Pakistan Journal Of Neurological Surgery最新文献_第6页

The Prevalence of Low Vitamin D3 Levels in Patients with Lumbar Disc Herniation and Its Relationship with Different Patient Parameters 腰椎间盘突出症患者维生素D3水平低的患病率及其与不同患者参数的关系

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.637

R. Qazi, Lal Rehman, Farrukh Javeed, Sana Akbar Qazi, T. Ahmed, Asad Abbas

{"title":"The Prevalence of Low Vitamin D3 Levels in Patients with Lumbar Disc Herniation and Its Relationship with Different Patient Parameters","authors":"R. Qazi, Lal Rehman, Farrukh Javeed, Sana Akbar Qazi, T. Ahmed, Asad Abbas","doi":"10.36552/pjns.v26i2.637","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.637","url":null,"abstract":"Objective: To determine the prevalence of low vitamin D3 levels in patients having proven lumbar disc herniation and its relationship with different patient parameters.\u0000Materials and Methods: This is a prospective study carried out on 100 patients at the Neurosurgery department, Jinnah postgraduate medical center from Feb 2018 to April 2019. Serum Vitamin D levels and other characteristics were assessed in patients with prolapsed lumbar intervertebral discs. Low levels of Vitamin D were defined as insufficiency (10 ng/ml – 30 ng/ml) and deficiency (< 10 ng/ml).\u0000Results: Out of 100 patients in the study, only 21% had optimal serum vitamin D3 levels, and 79% had hypovitaminosis (57% insufficient and 22% deficiency). Low vitamin D levels were prevalent in all age groups, with deficiency more prevalent in the older age group (p-value = 0.004). The BMI (body mass index) of the patients showed a linear correlation with vitamin D levels.\u0000Conclusion: Decreased vitamin D levels are prevalent in patients having herniated lumbar discs. The study showed that older-aged patients and high BMI exhibited severe vitamin D deficiency. As a result, recommendations are that preventive initiative for this specific hypovitaminosis target a broader population to intercept the occurrence of low vitamin D levels and the associated repercussions.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"16 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85401813","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

Outcome & Complications of Decompressive Craniectomy with Expansion Duroplasty in Severe Head Injury 重型颅脑损伤减压术加硬脑膜扩张成形术的疗效及并发症分析

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.684

Zubair Mustafa Khan, Zehra Safdar, Syed Ahmad Faizan, Asif Shabir, Muhammad Shakir, Asif Bashir

{"title":"Outcome & Complications of Decompressive Craniectomy with Expansion Duroplasty in Severe Head Injury","authors":"Zubair Mustafa Khan, Zehra Safdar, Syed Ahmad Faizan, Asif Shabir, Muhammad Shakir, Asif Bashir","doi":"10.36552/pjns.v26i2.684","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.684","url":null,"abstract":"Objective: A descriptive case series was conducted to find the frequency of complications and complications of decompressive craniectomy with expansion duraplasty in severe head injury. \u0000Material and Methods: 189 patients fulfilling the selection criteria were included. All patients had TBI which was confirmed by CT scan. Surgery was performed on the day of admission under general anesthesia and a large trauma flap. Patients were monitored daily by evaluators from the date of surgery until hospital discharge or death. Patients were followed up for 3 months and the outcome was assessed using the Glasgow outcome scale (GOS). \u0000Results: Mean age of the patients was 36.57 years. There were 61.4% (116) males and 38.6% (73) females. 3.7% had CSF leakage. 1.6% had meningitis. Wound infection was seen in 7.4% of patients. Forty percent had a favorable outcome and 60% had a poor outcome. Fifty patients out of 111 patients between 18 – 40 years showed good outcomes. Twenty-six out of 78 from the 41 – 60 years age group showed good outcomes. Out of 189 total, 76 patients had a good outcome. The outcome was good in 63 patients out of 148 patients with GCS 5 – 8, whereas 13 (out of 41) patients had a good outcome with GCS below 5. \u0000Conclusion: We discovered that the result was good in 40% of patients, with 11 percent of complications recorded. Therefore, we concluded that decompressive craniectomy with expansion duraplasty is an effective procedure for the treatment of the severe head injury.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82234383","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: 1

