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Mechanical shunt failure in hydrocephalus: a common but remediable complication with technical nuances Egypt. J. Neurosurg. Pub Date : 2024-03-11 Mohsin Fayaz, Azhar Khalid, Abrar Ahad Wani, Sajad Hussain Arif
A ventriculoperitoneal (VP) shunt is a cerebral shunt that diverts excess cerebrospinal fluid (CSF).Obstruction in the normal outflow or decreased absorption of the fluid is the usual cause. Hydrocephalus is treated by cerebral shunts.In paediatric patients, untreated hydrocephalus can be lethal and leads to many adverse effects including increase irritabilities, chronic headaches, learning difficulties
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Brain death: a review Egypt. J. Neurosurg. Pub Date : 2024-03-08 Mohamed Abdelbari Mattar, Zakaria Mohamed Zakwan
To date, the recognized medical criteria for BD/DNC (brain death/death according to neurological criteria) in the USA (United States of America) are the 2010 AAN (American Academy of Neurology) standards for identification of the BD/DNC for adult age and the 2011 Society of Critical Care Medicine/Child Neurology Society/American Academy of Pediatrics standards for identification of BD/DNC in Pediatrics
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PICA flow-related aneurysms and posterior fossa AVM: rare association and challenging management: case presentation and review of literature Egypt. J. Neurosurg. Pub Date : 2024-02-26 Dognon Kossi François de Paule Adjiou, Salma Abbas, Oumaima Benali, Baba Alhaji Bin Alhassan, Othmane El Manouni, Meryem Kajeou, Abdessamad El Ouahabi
The association of an infratentorial arteriovenous malformations (AVMs) with a PICA aneurysm is very rare and the presence of associated aneurysms was an independent predictive factor of poor outcome at follow-up for posterior fossa AVMs (pfAVMs). We report the case of a 57-year-old female patient admitted to our institution with a challenging management of a pfAVM associated with multiple flow-related
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Morphometric analysis of posterior cranial fossa and foramen magnum and it’s clinical implications in craniovertebral junction malformations: a computed tomography based institutional study in a tertiary care hospital of northern part of India Egypt. J. Neurosurg. Pub Date : 2024-02-26 Vikrant Yadav, Ravi Shankar Prasad, Anurag Sahu, Manish Kumar Mishra, Ravi Shekhar Pradhan
The posterior cranial fossa (PCF) and the foramen magnum (FM) are the critical anatomical components of the craniovertebral junction region, which comprise and transmit numerous vital neurovascular structures. So, a fundamental knowledge of the basic radiological anatomy of PCF and FM is of paramount importance in the evaluation of associated pathologies and approaching these areas surgically. The
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Surgical treatment of cavernous sinus meningioma with petrous bone invasion causing internal auditory canal stenosis and hearing impairment 7 years after gamma-knife radiosurgery Egypt. J. Neurosurg. Pub Date : 2024-02-23 Yasuhiro Mukai, Takashi Sugawara, Yukika Arai, Taketoshi Maehara
Surgical intervention for cavernous sinus meningiomas remains challenging because of their anatomically complicated location. We report a case of a cavernous sinus meningioma that enlarged and caused hearing impairment due to internal auditory canal stenosis 7 years after gamma-knife radiosurgery. A 38-year-old man with abducent nerve paralysis and dysesthesia on the left side of the face was diagnosed
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Patterns and management outcomes of intracranial extra-axial hematomas in low-resource setup: a 6-month prospective observational study at Jimma University Medical Center, Ethiopia Egypt. J. Neurosurg. Pub Date : 2024-02-23 Nebiyou Simegnew Bayleyegn, Mohammed Abafita, Addis Temie Worku, Minale Fekadie Baye
Intracranial hematoma is the collection of blood in various intracranial spaces. Knowledge of patterns, origins, causes and outcomes of ICH conditions is important for decision-making for urgent surgical interventions such as craniotomy and hematoma evacuations. No prior study was conducted in our setup. Hence, this study aimed to assess the patterns and management outcomes of intracranial hematomas
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Benign extradural haemorrhage: scope of conservative trial Egypt. J. Neurosurg. Pub Date : 2024-02-14 Sajad Hussain Arif, Kaiser Kareim, Mohsin Fayaz, Sarabjit Singh Chibber
Epidural hematomas have been treated with urgent surgical evacuation to prevent catastrophic neurological sequelae and death. Brain Trauma Foundation recommends EDH volume greater than 30 cm3 and warrants surgical evacuation irrespective of GCS. However, due to increase in number of patients undergoing brain CTs following head injuries, more patients have been detected with EDH causing minimal symptoms
