Publications by authors named "Rafai M"

Introduction: Neurofibromas are rare benign tumors of peripheral nerve sheaths, and hand involvement is particularly uncommon. This case report presents a large neurofibroma located in the thenar region, a critical area for thumb opposition and hand dexterity, posing unique surgical challenges.

Presentation Of Case: A 23-year-old female presented with a 3-year history of a progressively enlarging mass in the thenar region of the right hand, accompanied by nocturnal pain but no neurological deficits.

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  • Othello syndrome is a type of psychosis where individuals wrongly believe their partner is cheating, often tied to psychiatric or neurological issues, including strokes.
  • A case study details a 50-year-old woman with no prior psychiatric history who developed these delusions after a bi-thalamic stroke, resulting in severe aggressive behavior.
  • The condition underscores the link between strokes and psychiatric symptoms, particularly in the right hemisphere, which can disrupt emotional regulation and lead to dangerous misunderstandings of a partner’s behavior.
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Introduction: Peri-implant fractures (PIFs) are uncommon yet critical complications following orthopedic surgery. These complications can significantly impact a patient's psychological well-being and overall quality of life.

Aim: This study aimed to investigate the psychological effects of PIFs.

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Introduction: Ipsilateral fractures of the shaft of the femur combined with hip dislocations are extremely rare injuries, presenting a difficult diagnostic and therapeutic challenge. Diagnosis of hip dislocation is often delayed, due to the focus on femoral fracture.

Case Presentation: This article presents a case never described before of a 19-year-old patient who sustained this unusual combination of injuries as a result of a road traffic accident.

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  • - Hibernoma is a rare benign tumor from brown fat that is often misidentified as liposarcoma, necessitating a biopsy for accurate diagnosis.
  • - A case of a 70-year-old woman with a hibernoma in her left thigh illustrates the challenges in diagnosis, as initial imaging pointed to liposarcoma but histopathology confirmed hibernoma.
  • - The case highlights the importance of including hibernoma in differential diagnoses, relying on MRI and biopsy for confirmation, and emphasizes that complete surgical excision is crucial to avoid recurrence.
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  • Isolated tibiotalar dislocation is a rare injury usually resulting from high-energy trauma, such as road accidents.
  • A case study of a 45-year-old patient showed that after emergency treatment and six weeks in a cast, the patient had a stable, pain-free ankle with good mobility twenty months later.
  • Immediate orthopedic intervention is crucial for effective treatment, as delays and certain complications can lead to poor outcomes.
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  • The rising number of hip arthroplasties in Morocco is leading to an increase in periprosthetic fractures, creating challenges for orthopedic surgeons due to the lack of a standardized treatment protocol.
  • The study analyzed the management of these fractures by examining 19 patients treated in a trauma-orthopedics department over seven years, with a majority being older women and specific fracture classifications highlighted.
  • Results showed successful outcomes for all patients with individualized treatment plans, emphasizing the need for tailored approaches in managing these complex cases.
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  • Drug-resistant epilepsy (DRE) affects about one-third of people with epilepsy, and a study conducted in Morocco found a DRE prevalence of 29.4% among 446 participants with an average age of 25.
  • The study identified key predictive factors for DRE, including single marital status, comorbidities, structural causes, pre-ictal auras, EEG abnormalities, and use of allopathic treatments.
  • To address the high prevalence of DRE, the study suggests increasing awareness among people with epilepsy, improving healthcare access, and advancing epilepsy surgery options, particularly for children.
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Introduction: The combination of talar neck fractures with malleolar fractures is a rare. This rare association accounts for 0.3 % of all bone fractures.

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Introduction And Importance: Conditions mimicking tumors within the knee, such as arborescent lipoma and synovial chondromatosis, are generally benign yet closely linked to inflammatory or degenerative joint diseases. While each condition is commonly documented individually with osteoarthritis, their concurrent presentation within the same knee is extremely rare. This case report adheres to the SCARE 2023 guidelines (Sohrabi et al.

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  • The study assessed the rates and factors influencing non-adherence to antiseizure medications (non-AMA) and attitudes towards epilepsy surgery (ES) among Moroccan individuals with epilepsy.
  • Among 294 participants, 24.5% showed non-AMA primarily due to indifference, while 33.3% refused surgery, mainly due to fear.
  • Factors like being male and having a family history of epilepsy were linked to non-AMA, whereas certain treatment types and seizure classifications predicted refusal of surgery.
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Objective: To determine the estimated prevalence of anxiety, depression, and anxiety-depression syndrome (ADS) and to identify the associated factors in Moroccan people with epilepsy (PWE).

Method: A cross-sectional study was conducted among adult PWE (June 2021-December 2022) in the Casablanca-Settat region. PWE were interviewed by completing a questionnaire collecting sociodemographic and clinical data.

