation: We report a case of pulmonary miliary tuberculosis associated with cerebral venous thrombosis and multiple intracranial tuberculomas. A 65-year-old woman developed a confusional syndrome one week after starting treatment for pulmonary military tuberculosis.

[Ischemic stroke caused by Takayasu's arteritis].

Takayasu's disease is a non specific, chronic, inflammatory panarteritis. It affects the aorta, its chief collaterals and the pulmonary arteries. Clinical manifestations depend on the site and the severity of the occlusive vascular lesion.