Kyste colloïde obstructif du troisième ventricule

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Méningo-encéphalite tuberculeuse révélée par des troubles psychiatriques: à propos d’un cas

La méningo-encéphalite tuberculeuse est une pathologie assez fréquente dans les pays endémiques, et représente la forme la plus sévère de la tuberculose. L’échec thérapeutique est fréquent à cause du retard diagnostique. Ce retard est essentiellement dû au grand polymorphisme clinique et notamment en raison des formes trompeuses. Ce travail expose le cas clinique rare d’une méningite tuberculeuse se présentant sous forme d’un tableau psychiatrique typique au cours de sa phase prodromique.Mots clés: Tuberculose, méningo-encéphalite, trouble psychiatriqueEnglish Title: Tuberculous meningoencephalitis revealed by psychiatric disorders: about a caseEnglish AbstractTuberculous meningoencephalitis is fairly frequent in endemic countries and it is the most severe form of tuberculosis. Therapeutic failure is common because of diagnostic delay. This delay is primarily due to a wide clinical polymorphism and, in particular, to misleading forms. We here report a rare clinical case of tuberculous meningitis in a patient in prodromal phase of psychosis.Keywords: Tuberculosis, meningoencephalitis, psychiatric disorde

Cerebral venous thrombosis revealing an ulcerative colitis

Cerebral venous thrombosis (CVT) has been reported as an uncommon and devastating complication of ulcerative colitis (UC), with an annual incidence varying between 0,5 to 6,7%. It is suspected to be a consequence of the hypercoagulable state occurring during disease relapse. We report a case of 22-year-old female patient presenting with CVT revealing an UC. Our case raises the awareness among health professionals about the inflammatory bowel diseases (IBD) as a rare etiology of CVT, and signifies the importance of considering antithrombotic prophylaxis in all hospitalised IBD patients, especially those with active disease.Pan African Medical Journal 2016; 2

Contribution a l'etude structurale et fonctionnelle de deux proteines de la secretion exocrine du pancreas : la proteine des calculs pancreatiques humains, la lipase pancreatique de porc

SIGLECNRS T Bordereau / INIST-CNRS - Institut de l'Information Scientifique et TechniqueFRFranc

Tuberculome à localisation inhabituelle: noyau caudé

We report the case of a 30-year old patient with a febrile meningeal syndrome. CSF examination revealed lymphocytic meningitis, white blood cell count was 400 cells/mm3 and hypoglucorachia suggestive of TB meningitis. Brain imaging (CT scan then MRI) (Figure 1 and 2) was performed. It showed cerebral tuberculoma localized at the level of the caudate nucleus. The patient underwent antibacillary treatment with good evolution. Tuberculomas are a rare complication of CNS tuberculosis. Their primary site is the junction of the white and gray matter. Diagnosis is based on imaging. They can be single or multiple. CT scan shows a rounded or oval hypodense or isodense area with rapid contrast enhancement after injection of contrast medium. There may be a peripheral ring-like enhancement of a form similar to that of rosettes . The MRI appearances of tuberculomas and peritumoral edema are hypointense to brain parenchyma on T1 sequence. Following injection of gadolinium CT scan images show classic ring enhancement. In T2 they produce hypointense signal with several punctiform hyperintense signals inside the lesion and an irregular hyperintense peripheral zone corresponding to the oedema. MRI is the investigation of choice for the diagnosis of brain tuberculoma. It is superior to CT scan for the assessment of the extension and of the different components of the lesion (necrotic center, capsule and perilesional œdème).The Pan African Medical Journal 2016;2