Comparison of Short Segment Percutaneous Transpedicular Fixation With and Without Inclusion of Fractured Vertebrae in Thoracolumbar Fractures 胸腰椎骨折短节段经皮经椎弓根内固定与非椎弓根内固定的比较

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.683

Syed Ahmad Faizan, Naeem-ul-Hassan, Zubair Mustafa Khan, Tariq Imran, Abdul Majid

{"title":"Comparison of Short Segment Percutaneous Transpedicular Fixation With and Without Inclusion of Fractured Vertebrae in Thoracolumbar Fractures","authors":"Syed Ahmad Faizan, Naeem-ul-Hassan, Zubair Mustafa Khan, Tariq Imran, Abdul Majid","doi":"10.36552/pjns.v26i2.683","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.683","url":null,"abstract":"Objective: To compare the outcome of SSPF (Short Segment Posterior Fixation) with and without the inclusion of fractured vertebrae in thoracolumbar fractures in terms of visual analog score and vertebral column stability. \u0000Materials and Methods: The study enrolled 96 patients who were divided into two groups. Group A treated by SSPF (four screws: one level above and below the fracture), and Group B was treated by PSFFV (six screws: including fractured vertebrae). Assessment of parameters related to clinical and radiological aspects was recorded at 3 – 6 months. \u0000Results: Mean ages of patients were 36.96 and 37.41 years with an M:F ratio of 1.8:1 and 1.4:1 in groups A (SSPF) and B (PSFFV), respectively. Mean VAS preoperatively, and postoperatively, at 3 and 6 months were 8.78 vs. 9.01, 4.98 vs. 5.01, 2.08 vs. 2.11, and 0.47 vs. 0.67 in groups A and B, respectively. Mean Kyphotic angle preoperatively, postoperatively, at 3 and 6 months were 21.76 vs. 22.91, 11.13 vs. 10.16, 13.59vs. 11.16 and 14.88 vs. 12.87 in groups A and B respectively. Mean AVH preoperatively, and postoperatively, at 3 and 6 months were 19.11 vs. 18.72, 20.01 vs. 22.71, 20.61 vs. 22.87, and 20.02 vs. 22.67 in groups A and B, respectively. \u0000Conclusion: The results of this study favor PSFFV (Group B) over SSPF (Group A) in terms of vertebral column stability which was better achieved in PSFFV. PSFFV was also found superior with no implant failure which declares it safer and more effective than SSPF. None of the techniques was found superior in terms of pain. Radiologically, PSFFV, showed significant improvement in achieving anterior vertebral height, while there was no important distinction in kyphotic angle between the two.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87043890","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

Extrusion of the Peritoneal Catheter of Ventriculoperitoneal Shunt Through the Rectum 经直肠的脑室-腹膜分流术腹膜导管挤压

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.675

Sajid khan Utmanzai, Tariq Jamal, Aafaq Ahmad Qarnain Khalil, Iqra muhammad ali, Mumtaz ali

引用次数: 0

Incidence and Surgical Outcome of the Intracranial Epidermoid Cyst at Punjab Institute of Neurosciences Lahore, Pakistan 巴基斯坦拉合尔旁遮普神经科学研究所颅内表皮样囊肿的发病率和手术结果

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.693

Tariq Imran Khokhar, Muhammad Naveed Majeed, Khawar Anwar, Ali Faizan Bukhari, Asif Bashir

