Pakistan Journal Of Neurological Surgery最新文献_第2页

Comparison of Outcomes of Early and Late Surgical Interventions in Lipomeningomyelocele (LMMC) and Lipomeningocele (LMC) 脂质脊膜膨出(LMMC)和脂质脊膜膨出(LMC)早期和晚期手术干预的效果比较

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.821

Shahzeb Ahmad, Shakil Mashori, Syeda Kiran Zahra1, Rana Muhammad Usama, Abdul Hanan, Shmama Tu Zahra

{"title":"Comparison of Outcomes of Early and Late Surgical Interventions in Lipomeningomyelocele (LMMC) and Lipomeningocele (LMC)","authors":"Shahzeb Ahmad, Shakil Mashori, Syeda Kiran Zahra1, Rana Muhammad Usama, Abdul Hanan, Shmama Tu Zahra","doi":"10.36552/pjns.v26i4.821","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.821","url":null,"abstract":"Objectives: The study compared the signs and symptoms of post-operative complications in early vs. late intervention lipomeningomyelocele (LMMC) and lipomeningocele (LMC). \u0000Materials and Methods: We compared the clinical and surgical data between two groups i.e., lipomeningomyelocele (n = 189) and lipomeningocele (n = 64), and their early vs. late surgical interventions for 3 years from January 2018 to July 2021. We included patients of both genders (n = 253) with lipomeningomyelocele or lipomeningocele aged up to 7 years. A detailed neurological exam i.e., sensory, motor, and cerebellar signs was performed to evaluate the patients. \u0000Results: The presentation of LMMC (74.7%) was very high compared to LMC (25.3%). 74.7% underwent detethering of the spinal cord, as they had cord tissue coming out of the defect. 25.2% had only meninges coming out of the bony deficiency and performed dural repairs. 47 patients had incontinence which was improved postoperatively. Sixty-nine patients had hydrocephalus which was treated with VP shunt or ETV. 23 patients had diastematomyelia which is a bony spur duly repaired intra-operatively. 50 presented with paraplegia and 19 cases with club feet. The majority of patients in both groups, reported for Power would fall between 3/5-4/5. For patients who underwent late intervention, 7 presented with post-operative incontinence, 12 with hydrocephalus, 12 with CSF leakage, and 13 with paraplegia. \u0000Conclusion: If performed on time, surgical intervention in lipomeningocele and lipomeningomyelocele yields good results. Early intervention is substantially better for managing post-op CSF leakage and incontinence than late intervention.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72771541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Outcome of Spinal Tuberculosis Regarding Pain, Neurological Deficit, and Spinal Instability 脊柱结核的手术结果与疼痛、神经功能缺损和脊柱不稳定有关

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.801

Ehtisham Ahmed khan Afridi, Ahsan Aurangzeb Khan, Saadia Maqbool, Nusrat Shaheen

{"title":"Surgical Outcome of Spinal Tuberculosis Regarding Pain, Neurological Deficit, and Spinal Instability","authors":"Ehtisham Ahmed khan Afridi, Ahsan Aurangzeb Khan, Saadia Maqbool, Nusrat Shaheen","doi":"10.36552/pjns.v26i4.801","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.801","url":null,"abstract":"Objective: The most prevalent type of skeletal TB, which accounts for nearly half of all cases, affects the spinal column. Regarding pain, neurological deficit, and spinal instability, the study sought to determine the surgical outcome of spinal tuberculosis. \u0000Material and Methods: This study was conducted in the Department of Neurosurgery, Ayub Teaching Hospital. A total of 42 patients with ages ranging from 24 – 66 years were included in the study. Information about the patient was gathered to determine indications (neurological impairments) about the ASIA Grading Scale and frequently affected areas. \u0000Results: Commonest location was a thoracolumbar junction in 42.8%, followed by the lumbar spine in 23.8%. The pain was found in all subjects. The main indication of surgery was neurological deficit which is seen in 57% of patients followed by spinal instability or deformity in 16.6% of patients and patients with failed chemotherapy in 4.7% of patients. The preoperative KA was between 30 – 60º with a mean of 43.06 ± 4.11 degrees and 9.45 ± 3.99 degrees for postoperative KA (p-value < 0.0001). Most fixations of the cord were done through a posterior approach that was in 83.3% of patients. The neurological improvement according to ASIA grading was seen in 95.2% and no improvement was seen in 4.7% of patients upon 3 months follow-up. \u0000Conclusion: Surgical treatment of the caries spine improves pain, lowers neurological compression, and successfully reverses deformities like kyphosis, resulting in better clinical results. It also helps to remove the Tuberculous burden from the body.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77500938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frequency of risk factors in patients with carpal tunnel syndrome 腕管综合征患者危险因素的频率