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The effect of early rehabilitation after lumbar spine surgery: a systematic review and meta-analysis Egypt. J. Neurosurg. Pub Date : 2024-02-12 Fatih Özden, Güldane Zehra Koçyiğit
Evidence-based data are required to provide insightful information on the timing of rehabilitation after lumbar spine surgery (LSS). The aim of this study is to systematically review the outcomes of early rehabilitation interventions and conduct its meta-analysis in patients after LSS. A total of 1183 articles were retrieved through PubMed (n = 793), Web of Science (n = 721), Scopus (n = 335), and
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Challenges facing level I evidence in treatment of low-grade gliomas and subsequent uncertainties Egypt. J. Neurosurg. Pub Date : 2024-02-09 Peter Fawzy, Tiffany Karpin
The current era of molecular characterisation has contributed greatly to our understanding and management of low-grade gliomas (LGGs); however, this has also contributed to a paucity in level 1 evidence. Diagnostic breakthroughs in LGGs are moving quicker than our experimental capacity can react. The design, analysis, and clinical application of first-level evidence are struggling to compete with the
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Fibrous dysplasia of sphenoid wing with secondary aneurysmal bone cyst: a rare case report Egypt. J. Neurosurg. Pub Date : 2024-02-06 Krishan Kumar Vashisth, Kaif Mohammad, Prevesh Kumar Sharma, Deepak Kumar Singh, Vineet Kumar Mishra, Praveenkumar Nagendra Sangolli
An aneurysmal bone cyst is a locally destructive benign lesion affecting mostly the long bones. Aneurysmal bone cyst of the skull bones is a very rare phenomenon and the involvement of the sphenoid bone of the skull with extension into the orbit is even rarer. We present a case of 15-year-old adolescent with fibrous dysplasia of the sphenoid wing with secondary aneurysmal bone cyst. A 15-year-old male
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Prevalence of operable intracranial lesions from mild traumatic brain injury in a National Trauma Centre Egypt. J. Neurosurg. Pub Date : 2024-02-02 Selekeowei Peter Kespi Kpuduwei, Ayodeji Salman Yusuf
Mild traumatic brain injury (TBI) occupies majority of head traumas in most emergency units. Although patients with mild TBI can be reviewed and discharged on head injury advice, a sizeable number require admission for observation or intervention due to operable intracranial lesions. The aim of the study was to establish the prevalence of operable lesions in patients with mild TBI. This was a prospective
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Subependymal giant cell astrocytoma as presentation of tuberous sclerosis: a case report Egypt. J. Neurosurg. Pub Date : 2024-01-30 P. S. Jayalakshmy, Aswathy Mohanachandran Pillai, Reshmi Rajan
A case of tuberous sclerosis patient on long-term follow-up is reported here. A 22-year-old female patient with epilepsy was diagnosed with tuberous sclerosis at the age of 12 years. At that time, a small subependymal giant cell astrocytoma has been detected along with the other signs of the disease. But the patient was not symptomatic of the intracranial lesion at that time. So, she was kept under
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Pediatric traumatic brain injury in chad: about 256 cases Egypt. J. Neurosurg. Pub Date : 2024-01-23 Yannick Canton Kessely, Olivier Sobdjolbo, Ndolembai Njesada, Félicien G. Toudjingar, Olivier Ngaringuem, Olivier Li-Iyane Ouambi, Donald Djasde, Kader Ndiaye, Brahim Soukaya, Aboubacar Aouami, Kaimba R. Bray, Momar Codé Ba
Pediatric traumatic brain injury (PTBI) is a frequent pathology in the pediatric environment and remains a public health concern in the world. PTBI is the leading cause of death and severe disability in children in countries with limited pediatric trauma legislation. The objective is to report the experience of the management of PTBI in children in Chad. This report is a prospective study of 256 patients
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Posterior lumbar interbody fusion using single PEEK cage without pedicle screw fixation for lumbar disc herniation; Initial experience in Menoufia University Hospital Egypt. J. Neurosurg. Pub Date : 2024-01-04 Ahmed Gabry Elnaggar, Yasser Bahgat Elsisi, Osama Saber Shereef
Lumbar discectomy has successful initial clinical outcome; its long-term success rate decreases to 40–80% due to chronic low back pain and recurrent disc herniation. To evaluate the clinical results of Posterior Lumbar Interbody Fusion with a single unilateral stand-alone PEEK (Poly-Ether-Ether-Ketone) cage without pedicle screw fixation for single level lumbar disc herniation. A retrospective study
