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  1. Article: Intracerebral Hemorrhage in Patients with Neuromyelitis Optica: Case Report with Literature Review for Possible Pathological Association.

    Elshony, Hosna Saad / Idris, Abdelrahman / Al-Ghamdi, Abdulaziz / Muddassir, Rabia

    Case reports in neurology

    2021  Volume 13, Issue 1, Page(s) 157–165

    Abstract: Neuromyelitis optica (NMO) is an autoimmune demyelinating disorder of the central nervous system which is characterized by attacks of optic neuritis and transverse myelitis. An association between NMO and intracerebral hemorrhage (ICH) has been rarely ... ...

    Abstract Neuromyelitis optica (NMO) is an autoimmune demyelinating disorder of the central nervous system which is characterized by attacks of optic neuritis and transverse myelitis. An association between NMO and intracerebral hemorrhage (ICH) has been rarely recognized, having been reported only 3 times before. Here we report on a patient with NMO who eventually developed subarachnoid hemorrhage, in order to emphasize that the association between NMO and ICH is mostly not incidental and that the pathological basis for this association should be investigated thoroughly.
    Language English
    Publishing date 2021-03-04
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2505302-4
    ISSN 1662-680X
    ISSN 1662-680X
    DOI 10.1159/000513644
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Lance Adams Syndrome: A Rare Case Presentation of Myoclonus From Chronic Hypoxia Secondary to COVID-19 Infection.

    Muddassir, Rabia / Idris, Abdelrahman / Alshareef, Noura / Khouj, Ghaidaa / Alassiri, Rimaz

    Cureus

    2021  Volume 13, Issue 12, Page(s) e20321

    Abstract: Coronavirus disease 2019 (COVID-19) pandemic is caused by the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and since the outbreak, many neurological features and syndromes are reported with this multi-organ viral infection. Lance-Adams ... ...

    Abstract Coronavirus disease 2019 (COVID-19) pandemic is caused by the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and since the outbreak, many neurological features and syndromes are reported with this multi-organ viral infection. Lance-Adams syndrome (LAS) also referred to as chronic post hypoxic myoclonus is defined as action myoclonus which can occur as generalized, focal, or multifocal repeated myoclonic motor movements which involve the face, trunk, or extremities and it is one of the neurological complications that are related to COVID-19 infection. LAS is reported as a delayed complication of cardiac arrest, which causes cerebral hypoxia leading to myoclonus. We report a case of a 58-year-old male patient diagnosed as a case of LAS secondary to hypoxia occurring because of COVID-19 without cardiac arrest and to the best of our knowledge it is the second case reported with this similar mechanism. Moreover, we discuss the possible pathophysiological relationship between LAS and COVID-19 and various treatment strategies. Eventually, we review the related articles in the literature regarding the LAS and various types of myoclonus associated with COVID-19 infection.
    Language English
    Publishing date 2021-12-10
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.20321
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report.

    Ali, Mohamed Osama Mohamed / Mohamed, Noon Idris Abdelrahman / Ahmed, Ahmed Abdelfattah Eltomelhussein / Basher, Mohamed Osman Suliman / Mohamed, Samya Abbas Abdelrazig / Elgemaabi, Osama Mohieldin

    Journal of medical case reports

    2023  Volume 17, Issue 1, Page(s) 299

    Abstract: Introduction: Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign ... ...

    Abstract Introduction: Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign tumour, and primary adenocarcinoma is the most common malignant one. Early diagnosis and treatment are essential to reducing poor outcomes, including ischemia, perforation, and sepsis. Computed tomography imaging is a modality of choice for diagnosis. With a diagnostic accuracy of up to 100% and a specificity of up to 71%. Surgical intervention is the definitive treatment, and the decision is taken according to the situation.
    Case presentation: A 61-year-old Black African female presented to our surgical casualty with intermittent colicky abdominal pain for 1 month. After that, she started to experience abdominal swelling in the right iliac fossa. A CT scan confirmed the presence of colo-colic Intussusception, cecum-ascending-transverse colon. Laparotomy was scheduled, and a right hemicolectomy was done accordingly. Diagnosis of adenocarcinoma (Dukes stage B2) was made histologically.
    Conclusion: Intussusception in adults is a challenging diagnosis requiring high clinical suspicion and has a high incidence of fatal complications. Colonic cancer can be worsening by any infection and chronic medical problem. CT imaging is the lifesaving modality of choice for diagnosis. Good patient outcomes depend on timely diagnosis and recruitment of a multi-disciplinary team.
    MeSH term(s) Adult ; Humans ; Female ; Middle Aged ; Intussusception/diagnostic imaging ; Intussusception/etiology ; Intussusception/surgery ; Colonic Neoplasms/complications ; Colonic Neoplasms/surgery ; Colonic Neoplasms/diagnosis ; Abdominal Pain/etiology ; Abdominal Pain/surgery ; Colectomy ; Adenocarcinoma/diagnosis ; Adenocarcinoma/diagnostic imaging
    Language English
    Publishing date 2023-07-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-023-04027-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Spinal Cord Ischemia Secondary to Aortic Dissection: Case Report with Literature Review for Different Clinical Presentations, Risk Factors, Radiological Findings, Therapeutic Modalities, and Outcome.

