22 results on '"Alami, B."'
Search Results
2. Bilateral dolichoarteriopathy of internal carotid arteries as cause of bilateral ischemic strokes: Case report
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Lahjouji, O., Akammar, A., El Bouardi, N., Haloua, M., Alami, B., Boubbou, M., Bouchal, S., Chtaou, N., Belahsen, F., Maaroufi, M., and Alaoui Lamrani, M.Y.
- Abstract
Most anatomic features of the internal carotid artery (ICA) are described as a straight course to the skull base free of branches. In some cases, the excessive elongation of the internal carotid artery in a confined space results in a curvature showing a “C” or “S” shape, or in an abnormal vascular shape made of a single or double vessel loop. These anatomic variants are called dolichoarteriopathies of the internal carotid artery. The correlation between dolichoarteriopathy of the ICA and stroke is still questionable, however it is believed that it can be associated with cerebral ischemia with a clinical symptomatology that accompanies ischemic stroke. We report a case of a 41-year-old patient, with a history of hypertension, who was admitted for right hemiparesis with Broca's aphasia. The rest of the clinical examination was normal. Radiological investigations confirmed an acute left sylvian ischemic stroke with an abrupt occlusion of the posterior trunk of the left M2 segment on the CT angiogram, an excessive elongation of the ICA on both sides, describing a shape of coils or loops. Etiologic workup for ischemic stroke was negative.
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- 2024
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3. La thrombose veineuse cérébrale : aspects clinico-radiologiques, à propos d’une série de 62 cas
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Alami, B., Boujraf, S., Quenum, L., Oudrhiri, A., Alaoui Lamrani, M.Y., Haloua, M., Boubbou, M., and Maâroufi, M.
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Le but de notre travail est de faire une revue générale sur les différents aspects clinico-radiologiques et la prise en charge de la thrombose veineuse cérébrale (TVC) au sein de notre structure hospitalière et les comparer à ceux décrits dans la littérature.
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- 2024
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4. [Endobronchial mass of unusual etiology].
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Senhaji L, Alami B, Amara B, El Biaze M, Benjelloun MC, and Serraj M
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- 2024
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5. Radioclinical Profile of Eosinophilic Lung: A Case Series.
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Bouhamdi A, Saddouki F, Alami B, Serraj M, Biaz M, Benjelloun MC, and Amara B
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In this study, we present findings from an analysis of 17 patients diagnosed with eosinophilic lung disease, with a majority (64.70%) being male. The average age of the patients was 54 ± 13.22 years. A history of uncontrolled asthma was noted in nine cases. The clinical picture was characterized by persistent dyspnea and cough. Blood hypereosinophilia was present in all cases, with a median of 1770 cells/ul. Two patients had a pulmonary eosinophilia greater than 25%. Radiological findings were consistent with diffuse bilateral ground-glass opacities or areas of consolidation in the majority of cases. The main etiologies identified were chronic eosinophilic pneumonia (12 cases), followed by eosinophilic granulomatosis with polyangiitis (3 cases), idiopathic hypereosinophilic syndrome (1 case) and drug-induced hypereosinophilia (1 case). All patients were treated with systemic corticosteroids, with the addition of immunosuppressive therapy necessary in three cases. Notably, five relapses were recorded after corticosteroid therapy was stopped., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Bouhamdi et al.)
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- 2024
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6. Pes anserine bursitis as a complication of tibial osteochondroma.
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Sekkat A, Chaouche I, Alami Bassim G, Akammar A, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Maaroufi M, and Alami B
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Exostosis, or osteochondroma, represents the most prevalent primary benign bone tumor, often viewed as a developmental anomaly rather than a true neoplasm. This article presents 2 cases illustrating complications associated with tibial osteochondroma. The first case involves a 25-year-old patient with recurrent medial knee pain attributed to pes anserine bursitis secondary to tibial osteochondroma, managed successfully with surgical excision. The second case features a 15-year-old with similar symptoms and unsuccessful conservative management, highlighting the diagnostic challenges and therapeutic options for this condition. Discussion encompasses the clinical presentation, diagnostic modalities including MRI and ultrasound, and management strategies such as conservative measures, corticosteroid injections, and surgical excision. Recognizing and promptly managing complications like pes anserine bursitis in tibial osteochondroma is crucial to prevent chronic pain and functional impairment, emphasizing the importance of a multidisciplinary approach involving orthopedic surgeons, radiologists, and physical therapists., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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7. Ileal intussusception secondary to lipoma in an adult patient: A rare cause for intestinal obstruction: A case report.
