41 results match your criteria: "Trauma and Burns Center[Affiliation]"

Article Synopsis
  • * A case study of a 54-year-old woman with chronic left upper quadrant pain led to the discovery of a 3.9 cm non-vascular splenic mass, confirmed as cystic lymphangioma through imaging and requiring laparoscopic splenectomy for symptomatic relief.
  • * Though rare in adults, splenic cystic lymphangiomas can necessitate surgery if symptomatic, with imaging being crucial for diagnosis, and laparoscopic splenectomy being the preferred treatment due to its effectiveness and safety.
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Giant cell tumor of the cervical spine: A very uncommon cause for cervical spine compression.

Radiol Case Rep

December 2024

Department of Neurosurgery, Trauma and Burns Center, Ben Arous. University of Tunis - El Manar, Faculty of Medicine of Tunis, Ben Arous, Tunisia.

Giant cell tumors (GCTs) are rare neoplasms, primarily found in long bones, typically affecting the epiphysis of the distal femur, proximal tibia, and distal radius. However, their occurrence in the cervical spine is exceedingly rare. Here, we present a case report of a 21-year-old female patient who presented with progressive neck pain, radiating numbness, and right hemiparesis.

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Article Synopsis
  • Arachnoid cysts are uncommon spinal tumors located either outside or within the protective membranes of the spinal cord, with intramedullary examples being extremely rare.
  • Although considered benign, these cysts can lead to severe neurological problems if not treated, underlining the importance of early detection and intervention.
  • A recent case study of a thoracic intramedullary arachnoid cyst highlights the successful use of MRI for diagnosis and surgical treatment, leading to significant recovery for the patient.
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Background: Spinal cavernomas (SCs) account for about 5% of all spinal vascular malformations. Intradural SCs occur in just 3% of cases and are typically intramedullary.

Case Description: A 58-year-old female presented with progressive left occipital neuralgia, left cervicobrachial neuralgia, and paresthesia of all four extremities.

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Brain metastases from a thymoma: Case report for a rare secondary localization.

Radiol Case Rep

October 2024

University of Tunis El-Manar, Faculty of Medicine of Tunis, Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

Article Synopsis
  • Thymomas are usually benign tumors from the thymus gland, but they can become malignant if they invade surrounding tissues, and they rarely spread to distant sites.
  • A case study of a 63-year-old man showed that his brain lesions were metastases from a primary thymoma, classified as B3, which was confirmed after surgery and further examination.
  • Although he was recommended for chemotherapy and radiotherapy, the patient sadly passed away shortly after starting treatment, highlighting the poor prognosis for those with brain metastases from thymomas and the need for prompt surgical intervention.
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Hydatid cyst of the brainstem: The rarest of the rare locations for echinococcosis.

Radiol Case Rep

October 2024

University of Tunis-El Manar, Faculty of Medicine of Tunis. Department of Neurosurgery, National Institute of Neurology, Tunis, Tunisia.

Hydatidosis, caused by the larval stage of Echinococcus granulosus, is a zoonotic disease typically affecting the liver and lungs. Cerebral localizations are rare, especially in the brainstem. We present a case of a 9-year-old boy with a brainstem hydatid cyst.

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Article Synopsis
  • Spontaneous splenic rupture (SSR) is a rare and serious condition that can occur in both unhealthy and seemingly healthy spleens, often linked to various underlying diseases and requiring urgent medical attention.
  • A case of a 32-year-old male with severe abdominal pain led to a diagnosis of SSR after imaging showed significant internal bleeding, resulting in a splenectomy when conservative treatment failed.
  • Effective management and timely diagnosis through imaging like CT are crucial due to the non-specific symptoms of SSR, which can be confused with other conditions; ongoing research is needed to better understand its causes and risk factors.
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Introduction: Osteochondromas, also known as osteocartilaginous exostosis, are among the most common benign cartilaginous bone tumors, primarily occurring as solitary lesions. While typically found in long bones, spinal involvement is rare, accounting for only a small percentage of benign lesions in this location. Solitary osteochondromas responsible for spinal cord compression are seldom.

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Introduction: Splenic artery pseudoaneurysms (SAP) are uncommon but significant vascular complications frequently associated with pancreatitis. These lesions carry a substantial risk of rupture and subsequent life-threatening hemorrhage. Standard treatment typically involves surgical or endovascular intervention to prevent such catastrophic outcomes.

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Intracranial inflammatory pseudotumour related to IgG4: A very rare case.

Caspian J Intern Med

January 2024

Department of Neurosurgery, Trauma and Burns Center, University of Tunis-El Manar, Faculty of Medicine of Tunis, Ben Arous, Tunisia.

Background: Intracranial inflammatory pseudotumours (IPT) are rare entities that frequently lead to misdiagnosis with malignant lesions. The identification of these lesions is difficult, but important to avoid inadvertent iatrogenicity and to adjust therapeutic protocols.

Case Presentation: We report the case of a 30-year-old man who presented a single tonic-clonic seizure.

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Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases.

Korean J Neurotrauma

December 2023

Department of Neurosurgery, Trauma and Burns Center, Faculty of Medicine of Tunis, University of Tunis-El Manar, Ben Arous, Tunisia.

Vertex epidural hematomas are very uncommon complications of traumatic head injury. Besides the volume of the epidural bleeding, compression of the superior sagittal sinus may be source for added elevated intracranial pressure. Clinical presentation of such lesions is heterogenous and symptoms can develop in an acute to a chronic frame.