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Foraminal and far lateral lumbar disc herniation: outcome of unilateral full facetectomy with instrumented fusion Egypt. J. Neurosurg. Pub Date : 2024-01-02 Ahmed Gabry Elnaggar, Hosam Abdel-Azim Habib
Far lateral lumbar disc herniation is a clinical condition characterized by nerve root compression out of the spinal canal, in its extraforaminal/extracanalicular course at the inferior or lateral aspect of the facet joint. To analyze the effect of unilateral full facetectomy with instrumented fusion in management of foraminal and far lateral lumbar disc herniation. This retrospective trial carried
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Acute subdural hematoma in a footballer following a head-ball of the ball: a rare neurosurgical complication Egypt. J. Neurosurg. Pub Date : 2023-12-20 Victor-Claude Eyenga, Ignatius N. Esene, Ernestine A. Bikono
Acute subdural hematoma is a frequent complication of high-energy head injuries. Herein, we report an unusual case of this condition that occurred in a young footballer after he head-balled a football. A 37-year-old footballer, during a match, jumped and gave a head shot on the ball. Upon landing, he felt severe headaches forcing him out of the stadium. About 4 h later, he lost consciousness and went
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A rare case report of frontoethmoidal encephalocele in a neonate Egypt. J. Neurosurg. Pub Date : 2023-12-11 Ermias Algawork Kibru, Yidnekachew Girma Mogessie
The protrusion of cranial contents via a skull defect is known as an encephalocele. Unlike western countries where occipital encephalocele dominates, anterior encephaloceles are the most common types of encephalocele in Southeast Asia, parts of Russia, and Central Africa. We present the clinical presentation and surgical management of an 8-day-old infant with frontoethmoidal encephalocele. An 8-day-old
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Subdural evacuating port system for chronic subdural hematoma: a systematic review and meta-analysis of clinical outcomes Egypt. J. Neurosurg. Pub Date : 2023-12-08 Muhammad Ashir Shafique, Muhammad Saqlain Mustafa, Abdul Haseeb, Naeemullah Arbani, Aashish Kumar, Subash Perkash, Abdul Raheem, Syed Muhammad Sinaan Ali
Chronic subdural hematoma (cSDH) is a collection of old blood in the subdural space and has a relatively high estimated incidence, especially among the elderly and men, possibly due to falls, anticoagulant use, or age as independent factors. The subdural evacuating port system (SEPS) offers a minimally invasive solution for cSDH treatment. The objective of our meta-analysis is to review the literature
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A review on decompressive craniectomy for traumatic brain injury: the mainstay method for neurotrauma patients Egypt. J. Neurosurg. Pub Date : 2023-12-01 Tariq Janjua, Alexis R. Narvaez, William A. Florez-Perdomo, Natalia Guevara-Moriones, Luis Rafael Moscote-Salazar
Raised intracranial pressure is common leading cause of mortality in patients suffering from a traumatic craniocerebral injury. Currently, head injury constitutes a major public health problem across the world. Decompressive craniectomy is currently emerging as a preferred treatment strategy for patients suffering from refractory intracranial hypertension, which is unresponsive to appropriate neurocritical
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Endoscopic transsphenoidal resection of a non-functioning ectopic pituitary adenoma located in the clivus: a case report and literature review Egypt. J. Neurosurg. Pub Date : 2023-11-30 Jiangang Liu, Chengyuan Ji
We successfully removed a rare ectopic pituitary adenoma from a 64-year-old female patient initially misdiagnosed with a chordoma. The tumor was located in the slope region and posed a challenge due to its rarity and location. Using neuro-navigation and neuro-endoscopic techniques, we performed a transnasal transsphenoidal resection and confirmed postoperatively that the tumor was a non-functional
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Laminectomy alone versus laminectomy with lateral mass screw fixation in the treatment of multisegment cervical spinal canal stenosis: a comparative analysis Egypt. J. Neurosurg. Pub Date : 2023-11-23 Hany Elkholy, Mohamed Ahmed El Tabl, Osama Saber El Sherif
Multisegment cervical canal stenosis is one of the most common causes of spinal cord dysfunction. Cervical laminectomy affords direct relief from dorsal stenosis, but many concerns were raised regarding its effect on spinal stability and cervical sagittal alignment. Laminectomy in conjunction with lateral mass screws is aiming to prevent recurrence of stenosis and to achieve much improvement of the
