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Evaluation of surgical outcome of giant intracranial meningiomas Egypt. J. Neurosurg. Pub Date : 2020-12-01 Ramy Teama; Mohamed Adawy; Mohamed Emara
The surgery of giant intracranial meningiomas (GIM) is difficult due to its large size, prominent vascularity, including and limiting visualization of various neurovascular structures, and severe cerebral edema. In this study, we will evaluate the surgical outcome of giant meningiomas according to our experience at our hospital in management of giant intracranial meningioma. A retrospective analysis
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Early surgical debridement and fixation for pyogenic lumbar spondylodiscitis Egypt. J. Neurosurg. Pub Date : 2020-11-30 Mohamed Ibrahim Refaat; Omar Y. Abdallah
Management of pyogenic lumbar spondylodiscitis still represent a major conflict and challenge in neurosurgery due to different pathogens and the different methods available for management. The aim of this study was to evaluate the outcome of posterior lumbar spinal fixation with debridement as a treatment modality in the management of pyogenic lumbar spondylodiscitis. Patients and method This is a
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Contralateral pupillary dilatation and hemiparesis: Kernohan’s notch revisited Egypt. J. Neurosurg. Pub Date : 2020-11-17 Amit Agrawal; V. A. Kiran Kumar; Luis Rafael Moscote-Salazar
Intracranial mass lesions can lead to transtentorial uncal herniation, and pupillary asymmetry is a well-recognized sign of impending cerebral herniation. Impending uncal herniation can lead to ipsilateral, bilateral, or uncommonly the contralateral pupillary dilatation. We report a case of a 22-year old, who had contralateral pupillary dilatation due to expanding intracranial mass lesion and recovered
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Neurosurgery in paediatric strokes Egypt. J. Neurosurg. Pub Date : 2020-09-22 S. Ganapathy; P. Pandey
Paediatric strokes are a different entity owing to the difference in pathological entity causing the stroke as well as difficulty in treatment and management due to the presence of a growing brain and small vascular volume making surgery and endovascular intervention dangerous. Yet, the high neuronal plasticity coupled with unique surgical and endovascular procedures makes surgery in these conditions
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Cerebral abscesses of tuberculosis origin: study of 8 cases at the University Hospital of Conakry Egypt. J. Neurosurg. Pub Date : 2020-09-03 Barry Louncény Fatoumata; Souare Ibrahima Sory; Cissé Fodé Abass; Djibo Hamani A. Bachir; Atakla H. Ghislain; Condé Alpha Youssouf; Barry Mamoudou; Barry Souleymane Djigué; Donzo Ansoumane; Barry Ibrahima Sory; Ibrahima Sory Souaré; Youla Sény; Camara Mamadi; Cissé Amara
Tuberculosis of the central nervous system (CNS) remains endemic in developing countries with high morbidity and mortality despite advances in imaging and treatment. The objective of our work was to describe the diagnostic and therapeutic difficulties of this pathology in the context of a country with limited health resources. We retrospectively studied 8 cerebral tuberculosis abscess files, collected
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Evaluating the outcome of classic laminectomy surgery alone versus laminectomy with fixation surgery in patients with lumbar canal stenosis regarding improvement of pain and function Egypt. J. Neurosurg. Pub Date : 2020-07-13 Mohamed A. El Tabl; Yasser B. El Sisi; Saeed E. Al Emam; Mohamed A. Hussen; Dalia S. Saif
Management of lumbar canal stenosis should be started with conservative treatment and preferably with a multimodal approach, but in cases of severe pain with extensive neurogenic claudication symptoms, surgical intervention is indicated. This retrospective study targets to evaluate the outcome of classic laminectomy surgery alone versus laminectomy with fixation surgery in patients with lumbar canal
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Surgical outcome of posterior fossa tumours: a Benha experience Egypt. J. Neurosurg. Pub Date : 2020-07-06 Mohamed Emara; Abd-Elaal Mamdouh; Mohamed M. Elmaghrabi
Posterior fossa brain tumours are one of the most devastating forms of human illnesses which are more common in children. Brainstem compression, herniation and death are the risks with tumours in this critical location. To evaluate our results, complications and outcome of posterior fossa tumour surgery in Benha University Hospital. A prospective study including 44 patients with posterior fossa tumours
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Visual outcome predictors after surgical excision of meningiomas compressing the optochiasmatic complex Egypt. J. Neurosurg. Pub Date : 2020-06-30 Ali Kotb Ali; Ahmad Elsayed Desouky Elayoty; Tarek Hamdy Elserry; Mohamed AbdelRahman AbdelFatah; Mahmoud Galaleldeen Abouelela
