Publications by authors named "Najwa El Kettani"
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.
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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- - 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.
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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