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Decompressive craniectomy is a procedure commonly used to manage suffering from traumatic brain injury patients. It has shown its effectiveness in reducing intracranial pressure, increasing cerebral perfusion pressure, and improving transcranial Doppler. However, it has no clear benefit on outcome. We performed a retrospective analysis of demographic, clinical, and evolving data from 70 cases of decompressive craniectomy in patients with traumatic brain injury at Hassan II University Hospital in Fez, Morocco, from January 2017 to December 2021. Majority of patients were young (age 15-90) and male (63 out of 70). The most common etiology was a road traffic accident (53 out of 70). At initial evaluation, 27 patients (38%) were classified as having severe traumatic brain injury. Pupillary examination revealed no abnormalities for 48 patients (68%). Acute subdural hematoma was the most commonly observed lesion (37 out of 70, 52%). The Glasgow Outcome Scale (GOS) was used to assess the neurological outcome of patients, and 26 patients (37%) had an unfavorable outcome. Only a Glasgow Coma Scale score of 3-8, absent pupillary reactivity, and delayed surgical procedure (>48 hours) were associated with a poor outcome (p<0.05). [ABSTRACT FROM AUTHOR]

Copyright of Sang Thrombose Vaisseaux is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pseudomonas aeruginosa est l'une des bactéries opportunistes les plus pathogènes pour l'homme. Il est responsable d'un nombre élevé d'infections nosocomiales en réanimation. Plusieurs études ont rapporté un taux élevé de morbimortalité due à ce germe. Cependant, le point sur les facteurs de résistance aux antibiotiques ainsi que les facteurs de mortalité liés à ce germe restent un sujet d'actualité. Durant ces quatre dernières années l'incidence des infections nosocomiales à P. aeruginosa est en nette augmentation dans notre hôpital, ce qui nous a poussés à faire cette étude épidémiologique visant à trouver l'incidence vraie de ces infections dans notre service ainsi qu'à identifier les facteurs de résistance du P. aeruginosa aux antibiotiques et les facteurs de risque de mortalité liés à ce germe. [ABSTRACT FROM AUTHOR]

Copyright of Médecine Thérapeutique is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Pan African Medical Journal is the property of Pan African Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Les complications thromboemboliques associées à l´infection par Mycobacterium tuberculosis ont été rapportées dans la littérature et ont eu lieu dans 1,5 à 3,4% de l´infection tuberculeuse. Nous rapportons le cas d'une fillette âgée de 4ans suivie pour spondylodiscite tuberculeuse, admise dans notre formation pour prise en charge d'une ischémie aigue des deux membres inférieurs consommée, ayant nécessité une amputation trans- tibiale d'un côté et trans-fémorale du coté contro-latéral. Nous discutons les aspects cliniques, physiopathologiques et le lien de causalité. [ABSTRACT FROM AUTHOR]

Background: Thrombophlebitis of the cavernous sinus is a rare but serious disease that most often affects young adults and children. It is associated with significant morbidity or mortality and is often related to local infections of the head. The diagnosis is based on clinical findings and is confirmed by imaging., Case Report: We report the case of a 17-year-old male with a history of recurrent sinusitis, who presented general signs of infection, orbital symptoms, and meningeal involvement. CT and MRI showed thrombosis of the cavernous sinus associated with cerebral ischemic damage. The therapeutic management included empiric antibiotic therapy, drainage of an orbital collection, and anticoagulation. The patient died later secondary to septic shock., Conclusions: Although thrombophlebitis of the cavernous sinus is increasingly rare, it remains a lethal complication of sinusitis, and mortality is still high. The course of this disease can be dramatic due to infectious or vascular neurological complications. Early diagnosis and appropriate treatment are crucial.