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Chaouche I, ELBouardi N, Sekkat A, Haloua M, Alami B, Lamrani MYA, Boubbou M, and Maaroufi M
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Intussusception is a rare condition in adults, unlike in children, with a variety of etiologies. In most cases, it is secondary to tumors. acute intussusception on lipoma is very exceptional. We report a case of 68-year-old female patient, diagnosed with intestinal intussusception on lipoma., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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8. Clinicopathological and prognostic implications of EGFR mutations subtypes in Moroccan non-small cell lung cancer patients: A first report.
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Boukansa S, Mouhrach I, El Agy F, El Bardai S, Bouguenouch L, Serraj M, Amara B, Ouadnouni Y, Smahi M, Alami B, Mellas N, Benbrahim Z, and El Fatemi H
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- Humans, Female, Male, Middle Aged, Morocco epidemiology, Prognosis, Aged, Adult, Prospective Studies, Aged, 80 and over, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung mortality, ErbB Receptors genetics, Lung Neoplasms genetics, Lung Neoplasms pathology, Lung Neoplasms drug therapy, Lung Neoplasms mortality, Mutation
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Background: Non-small cell lung cancer (NSCLC) remains a significant global health concern, with EGFR mutations playing a pivotal role in guiding treatment decisions. This prospective study investigated the prevalence and clinical implications of EGFR mutations in Moroccan NSCLC patients., Methods: A cohort of 302 NSCLC patients was analyzed for EGFR mutations using multiple techniques. Demographic, clinical, and pathological characteristics were assessed, and overall survival (OS) outcomes were compared among different EGFR mutation subtypes., Results: EGFR mutations were present in 23.5% of patients, with common mutations (81.69%) dominating. Common mutations showed strong associations with female gender and non-smoking status, while rare mutations were associated with a positive smoking history. Patients with EGFR mutations receiving tyrosine kinase inhibitors (TKIs) had significantly improved OS compared to wild-type EGFR patients. Notably, patients with common EGFR mutations had the highest OS, while those with rare mutations had a shorter survival period, albeit not statistically significant., Conclusion: This study highlights the relevance of EGFR mutation status in NSCLC patients, particularly in therapeutic decision-making. The association between smoking history and rare mutations suggests the need for tailored approaches. The survival advantage for patients with common EGFR mutations underscores the significance of personalized treatment strategies., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Boukansa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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9. Imaging appearance of ovarian dysgerminoma: A report of two cases.
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Lahnine G, Benabderrazik B, Akammar A, Bouardi NE, Alami B, Lamrani MYA, Maaroufi M, Boubbou M, and Haloua M
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Ovarian dysgerminoma is a rare germ cell tumor accounting for 1%-2% of all malignant ovarian tumors and is generally associated with a good prognosis. The condition is more frequent in young women and can arise in dysgenetic gonads that contain gonadoblastomas. Imaging findings, particularly MRI, have a prominent role in the early and correct identification of ovarian dysgerminoma, the most common ovarian malignant germ cell tumor. On CT and MR images, ovarian dysgerminoma often appears as a large, solid mass. The edematous condition of characteristic fibrovascular septa can be well displayed by imaging, which can guide the radiologists to make an accurate diagnosis. This article describes 2 cases of patients with ovarian dysgerminoma who presented with pelvic pain. Imaging showed a right ovarian mass that was surgically and histologically confirmed., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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10. A rare cause of bronchial obstruction: Endobronchial hamartoma case report.
