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Congenital Depressed Skull Fracture Lifting with Suction Cup: A Therapeutic Alternative to Surgery 预览
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作者 André Tokpa Louis Derou +1 位作者 Konan Serge Yao Oka Dominique N’dri 《现代神经外科学进展(英文)》 2019年第2期115-122,共8页
Congenital skull fractures of newborn are rare and create medico-legal problems. Their management is controversial. Between surgery considered too aggressive and uncertain conservative attitude, reduction by suction c... Congenital skull fractures of newborn are rare and create medico-legal problems. Their management is controversial. Between surgery considered too aggressive and uncertain conservative attitude, reduction by suction cup or breast pump is an alternative. The authors report their experience through a case of successful resolution of a congenital depressed skull fracture using a suction cup in a newborn at 13 day of life followed by a literature review. This technique avoids the usual complications of surgery and reduces the anxiety of parents related to surgery. It also avoids the anxiety of having a newborn with a recessed skull and a conservative attitude with uncertain outcome. 展开更多
关键词 CONGENITAL SKULL FRACTURE DEPRESSED SKULL FRACTURE SUCTION Cup
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Spontaneous Disappearance of a Ruptured Intracranial Aneurysm 预览
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作者 André Tokpa Louis Derou +1 位作者 Konan Serge Yao Dominique Oka N’dri 《现代神经外科学进展(英文)》 2019年第2期164-171,共8页
The spontaneous disappearance of a ruptured intracranial aneurysm is unusual and its mechanism remains incompletely understood. However, several hypotheses are put forward and are mostly found in Virchow’s triad. We ... The spontaneous disappearance of a ruptured intracranial aneurysm is unusual and its mechanism remains incompletely understood. However, several hypotheses are put forward and are mostly found in Virchow’s triad. We report the case of a man who suffered subarachnoid hemorrhage by rupture of a blister aneurysm of the P1 segment of the left posterior cerebral artery. A control arteriography performed one week after the rupture showed a disappearance of the aneurysm and a significant vasospasm of the carrier artery. Angiograms performed at 3 weeks and 3 months confirmed this disappearance of the aneurysm and a return to normal artery size. Clinically the patient was doing well. Therefore his aneurysm was spontaneously declared cured. Several studies are needed to clarify the natural history of spontaneously thrombosed aneurysms and elucidate their occurrence mechanism in order to improve the management of intracranial aneurysmal pathology. 展开更多
关键词 INTRACRANIAL ANEURYSM SUBARACHNOID Hemorrhage Cerebral Angiography SPONTANEOUS THROMBOSIS
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Anterior Cervical Spine Osteosynthesis Complicated by Pharyngoesophageal Perforation 预览
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作者 André Tokpa Louis Derou +2 位作者 Ml Konan Guy Varlet Dominique N’dri-Oka 《现代神经外科学进展(英文)》 2018年第4期383-388,共6页
Anterior cervical spine surgery for traumatic or degenerative disease is a well-established procedure. However, complications such as pharyngoesophageal perforation can occur. In this study, we report a series of 6 ph... Anterior cervical spine surgery for traumatic or degenerative disease is a well-established procedure. However, complications such as pharyngoesophageal perforation can occur. In this study, we report a series of 6 pharyngoesophageal perforations after surgery. Based on the literature review, we analyzed pathogenesis, diagnosis and discussed therapeutic strategies. Three cases occurred after surgeries of traumatic cervical spine whereas the remaining were after surgeries for degenerative cervical myelopathy. The mean duration of surgery was 210 minutes. The symptoms, appearing 48 hours after surgery, were commonly hyperthermia, dysphagia, sore throat and swelling of the incision site. The diagnostic was confirmed after contrast-enhanced esophagography. The treatment strategies consisted of insertion of nasogastric feeding tube, oral intake restriction, intravenous antibiotics administration, wound drainage. Reoperation was necessary in 4 cases with removal of the hardware in three of them. One death occurred by pulmonary embolism in a tetraplegic patient. The occurrence of pharyngoesophageal perforation after cervical spine surgery can be disastrous. It can be avoided by increasing surgeon awareness during the surgical procedure. Early detection, immediate and multidisciplinary therapy are recommended to achieve the best outcomes. 展开更多
关键词 Cervical Spinal Surgery OSTEOSYNTHESIS Complications Pharyngo OESOPHAGEAL PERFORATION
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Epidural spinal cord compression as initial clinical presentation of an acute myeloid leukaemia: case report and literature review
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作者 Dominique N'Dri Oka Alpha Boubacar Bah +1 位作者 André Valentin Tokpa Louis Derou 《中华神经外科杂志(英文)》 2016年第1期共6页
A rare case of giant solitary spinal B cell lymphoblastic lymphoma
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作者 Hermann Adonis N'da Kporou Landry Drogba +3 位作者 Louis Derou Slim Alban Mbende Dominique N'dri Oka Vincent Ba Zézé 《中华神经外科杂志(英文)》 2016年第4期245-248,共4页
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