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Cerebral sparganosis: rare parasitic infection of the brain Egypt. J. Neurosurg. Pub Date : 2023-11-23 Meghana V. Chougule, Aniruddha Mohite, Vijay P. Joshi, Amit Agrawal
Spirometra is larval cestode that involve humans as accidental intermediate hosts. Although the incidence of central nervous system infestation with sparganum is low, the diagnosis of the disease can cause delayed with an increased possibility of severe brain damage and neurological deficits. The present case reports a case of a 19-year male student and describes the imaging findings, histopathological
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Microvascular decompression for trigeminal neuralgia: an experience of 84 operated cases Egypt. J. Neurosurg. Pub Date : 2023-11-21 Amey P. Patankar, Shivani Chaudhary, Kashyap Patel
We retrospectively analyse and review the results of microvascular decompression performed for trigeminal neuralgia. We also discuss the surgical nuances, complication avoidance and compare our results with other reported studies. This is a retrospective study in which the data of eighty-four patients who underwent microvascular decompression for trigeminal neuralgia in the last ten years from 2013
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Investigating the prevalence of cervical spine instability in patients with rheumatoid arthritis Egypt. J. Neurosurg. Pub Date : 2023-11-20 Amir Rezakhah, Andrew J. Kobets, Faezeh Emami Sigaroudi, Mohammad Amin Habibi, Rahim Derakhshesh, Naghmeh Javanshir Rezaei, Seyed Ahmad Naseri Alavi
Rheumatoid arthritis (RA) is a chronic, progressive, and systemic disease that broadly affects connective tissues, especially synovial joints. The aim of this study was to investigate the prevalence of cervical spine instability in patients diagnosed with RA. Fifty patients with rheumatoid arthritis referred to Imam Khomeini Hospital in Urmia were selected by the census. After taking a history, the
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Ossified intramuscular hematoma of the paraspinal muscles: a case report Egypt. J. Neurosurg. Pub Date : 2023-11-17 Rebecca Zelmanovich, Brandon Lucke-Wold, Mohammed Elghareeb
Ossified intramuscular hematomas (OIH) are an exceptionally rare condition that may be mistaken for alternative calcified intramuscular pathologies, such as myositis ossificans. Exceedingly few cases of OIHs have been reported to date, with no cases yet to be reported in the paraspinal muscles. Here, we report on a patient who presented with a chronic back pain and swelling in the setting of trauma
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Randomized trial of shunt infection rates comparing intraoperative Vancomycin versus Gentamicin in ventriculoperitoneal shunt system preparation Egypt. J. Neurosurg. Pub Date : 2023-11-16 Surajudeen A. Olomo, Joseph O. Obande, Gyang M. Bot, Peter O. Binitie
Ventriculoperitoneal (VP) shunt is the mainstay of surgical management of patients with hydrocephalus. The insertion of ventriculoperitoneal shunt may be accompanied by many potentially life-threatening complications including shunt infection. Concerted efforts have been made to reduce shunt infection rates, including use of saline- antibiotic solutions containing antibiotics such as Gentamicin, mixture
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Clinical profile of paediatric spinal cord damage in a developing country’s rural-area tertiary hospital neurosurgery Egypt. J. Neurosurg. Pub Date : 2023-11-16 Toyin Ayofe Oyemolade, Amos Olufemi Adeleye, Inwonoabasi Nicholas Ekanem
Spinal cord damage (SCD) is rare in children, hence the paucity of literature on the subject, particularly in developing countries. This study aims to define the clinical epidemiology of paediatric SCD in a Nigerian tertiary health facility. A retrospective review of a 42-month long prospectively collected clinical data on paediatric SCD in a rural neurosurgery unit. There were 37 children (20 males)
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The AANS Harvey Cushing Medal: a demographic and academic analysis of its recipients Egypt. J. Neurosurg. Pub Date : 2023-11-15 Kevin Pierre, Olgert Bardhi, Dimitri Laurent, Sasha Vaziri, Brandon Lucke-Wold, Meghan M. Brennan, Abeer Dagra, Bankole Olowofela, Ernest Barthélemy
The Harvey Cushing Medal, awarded by the American Association of Neurological Surgeons, is the premier accolade in neurosurgery. The study’s purpose was to examine the qualities and accomplishments of previous winners, emphasizing potential selection biases, with the aim to promote social justice and guide young neurosurgeons in their career paths. Predominantly, recipients graduated from top-ranked