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.798

S. Hassan, Usman Ali, A. Qureshi

引用次数: 1

Primary CNS Lymphoma in an Immunocompetent Patient: An Unusual Case Illustrating the Usual Problems Facing Brain Tumour Management in a Lower-Middle-Income Country 免疫功能正常患者的原发性中枢神经系统淋巴瘤:一个不寻常的病例，说明了中低收入国家脑肿瘤管理面临的常见问题

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.680

Mohammad Ashraf, Minaam Farooq, Muhammad Ahmad Malik, Shazib Ali, Shehreen Sohail, Syed Shahzad Hussain, Naveed Ashraf

{"title":"Primary CNS Lymphoma in an Immunocompetent Patient: An Unusual Case Illustrating the Usual Problems Facing Brain Tumour Management in a Lower-Middle-Income Country","authors":"Mohammad Ashraf, Minaam Farooq, Muhammad Ahmad Malik, Shazib Ali, Shehreen Sohail, Syed Shahzad Hussain, Naveed Ashraf","doi":"10.36552/pjns.v26i4.680","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.680","url":null,"abstract":"Primary central nervous system lymphoma (PCNSL) is a rare extra-nodal non-Hodgkin lymphoma (NHL). It primarily affects the immunocompromised but is rarely seen in immunocompetent individuals. The pitfalls in the healthcare system of lower-middle-income countries produce many obstacles, impeding timely diagnosis, timely treatment, and optimal quality of care. A 57-year-old immunocompetent, diabetic female presented with progressive generalised fatiguability, forgetfulness, and subtle behavioural changes for the last one and a half years. MRI revealed an area of gyri from dense post-contrast enhancement in the right posterior parietal region. Her symptoms kept aggravating with periods of partial remission as steroids were being administered. Reasons for delays in diagnosis and hence timely treatment include lack of primary care referral, conflicting neurosurgical opinion, and absence of multidisciplinary team management. A right posterior parietal parasagittal craniotomy was performed to excise the lesion. The patient was subsequently referred for adjuvant therapy. We use our patient's clinical journey to exemplify the structural barriers to providing optimal and timely care for brain tumour patients in a developing country. Primary CNS Lymphomas in immunocompetent patients are rare. Poor infrastructure and referral pathways contribute to delayed diagnosis. Lack of multi-disciplinary care owing to organisational issues is a major problem faced by brain tumour patients in a lower-middle-income country like ours. Brain tumour management requires a specialist multidisciplinary team approach to ensure timely diagnosis and optimal treatment","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76563750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcome Following Surgical Evacuation of Spontaneous Cerebellar Hematomas 自发性小脑血肿手术清除后的临床疗效

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.823

Imran Altaf

{"title":"Clinical Outcome Following Surgical Evacuation of Spontaneous Cerebellar Hematomas","authors":"Imran Altaf","doi":"10.36552/pjns.v26i4.823","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.823","url":null,"abstract":"Objective: debated. The present study was designed to analyze the clinical outcome of patients operated in our department for spontaneous cerebellar hematoma evacuation. \u0000Method: The medical data of all the patients in whom spontaneous cerebellar hematoma had been surgically evacuated were retrospectively analyzed. The parameters of age, preoperative Glasgow coma scales (GCS), and the volume of the hematoma was studied and their relationship with clinical outcome based on the Glasgow outcome scale (GOS) was analyzed \u0000Results: The study included twenty-four patients. Fourteen (58.3%) patients survived and ten (41.7%) patients expired. The mean age of the surviving patients was 57 years and the mean age of the expired patients was 57.2 years. The difference wasn’t statistically significant (p = 0.9612). The mean hematoma volume in the surviving patients was 23 cm3 and in the expired patients was 26.2 cm3. The difference didn’t reach statistical significance (p = 0.1614). The mean preoperative GCS of the surviving patients was 12.4 and of the expired patients were 8.3. This difference was statistically significant (p = 0.004). All the surviving patients had a favorable outcome based on the GOS score \u0000Conclusion: Surgical evacuation of cerebellar hematomas leads to a good clinical outcome. Preoperative GCS is significantly associated with the clinical outcome. The age of the patient and the volume of the hematoma were not found to be significantly associated with the clinical outcome","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90649292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of Anterior Cervical Decompression Fusion (ACDF) and Plating in Patients with Lower Cervical Caries Spine 颈椎前路减压融合术(ACDF)和钢板在下颈段龋齿患者中的作用

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.802

Shahzaib Tasdique, Zainab Sarwar, Sania Javed, Samra Majeed, Waqas Mehdi, Azam Niaz

