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M Boucetta

Publications and source records attributed to M Boucetta.

29 records · Page 2Linked to original sources
PubMed1994

[Cerebral hydatid cyst. Apropos of 48 cases].

From a study of 48 cases of intracranial hydatid cysts operated on, we describe the clinical and prognostic aspects of this disease. This localisation is more prominent in children. The clinical picture is dominated by the symptoms of increased intracranial pressure (96%) and the neurological manifestations (77%). The immunological data have little diagnostic value. The brain scanning is for us the most valuable diagnostic tool. The treatment is only surgical and the prognosis is good after the one piece enucleation by the Arana-Iniguez procedure.

Adolescent↗
PubMed1993

[Encephalic tuberculoma. 40 cases].

In this retrospective study, the authors analyse 40 cases of encephalic tuberculomas collected between 1973 and 1991. Most of the patients were young and four out of five were less than 30 years old. The intracranial hypertension syndrome was predominant (75% of the cases). Topographic diagnosis of the space-occupying process was established by arteriography in 13 cases, but a more precise approach to the nature of the lesion could only be obtained by CT (27 cases). The supratentorial localization predominated in 70% of the cases. 16% of the lesions were multiple and 7 patients had developing extracranial tuberculosis. All the patients received medical treatment associating 3 antibacillary agents. Twenty-five patients underwent surgery, 23 of these for diagnostic purpose and 2 following the failure of the isolated medical treatment. Five patients (12.5%) died after a prolonged coma. Recovery was achieved in 50% of the patients. Fifteen of these patients (37.5%) still have neuro-ophthalmologic sequelae.

Adult↗
PubMed1993

[Abscess of the posterior cranial fossa. Apropos of 10 cases].

In this study, a series of 10 cases of abscess of the posterior cerebral fossa is analysed. In our department, the incidence of this condition is 2 cases per year. These predominantly occur in juvenile male and are frequently caused by adjacent ENT disease. Numerous therapeutic approaches are possible. In our series, 3 patients underwent emergency surgery with simultaneous treatment of the abscess of the ear. A second series of 6 patients underwent delayed treatment of the ENT infection (over 2 weeks) after the emergency puncture of the abscess. The rapid and good recovery of the 3 patients who underwent simultaneous petromastiodectomy and puncture of the abscess during surgery should be emphasized.

Adolescent↗
PubMed1980

[Brain abscesses. Value of computed tomography. A review of seven cases (author's transl)].

Based on a series of seven cases of subtentorial abscess, the authors analyze the results of different methods of exploration. Though in certain clinical conditions (intracranial hypertension and meningeal infections) the etiology is of no consequence, in most cases of definite diagnosis can be made of a space-occupying lesion by the use of EEG, arteriography, and scintigraphy examinations, without establishing the precise nature of the affection. As expected, computed tomography appears to be the most reliable examination. Diagnosis was confirmed by this method in 6 of the 7 cases, and it also enabled the number, size, and location of the lesions to be determined. Typical appearances after injection of an iodized contrast medium revealed the development of an abscess following the intracerebral infection, and determined the time for surgical intervention. In spite of intensive care and antibiotic therapy, an abscess remains a "delayed-action bomb", with poor prognosis, requiring drainage or surgical excision as soon as conditions are appropriate. The mortality and morbidity of this rare, and therefore poorly recognized, affection should improve with systematic use of the scanner during meningeal infections.

Adult↗
PubMed1979

[Arthrodesis of the cervical vertebrae by the anterior approach for the treatment of cervicobrachial neuralgias of discal origin (author's transl)].

Cervicobrachial neuralgia of discal origin can be improved by a simple operation: excision of the pathological disc followed by an intercorporeal arthrodesis by the anterior approach, using an implanted graft without the use of any osteosynthetic material. The authors performed 20 such operations, using this method as described by Cloward, with very encouraging results. The selection of patients suitable for surgery, however, depends on strict criteria: isolated definite discal pathology, usually post-traumatic, suspected clinically and confirmed by a standard radiograph and gas myelography; finally, conclusive proof of immobilisation. The simple nature of the operation, the rapidity with which it can be performed, the short period of hospitalization and professional care required, and the absence of sequelae, are several factors which suggest that this surgical procedure should become the standard therapy for cervicobrachial neuralgias, as it is for the surgical cure of lumbar disc hernias. The introduction of more precise and comfortable radiographic methods, such as the scanner and metrizamide myelography, will ensure that this functional type of surgery becomes more economical and responds to the individual needs of the patients.

Adult↗