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Marrakesh, Morocco

Arabi H.,Cadi Ayyad University | Bakzaza O.,Avicenne Military Hospital | Bakzaza O.,Cadi Ayyad University | El Fikri A.,Cadi Ayyad University | And 4 more authors.
Journal of Medical Case Reports

Background: Paralysis of the external popliteal sciatic nerve is a frequent pathological condition that occurs after trauma. However, etiologies other than trauma, such as tumors, are also possible. The sensory collaterals of the external popliteal sciatic nerve have a small territory of innervation at the knee, and tumors involving these nerves become symptomatic after compression of the motor nerves. We here describe the first reported case of this phenomenon. Case presentation: This case involved a lesion compressing the origin of the external popliteal sciatic nerve of a 13-year-old Moroccan boy diagnosed with a neurofibroma. He developed functional impairment of his left lower limb during a football game, and examination revealed a steppage gait. The initial diagnosis was stretching of the peroneal nerve. The definitive diagnosis of a neurofibroma was revealed by imaging and confirmed by surgery and pathology. Treatment involved total removal of the tumor; however, our patient's steppage gait persisted. Conclusions: Our patient developed compression of the external popliteal sciatic nerve from a tumor growing on a collateral nerve. Early diagnosis is an absolute necessity in such cases. Trauma and tumors of sensory nerves can distort the diagnosis, as in this case. Ultrasound and magnetic resonance imaging can contribute to an accurate diagnosis in patients with neuropathy in the absence trauma or tomacula. © 2016 Arabi et al. Source

Elktaibi A.,Avicenne Military Hospital | Benjelloun A.,Avicenne Military Hospital
Journal of Medical Case Reports

Introduction: To the best of our knowledge, the association of nasopharyngeal and laryngeal tuberculosis has never been described before in the literature. We report here a first observation. Case presentation: We report the case of a 38-year-old Arab man who presented with an isolated hoarseness. Radiological and endoscopic examinations showed a thickening of the left lateral wall of his nasopharynx and the left vocal cord. Pathology revealed the diagnosis of tuberculosis of both localizations. He received a 6-month antituberculous chemotherapy with a satisfying uneventful evolution. Conclusions: Tuberculosis should be considered in the differential diagnosis of soft tissue masses of the head and neck, particularly when the imaging findings and clinical presentation are atypical. The diagnosis of tuberculosis is mainly based on histopathological and/or bacteriological examination. © 2015 Darouassi et al.; licensee BioMed Central. Source

Chafik A.,Avicenne Military Hospital | Benjelloun A.,Avicenne Military Hospital | Qassif H.,Avicenne Military Hospital | El Fikri A.,Avicenne Military Hospital | And 2 more authors.
Asian Cardiovascular and Thoracic Annals

Bronchogenic cysts are most frequently located in the middle mediastinum near the carina. Esophageal bronchogenic cysts are extremely rare. An intramural esophageal bronchogenic cyst was successfully resected from a 51-year-old man. © The Author(s) 2011. Source

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