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Bated :

S:F"8.A..S"

nEQUEST FOB SPEGr/{.r, BADtrOLOqTCAL XNVESTIG.ATEOiqS

E L-FAT'IhI{ C;-1[],i]BE N'S H.C S PIT'.q.L, SEI{GE{AZI

Fatient's Name :

\1
.! \
Age : -...-'....:. .......-...:... Sex : -."-...-r....-"--. "- Ward iioorrr : -,"-..

Clinical Diagnosis

History :

Systemic examinaticn and irrvestigatiorrs : r,,-.,."--.'J-"':'."-

'i
"""""'.-''',

a)Asthtrt,aandpreviousH/oa1lergytoc1rugs:.-.....-.,."..,..''

:..\..,..- seium crea tinine -tl").i..others

...

Report of lodine sensitivitY test

Date ...... Name : ..-.,-..."..-.-..-"r-(--..,\..I-..-{\ ..

:
r\ \ Y
Reguirements : ..... ,........-.

Note : This fomr should be filled in duplieate :

Doctcr's Narne & 3l;nature )

( Date 1

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Reqwirenee*t : L!- i-l-r..-.* S.-.,,. J .

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CENTRE DE BADIO.DIAGNOSTIC IBN KHATDOUN
6il
Dn Jaouhar B0UZGUENDA
apndialnqile
Dr.Souad Koubaa Fourati
(Bediolagae

//" ../

ENF MEFTEH SAAD MANSOUR SFAX, LE 18-09-01

SCA]YMIR CEREBRAII
Tf,C:Y:\,"WIY
Des coupes oxiales de 3 mm d'dpaisseur ont dtd rdalisdes au niyeau de la fosse
postdrieure. suivies de coupes de l0 mm d'dpaisseur sur le reste du crdne sans
mlection intra-veineuse de produit de contraste.

RESULMT:
- ['rrisence de multiple calcrficqiions cdrdbral ;

- lmportanlnatrophie des lobes t?tl!f.)r$i;x ;

-.-;;. stt t;cture,g mddianes sont en place ;

- Aspect normcl du systdme ventriculaire et des sillons corti.caux ;

- Au ntveau de lu.fosse postdrieure :

* Aspect normal
du cervelet et du tronc cdrdhral ;

* Le ,ldme ventricule
est mddian, de taille normqle,

CqNCLUSION.. .

Prdsence de multiple calcifications cdrdbralr_;

- Intportanl-.atrophie des lobe,s temporaux ' ,'i

./

B IE N COI{ FRATE RNELLE M E NT

DR. BOUZG(IENDA J.
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BENGHAZI DIAGNOSTIC 4J+lrJJ ar,-:,i*L3lt ir.&)J g jfr+ i-r
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Prof. Dr. HAFEZ SHERIF flellt$of$.Miroga{ldirl ,.ii*gS,,,)su !n-)'i Cal. .l^.1f,
H TEM H,{,FEZ SHERIF Oll0it1lmia{i${f}
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Refering Dr:

tl4 Syria st., Mohandeseen. Tel.: 37625577 - 37625588 rntoovv / tvltooll :i. s{-.'*Hr, -, lfg-- e g1
180 Tahri. st., Falaki Square. Tel.: 279rH430 - 27943001 I Y \,alv. / f Yttr". . ! :a, eglt blu -r*tl g:Li,
10 Mourad St., Giza Square. Tel.: 35736,160 - 35734702 ?ovl.tv. ( I f 0vt'111. :i. ii.l+J,s,ry. -rl e * \ .

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7TH AITR]L HOSP]T'AT,

RAI)IOLOGY DEPARTT,IINT
DEPARTI'4,ANT C)E Ut'ffi,IlSOTJND AI{D DOPPI,ER

I'jT. NAHE: I{OUf'TAH SAAD.

AclL z 2 M0NTHS

CLINICAT DATA; tll0 Ffl{NENGITIS AND Uit'I " '

I]RAIN USI]. DISCLOSED-

. NOTTMAL VENTRICT}LAR SYSTET,I (BOTII T,ATI{RAL VENTRICI,ES

AND THIRD ytsNTRICtE ) NORIi{I BRAI P.AEENCHYITAL ECilOES- NO

iiYiiliir.icli oF Hrllllllil SHIITT-

ABD{]M-II{A! U.$i]. WA$ NSBI{AI,..

DR. }'AI$AI },T. SITEMBE$II

1"5*1"0"9'7
 NAIV]E MUFTAH SAAD
: t:!
ADDRESS BENGHAZI
FILE REF. NO MUFTAH
' l 'l:
REFEERED BY :: ..i1.-i;i,i
Ji.:',iti
DATE 20/7L/01- . :n
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*MUFTAH SAAD ,'i;l'd
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]MMUNOASSAY FOR TOXOPLASMA GONDI'

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PATIENT IgM 0 .69 (OD. RATIO) : l::.

