Introduction: Primary deposition of amyloid can take several forms including amyloidoma organ restricted among which is brain. Brain amyloidoma can mimic several lesions and offers a diagnostic challenge to the physician. The present work reports an additional case and summarizes the salient characteristics of previously published cases. Case Report: A 61-year-old, woman experienced paroxystic auditory hallucinations followed at times by generalized tonico-clonic seizures. Examination revealed a mild left pyramidal weakness. Head CT scan and MRI revealed a lobular lesion of the right atrium with contrast enhancement. The diagnosis of amyloidoma Lambda light chain (λLC) type was performed by means of a stereotactic biopsy. The patient was treated by 3 cures of high dose methotrexate (15 mg/m 2 ). At 24 months follow up the patient remains stable clinically and biologically. The 2 years follow-up MRI showed the same findings. Conclusion: No guidelines can be suggested for brain amyloidoma treatment; the "wait and see" was the mind-set in the literature. However, a non-tumour like pattern of a cerebral mass developing near the ventricle with a fine, irregular radiating margin enhancement and lack of oedema, and mass effect are important MRI clues for brain amyloidoma diagnosis. The diagnosis is histological after biopsy or excision.
Intracranial hematomas, whatever its causes, represent an important disabling, and dreaded adult's lesion. This brain's condition has not well been studied in developing countries. The aim of our study is to overview the management of intracaranial hematomas in Abidjan. It is a retrospective analytical and descriptive study, involving patients who had been admitted and monitored by neurosurgeons for intracranial hematomas, documented in brain CT scan and had been operated on from 1 January 2007 to December 31, 2009 in Abidjan. These 30 patients were 23 men and 7 women. The average age was 58.6 years old. 90% of the patients were admitted with wakefulness issues. Half had a Glasgow score of less than 8. The brain scanner allowed identification of an intraparenchymal hematoma associated or not with a cerebral ventricle contamination in 28 patients. There were 18 external ventricle derivations with or without decompressive craniectomy and 12 independent decompressive craniectomy. The evolution was marked by 20 deaths. 10 patients (33.3%) survived. Among the survivors, the first attack and arterial hypertension were the only illness before the attack. None had blood in the membranes and all had Glasgow scores greater than or equal to 9 at admission. Around 7 out of 10 patients were operated on during the first 48 hours. The operative indications of intracranial hematomas are still the subject of controversy. By basing itself on criteria and rigorous clinical and neuroimaging selection, surgery could eventually contribute to the management of this How to cite this paper:
How to cite this paper: Kouitcheu, R., Abd
Objectives: The use of traditional medicine is widespread in many countries of the world. A study found that 80% of rural populations living in developing countries depend on traditional medicine for their health needs. African Traditional Medicine remains poorly documented. However, because of this large attendance by the population, African physicians cannot continue to ignore this fact. The purpose of this study was to conduct a survey among physicians to find out what they think about the introduction of the teaching of ATM in medical schools in Togo. Methods: This is a cross-sectional survey of Togolese physicians over a period of a year, from December 1 st , 2016 to November 30 th , 2017. An anonymous questionnaire was sent to them and retrieved after filling. The socio-demographic and the general data on traditional medicine were asked. Results: 276 physicians completed the questionnaire. Their average age was 34.41 years. These physicians exercised mainly in public hospitals (91.3%). General practitioners were predominant (67.4%). The majority (62.7%) of the physicians surveyed believed in the existence of the ATM and 57.6% had at least once witnessed its success. ATM teaching in medical schools was approved by 209 (75.7%) of the physicians surveyed. Conclusion: The teaching of African traditional medicine in medical schools is widely accepted by the physicians surveyed. The challenges of this teaching are important because of the lack of documentation and resource persons.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.