Background: The association of Guillain-Barre syndrome and cerebral sinus thrombosis is uncommon. Case Presentation: We report a 37-year-old patient hospitalized in medical ICU for respiratory distress following a Gui...Background: The association of Guillain-Barre syndrome and cerebral sinus thrombosis is uncommon. Case Presentation: We report a 37-year-old patient hospitalized in medical ICU for respiratory distress following a Guillain-Barre syndrome. He had symptomatic treatment in addition to plasma exchange. In the presence of clonic movements, a brain venography magnetic resonance showed a thrombophlebitis of the left lateral sinus, and hence a low-molecular-weight heparin treatment was begun. Immunological, thrombophilia and serological tests were negative. After a favorable evolution, he was transferred to the neurology department. Conclusion: The combination of a Guillain-Barre syndrome and a cerebral sinus thrombosis would suggest a common process. A rigorous investigation, including the use of imaging, is necessary in front of any unusual clinical sign during a GBS.展开更多
Background:Epilepsy is a chronic,universal disorder with various etiologies and prognoses.It is still laden with myths in the majority of the Moroccan population.Despite the existence of well-established medicinal tre...Background:Epilepsy is a chronic,universal disorder with various etiologies and prognoses.It is still laden with myths in the majority of the Moroccan population.Despite the existence of well-established medicinal treatments and increasingly comprehensive care,access to antiepileptic care is still limited,especially for rural populations.We aim herein to identify the therapeutic itinerary of patients with epilepsy(or epileptic disorders)as well as the behaviour of patients and their families towards this disease in Marrakech and the surrounding region of Marrakech-Safi.Methods:We carried out a retrospective study Questionnaire filled by 110 patients data was analysed with SPSS version 18.Results:Our results showed that 69.96%of the patients believed in a supernatural origin of the disease and 76.4%attended for professional medical care after their first seizure.In addition,more than half of our patients(51.8%)consulted a religious leader for the initial consultation,51.0%of whom were women and 49.0%were male.The low socioeconomic status of patients with epilepsy,74.5%of whom were unemployed,impeded the effective management of this disease.Conclusions:These results suggest that the management of patients with epilepsy(or epileptic disorders)in Africa,and particularly in Morocco requires,in addition to the reinforcement of human and material resources,an effort to educate and positively influence the family and the social environment as a whole.展开更多
文摘Background: The association of Guillain-Barre syndrome and cerebral sinus thrombosis is uncommon. Case Presentation: We report a 37-year-old patient hospitalized in medical ICU for respiratory distress following a Guillain-Barre syndrome. He had symptomatic treatment in addition to plasma exchange. In the presence of clonic movements, a brain venography magnetic resonance showed a thrombophlebitis of the left lateral sinus, and hence a low-molecular-weight heparin treatment was begun. Immunological, thrombophilia and serological tests were negative. After a favorable evolution, he was transferred to the neurology department. Conclusion: The combination of a Guillain-Barre syndrome and a cerebral sinus thrombosis would suggest a common process. A rigorous investigation, including the use of imaging, is necessary in front of any unusual clinical sign during a GBS.
文摘Background:Epilepsy is a chronic,universal disorder with various etiologies and prognoses.It is still laden with myths in the majority of the Moroccan population.Despite the existence of well-established medicinal treatments and increasingly comprehensive care,access to antiepileptic care is still limited,especially for rural populations.We aim herein to identify the therapeutic itinerary of patients with epilepsy(or epileptic disorders)as well as the behaviour of patients and their families towards this disease in Marrakech and the surrounding region of Marrakech-Safi.Methods:We carried out a retrospective study Questionnaire filled by 110 patients data was analysed with SPSS version 18.Results:Our results showed that 69.96%of the patients believed in a supernatural origin of the disease and 76.4%attended for professional medical care after their first seizure.In addition,more than half of our patients(51.8%)consulted a religious leader for the initial consultation,51.0%of whom were women and 49.0%were male.The low socioeconomic status of patients with epilepsy,74.5%of whom were unemployed,impeded the effective management of this disease.Conclusions:These results suggest that the management of patients with epilepsy(or epileptic disorders)in Africa,and particularly in Morocco requires,in addition to the reinforcement of human and material resources,an effort to educate and positively influence the family and the social environment as a whole.