{"title":"Incidence and Surgical Outcome of the Intracranial Epidermoid Cyst at Punjab Institute of Neurosciences Lahore, Pakistan","authors":"Tariq Imran Khokhar, Muhammad Naveed Majeed, Khawar Anwar, Ali Faizan Bukhari, Asif Bashir","doi":"10.36552/pjns.v26i2.693","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.693","url":null,"abstract":"Objectives: The incidence and microsurgical outcomes of intracranial epidermoid cysts in the Department of Neurosurgery III, Punjab Institute of Neurosciences (PINS), Lahore, Pakistan, are described in this case series. \u0000Materials and Methods: This study was a data analysis of a case series of 15 patients (mean age, 40 years) of both gender with intracranial epidermoid cysts who had microsurgical surgical excision over five years. \u0000Results: This study comprised 11 (73.3%) male and 4 (26.7%) female patients, 11 (73.3%) cases were infratentorial and 4 (26.7%) cases were in supratentorial region. The epidermoid was located in the CP angle in 11 (73.3%) patients, 3 (20%) in the midline supra sellar region, and 1 (6.66%) in the frontotemporal region. The presenting complaints were mainly headache in 11 (73.33%), cranial nerve palsy and cerebellar signs in 8 (53.3%) patients, Trigeminal neuralgia in 3 (20%) patients, Fits and hydrocephalus in 2 (13.3%) patients. There were 14 (93.3%) patients with GTR (gross total resection), 1 (6.6%) patients STR (subtotal resection). According to Karnofsky's performance scoring (KPS), 3 (20%) patients improved, 11 (73.3%) patients had the same KPS, and 1 (6.6%) patient had a lower KPS. \u0000Conclusion: The epidermoid cysts in the brain are usually found in the infratentorial region rather than the supratentorial region. Infratentorial lesions typically cause cranial nerve deficits, whereas the supratentorial area symptom is a headache.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82287576","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

Per-Operative External Ventricular Drainage Results in Children with Posterior Fossa Tumors and Hydrocephalus 儿童后窝肿瘤合并脑积水的术中外脑室引流效果

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.685

Abdul Mannan Aftab, Abdul Aziz khan, Khalid Zadran, Aamir Zaman

{"title":"Per-Operative External Ventricular Drainage Results in Children with Posterior Fossa Tumors and Hydrocephalus","authors":"Abdul Mannan Aftab, Abdul Aziz khan, Khalid Zadran, Aamir Zaman","doi":"10.36552/pjns.v26i2.685","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.685","url":null,"abstract":"Objective: We determined the outcome of per operational external ventricular drainage in pediatric patients with posterior fossa tumors and hydrocephalus. \u0000Material And Methods: 54 patients included presenting with posterior fossa tumors and mild to moderate hydrocephalous were considered for per operative external ventricular drainage. The external ventricular drain was then weaned off in one week. If it cannot be removed due to persistent hydrocephalous it was converted into a permanent ventriculoperitoneal shunt. \u0000Results: In the study, the mean age was 7 years. Twenty-seven children had ependymoma, 19% of children had medulloblastoma, and 54% of children had pilocytic astrocytoma. Moreover, 67% of children had weaned off and 33% of children had converted to VP shunt. There existed an insignificant difference in the outcome (yes/ no) concerning age groups, gender, and tumor type. \u0000Conclusion: Our study concludes that the outcome of per operative external ventricular drainage was weaned off (67%) and converted to VP shunt (33%) in pediatrics with posterior fossa tumors and hydrocephalous.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90876806","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 Frequency of Early Post Traumatic Cerebrospinal Fluid Rhinorrhea in Patients with Head Trauma 头部外伤患者外伤后早期脑脊液鼻漏的发生率

