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F Bellakhdar

Publications and source records attributed to F Bellakhdar.

At least 19 recordsLinked to original sources

[Late cervicodorsal metastasis of thyroid adenocarcinoma treated by anterior cervicotomy].

Metastasis from a thyroid adenocarcinoma is a rare entity with high mortality. We describe an unusual case in a woman displaying tetraparesis due to a late cervico-dorsal metastasis operated on via a simple anterior cervicotomy. Outcome was good at eighteen months follow-up. The histological diagnosis was follicular adenocarcinoma. The development of a vertebral metastasis from a thyroid adenocarcinoma 11 years after the treatment of the primitive cancer is rare. The anterior cervico-dorsal location in this patient required decompression via an anterior approach. Surgical treatment of the tumor and spinal stabilization were possible via a simple anterior cervicotomy which allowed adequate access to the third thoracic vertebra, without sternotomy or thoracotomy.

Adenocarcinoma↗

[Metastatic and hemorrhagic brain arteriovenous fistulae due to a choriocarcinoma. Case report].

Brain metastasis of choriocarinoma is uncommon. These tumors develop in women of childbearing age and commonly produce signs and symptoms of subarachnoid hemorrhage, intracerebral hemorrhage, or brain tumor. Diagnosis can be established by histologic study of operative swabs and bioassay of the patient's blood, urine and cerebrospinal fluid for chorionic gonadotropin. This condition is highly chemo- and radiosensitive. We report the case of a 36-year-old woman with intracranial neoplastic fistulae. Rupture occurred 3 days after spontaneous abortion at 3 months of pregnancy. The patient presented with hemiplegia, aphasia and unclear consciousness. Left fronto-parietal hematoma was diagnosed on the CT scan, and cerebral angiography showed an arteriovenous intracranial fistulae. The hematoma and angioma were surgically removed successfully. The histological examination showed a metastatic choriocarcinoma. Surgery was followed by chemotherapy and radiotherapy. After 6 years of follow-up, complete remission has been obtained.

Abortion, Spontaneous↗

[Cerebellar primary germinoma. Case report].

Germinoma cell tumors account for 1% of all primary cerebral tumors. They occur in pineal and in supra-sellar regions, and rarely, in basal ganglia and thalami. Germinoma cell tumors originating in the posterior fossa are very rare. We report a case of primary germinoma found in the cerebellar hemisphere in a 45-year-old immunocompetent man presented with intracranial hypertension and cerebellar ataxia. The CT scan revealed a heterogeneous mass in the cerebellar right hemisphere with a cystic component. Intense and heterogeneous enhancement after contrast infusion was observed. Two other nodules were identified in the frontal and occipital lobe. The pineal region was normal. Total resection was performed. The histological finding were a germinoma. Extensive systemic examination indicated that the intracranial lesion had not metastasized from a primary extracranial tumor.

Cerebellar Neoplasms↗

Tumor-like tuberculosis of the sacrum.

Isolated tuberculosis of the sacrum in a 43-year-old woman manifested as functional impairment of the right lower limb. Sacral tuberculosis is rare in patients with no history of tuberculosis. Another unusual feature was the tumor-like aspect of the lesion, with diffuse, ill-defined osteolysis of a large part of the sacrum and extension to the presacral soft tissues responsible for rectal displacement.

Adult↗

[Behcet's disease with multiple intracranial arterial aneurysms. Report of a case].

Behçet disease is a rare condition in central Europe but more common in Morocco. A case of multiple intracranial arterial aneurysms occurring in a 44 year-old Moroccan patient with 2-years history of Behçet's disease is reported. CT-scan showed an infarction in the right middle cerebral artery territory. Panangiography showed sacciform aneurysms of the bifurcation of the right and left middle cerebral arteries. The draining veins and sinuses were normal. The two aneurysms were successfully clipped by two microsurgical frontotemporal approach in one surgical time. There have been only eight reports of intracranial arterial aneurysms associated to Behçet disease in the literature.

Adult↗

[Double localization of intracranial germinoma. Apropos of a case].

The authors report a case of a double localization of an intracranial germinoma in the pineal and suprasellar regions, which represents only 2 to 7% of all germinomas. Reviewing the literature, they discuss the pathogenesis, histopathology, biology and treatment of these tumours.

Adolescent↗

[Spondylodiscitis in subacute bacterial endocarditis. Apropos of a case].

Occurring of spondylodiscitis as first manifestation of bacterial endocarditis in an uncommon condition. About fifty cases are reported in the literature. Such association makes imperious the regular examination of the heart of patients with spondylodiscitis and spine radiography when a vertebral pain is found to be present in patients with bacterial endocarditis. An additional case is her by reported.

Discitis↗

[Extracranial primary meningioma. Apropos of a case].

The authors report a case of a primary extracranial meningioma at the vertex a rare localization which represents less than 2% of all meningiomas. Reviewing the literature they discuss pathogenesis, pathophysiology and histopathology of this lesion.

Adult↗

[Hydatidosis of the cranial vault. Two case reports].

The authors report 2 cases of echinococcosis of the cranial vault, an extremely rare localization of hydatid disease. The parietal bone was involved in one case and the occipital bone in the other. The authors discuss the mechanism and classification of cranial vault echinococcosis. The clinical signs of the disease as well as its radiological appearances and especially its very characteristic CT scan appearances are studied in relation to the literature.

Adolescent↗

[Spinal cord lipoma. Apropos of 3 cases].

Intramedullary lipomas are rare, benign tumors of the spinal cord. (1% of all primitive intramedullary tumors). Three cases are reported in this work. The clinical presentation and neuroradiological findings, specially C.T. scan have led in the three cases to a diagnostic of compressive myelopathy secondary to hypodense process situated intradurally in the cervico-thoracic region. The surgery was limited to decompression with biopsy (in 2 cases) and a partial removal in one case. The histologic examination showed a mature lipoma in the three cases. The evolution was good. The literature review allowed us to know that the opinions about surgical management of these tumors are very different. The operation which is always recommended in the evolving clinical cases is more controversial in other cases. It must be conservative, limited to a partial excision of the tumor, and even to a decompression biopsy when the anatomical conditions make it necessary.

Adolescent↗

[Anatomic configuration of the circle of Willis in the adult studied by injection technics. Apropos of 100 brains].

This study has been realized on one hundred Moroccan brains taken from medico-legal autopsies. Its aim is a morphological study of the arterial circle of the base and frequency of the malformations of the cerebral vasculoris. Those investigations have been realized with the help of a synthetical resin injection, which allowed us to get into the following conclusions. 15 types of Willis' polygonals have been identified among which 14 would be assimilated to the polygonals already described by G. Lazorthes. The 15th is original and seems proper to our series. At the same time the systematic research of the aneurysms at the brain base level has allowed us to identify a case situated at the level of the internal carotide at the origin of the anterior cerebral artery. The few brains injected did not permit us to get into sound statistical conclusions. Even though they incit further searches in practical clinics. Our actual results are just preliminary and we contemplate doing more complete studies in order to find a new approach of classification and systematisation of the Willis' polygonal, as well as the frequency of the malformations of the cerebral vasculoris.

Adolescent↗