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The outcome of surgical management of post-infectious hydrocephalus with multiple intraventricular septations Egypt. J. Neurosurg. Pub Date : 2023-11-14 Mohamed Mohsen Amen, Mohamed Badran, Ahmed Zaher, Amr Farid Khalil, Ibrahim Abdelaal, Mahmoud Saad
Post-infection hydrocephalus with multiple intraventricular septations is a complex issue in neurosurgery, with multiple treatment options available. The authors reviewed the results of neuroendoscopic cyst wall fenestration for managing this disease. Medical records of 76 patients with post-infection hydrocephalus and multiple intraventricular septations who underwent endoscopic treatment were collected
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Diffuse intrinsic pontine gliomas in pediatric patients: management updates Egypt. J. Neurosurg. Pub Date : 2023-11-14 Caroline Davidson, Samuel Woodford, Daisy Valle, Grace Parker, Ann-Marie Derias, Carina Copley, Brandon Lucke-Wold
This review explores how diffuse intrinsic pontine glioma (DIPG) diagnosis and treatment have evolved and are improving. Authors used various sources from 2000 to present time to compile information on diffuse intrinsic pontine glioma in the pediatric population. The following topics were included: diagnosis procedure, molecular analysis, stereotactic biopsy, radiation therapy and other treatments
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Pituitary apoplexy associated with gram-negative meningitis following transsphenoidal surgery Egypt. J. Neurosurg. Pub Date : 2023-11-14 Azad Malikov, Zeynep Daglar, Kaan Aygun, Denizhan Divanlioglu
Pituitary apoplexy (PA) is a rare but potentially life-threatening condition. While it is uncommon, it can present with findings that are clinically indistinguishable from acute bacterial meningitis. We report an unusual case of simultaneous coexistence of bacterial meningoencephalitis and pituitary apoplexy following transsphenoidal surgery (TSS) for pituitary macroadenoma, emphasizing the possibility
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Cerebral traumatic injury and glucose metabolism: a scoping review Egypt. J. Neurosurg. Pub Date : 2023-11-13 Loraine Quintana-Pajaro, Huber S. Padilla-Zambrano, Yancarlos Ramos-Villegas, Daniela Lopez-Cepeda, Andrea Andrade-Lopez, Samer Hoz, Luis Rafael Moscote-Salazar, Andrei F. Joaquim, William A. Florez Perdomo, Tariq Janjua
To review the influence of metabolic dysfunction of glucose after traumatic brain injury on patient mortality. We searched PubMed, Scopus, EBSCOhost, Medline, and Embase electronic databases, involving publications from 1980 to August 2017 in English and Spanish. The glucose metabolism in brain involved in brain signal conduction, neurotransmission, synaptic plasticity, and cognitive function. Insulin
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Intraoperative ultrasonographic-guided surgery of intracerebral hemorrhage Egypt. J. Neurosurg. Pub Date : 2023-11-13 Ahmed Elsayed Sultan, Amr Elwany, Amr Madkour, Mohmed Agamy
The location of the cortical incision and maximum evacuations of parenchymal intracerebral hematoma are crucial points. Intraoperative ultrasonography is a real-time tool with great benefit at these points A retrospective study of patients with parenchymal intracerebral hemorrhage that underwent evacuation using intraoperative ultrasound guidance was included. Preoperative clinical and radiological
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The frequency of various spinal cord tumors (SCTs) in surgically treated patients at Shiraz Shahid Chamran Hospital from 2012 to 2022 Egypt. J. Neurosurg. Pub Date : 2023-11-13 Farideh Iravanpour, Majid Reza Farrokhi, Seyed Reza Mousavi, Ahmad Soltani, Mahshid Hosseini
The incidence of spinal cord tumors (SCTs) in a population considering sex, age, histopathology, and emplacement position of tumors is different between various regions. Therefore, the present study aimed to evaluate the frequency of various SCTs in surgically treated patients in a reference spinal surgery center in Shiraz, Iran. Documented information related to 109 SCT patients surgically treated
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Recurrent artery of Heubner infarction: a complication after clipping of anterior communicating artery aneurysm Egypt. J. Neurosurg. Pub Date : 2023-11-09 Oday Atallah, Yasser F. Almealawy, Omar Wawi, Ved Maurya, Md Moshiur Rahman, Amit Agrawal
Recurrent artery of Heubner (RAH) infarction is a potential complication following the surgical clipping of anterior communicating artery (A-comm) aneurysms. RAH plays a crucial role in supplying blood to the basal ganglia and anterior limb of the internal capsule. Understanding the pathogenesis, prognosis, and surgical result of RAH infarction is critical for providing the best care for patients.
