Background Data: Spinal cord ependymomas can arise in different locations throughout the spinal cord, with the most frequent location being the cervical spine. Ependymomas usually grow slowly, compressing rather than infiltrating spinal tumors. Among different prognostic and predictor factors, the extent of resection has been the strongest predictor of outcomes. Multimodal intraoperative neurophysiological monitoring (IONM) helps maximize the extent of resection with minimal postoperative neurological complications. Purpose: To assess the impact of IONM on the extent of surgical resection and outcomes of spinal cord ependymomas. Study Design: A retrospective cohort study. Patients and Methods: Twenty-five patients who underwent spinal cord ependymoma resection in 4 centers between March 2014 and February 2018 were eligible for the inclusion criteria of this study. Patients were divided into two groups: the IONM group and the non-IONM group. IONM consisted of electromyography (EMG), transcranial motor evoked potentials (tcMEP), and somatosensory evoked potentials (SSEP). All patients were submitted for full neurological examination and MRI of the spine both preoperatively and at the postoperative routine follow-up. Postoperative radiotherapy was conducted routinely by our radiotherapists. The secondary outcomes were the correlation between the warning criteria of IONM and postoperative neurological outcomes and their impact on the extent of tumor resection. Also, a recurrence rate during the follow-up period was reported.

No abstract

Introduction 2-Problématique de recherche 3-Methode d'analyse 4-Motif de choix 5-la culture malinkée 6-Le personnage griot 7-L'identité 8-L'engagement 9-La conclusion

Le Corpus Munamnamât tarîkhiyya (Miniatures historiques) 1 Méthode de rechercheNous adopterons dans cette recherche la méthode thématique du retour au patrimoine historique dans la forme ainsi que dans le fond afin de créer un théâtre arabe authentique. Mots-clésPatrimoine historique -Sadallah Wanous-le théâtre arabe Le texte intégralLe théâtre dans sa forme occidentale est une nouvelle intégration dans le monde arabe. Ce nouvel état de théâtralité prend plusieurs aspects différents dont le plus important est Khayal alzill (ou silhouette de l"ombre)2 de Pierre Loti, un auteur et romancier français, qui, lors de son voyage en 1879, voulait représenter le spectacle de karagöz 3 dans "" le théâtre d"ombre"" tel L"historien répond en disant ""j"ai appris qu"une femme de Damas avait rêvé que le roi des djinns apparut devant elle. Plus

No abstract