Meningioma arising from locations in the vicinity of the optic nerve or chiasm may affect the visual function and sometimes the presentation of such tumors. Decompression of the optic nerve or chiasm can give a chance for the visual function to recover. Thirty patients who had visual function affection and underwent meningioma excision are followed up for a period of 1 year with regular follow of their
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Cryptococcal granuloma of the frontal lobe in an immunocompromised HIV-negative patient Egypt. J. Neurosurg. Pub Date : 2020-06-30 Rajneesh Misra; Sushil Kumar; Sandeep Sharma
Cryptococcal infection of the brain usually occurs in immunocompromised individuals and manifests with signs and symptoms suggestive of meningoencephalitis. It is rare to come across this infection as a brain granuloma manifesting with focal neurological deficits and without any overt immune deficiency. A 55-year-old male presented with dysphasia. His vital signs were normal at presentation and he
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The lateral supraorbital approach, doable and cosmetic access to anterior skull base Egypt. J. Neurosurg. Pub Date : 2020-06-26 Ahmed Abdelaziz Elsharkawy; Essam Ahmed Abdelhameed
The anterior skull base region can be reached through multiple corridors. The most frequently used are the pterional, bifrontal, unifrontal, and orbitozygomatic approaches. These approaches are more extensive and time consuming. The lateral supraorbital approach is a less extensive frontal modification of the classic pterional approach designed to manage tumors and aneurysms of this region. To evaluate
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The role of single odontoid screw fixation in treatment of odontoid fracture type II Egypt. J. Neurosurg. Pub Date : 2020-06-19 Ahmed Rizk Elkholy; Ashraf Mohamed Farid; Ebrahim Ahmed Shamhoot
Odontoid fractures are the most common cervical fractures specially type II. Anterior odontoid screw fixation has many advantages with low incidence of surgical complications. To evaluate the role of single odontoid screw fixation in surgical treatment of odontoid fracture type II. A retrospective clinical case series. Twelve patients with acute traumatic odontoid fracture type II were surgically treated
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The puzzle of spontaneous versus traumatic intracranial hemorrhages Egypt. J. Neurosurg. Pub Date : 2020-05-14 Gabriel Alexander Quiñones-Ossa; Yeider Durango-Espinosa; Huber Padilla-Zambrano; Luis Rafael Moscote-Salazar; Ravish Keni; Harsh Deora; Amit Agrawal
Intracerebral hemorrhage is hemorrhage occurring in the brain that can occur because of immediate trauma or structural disease process. The age-standardized mortality rate is decreasing worldwide especially in the past 20 years, but the number of cases and incidence along with number of disability-adjusted life-years and deaths keeps rising. Despite having half the incidence as ischemic stroke, intracerebral
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Microendoscopic anterior cervical foraminotomy: a preliminary series of 76 cases Egypt. J. Neurosurg. Pub Date : 2020-05-11 Mohamed Samir Kabil; Walid Abdel-ghany
Anterior cervical foraminotomy represents a relatively recent minimally invasive approach that can potentially preserve the intervertebral disc and thus the functional motion segment. This study aims to evaluate the clinical outcome of microendoscopic anterior cervical foraminotomy (MACF) for patients with cervical unilateral radiculopathy due to single level soft disc herniation or hard disc-osteophyte
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Welling-up of cerebrospinal fluid is a sign of remote supratentorial hemorrhage during microvascular decompression: a case report Egypt. J. Neurosurg. Pub Date : 2020-04-14 Maidinamu Yakufujiang; Yoshinori Higuchi; Shogo Wakita; Kentaro Horiguchi; Shiro Ikegami; Yasuo Iwadate
Subdural hematoma (SDH) at a remote operative site is uncommon following neurosurgical procedures. However, supratentorial SDH is one of the rare complications following microvascular decompression (MVD). We report a case of supratentorial SDH following MVD. The welling of cerebrospinal fluid (CSF) in the cerebellomedullary fissure was observed unexpectedly during the dissection. It is a signal case
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Ventricular volume changes after successful shunting in hydrocephalic infants Egypt. J. Neurosurg. Pub Date : 2020-04-09 Tarek Mohamed Hasanin; Ahmed Said Mansour; Saeed Esmaeel Alemam; Hossam Abd-Elhakim Alnoamany; Mohammed Leithy Alam-Eldien