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Introduction And Importance: Osteoid osteoma is a benign primary bone tumor with a predilection for the long bones and vertebrae, presenting a unique challenge when occurring in rare locations such as the talus, accounting for 5 to 8 % of cases. Early imaging struggles to detect its nidus, leading to diagnostic delays, especially when atypical symptoms and previous trauma complicate clinical presentations. This case report illustrates the diagnostic challenges and emphasizes the importance of targeted computed tomography (CT) guided by scintigraphy in diagnosing osteoid osteoma of the talus.

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Introduction: Isolated unicondylar fractures of the distal femur are rare injuries, accounting for 3-6 % of adult femur fractures. The association with a femoral shaft fracture is very rare and, to our knowledge, has, never been described in the literature.

Case Presentation: In this article, we report the case of a 19-year-old motorcyclist involved in an accident, that resulted in both a midshaft transverse femoral fracture and an ipsilateral sagittal fracture of the medial femoral condyle (Trélat fracture).

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Background And Study Aims: In Morocco the prevalence of Wilson disease (WD) and the spectrum of mutations are not known. The aim of the present study was to estimate the prevalence of WD in Morocco, to evaluate the phenotype among a large cohort of WD patients, and to characterize ATP7B variants in a subgroup of WD patients.

Patients And Methods: We collected data from 226 patients admitted to five university hospital centers in Morocco between 2008 and 2020.

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Introduction: Osteopetrosis is a rare hereditary disease that can be transmitted in an autosomal recessive or autosomal dominant.

Case Report: Here, we report a case of trochanteric fracture in an 18-year-old boy with an anatomical plate. At the last follow-up, 24 months after surgery, the fracture had healed well, and the patient was not restricted in his activities.

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Lightning injuries have a high morbidity and mortality because of the electrical effects on the circulatory, respiratory, and central nervous systems. Most lightning-related deaths occur immediately after injury due to fatal arrhythmias or respiratory failure. We describe the case of a patient who experienced a seizure and respiratory distress secondary to a lightning strike and how our team was able to stabilize and transport the patient.

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Introduction And Importance: Chondrosarcoma of the manubrium sterni is an exceedingly rare localization of chondrosarcoma. Its treatment poses a significant therapeutic challenge due to the tumor's proximity to the mediastinal organs and the clavicles. This challenge is magnified when the inner ends need to be resected due to tumor contact with the sternoclavicular joints and, more critically, during the reconstruction of the thoracic wall.

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Introduction And Importance: The phenomenon of a floating patella or ipsilateral bifocal rupture of the extensor apparatus is an extremely rare injury, with few cases reported in the literature. The aim of this case study is to report an unprecedented event: the simultaneous trans-tendinous rupture of both quadriceps and patellar tendons in a young adult without predisposing factors, emphasizing the need for awareness in diagnosis and management, and suggesting a new avenue for research in prevention and rehabilitation.

Case Presentation: We report the case of a 35-year-old patient with no significant medical history, who experienced this injury following a sudden start in a sprint without prior warm-up.

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Introduction And Importance: Rupture of the extensor apparatus is a serious complication that can occur in a prosthetic knee. Bifocal extensor ruptures are rare and even more uncommon in adults.

Case Presentation: We report the case of an obese, diabetic, and hypertensive patient who underwent total knee arthroplasty two weeks previously and was admitted following a fall from her height for a rupture of the patellar tendon with release of the sutures.

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Introduction And Importance: Posterolateral knee dislocations are rare, complex injuries predominantly resulting from high-energy trauma. They present significant diagnostic and therapeutic challenges, crucial for maintaining long-term knee function and stability.

Case Presentation: We report the case of Mr.

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Introduction: Myxoma, a benign and uncommon tumor, is primarily characterized by undifferentiated spindle cells and a myxoid matrix with muscular infiltration. While the intramuscular form is predominant, the juxta-articular variant is rare, especially in the foot. Juxta-articular myxomas had a heightened risk of recurrence post-surgical excision, emphasizing the need for effective management strategies.

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Introduction: Primary clavicle tumors are uncommon and account for <1 % of primary bone tumors. The majority of primary clavicle tumors are malignant. Approximately 1.

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Introduction: The terrible triad described by Hotchkiss in 1996 is a complex lesion of the elbow, following a trauma combining forced valgus and external rotation. It is a lesion that puts the elbow at risk of developing complications such as instability, stiffness, or synostosis of the proximal radio-cubital joint.

Case Report: We report the case of a patient who suffered a closed trauma to the right elbow following a fall onto the palm of the hand with a valgus lateral rotation mechanism.

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Introduction And Importance: Ankle fractures result from a wide variety of mechanisms the biomechanics of this articulation make any fracture altering the contact of the articulation surface lead to increased stresses and an inevitable evolution to tibiotalar arthritis.

Case Presentation: We report the case of a 56-year-old patient admitted for open fracture dislocation of the ankle with a missing medial malleolus. He was treated by external fixation k-wiring and periosteal repair of the deltoid ligament.

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