DIV-WP-8 Anatomie et imagerie de la pathologie du muscle psoas iliaque

Malajati, H.; Mahi, M.; Radouane, B.; Hanine, A.; Chaouir, S.

doi:10.1016/s0221-0363(09)75996-7

Cited by 2 publications

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“…The CT scan is the key examination for positive diagnosis (5), and with the injection of contrast medium, a positive and etiological diagnosis can be made. It is also useful for percutaneous drainage of psoas collections.…”

Section: Discussionmentioning

confidence: 99%

Psoas abscess involving a renal-digestive fistula: A case report

Mohammed CHEIKH,

Mohammed BENAMAR,

MARLYATOU Diallo

et al. 2024

World J. Adv. Res. Rev.

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A psoas abscess is a rare but not exceptional entity. Given its rarity and non-specific symptomatology, as well as its generally insidious subacute onset, diagnosis and treatment are often delayed. We present the case of a 40-year-old patient with a psoas abscess due to E. coli pyelonephritis, complicated by a renal-colic fistula. Clinicians should bear in mind that a psoas abscess is often diagnosed before primary disease is detected, and should be alert to these primary lesions. Follow-up of at least one year is recommended due to relapse reported in 15-36% of cases up to one year after initial presentation.

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Section: Discussionmentioning

confidence: 99%

Psoas abscess involving a renal-digestive fistula: A case report

Mohammed CHEIKH,

Mohammed BENAMAR,

MARLYATOU Diallo

et al. 2024

World J. Adv. Res. Rev.

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“…That reflux could be followed by an active local spreading of the BoNT, going past the different fasciae and towards the iliopsoas muscles [21], and even more so when the psoas present a low resistance fascia [22].…”

Section: Migration By Systemic Transportmentioning

confidence: 99%

Intra Detrusor Botulinum Toxin and Lower Limbs Motor Deficit: About 2 Clinical Cases

Khenioui¹,

Berre²

2016

J Clin Case Rep

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Objective: To demonstrate how a single intra detrusor botulinum toxin injection could be responsible for lower limbs proximal motor deficit.Results: Two women-37 and 38 years old-presenting with secondary progressive multiple sclerosis, having received intra detrusor botulinum toxin injections (400 BOTOX® U and 750 DYSPORT® U) due to major neurogenic detrusor over activity with high-pressure and risks of uro-nephrologic complications despite an efficient-dose anticholinergic bi-therapy (DITROPAN®/CERIS®). Few days in post-injection they present heavy tiredness, instability of the pelvis, and a major reduction of the walking distance. Those symptoms last for several months. During the emergency neurology consultation set up in the event of a new relapse, an aggravation of the paraparesis at the proximal level is observed. This deficit accounts for the realization of a corticosteroids bolus, the effectiveness of which is questioned by the patient. A cerebral and medullary MRI is performed in order to certify the appearance of new lesions. The MRI doesn't objectify any new lesions or any pathological contrast enhancement.Discussion: Ramirez-Castaneda et al. describe three means of dissemination of the BoNT: migration by systemic or neuronal transport, propagation/spread and diffusion. Conclusion:The retrograde migration of the botulinum toxin via hypo-gastric nerves seems to prevail. It could be followed by axonal anterograde transport causing a deficit on the hip flexors via the L2 nerve root.

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DIV-WP-8 Anatomie et imagerie de la pathologie du muscle psoas iliaque

Cited by 2 publications

References 0 publications

Psoas abscess involving a renal-digestive fistula: A case report

Psoas abscess involving a renal-digestive fistula: A case report

Intra Detrusor Botulinum Toxin and Lower Limbs Motor Deficit: About 2 Clinical Cases

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