Due to increased number of patients suffering from hydrocephalus (HCP) and lack of data concerning volumetric changes after shunting operations, this study aims to assess the volumetric changes in brain ventricles after successful ventriculoperitoneal (VP) shunt surgery in correlation with clinical improvement. This study included 20 patients; all of them are below the age of 2 years. All the patients
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Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial Egypt. J. Neurosurg. Pub Date : 2020-04-07 Moamen Mohamed Morsy; Wael Ahmed Foaud; Hisham Adel Abu-Elenain; Mohammed Abbas Aly
Hemifacial spasm (HFS) is a chronic movement disorder characterized by twitching of muscles of facial expression which is innervated by the facial nerve. The condition is unilaterally, beginning in the orbicularis occuli, and later on progress to involve the perioral, platysma, and other muscles of facial expression. Endoscopic assisted microvascular decompression is considered the state of the art
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Different strategies in the management of thalamic space-occupying lesions Egypt. J. Neurosurg. Pub Date : 2020-04-02 Ahmed Abdel Aziz Fayed; Osama Abdel Aziz; Mohamed Eshra
Thalamic space-occupying lesions (SOL) are considered challenging for microsurgical removal. Unfortunately, the pathological features of lesions occurring in the thalamic region are different with a wide variation in clinical behavior and outcome. Although microsurgery is still the gold standard in the management of these lesions through different approaches, questions remain whether surgery is feasible
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Surgical management and prognostic factors of spinal metastatic tumors Egypt. J. Neurosurg. Pub Date : 2020-03-23 Wael A. A. Elmesallamy; Mahmoud M. Taha
This study aims to evaluate different prognostic factors after surgical management of metastatic spinal tumors regarding clinical condition, preoperative investigations, histopathological results, and surgical data. Seventy patients diagnosed as metastatic spinal tumors with neurological deficits and/or unstable spine operated for spinal decompression with or without instrumental fixation according
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Starting a neurosurgical service in a Southern Nigeria rural community. Prospect, challenges, and future—the Irrua experience Egypt. J. Neurosurg. Pub Date : 2020-03-12 E. Morgan; C. Nwatuzor
Neurosurgical services is an essential component of tertiary level of health care, this field is still evolving in Nigeria with lack of material and manpower. There is a near complete absence of neurosurgeons in the rural communities in Nigeria with over 95% resident in urban area. Starting a neurosurgical services takes a huge sacrifice from the neurosurgeon who is faced with a decision to do something
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Impalement brain injury: report of five consecutive clinical cases Egypt. J. Neurosurg. Pub Date : 2020-03-03 Aliyu Muhammad Koko; Ali Lasseini
The management of impalement brain injury is very challenging, because of its complexity, risk of intracranial infection, neurological damage and functional impairment of the affected persons; in addition to the paucity of standardised treatments guidelines. The objective of this paper was to describe the clinical presentation and management outcome of patients admitted with impalement brain injuries
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Ventral sculpting decompression: a novel bone scalpel-based technique in thoracic ventral stenosis/kyphosis with myelopathy Egypt. J. Neurosurg. Pub Date : 2020-02-26 Ajay Krishnan; Sameer Patil; Chaitanya Reddy; Shivanand Mayi; Devanand Degulmadi; Ravi Ranjan Rai; Bharat R. Dave
Thoracic kyphosis is not so uncommon, which presents with devastating myelopathy. In the past, the surgical treatment for it had been somewhat controversial. Traditionally, it had been addressed by open decompression and stabilization with significant dissection and disruption of normal tissues and complications. Recently, correction techniques have evolved as the standard of care. A substantial body
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Thirty-day clinical outcome of traumatic brain injury patients with acute extradural and subdural hematoma: a cohort study at Mulago National Referral Hospital, Uganda Egypt. J. Neurosurg. Pub Date : 2020-01-23 Mbaaga K. Ssebakumba; Herman Lule; Francis Olweny; Jacqueline Mabweijano; Joel Kiryabwire
Increasing traumatic brain injury (TBI) has paralleled the need for decompression surgery for acute subdural (ASDH) and acute extradural haematoma (AEDH). Knowledge of key determinants of clinical outcomes of such patients is mandatory to guide treatment protocols. To determine the 30-day clinical outcomes and predictor variables for patients with extra-axial hematomas at Mulago National Referral Hospital
