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Biomedical subjects

K Tlili

Publications and source records attributed to K Tlili.

At least 19 recordsLinked to original sources
PubMed2006

[Canavan disease or N-acetyl aspartic aciduria: a case report].

Canavan disease or N-acetyl aspartic aciduria, is an autosomal recessive leukodystrophy characterized by spongy degeneration of brain. The disease is an inborn error of metabolism caused by aspartoacylase deficiency resulting from accumulation of N-acetyl aspartic acid in the brain. The authors report a case in a 10-month-old boy who presented with developmental delay and megalencephaly noticeable after 4 months of age. Magnetic resonance imaging of the brain showed diffuse white matter degeneration. The diagnosis of Canavan disease was confirmed by nuclear magnetic resonance spectroscopy and gas chromatography-mass spectrometry.

Aspartic Acid↗
PubMed2006

[Discoid menisci in children: ultrasonographic features].

OBJECTIVE: Discoid meniscus is a rare congenital pathology affecting mainly the lateral meniscus. Radiological diagnosis, initially based on arthrographic findings, is now established on well defined MRI criteria. In this study, ultrasonography (US) was the modality proposed for diagnosing discoid meniscus and compared to the normal sonographic meniscal pattern. Subjects and methods. 8 children aged from 6 to 11 years, with a symptomatology highly suggestive of meniscal pathology, were investigated by US of both knees, followed by MRI in 3 and arthroscopy in all cases. RESULTS: In all 8 cases, a meniscus was diagnosed as discoid when it no longer had its normal triangular shape, was abnormally elongated and thick and demonstrated a heterogeneous central pattern. Associated lesions (fracture, cystic degeneration) were well demonstrated on US. The lateral meniscus was involved in all 8 cases, the pathology was bilateral in 5 cases and MRI/US correlation was good in 3 cases. Arthroscopy confirmed US findings in all cases. CONCLUSION: US, a more widely available imaging modality, is a reliable technique for the diagnosis of discoid meniscus in children.

Arthroscopy↗
PubMed2005

[Calcification of the cervical ligamentum flavum. Case report and review of the literature].

Calcification of the cervical ligamentum flavum is a rare entity observed exclusively in Japanese people. We report a new case in a 65-year-old man from Tunisia who presented with symptoms of cervical myelopathy with mild tetra paresis, sensory abnormalities and dysuria. Magnetic resonance imaging (MRI) showed a posterior compression of the spinal cord at C3-C4. CT-scan showed a calcification of the ligamentum flavum at level C3-C4, compressing the left postero-lateral aspect of the spinal cord. C3-C4 laminectomy was performed with removal of abnormal ligamentum flavum tissue. The postoperative course was uneventful and all symptoms resolved. Calcification of the cervical ligamentum flavum is a rare entity; the diagnosis is easy but the pathogenesis remains unclear. Literature regarding this pathology is reviewed.

Aged↗
PubMed2003

[Primary cardiac sarcoma: report of 3 cases and review of the literature].

Primary cardiac sarcoma is a rare tumor with a poor prognosis. We report 3 cases with a review of literature about this disease. There were 2 males and 1 woman. The main symptoms were thoracic pain. The clinical features were various and the thoracic ultra sonography exam allowed the diagnosis in the 3 cases. All patients had surgical remove of their cardiac tumor followed by chemotherapy. All of them died within 13 to 36 months after the diagnosis. Primary cardiac sarcoma has a poor prognosis with a mean survival less than 12 months.

Adult↗
PubMed2003

[Aicardi syndrome with favorable outcome].

BACKGROUND: Aicardi syndrome is usually associated with a very poor outcome. CASE REPORT: We report a particular case of Aicardi syndrome characterised by a partial agenesis of the corpus callosum associated with an arachnoidal interhemispheric cystic formation, and by a complete control of epilepsy and a favorable outcome regarding visual and psychomotor performances. CONCLUSION: A better prognosis could be expected in Aicardi syndrome when spasms occur lately and are not preceded by partial seizures, when agenesis of corpus callosum is partial and especially when chorioretinal lacunae are small, isolated, few and spare the macula.

Agenesis of Corpus Callosum↗
PubMed2002

[Primary lymphoma of bone: imaging features].

Primary lymphoma of bone (PLB) has benefited from recent advances in medical imaging and immunohistochemical study that are of prognostic and therapeutic value. From 3 case reports of PLB involving the iliac bone and the skull base, we review the definition of PLB and their main features. The importance of complete initial workup for staging in order to exclude secondary bone lymphomas, more frequent and of worse prognosis, is emphasized. Diagnosis of PLB involving the skull base is more difficult to obtain and nearly always requires neurosurgical biopsy unlike PLB of peripheral bones that are more readily amenable to percutaneous biopsy.

Adult↗
PubMed2000

[Tuberculous mesenteric lymphadenitis: a case report].

The authors report a case of mesenteric tuberculous lymphadenitis which mimic a pancreatic cystadenoma. They emphasize ultrasound and CT scan features which lead to the recognition of tuberculosis and permit a percutaneous fine needle biopsy. Laparotomy seems the most reliable method for a positive diagnosis. The place of different imaging methods is discussed.