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Bouanani Z, Raïs A, Benbrahim FZ, Akammar A, Bouardi NE, Haloua M, Lamrani YMA, Boubbou M, Serraj M, Amara B, Lakranbi M, Ouadnouni Y, Smahi M, Maaroufi M, and Alami B
- Abstract
Most of the pulmonary endobronchial lesions are malignant in origin. In rare instances, benign lesions such as endobronchial hamartoma may be the cause of the endobronchial tree obstruction. We present the case of a 57-year-old male patient from North Africa who presents with a history of a 5-month cough. Imaging, particulary CT scan, showed a mass on the right intermediate bronchus whose radiological characteristics are consistent with hamartoma. A biopsy of the mass obtained via bronchoscopy revealed chronic inflammation with no evidence for malignancy. The patient was treated surgically, and anatomopathology confirmed the diagnosis of hamartoma., (© 2024 The Authors.)
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- 2024
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11. Post-tuberculosis fibrosing mediastinitis: A report of 3 cases.
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Bouhamdi A, Boumekrat L, Saddouki F, Alami B, Serraj M, Biaze ME, Benjelloun MC, and Amara B
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Fibrosing mediastinitis is a rare entity generally caused by granulomatous disease. Most cases develop as a complication of histoplasmosis. Association with tuberculosis has been rarely documented. We report the case of 3 young patients who presented with superior vena cava syndrome several years after treated tuberculosis. Biological, radiological, and histological investigations led to the diagnosis of fibrosing mediastinitis., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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12. Cerebellar liponeurocytoma: Rare posterior fossa tumor.
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Chaouche I, El Bouardi N, Benabderrazik B, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Cerebellar liponeurocytoma is a rare WHO grade II glioneuronal tumor, characterized by a benign course and a more favorable prognosis. In this paper, we report a 52-year-old man, hospitalized in emergency because of clinical signs of increased intracranial pressure, and gait disturbances. The MRI revealed a lateral well shaped solid lesion within the left cerebellar hemisphere, having a low signal intensity compared to the cerebrospinal fluid, and causing a triventicular hydrocephalus and tonsillar herniation. The patient underwent a direct approach of the tumor through a left suboccipital craniectomy. Total removal of the lesion was achieved, and the histological diagnosis was cerebellar liponeurocytoma. The tumor cell proliferation index was < 6 %, therefore, radiotherapy and chemotherapy were not implemented after surgery. After 5 years of close follow-up there were no clinical or radiological signs of recurrence. Our objective in reporting another case of this unusual tumor is to discuss clinical profile, radiologic and histologic features as well as treatment and prognosis of this rare posterior fossa tumor., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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13. Carotid occlusion of a giant intracavernous aneurysm on a single functional internal carotid artery.
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Srhiri S, Chaouche I, Akammar A, El Bouardi N, Haloua M, Alami B, Boubbou M, Maaroufi M, and Youssef Lamrani Alaoui MY
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The prevalence of intracranial aneurysms (IA) is higher in patients with stenosis of the internal carotid artery (ICA), the intracavernous internal carotid aneurysm is an intracranial aneurysm causing major functional and vital complications. We report the case of a 26-year-old man who consulted for a reduction in visual acuity, converging strabismus and ptosis of the right eye evolving for 7 months before his consultation, the various neuro-radiological examinations made it possible to identify diagnose a giant aneurysm of the right intracavernous internal carotid artery associated with severe stenosis of the contralateral internal carotid artery, hence the performance of a therapeutic arteriography consisting of an occlusion of this aneurysm. In summary, we describe successful management of a giant aneurysm of the intracavernous portion of a single functional internal carotid artery, while preserving optimal cerebral vascularization., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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14. Intramyocardial hydatid cyst revealed with ischemic stroke due to left ventricular systolic dysfunction: A case report.