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Uncommon complications of ventriculoperitoneal shunt surgery: review of four cases and literature review Egypt. J. Neurosurg. Pub Date : 2020-01-09 Aliyu Muhammad Koko; Nasiru Jinjiri Ismail; Ali Lasseini; Sahabi M. Saddiku
Ventriculoperitoneal shunt is one of the most popular cerebrospinal fluid diversion procedures worldwide. Complications are common, but uncommon complications are rarely reported in the literature making a standardized guideline on management of unusual complications unavailable. We report this series of uncommon complications managed in our centre to share our experience and contribute to the pool
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Endoscope Assisted Microvascular Decompression: Are the Advantages Still Worthy Towards More? Egypt. J. Neurosurg. Pub Date : 2020-01-03 Ashraf Mohamed Farid; Sherif Elsayed ElKheshin
Microvascular decompression is the definitive treatment of various neuralgias affecting cranial nerves. The compression on a cranial nerve could be at the root entry zone, especially the trigeminal nerve. Endoscope-assisted microsurgery may help avoid missing a hidden vascular structure. Retrospective clinical case series. Twenty-five patients with facial pain and five patients with hemifacial spasm
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Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve Egypt. J. Neurosurg. Pub Date : 2019-12-23 Ahmed Shawky Ammar; Mohamed Ahmed El Tabl; Dalia Salah Saif
Various surgical options are used for the treatment of ulnar nerve entrapment at the elbow. In this study, anterior trans-muscular transposition of the ulnar nerve was used for the treatment of cubital tunnel syndrome. To evaluate the surgical results of anterior trans-muscular transposition technique for the treatment of cubital tunnel syndrome with particular emphasis on clinical outcome. Forty patients
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Hydatid cyst of the lumbar plexus: case report with review of literature Egypt. J. Neurosurg. Pub Date : 2019-12-18 Ayad Ahmad Mohammed; Wan Aldohuky
Hydatid disease is widely distributed worldwide; it is caused by a parasite belonging to the Echinococcus species. It mostly affects the liver and the lungs, involvement of the spinal canal is reported to be around 0.2%, but affection of the peripheral nerves is extremely rare. A 42-year-old lady was complaining from left loin pain and backache, with pain in the outer aspect of the left thigh for the
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Publisher’s Note to Volumes 32 and 33 Egypt. J. Neurosurg. Pub Date : 2019-12-11
The Egyptian Journal of Neurosurgery was transferred to Springer Nature in 2018. The last volume published was Volume 31. The first volume published by Springer Nature should have been Volume 32, but due to a technical error by the publisher, this was published as Volume 33 of the journal. For bibliographic and indexing purposes, Volume 32 of this journal will be skipped. Affiliations Consortia Egyptian
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Kleeblattschädel skull presenting in concert with Pfeiffer syndrome Egypt. J. Neurosurg. Pub Date : 2019-12-10 Mir Ibrahim Sajid; Noor Malik; Samira S. Balouch; Gohar Javed
Kleeblattschädel skull, also known as the cloverleaf is a complex synostosis which presents with an enlarged tri-lobar skull resulting temporal bulging and a flat posterior skull, a rare find in the population. This pansynostosis is associated with other congenital syndromes which include Crouzon, Pfeifer, and Carpenter’s. The genetic disorder Pfeiffer syndrome results from skull bones’ premature fusion
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Role of minimally invasive percutaneous fixation in thoracolumbar fractures: a prospective study Egypt. J. Neurosurg. Pub Date : 2019-12-04 Sherief Ahmed Elenany; Hazem Adel Alkosha; Mohamed Safwat Ibrahiem
Each year, there are approximately 5 million new vertebral fractures worldwide. Being a mobile flexible segment that is prone to severe stresses and loads, thoracolumbar fractures are considered one of the most controversial and challenging fracture types to manage. The aim of this study is to explore the technique and to evaluate feasibility, safety, and outcome of percutaneous transpedicular fixation
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Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms Egypt. J. Neurosurg. Pub Date : 2019-11-29 Wael Abd Elrahman Ali Elmesallamy
The purpose of this study was to correlate lumbosacral spinal ultrasound (LUS) and magnetic resonance imaging (MRI) findings in patients with lumbosacral spinal dysraphisms to evaluate the value of LUS in diagnosis, intraoperative use, and during follow-up of those patients. A total of 24 patients aged up to 6 years old were operated for lumbosacral spinal dysraphisms at the Neurosurgery Department