    Elshony, Hosna / Idris, Abdelrahman / Ahmed, Alaa / Almaghrabi, Murouj / Ahmed, Walaa / Fallatah, Shouq

    Case reports in neurology

    2021  Volume 13, Issue 3, Page(s) 634–655

    Abstract: Aortic dissection (AD) is a serious condition that causes transient or permanent neurological problems that include spinal cord ischemia (SCI), which occurs when AD extends into the descending aorta resulting in insufficient perfusion of segmental ... ...

    Abstract Aortic dissection (AD) is a serious condition that causes transient or permanent neurological problems that include spinal cord ischemia (SCI), which occurs when AD extends into the descending aorta resulting in insufficient perfusion of segmental arteries that supplies the spinal cord. We report a 64-year-old male, presented with severe back pain, asymmetrical paresthesia, and weakness of both limbs, more in the left lower limb with loss of pinprick, temperature, and fine touch sensation on the lower left lower limb below the level of T5 with preserved proprioception and vibration and urine hesitancy. Computed tomography showed AD, Stanford type A, and spinal magnetic resonance imaging (MRI) showed hyperintense owl's eye sign at T5. The patient was diagnosed as anterior spinal artery syndrome secondary to an AD and referred for aortic surgical repair with good functional outcome. In our review to cases of SCI due to AD, it was more common in males above 55 years, pain only found in 47.8% of patients, with anterior cord syndrome on top of the clinical presentations, and hypertension is the most common risk factor. MRI spine showed thoracic location predominance. Surgical or endovascular repair especially for type A and complicated type B should be considered to avoid complications, and cerebrospinal fluid drainage is a very useful tool in reversing SCI specially if done early with favorable outcome. Only the old age is associated with increased risk of mortality. Early diagnosis and appropriate management are crucial for better outcome.
    Language English
    Publishing date 2021-09-28
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2505302-4
    ISSN 1662-680X
    ISSN 1662-680X
    DOI 10.1159/000518197
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman

    Mohamed Osama Mohamed Ali / Noon Idris Abdelrahman Mohamed / Ahmed Abdelfattah Eltomelhussein Ahmed / Mohamed Osman Suliman Basher / Samya Abbas Abdelrazig Mohamed / Osama Mohieldin Elgemaabi

    Journal of Medical Case Reports, Vol 17, Iss 1, Pp 1-

    a case report

    2023  Volume 5

    Abstract: Abstract Introduction Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common ... ...

    Abstract Abstract Introduction Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign tumour, and primary adenocarcinoma is the most common malignant one. Early diagnosis and treatment are essential to reducing poor outcomes, including ischemia, perforation, and sepsis. Computed tomography imaging is a modality of choice for diagnosis. With a diagnostic accuracy of up to 100% and a specificity of up to 71%. Surgical intervention is the definitive treatment, and the decision is taken according to the situation. Case presentation A 61-year-old Black African female presented to our surgical casualty with intermittent colicky abdominal pain for 1 month. After that, she started to experience abdominal swelling in the right iliac fossa. A CT scan confirmed the presence of colo-colic Intussusception, cecum-ascending-transverse colon. Laparotomy was scheduled, and a right hemicolectomy was done accordingly. Diagnosis of adenocarcinoma (Dukes stage B2) was made histologically. Conclusion Intussusception in adults is a challenging diagnosis requiring high clinical suspicion and has a high incidence of fatal complications. Colonic cancer can be worsening by any infection and chronic medical problem. CT imaging is the lifesaving modality of choice for diagnosis. Good patient outcomes depend on timely diagnosis and recruitment of a multi-disciplinary team.
    Keywords Colicky pain ; Intussusception ; Colon ; Right iliac fossa mass ; Case report ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Ectopic thyroid carcinoma in the mandible with normally located goiterous thyroid gland: A case report.

    Ali, Mohamed Osama Mohamed / Mohamed, Noon Idris Abdelrahman / Ahmed, Ahmed Abdelfattah Eltomelhussein / Adam, Najdelddin Adam Ibrahim / Basher, Mohamed Osman Suliman / Elkhedir, Abdalla Abdelmutaleb Bakhit

    International journal of surgery case reports

    2022  Volume 97, Page(s) 107433

    Abstract: Background: The presence of ectopic thyroid tissue is a developmental disorder that affects about one per 100,000-300,000 people. It is extraordinarily rare for ectopic thyroid to be out of the lines of its descent. This case is the first to report a ... ...