{"title":"Role of Anterior Cervical Decompression Fusion (ACDF) and Plating in Patients with Lower Cervical Caries Spine","authors":"Shahzaib Tasdique, Zainab Sarwar, Sania Javed, Samra Majeed, Waqas Mehdi, Azam Niaz","doi":"10.36552/pjns.v26i4.802","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.802","url":null,"abstract":"Objective: We assessed the neurologic status of patients with cervical spine caries after anterior cervical decompression fusion and plating in terms of muscle power measured by MRC (medical research council) grade and functional status measured by Nurick grade. \u0000Materials and Methods: A descriptive case series study was conducted and 36 subjects with lower cervical spine (C3 – C7) were included with cervical spine caries who needed anterior cervical decompression and plating operated by the department of Neurosurgery, KEMU/Mayo Hospital. The cervical spine TB was confirmed using an MRI plain and contrasted cervical spine. Post-surgical neurological examinations were performed on the 1st, 7th, 21st, and 42nd days and the 3rd and 6th months after surgery. The neurological state was measured in terms of muscle power measured by MRC grades and functional outcome was assessed from Nurick grades. \u0000Results: The mean age of the patients was 37.0 ± 14.4 years. The majority of patients had C5 caries spine (28%) and the least had C7 caries spine (14%). Most of the patients had pre-operative MRC grade 3 (41.7%). The majority had Nurick’s grade 5 (55.6%). 17% of patients had post-operative hoarseness of voice. 31% of the patients had post-operative dysphasia which improved by 3 weeks. 3% developed a new neurological deficit in the form of deterioration of muscle power measured by MRC grade during 6 months’ follow-up time. \u0000Conclusion: All follow-up improvements were statistically significant in terms of pre-operative status.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"263 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80097595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Outcome of Multidisciplinary Treatment of Spinal Tumors: Institutional Experience of a Tertiary Care Hospital 脊柱肿瘤多学科治疗的结果:一家三级护理医院的机构经验

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.806

Usman Ahmad Kamboh, Mahwish Manzoor, Aiqa Gulshan, Adeel Rauf

{"title":"The Outcome of Multidisciplinary Treatment of Spinal Tumors: Institutional Experience of a Tertiary Care Hospital","authors":"Usman Ahmad Kamboh, Mahwish Manzoor, Aiqa Gulshan, Adeel Rauf","doi":"10.36552/pjns.v26i4.806","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.806","url":null,"abstract":"Objective: Spinal metastatic tumors are mostly extradural. Intradural extramedullary tumors include neurofibromas and meningiomas while intramedullary tumors are mostly astrocytoma and ependymoma. The purpose of this study was to share the experience of managing these patients as a multidisciplinary team (neurosurgeons, general surgeons, thoracic surgeons, ENT surgeons, plastic surgeons, and oncology) in selected cases where the tumors grow into the surrounding structures. \u0000Material and Methods: This study was conducted at the Neurosurgery Department at Jinnah hospital Lahore from January 2021 to September 2022. 50 patients admitted to the Neurosurgery Department from OPD/emergency with the diagnosis of a spinal tumor confirmed on MRI were included in the study. Those patients who were unfit for surgery were not included in the study. Data was analyzed for gender, region, and location of the tumor, histopathological diagnosis, and multidisciplinary team involvement. \u0000Results: Out of 50 patients, 28 (56%) patients were male and 22 (44%) patients were female while ages ranged from 14 to 63 years. Extradural location was the most frequently encountered location, i.e., 50%. Metastatic tumors were the commonest. A multidisciplinary treatment board was conducted in 31 (62%) patients whereas adjuvant treatment was done in 15 (30%) patients. \u0000Conclusion: Multidisciplinary treatment of spinal tumors should be encouraged at tertiary care hospitals and routine multidisciplinary treatment boards conducted before and after surgical excision.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81589904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Outcomes of Myelomeningocele Repair and Early Post-Operative Complications 脊髓脊膜膨出修复术的预后及术后早期并发症的评估

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.804

Sabika Aftab, Rabail Akbar, Lal Rehman, T. Ahmed, Farrukh Javeed, Iram Bokhari

{"title":"Assessment of Outcomes of Myelomeningocele Repair and Early Post-Operative Complications","authors":"Sabika Aftab, Rabail Akbar, Lal Rehman, T. Ahmed, Farrukh Javeed, Iram Bokhari","doi":"10.36552/pjns.v26i4.804","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.804","url":null,"abstract":"Objective: To explore the result and frequency of different problems that occur in the early post-operative period and the incidence of these complications in our community. It will give insight and drive further development in the care of myelomeningoceles as well as the unique problems that emerge in these patients post-operatively.\u0000Materials and Methods: At the Jinnah Postgraduate Medical Center in Karachi, the Department of Neurosurgery, this prospective, observational study was carried out over 12 months. Patients of both genders from 1 month to 2 years of age, diagnosed with myelomeningocele, and admitted to the ward for surgical repair were included in the study.\u0000Results: Out of 94, there were 58.5% female patients, with the highest percentage of age group i.e. 48.9% in > 3 months to 9 months. Medium size of MMC (71.3%) at the lumbar side location (46.8%) was observed in the highest frequency among the study sample. The overall postoperative complication rate was 19.1%, with CSF leak being the most common (9.6%) followed by wound infection (5.3%). There was no association of the complications with the age, size, and location of MMC.\u0000Conclusion: Myelomeningocele treatment may be delayed as a result of distant homebirths. Neurosurgeons who are trying to give prompt access to medical care for individuals born with MMC face various hurdles, including the family's desire to seek medical attention, their capacity to do so, and the availability of proper medical treatment.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81846370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Acromegaly Patients Treated with Sandostatin LAR after Surgical Excision of Pituitary Adenoma 肢端肥大症患者垂体腺瘤切除术后应用山多他汀LAR治疗的疗效