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Posterior longitudinal ligament resection during microscopic anterior cervical discectomy: technique and safety consideration Egypt. J. Neurosurg. Pub Date : 2019-11-27 Ashraf Mohamed Farid; Sherif Elsayed ElKheshin
Herniation of the cervical disk material results in interruption of the posterior longitudinal ligament (PLL) in the majority of patients. Routine opening of the PLL during ACDF is a necessary step for complete removal of all disk fragments. Safety measures during PLL opening during microscopic anterior cervical discectomy and risk-free surgery A retrospective clinical case series The study was conducted
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“Benign intracranial hypertension” is a misleading name for a more serious disease: analysis of the visual outcome in cases with idiopathic intracranial hypertension Egypt. J. Neurosurg. Pub Date : 2019-11-27 Ali R. Hamdan; Amr M. Tayel; Eslam El Sayed El Khateeb; Osama Elsoghiar
Assessment of visual field outcomes following the medical or surgical management of increased intracranial pressure in patients with idiopathic intracranial hypertension. Thirty-two patients diagnosed with idiopathic intracranial hypertension who met all the modified Dandy criteria were included in this study. Magnetic resonance brain imaging with contrast and magnetic resonance venography were performed
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A case report of rare location of ganglioglioma Egypt. J. Neurosurg. Pub Date : 2019-11-13 Vikas Sharma; S. Bhaskar; Sumit Ramdas Hire; Arvind Ahuja
Gangliogliomas are rare tumors of the central nervous system. They can occur anywhere in the central nervous system but are most commonly located in the temporal lobe and are mainly found in children. Anaplastic ganglioglioma can result from either de novo or transformation of a pre-existing lesion. We report a case of de novo anaplastic ganglioglioma in the parieto occipital region, which is a rare
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Clival defect in the pathogenesis of recurrent meningitis: a case report and literature review Egypt. J. Neurosurg. Pub Date : 2019-11-13 Ahmet Naci Emecen; Reyhan Ertekin; Begumhan Baysal; Ferhat Arslan; Haluk Vahaboglu
Meningitis is a life-threatening infection often associated with high morbidity. Recurrent bacterial meningitis poses a clinical challenge, both clinically and diagnostically. To prevent further recurrences, the underlying causes of recurrent bacterial meningitis should be investigated intensively. Here, we aim to present a patient referred to our clinic with rhinorrhea and found to the Staphylococcus
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Trans-foraminal endoscopic uniportal decompression in degenerative lumbar spondylolisthesis: a technical and case report Egypt. J. Neurosurg. Pub Date : 2019-10-31 Ajay Krishnan; Mahesh Kulkarni; Mreetaunjay Singh; Chaitanya Reddy; Shivanand Mayi; D. Devanand; Ravi Ranjan Rai; Bharat R. Dave
Degenerative spondylolisthesis is a common spinal pathology. Traditionally, spinal fusion is an accepted standard surgical treatment for listhesis. But fusion is a major intervention with its known pitfalls. With technological progression, minimally invasive spinal fusion (MISF) procedures are becoming mainstream. Percutaneous trans-foraminal endoscopic lumbar discectomy/decompressions (PTELD) without
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Case report: isolated lower lip lesion following cavernoma resection in prone position Egypt. J. Neurosurg. Pub Date : 2019-10-10 Mir Ibrahim Sajid; Noor Malik; Rashid Jooma
Surgery in a prone position is necessary when access to posterior anatomical structures is needed. A procedure in this position is associated with complications such as injuries to the eyes, peripheral nerves, and pressure points and swelling of the tongue. We report a rare complication of isolated lower lip swelling following neck dissection in the prone position. A 25-year-old male patient presented
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Idiopathic intracranial hypertension in pediatric and adolescent patients Egypt. J. Neurosurg. Pub Date : 2019-10-10 Safwat Abouhashem; Ahmed A. M. Gad; Mohamed El-Malkey; Esam A. Daoud
Pediatric idiopathic intracranial hypertension is a rare condition, but inappropriate diagnosis and management may lead to devastating outcome with loss of vision and lifelong handicap. Dandy criteria are used for diagnosis of idiopathic intracranial hypertension (IIH) in adult, but these criteria cannot be applied in all pediatric patients. The aim of this study is to evaluate the diagnostic criteria
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Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in sub-Saharan Africa Egypt. J. Neurosurg. Pub Date : 2019-10-10 E. Morgan; O. B. Bankole; B. O. Mofikoya; O. O. Kanu; O. A. Ojo; E. A. Jeje; E. O. Poluyi