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Medical students’ perception toward neurosurgery as a career: a cross-sectional study Egypt. J. Neurosurg. Pub Date : 2023-11-02 Misbah Kaleem, Musaddiq Kaleem, Alishba Anwar, Sarah Anis, Yumna Zafar, Muhammad Tanveer Alam
This study aims to access the perspective of medical students toward practicing neurosurgery after MBBS and also to identify factors responsible for low affinity among medical students in pursuing neurosurgery as a career. In this cross-sectional study, medical students were surveyed via pre-tested questionnaire, with a four-point Likert scale to determine their influence on student’s consideration
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A systematic review and meta-analysis of Surpass flow diverter for the treatment of intracranial aneurysms Egypt. J. Neurosurg. Pub Date : 2023-11-02 William A. Florez-Perdomo, Tariq Janjua, Luis Rafael Moscote-Salazar, Adesh Shrivastava, Sumit Raj, Amit Agrawal
Systematically review and analyze the published literature on the safety and efficacy of Surpass flow diverter in terms of mortality, functional outcome, complication rate, and aneurysm occlusion rate. The literature was searched in PubMed, MEDLINE, Embase, and Scopus using the terms Surpass for the treatment of Intracranial aneurysms, Intracranial aneurysms, Complication with no constraints applied
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Traffic light alarming signs are indispensable prerequisites for fruitful endoscopic third ventriculostomy Egypt. J. Neurosurg. Pub Date : 2023-10-30 Alhusain Nagm
Endoscopic third ventriculostomy (ETV) is a satisfying neuro-endoscopic journey in candidates with preoperatively predicted higher success rates. Alarming cases require extra care to avoid serious complications, predict/identify failure and offer reasonable intra-/postoperative decisions. To create easily interpretable traffic light alarming signs to increase the awareness level for neurosurgeons regarding
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Computer-guided cranioplasty using ultra-high molecular weight polyethylene patient-specific implants: a case series Egypt. J. Neurosurg. Pub Date : 2023-10-25 Mariam S. K. Abdelwahed, Mamdouh S. Ahmed, Ahmed S. Kamel Abdelwahed, Mohamed M. Aziz
Cranioplasty is the surgical correction of a cranial defect. Three-dimensional software designs have allowed patient-specific single-step cranial reconstruction for neuroprotection and cosmesis. Ultra-high molecular weight polyethylene for partial or total bone replacement has been recently introduced as a promising material for cranioplasty. The objectives of this study are to evaluate the complications
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An arachnoid cyst rupture complicated with subdural hygroma in a middle-aged woman: a case report and review of the literature Egypt. J. Neurosurg. Pub Date : 2023-10-23 Fakhreddin Sabooniha, Ghasem Baghershahi
Arachnoid cysts (ACs) account for about 1% of all intracranial mass lesions. The Sylvian fissure is the most common site of ACs which are usually asymptomatic. Traumatic rupture of arachnoid cysts complicated with subdural hygroma is a relatively rare entity in adults especially in females. There is no consensus on their management and each case could add to previous experiences leading to more uniform
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Post-operative cerebrospinal fluid leak: single-continuous versus double-breasted dural repair of myelomeningocele Egypt. J. Neurosurg. Pub Date : 2023-10-16 Usman Daibu, Aliyu Muhammad Koko, Babagana Usman
Myelomeningocele is the most common neural tube defect in our environment. Initial surgical management involves untethering and water-tight dural closure. Single-continuous dural repair is more straightforward and faster than the double-breasted repair, even though the latter offers more strength to the reconstructed dura as the repair is in two layers. Preference was given to single-continuous repair
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Pulsed radiofrequency in the management of lumbar radicular pain: initial experience Egypt. J. Neurosurg. Pub Date : 2023-10-16 Hosam Eldin Abdel Azim Habib, Sameh Fathy Abdo, Ahmed Gabry El Nagar
Lumbar radicular pain (LRP) is one of the most encountered complaints in neurosurgical practice that pose a challenge in its management as adequate pain control, which is not always achieved. The aim of this study was to evaluate the role of pulsed radiofrequency as a minimally invasive tool in the management of lumbar radicular pain of lumbar discogenic origin. This is a prospective study that included
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Clinical profile, histopathological, immunohistochemical, and molecular analyses and treatment of pilocytic astrocytoma: an eight year study from a tertiary health care centre in North East India Egypt. J. Neurosurg. Pub Date : 2023-10-09 Shabnam Akhtar Ahmed, Navanil Barua, Nabajyoti Borah, Inamul Haque, Ananya Barman, Iman Dandapath
Pilocytic astrocytoma (PA) is a central nervous system (CNS) World Health Organization (WHO) grade 1 glial tumor that is highly prevalent in children and young adults. The main aim of the study was to assess the frequency, clinicopathological features, and treatment of PAs along with their immunohistochemical and molecular analyses in patients from Northeast India. About 144 glial tumors were diagnosed
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Efficacy of hypertonic saline and mannitol in patients with traumatic brain injury and cerebral edema: a systematic review and meta-analysis Egypt. J. Neurosurg. Pub Date : 2023-10-02 Umer Iqbal, Aashish Kumar, Syed Ali Arsal, Muhammad Ashir Shafique, Shafin Bin Amin, Adarsh Raja, Rabbia Aqeel, Sameeka Waqas