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.766

Muhammad Naveed Majeed, Sumira Kiran, Muhammad Kaleem Iftikhar, Ch. Arslan Ahmad, Khawar Anwar

{"title":"Outcomes of Acromegaly Patients Treated with Sandostatin LAR after Surgical Excision of Pituitary Adenoma","authors":"Muhammad Naveed Majeed, Sumira Kiran, Muhammad Kaleem Iftikhar, Ch. Arslan Ahmad, Khawar Anwar","doi":"10.36552/pjns.v26i4.766","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.766","url":null,"abstract":"Objectives: An observational study to evaluate the outcomes of Acromegaly patients treated in the department of Neurosurgery III, Punjab Institute of Neurosciences (PINS), Lahore, Pakistan.\u0000Materials and Methods: This study was the analysis of a case series of 20 patients (mean age: 30 years) of both genders with acromegaly due to macroadenoma who had endonasal excision and postoperative treatment with Sandostatin LAR.\u0000Results: This study consisted of a total of 20 patients out of which 11 (55%) were male and 9 (45%) were female. All 20 Patients (100%) had a headache as their main symptom and 13 patients (65%) had visual field deterioration. 19 patients (95%) had complete resection of the tumor whereas 1 (5%) had a subtotal resection. After surgery and treatment growth hormone levels improved in 19 patients (95%) and remained elevated in 1 patient (5%), IGF-1 (Insulin-like growth factor – 1) levels improved in all 20 (100%) patients. Following consecutive octreotide injections vision of 11 patients (84%) out of 13 improved and in 2 (16%) patients, it remained the same as of Preoperative status whereas Headache improved in all 20 (100%) of the patients. None of the patients had any complications related to the procedure or the injection of octreotide LAR.\u0000Conclusion: Acromegaly due to macroadenoma responds well to treatment with octreotide LAR after endonasal resection in terms of hormonal levels and symptoms of the patients. It is a safe treatment with very less side effects and complications.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74878548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Midline Shift as a Predictor of Outcome in Head Trauma Patients managed Conservatively 中线移位作为保守治疗脑外伤患者预后的预测因子

Pakistan Journal Of Neurological Surgery Pub Date : 2022-12-23 DOI: 10.36552/pjns.v26i4.807

Arfa Qasim, Lal Rehman, Farrukh Javeed, Raheel Gohar, Rubab Qadir

{"title":"Midline Shift as a Predictor of Outcome in Head Trauma Patients managed Conservatively","authors":"Arfa Qasim, Lal Rehman, Farrukh Javeed, Raheel Gohar, Rubab Qadir","doi":"10.36552/pjns.v26i4.807","DOIUrl":"https://doi.org/10.36552/pjns.v26i4.807","url":null,"abstract":"Objective: To evaluate the role of the degree of midline shift on CT scans in predicting clinical outcomes in traumatic brain injury (TBI). \u0000Materials and Methods: A prospective observational study was conducted at the Department of Neurosurgery of a tertiary care hospital. We included 148 patients. After fulfilling the inclusion criteria, the patient’s baseline data, including the patient's age, gender, and CT scan findings with the degree of midline shift, was noted. The patients were monitored for three months to evaluate the outcome. The collected data was analyzed using SPSS version 22.0. \u0000Results: Our study showed that 105 (70.9%) patients showed satisfactory outcomes while 43 (29.1%) showed unsatisfactory outcomes. Patients with no midline shift were 70, out of which 55 (78.6%) showed satisfactory outcomes. Similarly, patients with 1-2 mm midline shifts showed satisfactory outcomes in 39 (69.6%) while 3-5 mm midline shifts showed 11 (50%) satisfactory outcomes. In our study, the degree of brain midline shift on CT scan was a statistically significant outcome factor (p = 0.035). \u0000Conclusion: Patients with TBI who had an increasing degree of midline shift on brain CT scans had considerably worse clinical outcomes. \u0000Keywords: Midline shift, CT scan, Glasgow Coma Score, Head Injury.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75552029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0