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Supratentorial-infratentorial epidural hematomas (SIEH) are a rare occurrence following traumatic head injuries, representing only 2% of traumatic epidural hematomas. Given the unique anatomical characteristics of the infratentorial region, mainly its small size, surgical intervention is commonly undertaken to alleviate the pressure on the posterior fossa components. Consequently, there is ongoing debate surrounding the optimal surgical approaches.

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Introduction: Paediatric rhabdoid meningioma (RM) is the rarest but most aggressive subtype of meningioma, related to a severe prognosis. They account for 1-3% of all intracranial meningiomas.

Case Presentations: We report an institutional experience of 3 cases through which we discuss clinical, histological, and therapeutic features of this tumour.

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Introduction And Importance: Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare.

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Background: Inflammatory pseudotumors are rare, and those attributed to immunoglobulin G4 (IgG4) diseases are even less frequently encountered. Here, we reviewed 41 cases from the literature of spinal inflammatory pseudotumors due to IgG4 and have added our single new case.

Case Presentation: A 25-year-old male presented with progressive back pain, bilateral paraparesis, and sphincter dysfunction.

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We report the case of a 4-year-old boy who had a ventriculoperitoneal shunt due to hydrocephalus related to a cystic craniopharyngioma. Postoperative, he presented abdominal distension and meningismus. Imaging showed regression of the tumor.

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Asymmetric Bilateral Traumatic Epidural Hematoma: A Report of a Rare Traumatic Lesion.

Korean J Neurotrauma

October 2022

Department of Neurosurgery, Trauma and Burns Center, University of Tunis-El Manar, Faculty of Medicine of Tunis,Ben Arous, Tunisia.

Bilateral epidural hematoma is a rare presentation in head trauma injuries, accounting for only 1%-2% of all epidural hematomas, but with a higher mortality rate than the unilateral form. Herein, we report the case of a 27-year-old man admitted to our department following a road traffic accident. On admission,his Glasgow Coma Scale (GCS) score was 13/15.

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Ewing's sarcoma tumors (ES) are a rare entity exceptionally localized on the liver. We report a case of an ES of the liver in a 26-year-old man who presented with abdominal pain. The diagnosis was confirmed with a histopathological examination of the left hepatectomy specimen and adjuvant chemotherapy was received.

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Background: Intracranial inflammatory pseudotumors (IIPT) are one of the differential diagnosis for the central nervous system (CNS) tumors. They represent a rare condition that may mimic clinically and radiologically intracranial tumors and induce their complications. Among their etiologies, neurosarcoidosis is one of the less known and less frequent.

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Sellar region is a rare localization for intracranial metastases. The diagnosis is frequently delayed as symptoms are generally non specific. Radiologic diagnosis may be difficult as these tumours present similiraities to other more frequent sellar tumours.

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Transdural spinal cord herniation: A rare cause of neurologic impairment: Report of two cases and review of the literature.

Int J Surg Case Rep

April 2022

Faculty of medicine of Tunis, University Tunis-El Manar, Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

Introduction: Herniation of the thoracic spinal cord is a rare pathology related to the genesis of a breach in the anterior dura. Adding to the previously published cases, we report our department's experience with 2 cases of young adults who presented with transdural spinal cord herniation following spinal trauma.

Presentation Of The Cases: We report the cases of 2 men aged 27 and 57, with history of spinal trauma, who presented diverse clinical complaints (motor impairment, genito-sphincteric disorders, etc.

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Cerbellar medulloblastoma in the elderly: Case report and review of the literature.

Int J Surg Case Rep

April 2022

University of Tunis-El Manar, Faculty of Medicine of Tunis, Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

Introduction: Medulloblastoma is a malignant tumor of the posterior fossa which is mainly found in children aged less than 15 years of age. This tumor is uncommon in adults, especially those above 40 years old. We report the very rare case of a 61 years-old woman who was diagnosed with a cerebellar medulloblastoma.

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Pneumocephalus after posterior fossa surgery in prone position: Is that any clinical effect?

Int J Surg Case Rep

January 2022

Department of Neurosurgery, Trauma and Burns Center, Ben Arous, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

Introduction: The term pneumocephalus refers to the existence of air in any intracranial compartment. Its presence in the follows of a supratentorial craniotomy is very common, and it usually represents a benign complication as it is very rarely responsible for clinical manifestations.

Case Presentation: We report the case of a 24 years-old man, who underwent posterior fossa surgery in prone position for resection of a vermian tumor.

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It is imperative for surgeons to have a heightened awareness of complications of jejunal diverticular disease so that they can act quickly and contribute to a successful clinical outcome for their patients.

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Hydroxyapatite deposits of the hand and wrist: a diagnosis not to be ignored.

Pan Afr Med J

August 2021

Department of Orthopedic Surgery, Hand Surgery Unit, Trousseau University Hospital, Medical University François Rabelais of Tours, Tours, France.

Hydroxyapatite crystal deposition disease (HADD) of the hand and wrist is rare but can cause acute inflammatory syndromes that mimic infectious arthritis. These symptoms, which rapidly resolve with systemic anti-inflammatory drugs, are a source of diagnostic errors and inappropriate treatment. It is of crucial importance to make the diagnosis in order to avoid iatrogenic surgical management.

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