Traumatic brain injury has a crippling impact on sufferers’ quality of life, and numerous therapy techniques are being researched to address this problem. In this study, we compared the superiority of HS against mannitol as one such element of treating TBI patients. To compare the efficacy of hypertonic saline and mannitol and demonstrate superiority of one group over the other. Our meta-analysis included
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Comparative study between open lumbopelvic fixation and percutaneous iliosacral fixation for management of sacral fractures Egypt. J. Neurosurg. Pub Date : 2023-10-02 Abdelrahman Magdy Elhabashy, Ahmed Abdelaziz Fayed, Islam Sorour
The main aim of surgical intervention for unstable sacral fractures is to obtain a solid construct across the lumbopelvic junction to allow for early mobilization. Both iliosacral screw fixation (ISF) and lumbopelvic fixation (LPF) are widely used surgical techniques used for treatment of unstable sacral fractures. Nevertheless, it is unclear whether one technique provides more favorable postoperative
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Glossopharyngeal neurinoma of incidental finding in a 65-year-old female patient: case report Egypt. J. Neurosurg. Pub Date : 2023-09-28 Kantenga Dieu Merci Kabulo, Kazuhito Takeuchi, Yasuo Yamada, Afsal Sharafundeen, Kazadi Kaluile Ntenga Kalangu, Yoko Kato
The glossopharyngeal nerve is both a sensitive and motor entity that emerges from the posterior lateral sulcus of the bulb and exits the skull through the jugular foramen. Schwannomas arising from glossopharyngeal nerves are extremely rare, and the clinical and imaging features of glossopharyngeal schwannomas closely resemble that of acoustic schwannomas. We report a case of a 65-year-old female patient
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White cord syndrome—an unforeseen complication and diagnosis of exclusion: a case report and review of management Egypt. J. Neurosurg. Pub Date : 2023-09-26 Vishal Kumar, Ankit Rai, Sarvdeep Singh Dhatt
White cord syndrome is an unexpected and dreaded complication of decompression surgery in cervical myelopathy with an unforeseeable prognosis. Ischemic reperfusion injury has been advocated as an underlying pathophysiology. Not only must the surgeon be acquainted with this complication, but the patient should also be counseled before surgery regarding the expected outcome and worsening of neurological
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Functional outcome and mortality prediction after decompressive craniectomy in patients with malignant middle cerebral artery infarction Egypt. J. Neurosurg. Pub Date : 2023-09-26 Safwat Abouhashem, Mohammed Bafaquh, Ahmed Assem, Mahmoud M. Taha, Mohammed ELSherif, Shawkat El-Atawy, Maryam Hashem, Hany Eldawoody
Although it is well known that performing decompressive craniectomy (DC) in cases of swollen middle cerebral artery infarction (SMCAI) improves patient outcomes, limited evidence presently exists on the likelihood of mortality and achieving functional outcome following DC. The aim of the present study was to identify the predictors of early in-hospital mortality and functional status six months after
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Primary cranioplasty for calvarial compound depressed fractures; 2 centers experience Egypt. J. Neurosurg. Pub Date : 2023-09-25 Ahmed M. Elsabaa, Hany Eldawoody, Mariam S. K. Abdelwahed, Mohamed M. Aziz
Traumatic brain injuries (TBIs) are among the leading causes of death and disability in younger age groups. Current guidelines to prevent infection in compound depressed fractures of the skull recommend fragment removal and debridement, and the cranial defect usually is left for a secondary cranioplasty. However, recent studies demonstrated no difference in infection rates between primary and secondary
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Surgical management of cerebrovascular disease in Africa: a systematic review of state Egypt. J. Neurosurg. Pub Date : 2023-09-25 Kehinde Alare, Joshua Opanike, Temidayo Adebayo, AbdulSalam Owonikoko, Mariam Edun, Qudus Tajudeen
Surgical management is one of the mainstay management options for cerebrovascular diseases, which is not only curative but also preventive. However, there's a gap between the surgical management of cerebrovascular disease in Africa when compared to the developed parts of the world. A literature search was done on the state of Cerebrovascular surgery in Africa from databases such as Pubmed, Embase,
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Removal of discal cyst using percutaneous full endoscopic via interlaminar route: a case report Egypt. J. Neurosurg. Pub Date : 2023-09-25 Pawin Kasempipatchai, Withawin Kesornsak, Verapan Kuansongtham
Discal cyst, a rare disease with unclear pathogenesis, exhibits symptoms similar to lumbar disk herniation. Currently, there is no consensus on the optimal treatment for this condition. This report presents the clinical efficacy of the percutaneous endoscopic interlaminar approach surgery technique in patients diagnosed with lumbar 4–5 discal cyst. The patient exhibited sub-acute radiculopathy in the
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Ectopic meningioma presenting as a neck mass: case report and review of literature Egypt. J. Neurosurg. Pub Date : 2023-09-25 Balu Vijayan, Asha Arjunan, Priya Balakrishnan, Anitha Mathews, Jiji Valsalamony, Neelima Radhakrishnan, Nijo Jose