Endoscopic third ventriculostomy (ETV) is becoming a popular option of treatment in carefully selected patients with hydrocephalus (Drake et al., Childs Nerv Syst 25:467-472, 2009). The success or possible outcome of its application in treating hydrocephalus can be predicted by employing a preoperative scoring system. An example of such a system is the endoscopic third ventriculostomy success score
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Demonstrative study of brain anatomical landmarks by intraoperative ultrasound imaging Egypt. J. Neurosurg. Pub Date : 2019-10-09 Wael Abd Elrahman Ali Elmesallamy
Intraoperative use of ultrasound in brain surgery needs good understanding of the brain anatomy in ultrasound images. This study aims to compare ultrasound imaging of brain anatomical landmarks during surgery to perioperative computed tomography (CT), and perioperative magnetic resonance imaging (MRI) as demonstration for encouraging usage as low cost, available and hazardless device. In total; 350
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Chronic subdural hematomas: a case series from the medical ward of a north Tanzanian referral hospital Egypt. J. Neurosurg. Pub Date : 2019-10-09 Sakina Mehboob Rashid; Shahrzad Seyedeh Deliran; Marieke Cornelia Johanna Dekker; William Patrick Howlett
Chronic subdural hematomas (CSDH) initially present as focal neurological deficits with or without signs of increased intracranial pressure, for which admission to the general medical ward may occur if they present with poorly understood neurological deficits and no evident history of trauma. The symptoms may be long standing and mimic stroke upon presentation. Their distribution and specific clinical
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Intraparenchymal supratentorial arachnoid cyst: a case report Egypt. J. Neurosurg. Pub Date : 2019-10-09 Domagoj Dlaka; Marina Raguž; Danko Muller; Dominik Romić; Fadi Almahariq; Jelena Dlaka; Anđelo Kaštelančić; Darko Chudy
Intracranial arachnoid cysts are collections of cerebrospinal fluid within the arachnoid membrane and subarachnoid space of the cisterns and major cerebral fissures that account for about 1% of all intracranial lesions. Expansion of the cyst and compression on surrounding structures may became symptomatic, which reflects its size and anatomic distribution. Here, we present a very rare case of patient
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Trans-sulcal or fissure approach for supratentorial brain lesions: evaluation Egypt. J. Neurosurg. Pub Date : 2019-08-26 Ashraf Mohamed Farid; Ahmed Rizk Elkholy; Ebrahim Ahmed Shamhoot
To evaluate the efficacy and safety of trans-sulcal or fissure approach in surgical treatment of supratentorial lesions Retrospective clinical case series This study included 42 patients. Age ranged from 4 to 78 years. Sulcal dissection was done in 26 patients at or near the eloquent areas, and in 16 patients, it was done in non-eloquent areas. Diffusion tensor tractography, neuronavigation, and intraoperative
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Transforaminal lumbar interbody fusion (TLIF) versus posterior lumbar interbody fusion (PLIF) in the treatment of single-level lumbar spondylolisthesis Egypt. J. Neurosurg. Pub Date : 2019-08-12 Essam Moneer Ali Rezk; Ahmed Rizk Elkholy; Ebrahim Ahmed Shamhoot
Various surgical procedures have been recommended for the treatment of lumbar spondylolisthesis, but controversy still exists regarding the optimal surgical technique. In this study, we compared the clinical and radiologic outcomes of posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation in the treatment of single-level lumbar spondylolisthesis
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Preservation of facial nerve functions during vestibular schwannoma surgery: outcome analysis Egypt. J. Neurosurg. Pub Date : 2019-08-07 Ashraf Mohamed Farid; Ahmed Rizk Elkholy
The goal of modern vestibular schwannoma surgery is not only to complete tumor removal but also to preserve functions. Cerebellopontine angle surgery carries a significant risk of impairing facial nerve function especially with large masses. Avoidance of facial nerve injury postoperatively requires preoperative and intraoperative identification and hence the role of preoperative imaging and intraoperative
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Non-missile penetrating brain injuries: cases registry in Sohag University Hospital Egypt. J. Neurosurg. Pub Date : 2019-07-29 Ahmed Kamal Abdelhameid; Ahmed Saro
Non-missile penetrating brain injuries are rarely seen in the surgical practice and few international literatures’ reported case reports or small case series, and it comprises a small percentage of head trauma cases. We reported a group of 18 cases of penetrating injuries with different tools and various mechanisms. We reported their epidemiological criteria, mechanism of trauma, complications, and