    Abstract Background: The presence of ectopic thyroid tissue is a developmental disorder that affects about one per 100,000-300,000 people. It is extraordinarily rare for ectopic thyroid to be out of the lines of its descent. This case is the first to report a cancerous ectopic thyroid in the mandibular bone with a goitrous orthotopic thyroid gland.
    Case presentation: 80-year-old female of free medical background presented to our clinic with painless left mandibular swelling that recent increase in size after tooth extraction. Surprisingly the diagnosis of ectopic thyroid tissue with cancerous follicular cells was reached upon histological analysis. The goitrous thyroid gland was found in its expected cervical location, and the patient was euthyroid.
    Conclusion: Because this diagnosis extremely rare, the possibility of ectopic thyroid carcinoma in cases of a pathological mass in the mandible must always be carefully thought out. A high degree of suspicion is essential as the unusual presentation could take.
    Language English
    Publishing date 2022-07-21
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2022.107433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Subacute Herpes Simplex Type 1 Encephalitis: Case Report With Literature Review.

    Elshony, Hosna / Idris, Abdelrahman / Al-Ghamdi, Abdulazuiz / Alharbi, Bashaer / Almalki, Abdulrahman / Alharbi, Ahmed / Faqih, Norah

    The neurologist

    2021  Volume 26, Issue 5, Page(s) 178–184

    Abstract: Introduction: The typical herpes simplex viral encephalitis (HSVE) course is an acute illness, less commonly it may present as a chronic course, mainly in children, and rarely may it be subacute. Subacute HSVE is rarely described in the literature being ...

    Abstract Introduction: The typical herpes simplex viral encephalitis (HSVE) course is an acute illness, less commonly it may present as a chronic course, mainly in children, and rarely may it be subacute. Subacute HSVE is rarely described in the literature being reported 4 times only.
    Case report: We here report 2 cases of subacute HSV1 encephalitis diagnosed based on cerebrospinal fluid polymerase chain reaction and magnetic resonance imaging findings and review the literature trying to find any specific clinical, laboratory, radiologic diagnostic or prognostic criteria regarding this subacute form of HSVE.
    Conclusion: There is subacute form of HSVE and should be suspected with any subacute febrile illness with nonspecific cognitive impairment even in the absence of focal neurological symptoms and in cases with rapidly progressive dementia. This form has similar radiologic finding and good response to acyclovir but carry even better prognosis than that the acute HSVE.
    MeSH term(s) Acyclovir ; Child ; Encephalitis, Herpes Simplex/diagnostic imaging ; Encephalitis, Herpes Simplex/drug therapy ; Herpes Simplex ; Humans ; Magnetic Resonance Imaging ; Polymerase Chain Reaction
    Chemical Substances Acyclovir (X4HES1O11F)
    Language English
    Publishing date 2021-09-07
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1361380-7
    ISSN 2331-2637 ; 1074-7931
    ISSN (online) 2331-2637
    ISSN 1074-7931
    DOI 10.1097/NRL.0000000000000343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Acute toxemic schistosomiasis complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan.

    Ahmed, Abdelmonim F / Idris, Abdelrahman S / Kareem, Abid M / Dawoud, Talal A

    Saudi medical journal

    2008  Volume 29, Issue 5, Page(s) 770–773

    Abstract: A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight (10 kg) and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging (MRI) of the ... ...

    Abstract A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight (10 kg) and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging (MRI) of the spinal cord showed low cord lesion suggestive of transverse myelitis. We present a detailed account of diagnostic and management challenges and a literature review of the final diagnosis of acute toxemic schistosomiasis, complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy. We are reporting this case to increase the awareness of physicians of schistosomal myeloradiculopathy, as it needs urgent specific treatment praziquantel and steroids. An early follow-up with MRI of the spinal cord (2 weeks treatment) may help in preventing unnecessary neurosurgical intervention. Bilharziasis may be contracted on the banks of the river "White Nile" in urban areas. Finally, clinicians should make use of the Google computer search for diagnosis in difficult cases.
    MeSH term(s) Acute Disease ; Anthelmintics/therapeutic use ; Diagnosis, Differential ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neuroschistosomiasis/diagnosis ; Neuroschistosomiasis/drug therapy ; Paraplegia/parasitology ; Radiculopathy/parasitology ; Spinal Cord Diseases/diagnosis ; Spinal Cord Diseases/drug therapy ; Spinal Cord Diseases/parasitology ; Sudan
    Chemical Substances Anthelmintics
    Language English
    Publishing date 2008-05
    Publishing country Saudi Arabia
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 392302-2
    ISSN 1658-3175 ; 0379-5284
    ISSN (online) 1658-3175
    ISSN 0379-5284
    Database MEDical Literature Analysis and Retrieval System OnLINE

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