:.: i:,:

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NORMAL VALUES .:L';rirfi{
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- POSIT]VE 1.00 -
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*MUFTAH SAAD

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I ..it . !.r
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IMMUNOASSY FOR TOXOPLASMOSIS GON]D]] rgG . r3{ifiiii

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IgG titer = 0.09 (on. RAT]O )

 7TI1 AIiR]L HOSPIl'AL
IIAI) IOLOGY DEPARTMENT
I]EPARTIIENT C)IT UI#SASOUND AI{D DOPPLER

PT. NA}I[::M0UFTAH SAAD

AGII: 2 HONTHS

CLINIC.trL DATA: tllO MEiNENGITIS AND UirI.

I]ftAIN US$. DI$CI,OSED-

NORMAI-. VENTRICUTAR SYSTTfl (BOTII TATHRAL VIINTRICLI!:S

AND THIITD \TfiNTRICIE ) NOR}'q.I BRAI PARENGT{Y?"IAL ECITOES. NO
iiYitiiit{cFi or' l{ru.I}[E SHI]-T.
ABllpM.rNA-ir USI.I, WAS Np_&!lAIr,

DB. }'AISAI }C. SITEMBE$H

15-1"0*9'7
 $hmt1 (118)

NAME: MUFTAH $AAD MANSUR AGE: 6 YR.

SEX: MALE D.o.B: 12.08.1997 ADDRESS: BENGHAZI

DoA: 05.03.2003 DDJCRP: 02.10.2003

DIAGNOSIS;
TUBEROUS $CLEROSIS COMPLIGATED WTH INODERATE TO SEVERE MR
HYPERACTIVITY, DYSPHASIA, GENERALtrED MUSCULER HYPOTOHIA, QUABRI.
PYRAMID LESloil. SYNiPTOMATIC EPILEPSY.

BRIEF HISTORY:
The rnother had been facing *idney problems during pregnancy {blood urea was 90 mg%}
at 8-th gm the was admit&d to hospital. FTHD. BYll war 2.7 lrg. There wos no H/O as-
phyxia. At age of 2 weeks the infant was admitted to hospital because of high fever. Pedi-
ruspected &gfifs. The baby was dlscharged in good health. Two weeks later
patient was readmitted to horpital with provlsional S ilWngfii* adlm. C$F exami-
nation did not discover pathological deviationE. Treatment with antibiotics was applied
age of 7 yt Z mo. due to medial otlfis. ln April 2{X}{ childs neurologist organized CT
of the brain which dlrcoverad somG problems in the brain. ln $eptember 2{X}1
was repeated in Tunis with &e same result. For gome fme lt was prescrib€d
treatmrnt wlth llepaklne.
ihrtad slfilng without support at I mo., standing at { yr 2 mo., and walking almost
after that. Slnce that time tho child has bsen hyperactive. According to the
, when he started speaking at age of I yr, everythlng $ras uneventful but a few months
progressive detarioration shrted rvhich ic in progresg unfil now.
Flll There ls no consangulnity of tha parenb. There are {{ children in the famity. The
the last one. The other siblinos and the are in sood health.

. FEDlATRlClAltl: Chest - no rhonchi. C.V.S. - t-st and Z-nd heart sounds are audible.
multnur. Abdomen is sofr and pinless. There is no organomegaly. Perishltic is good.
folds. {x{ cm in the I area.
 $heet1 (1 18)

IIEUROLOGIST: Hyperactivtty. Dysphasla. Generalized muscular hypotonla. Qu

more pronounced for the lower limbs. t{o B&B control.
PSYCHOLOGIST: Moderate to severe l{lR.

PHY$IOTHERAPY PROBRAM:,

RE HAB| LTTAJTON SEOG RAM :

$r$r aiw
FEEDIHG ZERO ZERO
B&B ZERO TITTIIHG

GRffiII{G ZERO ZERO

THIT{G ZERO ZERO
ZERO ZERO

CONTROL GMD GOOD

GOOD GOOD
GOOD GOOD
GOOD GOOD
SITTING oooD GOOD
STANDING GOOD GOOD
GOOD GOOD
-{lRs GMD GOOD
GOOD GOOD
GOOD GOOD

ZERO
ZERO
ZERO
ZERO
 Sheetl (118)

Promathazln HGI syrup Smglsml'3 x 5 mg. and o/C on il).04'2il13

.8. At the baclground of Sris drug treatment ths chlld raceivsd attaclrs of Tardive
on 30.M.2fi)Swhich were sedatad with Atropin {.2 mg I ml lM.
Trgretol $yrup 20 mg/ml - started on '10.05.2{X}3 with gradual increasing of the dosaga
t0 to Sl mg/kglday wlthout any benefit.
Dapakina $yrup fll mg/ml elnca 09,ffi-m3 gradually replacing Tegretol, Dus to this
drug the child hecame relativaly calm - 5ml + 5ml + 6ml (40 mg/kglday).
5. Bacoarme $yrup - 3 x 5 ml all the tlme,

the progresslve courss cf the diseaEe and deterloration of mentality the child
did not uet any benefit from the Complex ADL

. Ilepakina $yrup fll mg/ml 5ml + 5ml + 6ml (40 mglkglday!.

BeclzymeByrupSx5ml.
To be followed up as an OPD care from Fediatrician, child's neurologist and
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