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Posterolateral corpectomy with pyramesh titanium cage reconstruction in dorsolumbar metastatic lesions Egypt. J. Neurosurg. Pub Date : 2019-07-24 Ahmed Kamal Abdelhameid; Ahmed Saro; Khaled Naser Fadl
The vertebral column represents the most common bony site for metastasis with an incidence ranged from 30% to 70% in patients with metastatic neoplasms. The dorsal spine carries the highest frequent site for metastasis all over the vertebral column followed by the lumber spine. These metastatic lesions are clinical entities that often necessitate a complex spinal decompression and anterior reconstruction
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The microendoscopic approach for far lateral lumbar disc herniation: a preliminary series of 33 patients Egypt. J. Neurosurg. Pub Date : 2019-07-04 Mohamed Samir Kabil
Far lateral lumbar disc herniation (FLLDH) compresses the nerve root at the same level. The laterally herniated disc fragment typically could not be exposed by the standard posterior hemi-laminectomy technique, and a total facetectomy including wide bone removal is usually mandatory for good exposure and removal of the herniation but simultaneously increasing the risk of instability. In the present
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A brief review of literature of spontaneous spinal epidural hematoma in the context of an idiopathic spinal epidural hematoma Egypt. J. Neurosurg. Pub Date : 2019-06-24 Ajaya Kumar Ayyappan Unnithan
There is a debate over the origin of bleeding in case of spontaneous spinal epidural hematoma (SSEH). The most widely accepted theory is of venous origin. Since the epidural veins are valveless, there will be increased venous pressure transmitted from intrathoracic and intraabdominal compartments on straining, causing rupture. Another view is that only arterial bleeding can cause rapid compression
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Bilateral, sub-acute subdural hematoma following intra-thecal baclofen pump insertion: case report and literature review Egypt. J. Neurosurg. Pub Date : 2019-05-28 Konstantinos Barkas; Tigran Petrosyan; Georgios Mantziaris; Kyriakos Karkoulias; Georgios Arealis; Stylianos Pikis
Intra-thecal baclofen pump has been proven a safe and effective treatment of spasticity. Subdural hematoma has been rarely described following intra-thecal drug delivery device insertion. We report on the rare case of a 45-year-old male with multiple sclerosis who presented with symptoms of intra-cranial hypotension 1 month after insertion of an intra-thecal baclofen pump for severe spasticity. Non-contrast
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Surgical management for large hypertensive basal ganglionic hemorrhage: single center experience Egypt. J. Neurosurg. Pub Date : 2019-05-15 Mohamed khallaf; Mohamed Abdelrahman
We aim to summarize the role of surgical treatment of spontaneous basal ganglionic hemorrhage based on prospective analysis of our patients and determine the factors that favor the outcome. A prospective analysis was done of 66 patients from January 2014 to June 2017. Inclusion criteria for the patients in this study were as follows: patients aged between 15 and 60 years; CT scan showed basal ganglionic
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Prolapsed lumbar disc in a nine years old girl: a case report Egypt. J. Neurosurg. Pub Date : 2019-04-23 Walid A. Abdel Ghany; Mohamed A. Nada; George Halim; Iman H. Hewedi
Lumbar disc prolapse has been rarely described in young children. In this report, we reported a lumbar disc prolapse in an overweight 9-year-old girl after trauma. The girl had a severe radicular pain that did not respond to conservative treatment. Operative management was conducted, and histopathologic examination of the prolapsed disc material revealed chondrocyte proliferation, tears and clefts
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The effect of dexmedetomidine versus propofol in traumatic brain injury: evaluation of some hemodynamic and intracranial pressure changes Egypt. J. Neurosurg. Pub Date : 2019-04-04 Mohammed Khallaf; Ahmed Mostafa Thabet; Mahmoud Ali; Essam Sharkawy; Sherif Abdel-rehim
Cerebral edema and increased intracranial pressure are of the major consequences of traumatic brain injury that affects the outcome. The aim of this study is to assess the efficacy of dexmedetomidine as an adjunct to conventional sedative therapy (propofol) compared to conventional sedative therapy alone in patients with traumatic brain injury, as regards its effects on hemodynamics and intracranial
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Delayed presentation of primary parenchymal arachnoid cyst in adult population: a rare location of a common cyst—case report and review of the literature Egypt. J. Neurosurg. Pub Date : 2019-03-29 Subhas Konar; K. V. L. Narasinga Rao; B. N. Nandeesh; S. Sampath