Adult↗
PubMed2000

[Radioclinical profile of cardiopericardial hydatid: report of 17 cases].

Hydatid cysts concerning the heart are rare, accounting for 0.5 to 2% of all hydatic sites. The risk of serious complications in this location makes rapid diagnosis and surgical treatment essential. The aim of our study is to clarify the role of imaging in the diagnosis of the disease and to propose an adequate strategy. We report on 17 patients who underwent surgery for cardiopericardial hydatid cyst in the cardiovascular and thoracic unit of Sahloul hospital in Sousse from January 1988 to December 1998. Clinical investigation included in all cases chest X ray, ECG and ultrasonography (US). A computed tomography (CT) scan was performed in 14 cases, magnetic resonance imaging in three cases, transesophageal US in five cases, and coronary angiography in fsix cases. Examination for other hydatic sites was realized in all cases, and brain CT was performed in four cases. The hydatid cyst was variably localized in the left ventricle wall (five cases), the right ventricle (five cases), the pericardium (five cases), the interventricular septum (four cases), the right auricle (one case) and the left auricle (one case). The existence of other cardiac hydatid sites was found in 12 cases. All patients underwent surgery. Outcome was favorable in 14 cases, with a mean of 3 years and 5 months survey. Three patients died. The combination US-CT scan allowed a precise topographical inventory, reducing the need for MRI to the complicated cases and to the rare cases of inconclusive results by US-CT scan.

Adolescent↗
PubMed1997

[Thymic cyst in the neck. Apropos of a case].

Cervical thymic cyst is an uncommon lesion. It is usually diagnosed after cervicotomy for lateral swelling of the neck. We present a case in a 12-year-old boy. Clinical diagnosis was cystic hygroma, but computed tomography revealed extension of the cyst to the anterior mediastinum, suggesting its thymic origin. Successful excision was performed through a neck incision alone. There has been no recurrence of the cyst nor immune deficiency within a 2-year follow-up. Pathogenesis and diagnostic modalities are discussed.

Child↗
PubMed1996

[Subcapsular hematoma complicating acute pyelonephritis].

Spontaneous subcapsular renal hematoma is rare and essentially associated with malignant, or benign tumor vascular diseases, inflammatory processes. In few cases, no cause was detected. We observed one additional case in a diabetic women. She presented fever, and bilateral flank pain. Ultrasonography showed bilateral subcapsular hematoma. Computed tomography confirmed these findings and demonstrated multiple area of acute focal pyelonephritis.

Acute Disease↗
PubMed1994

[Treatment of kidney and retroperitoneal abscesses using percutaneous drainage. Apropos of 17 cases].

For a long time, the treatment of retroperitoneal abscesses was exclusively surgical. Ultrasonography and computed tomography provide new therapeutic approaches to these lesions. The authors report a series of 17 renal and retroperitoneal abscesses treated by primary percutaneous drainage. This treatment generally ensures a favourable course, avoiding the need for surgery, which is still indicated in patients with associated uropathy or after failure of percutaneous drainage.

Abscess↗
PubMed1990

[Pyogenic abscess of the psoas].

11 cases (7 primary and 4 secondary) of pyogenic psoas abscesses are reported. In all cases Staphylococcus aureus was isolated on blood culture or pus drained under ultra-sonographic control. US is very useful for diagnosis and the follow up of psoas pyogenic abscesses. Percutaneous aspiration and drainage of psoas abscesses under ultrasonographic control combined to antibiotherapy is an effective therapeutic procedure. Our experience suggests that antibiotherapy alone is an effective therapy of presuppurative pyogenic psoas abscesses and even in collected and non complicated primary psoas abscesses.

Abscess↗
PubMed1990

[Purulent retention in the upper urinary tract and pregnancy. Apropos of 3 cases].

The purulent retention of the upper urinary tract is fortunately a rare urologic complication for the pregnant women. It decompensates a congenital or acquired uropathy. It is an important urologic emergency in which the diagnosis of obstruction, and the drainage of urines must be of immediate necessity as important as antibiotherapy, to avoid pyonephrosis and the destruction of the kidney. Concerning 3 cases, treated in the stage of pyonephrosis in the department of urology in Susa, we emphasize a premature diagnosis, which can only be done through an ultrasonography, the only guarantee to preserve the kidney. When possible, percutaneous nephrostomy constitutes an excellent means of drainage, while expecting a final disappearance of the obstruction.

Adult↗
PubMed1989

[Exogastric cystic schwannoma. Observation of a case].

The authors report a case of giant gastric schwannoma with dominating extra-gastric development and a cystic component simulating a pancreatic pseudo-cyst on ultrasound and computed tomography examination, the diagnosis was made only at surgery that consisted in total gastrectomy. The rarity of these tumors, their diagnostic difficulties and the particularities of their surgical treatment are outlined.

Aged↗
PubMed1989

[Traffic accidents and injuries of the urinary tract].

The authors report the experience of the Urological Department of Sousse Hospital (Tunisia) in urinary tract injuries provoked by road accidents. They expose their diagnostic and therapeutical approach and they stress the necessity for a multidisciplinary collaboration.

Accidents, Traffic↗