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Maasaoui K, Hamdaoui A, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Cardiac echinococcosis, although rare, presents a range of clinical manifestations depending on the cyst's location within the heart. These manifestations can range from asymptomatic conditions to serious complications such as arrhythmias, valvular dysfunction, cardiac tamponade, heart failure, shock, or even death. This case report describes the unusual presentation of a young man with an intramyocardial hydatid cyst, which was incidentally discovered following an ischemic stroke. Diagnostic evaluation included echocardiography, as well as chest and abdominal angiography via computed tomography (angio-CT). Surgical intervention was undertaken, involving cystectomy and the removal of the cyst contents. The patient's postoperative recovery was uneventful and favorable. This report emphasizes important diagnostic and management considerations specific to cardiac hydatid cysts and includes a review of the relevant literature to provide context and depth to our findings., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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15. Using imaging to diagnose renal tumors beyond nephroblastoma.
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Rhalem I, Bouanani Z, Akammar A, El Bouardi N, Alami B, Lamrani MYA, Hammas N, Maaroufi M, Boubbou M, and Haloua M
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Wilm's tumor (WT) accounted for the vast majority of renal tumors in children (92%). However, there are many atypical or rare forms of kidney cancer, and it is certainly useful to have a diagnostic orientation in imaging to differentiate between the different diagnoses, guiding that way the therapeutic management. We report the cases of 3 patients who were initially diagnosed with nephroblastoma on the basis of radiological data (via PACS search), underwent pre-operative chemotherapy and then nephrectomy, and whose anatomopathological evidence came back in favor of benign renal tumors. Nephroblastoma is the most common renal tumor in children, but other benign tumors should not be neglected, radiological signs that may point to this entity should be taken into account, so that neoadjuvant chemotherapy with its enfeebling side effects can be avoided., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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16. Case report: Infectious cerebral vasculitis due to rickettsiosis.
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Nabih OO, Bouardi NE, Chahdi HO, Akammar A, Haloua M, Alami B, Lamrani Y, Boubbou M, and Maaroufi M
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Rickettsiosis is a widespread infection throughout the world and in Africa, it covers a wide range of infectious diseases caused by Rickettsia species. Rickettsial infections, with the exception of Q fever, typically present with fever, rash, and vasculitis. The central nervous system (CNS) can be affected by all rickettsial diseases and is an important target for several of them. Clinical manifestations are suggestive of rickettsial infection, but serology and skin biopsy provide confirmation. Although the presence of abnormal neuroimaging is rare, its presence is associated with a worse clinical prognosis. Computed tomography (CT) and magnetic resonance imaging (MRI) scans mainly show signs of vasculitis, which may be reversible if appropriate treatment is initiated early in the course of the disease. We present here a case of infectious cerebral vasculitis due to rickettsiosis with some MRI features., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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17. Lipoma arborescens of the knee: A case report.
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Ouazzani Chahdi H, El Bouardi N, Ferhi M, Akammar A, Haloua M, Youssef Alaoui Lamrani M, Boubbou M, Maaroufi M, and Alami B
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Lipoma arborescens is a rare and benign intra-articular lesion characterized by a lipomatous proliferation of the synovial membrane, usually affects the knee joint. It presents as an unusual cause of intermittent knee pain and joint effusion. We report a case of lipoma arborescens of the knee in a 23-year-old man that initially resembled inflammatory arthropathy. The diagnosis of Lipoma arborescens was made by magnetic resonance imaging of the knee and confirmed histologically by synovectomy. The purpose of our case is to show the imaging features enabling early diagnosis and appropriate treatment., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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18. An epidermal growth factor receptor compound mutation of L858R with S768I in advanced non-small-cell lung cancer: a case report.