Arachnoid cysts account for about 1% of all intracranial mass lesions. Intraparenchymal arachnoid cysts are an uncommon entity. Only a few reports are available in adults with the intraparenchymal arachnoid cyst. We present a 40-year-old lady with right-side progressive hemiparesis, and radiology revealed a cystic mass located in the left posterior frontal area. She underwent craniotomy and excision
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A very rare case of isolated aphasia due to tension pneumocephalus after subdural hematoma (SDH) evacuation: a case presentation Egypt. J. Neurosurg. Pub Date : 2019-03-28 Vamsi Krishna Chagalakonda; Jayasri Adulla; Gaurav Sudhakar Chamle; Naresh Kumar Pagidimarry; Bala Raja Sekhar Chandra Yetkuri; Sai Sudarsan P; Sukumar Sura
Pneumocephalus is a common complication presented as air in the cranial cavity after cranial surgery. We present a very rare case of isolated new onset aphasia due to pneumocephalus after evacuation of subdural hematoma (SDH). Tension pneumocephalus presenting as isolated aphasia has not been reported earlier although associated paresis has been reported. We present the case of a 13-year-old male child
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Carpal tunnel syndrome and provocative clinical tests Egypt. J. Neurosurg. Pub Date : 2019-03-25 Beuy Joob; Viroj Wiwanitkit
This is a letter to the editor commenting on “Carpal tunnel syndrome: evaluation of its provocative clinical tests.”
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Trigeminal neuralgia and posterior fossa meningioma: case report and review of literature Egypt. J. Neurosurg. Pub Date : 2019-03-25 Hasan Burak Gunduz; Yaser Ozgunduz; Abdullah Emre Tacyildiz; Erhan Emel; Murad Asilturk
Trigeminal neuralgia may be idiopathic or may involve other causes. It can be secondary to posterior fossa tumors many times. In the present case, posterior fossa meningioma was detected with trigeminal neuralgia together. However, relevant meningioma is not seen as a cause of trigeminal neuralgia clinic with posterior fossa settlement. Tumor localization and the story of the patient suggest that the
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Myelopathy due to bilateral symmetrical dumbbell cervical ganglioneuroma in a pediatric neurofibromatosis type 1 patient and rigid posterior instrumentation—a case report Egypt. J. Neurosurg. Pub Date : 2019-03-18 Omer Batu Hergunsel; Fatih Demir; Mehmet Mustafa Akin; Metin Kaplan
Although neurofibromatosis type 1 (NF1) is a common genetical disorder, symptoms due to neural involvement are rare among infants and children. Ganglioneuromas are slow-growing tumors and can be seen in patients with NF1. However, bilateral symmetrical involvement is very rarely reported in the literature. We present a rare pediatric case with NF1 who presented with upper cervical bilateral symmetrical
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An interesting case of primary diffuse large B cell lymphoma of the central nervous system: a case report Egypt. J. Neurosurg. Pub Date : 2019-02-20 Vikas Sharma; Sanjeev Dua; Rooma Ambastha
Primary central nervous system lymphoma (PCNSL) is an uncommon extranodal non-Hodgkin lymphoma. This tumor is common in the fifth to seventh decade and is located commonly in the periventricular region and in the cerebral hemisphere. Corpus callosum is a rare site. We report a case of diffuse large B cell lymphoma with corpus callosum and contralateral side involvement in immunocompetent patient. A
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Telovelar approach versus transvermian approach in management of fourth ventricular tumors Egypt. J. Neurosurg. Pub Date : 2019-02-14 Khaled Saeed Ebrahim; Ahmed Faisal Toubar
The relationships of the fourth ventricle to the cerebellar surfaces and the fissures through which the fourth ventricle is approached surgically are among the most complex in the brain. The area in and around the fourth ventricle may be affected by a variety of neoplasms. Some are unique to the fourth ventricle; others are also found in different locations. The two most common surgical approaches
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Prognosis of acute subdural hematoma greater than 10 mm in thickness in head injury patients with an extension or no motor response to pain after resuscitation Egypt. J. Neurosurg. Pub Date : 2019-02-12 Mohamed Abdel Rahman AbdelFatah
Most of the studies that examined the prognosis of acute subdural hematoma (ASDH) in severe head injury patients stated their overall prognosis as one group. The aim of the present study was to assess the prognosis of ASDH of > 10 mm in thickness in head injury patients with an extension or no motor response to pain after resuscitation. This retrospective study reviewed the severe head injury patients
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