Ectopic meningiomas are rare neoplasms that occur entirely outside the intracranial and intraspinal cavities and account for only 1–2% of all meningiomas. These tumors have been reported at various sites, however they are predominantly observed in the head and neck region. Here, we detail a case of an adult diagnosed with ectopic meningioma of the neck. A 26-year-old woman underwent evaluation for
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The role of intraoperative ultrasound in management of spinal intradural mass lesions and outcome Egypt. J. Neurosurg. Pub Date : 2023-09-18 Wael Abd Elrahman Ali Elmesallamy, Hesham Yakout, Sami Hassanen, Magdy Elshekh
The spinal intradural mass lesions represent a challenge in microsurgical practices. The intraoperative precise localization and characterization of these lesions must be achieved to avoid excessive exposure and neural tissue damage. This study aims to evaluate the role of intraoperative ultrasound during surgical dealing with spinal intradural mass lesions starting before bony work exposure. This
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Multidisciplinary management of invasive vertebral hemangioma: the role of different neurointervention modalities—a retrospective study Egypt. J. Neurosurg. Pub Date : 2023-09-11 Ahmed Elsayed Sultan, Tamer Hassan, Mohamed Abdelbary, Amr Elwany
Catastrophic intraoperative bleeding is a major complication of surgical removal of invasive vertebral hemangioma. Interventional neuroradiology techniques could be more useful tools to manage such hemorrhagic lesions. Retrospective analysis of cases of invasive vertebral hemangioma revealed 17 cases treated at the Alexandria University School of Medicine from 2006 to 2020. The study included 52.9%
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Ability of diagnostic injection to predict surgical outcomes in patients with chronic low back pain and lumbar radiculopathy Egypt. J. Neurosurg. Pub Date : 2023-09-04 Goertz Dunia Mirenge, Mohamed Elsayed Abdel Bary, Amr Hamdy Elwany, Wael Mohamed Mohamed Moussa
Arising from different anatomical structures of the spine, chronic low back pain is one of the leading causes of disability, and its management is still controversial. Thus, appropriate and effective management of chronic low back pain requires a precise diagnostic tool in order to target pain generators. Therefore, the role of diagnostic injection in predicting the outcome of surgical treatment of
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Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report Egypt. J. Neurosurg. Pub Date : 2023-08-31 Shashin N. Vyas, Jitender Shekhawat
CNS TB roughly correlates to 1–10% of all intracranial tumors. The spectrum of CNS-TB is wide and can present as tuberculous meningitis, tubercular abscess, tuberculoma, or hypertrophic pachymeningitis. Tuberculomas are usually located at the corticomedullary junction and periventricular region, as expected for hematogenous dissemination. They are mostly infratentorial in children and supratentorial
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Optic canal: a CT-based morphometric study in north Indian population Egypt. J. Neurosurg. Pub Date : 2023-08-14 Eti Sthapak, Navbir Pasricha, Shamrendra Narayan, Anamika Gaharwar, Rajan Bhatnagar
Lesser wing of sphenoid joins the body of sphenoid by two roots which are separated by the optic canal. Optic canal is a communicating channel between orbit and middle cranial fossa, forming a passage for the ophthalmic artery and optic nerve. Considering the delicate neurovascular structure that traverses the narrow confines of the optic canal, knowledge of the morphometry, anatomical variations of
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Cervical intramedullary spinal cord metastasis from esophageal adenocarcinoma: a case report Egypt. J. Neurosurg. Pub Date : 2023-08-14 Fresnel Lutèce Ontsi Obame, Inas El Kacemi, Yao Christian Hugues Dokponou, Jawad Laaguili, Moussa Elmi Saad, Salami Mohcine, Abad Cherif El Asri, Miloud Gazzaz
Intramedullary spinal cord metastasis (ISCM) is a rare pathologic entity. To the best of our knowledge, this is the second case of ISCM due to esophageal adenocarcinoma reported in the literature. We report a 63-year-old man with a history of surgical removal of an esophageal adenocarcinoma who presented with the Brown–Sequard syndrome. Pan-spinal MRI showed intramedullary cervical lesions with intense
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Towards developing a segmentation method for cerebral aneurysm using a statistical multiresolution approach Egypt. J. Neurosurg. Pub Date : 2023-08-07 Yousra Regaya, Abbes Amira, Sarada Prasad Dakua
The computer aided diagnosis (CAD) algorithms are considered crucial during the treatment planning of cerebral aneurysms (CA), where segmentation is the first and foremost step. This paper presents a segmentation algorithm in two-dimensional domain combining a multiresolution and a statistical approach. Precisely, Contourlet transform (CT) extracts the image features, while Hidden Markov Random Field
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Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report Egypt. J. Neurosurg. Pub Date : 2023-08-01 Mohamed Nabil Elmarawany
Moyamoya disease (MMD) is a chronic cerebrovascular occlusive disease that can results in a variety of neurological deficits. We describe a very rare presentation of MMD in the form of bilateral sudden sensorineural hearing loss after a second attack of subcortical cerebral haemorrhage. A 44-year-old female presented with bilateral sudden sensorineural hearing loss (SSNHL) secondary to an acute intracerebral