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Boukansa S, Mouhrach I, El Agy F, Bouguenouch L, Serraj M, Amara B, Ouadnouni Y, Smahi M, Alami B, Mellas N, Benbrahim Z, and El Fatemi H
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- Humans, Middle Aged, Clinical Decision-Making, ErbB Receptors genetics, ErbB Receptors therapeutic use, Mutation, Protein Kinase Inhibitors therapeutic use, Tyrosine Kinase Inhibitors, Uncertainty, Male, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung pathology, Lung Neoplasms drug therapy, Lung Neoplasms genetics, Lung Neoplasms pathology
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Background: In the current treatment landscape for non-small cell lung cancers, epidermal growth factor receptor-tyrosine kinase inhibitors have emerged as a well-established treatment option for patients with advanced or metastatic disease. This is particularly true for those with commonly occurring epidermal growth factor receptor mutations. However, the therapeutic efficacy of these agents for so-called rare epidermal growth factor receptor mutations, and in particular those characterized by a high degree of complexity, such as double mutations, remains a subject of clinical uncertainty., Case Presentation: In this context, we present the case of a 64-year-old man of Moroccan descent, a lifelong non-smoker, diagnosed with metastatic non-small cell lung cancer characterized by a complex epidermal growth factor receptor mutation encompassing L858R and S768I. The patient subsequently underwent afatinib-based treatment, showing notable clinical results. These included a remarkable overall survival of 51 months, with a median progression-free survival of more than 39 months., Conclusions: This case report is a compelling testimony to the evolving therapeutic landscape of non-small cell lung cancers, providing valuable insight into the potential therapeutic efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors in the realm of rare and complex epidermal growth factor receptor mutations., (© 2024. The Author(s).)
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- 2024
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19. Cholecystitis-related cystic artery pseudoaneurysm: Case report.
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Rais A, Benabderrazik B, El Bouardi N, Akammar A, Haloua M, Alami B, Alaoui MYL, Boubou M, and Maaroufi M
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The pseudoaneurysms of the cystic artery (CAP) are very uncommon. They usually develop as a result of an acute cholecystitis or after a cholecystectomy. Among the complications, we can find hemorrhaging, biliary blockage, and haemobilia. Limited understanding of the illness makes managing specific cases difficult. We describe a case of a cystic artery pseudoaneurysm complicating an acute cholecystitis that was successfully treated by transcatheter arterial embolization., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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20. Benign and malignant prolapsed uterine tumors : 4 case reports of an extremely rare entities.
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Benabderrazik B, Lahnine G, Akammar A, Bouardi NE, Alami B, Lamrani YMA, Maaroufi M, Boubbou M, and Haloua M
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Prolapsed uterine tumors within the cervix or vagina, are attached to the uterine cavity by a soft tissue stalk. Malignant tumors and leiomyoma are the first diagnostic considerations for a prolapsed uterine mass with a visible stalk at MRI. This article describes 4 cases of patients who presented with large, necrotic prolapsed uterine tumors that were surgically confirmed and were diagnosed prospectively on the basis of MRI findings. Imaging, particularly MRI, plays a crucial role in the management of patients with prolapsed pedunculated uterine tumors, especially for pre-operative localization and surgical treatment. The 4 patients underwent a total hysterectomy with a complete resection of the mass. The histopathological report confirmed in the first case the diagnosis of a uterine leiomyoma with aseptic necrobiosis, in the second and third cases a sarcoma, and in the fourth case a serous adenocarcinoma., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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21. Crack lung with toxic cerebral vasculitis: Case report.
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Chahdi HO, Mourabiti AY, Houssaini MS, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Crack is the most potent form of cocaine. It directly affects lungs if inhaled and the damage may include barotrauma, acute pulmonary edema, alveolar hemorrhage, bronchiolitis obliterans with organizing pneumonia, or vasculitis. The diagnosis of cocaine-related lung damage is based on clinical symptoms and radiological findings. When young individuals develop respiratory symptoms, investigation into cocaine use is necessary. We report the case of a young man with a history of cocaine use who presented for respiratory and neurological symptoms revealing crack lung and toxic cerebral vasculitis., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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22. Bilateral thalamic infarcts: Percheron territory.
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Lahnine G, Abdourabbih Y, El Bouardi N, Haloua M, Alami B, Lamrani MYA, Boubbou M, and Maaroufi M
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Blood supply to the human thalami is complex and multiple variants exist. The artery of Percheron is one of those variants and is characterized by a solitary arterial trunk that branches from one of the proximal segments of either posterior cerebral artery and sup- plies blood to the paramedian thalami. Its occlusion results in bilateral paramedian thalamic infarction sometimes extending to the midbrain. We report a case of bithalamic infarction secondary to occlusion of the artery of Percheron. We will illustrate the complex clinical symptomatology and underscore the role of imaging, especially MRI, for diagnosis., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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