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.638

R. Qazi, Lal Rehman, T. Ahmed, Sana Akbar Qazi, Ali Afzal

引用次数: 0

Pediatric Posterior Fossa Brain Tumor Surgical Outcome 小儿后颅窝脑肿瘤手术结果

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.686

Mian Awais, Akhtar Muner, Laeeq-ur-Rehman, Syed Misbah, Rimla Ayesha

{"title":"Pediatric Posterior Fossa Brain Tumor Surgical Outcome","authors":"Mian Awais, Akhtar Muner, Laeeq-ur-Rehman, Syed Misbah, Rimla Ayesha","doi":"10.36552/pjns.v26i2.686","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.686","url":null,"abstract":"Objective: The study analyzed the complications and satisfactory surgical outcomes of posterior fossa brain tumor surgery in Lahore Medical City Lahore. \u0000Materials and Methods: A prospective study was conducted and included 40 children who were diagnosed with posterior fossa brain tumors by history, physical examination, and later radiologically were admitted and operated on at the Pediatric Neurosurgery Department in Lahore medical City Lahore between the period of March 2021 and March 2022. \u0000Results: There were 26 (65%) male and 14 (35% females) individuals among the 40 patients. The average age was 12.5 years. This study found that great surgical outcomes were observed in 10 instances (25 percent), good outcomes in 20 cases (50%), and bad outcomes in 10 cases (25%). The most frequent clinical manifestations were headache (38%), vomiting (30%), ataxia (10%), blurred vision (10%), and cranial nerve palsy (12.5%). The best prognosis is shown in children with Pilocytic astrocytoma, followed by ependymoma, while the poorest outcome is seen in children with medulloblastoma. \u0000Conclusion: Pediatric neurosurgeons continue to face particular difficulty in the surgical treatment of posterior fossa brain tumors. Our study compares the outcomes, complications, and surgical outcomes to prior clinical investigations.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79700218","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 SCF Leakage in Post-operative Patients of Tethered Spinal Cord in A Tertiary Care Hospital 某三级医院脊髓栓系术后患者SCF渗漏的发生率

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.679

M. A. Rehman, Junaid Aziz, Inamullah Asghar, T. Anwar, Anum Wahab, Muhammad Akmal Hussain

{"title":"Frequency of SCF Leakage in Post-operative Patients of Tethered Spinal Cord in A Tertiary Care Hospital","authors":"M. A. Rehman, Junaid Aziz, Inamullah Asghar, T. Anwar, Anum Wahab, Muhammad Akmal Hussain","doi":"10.36552/pjns.v26i2.679","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.679","url":null,"abstract":"Objective: The study aimed to report the incidence of CSF leakage in patients with a tethered spinal cord, post-operatively.\u0000Materials and Methods: A total of 75 individuals aged more than 2 years and of either gender who were hospitalized for surgery for tethered cord syndrome were included. All patients had a preoperative MRI of the spine, and those above the age of 6 had urodynamic tests. Clinical evaluations were performed until hospital release, then again at 3, 6, and 12 months. Urodynamic tests and spine MRIs were redone one year following surgery. Under general anesthesia, all patients had microscopic untethering procedures to release tethering materials and heal the thecal sac.\u0000Results: 52% of patients fall under TCS type ‘simple’, whereas, 48% of patients found with complex TCS. The frequency of CSF leakage in post-operative patients with a tethered spinal cord was found in 17.33%. No CSF leak was reported in the majority of patients (49%) patients in the age group 2-30 years. 52% of patients with simple TCS reported no CSF leak, whereas, only 13(18%) patients with complex TCS reported CSF leaks. 40% of patients reported no CSF leak who was diagnosed with complex TCS. There existed a significant relationship between the types of TCS (simple/complex) for CSF leak distribution.\u0000Conclusion: This study concluded that the frequency of CSF leakage in post-operative patients with tethered spinal cord was found in 17.33% of patients.\u0000Keywords: Tethered Spinal Cord (TCS), CSF Leakage, Lipomyelomeningocele.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73327478","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

Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief 腰椎经椎弓根固定治疗脊柱塌陷的疗效:缓解背痛

Pakistan Journal Of Neurological Surgery Pub Date : 2022-07-17 DOI: 10.36552/pjns.v26i2.690

Sohail Amir, Mushtaq, Shahid Ayub, Tabraiz Wali Shah

{"title":"Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief","authors":"Sohail Amir, Mushtaq, Shahid Ayub, Tabraiz Wali Shah","doi":"10.36552/pjns.v26i2.690","DOIUrl":"https://doi.org/10.36552/pjns.v26i2.690","url":null,"abstract":"Objective: The goal of this study was to see how transpedicular fixation for degenerative spondylolisthesis affected lumbago. \u0000Methodology: A retrospective observational study was conducted at the Department of Neurosurgery in Hayatabad Medical Complex, Peshawar between May 2018 and February 2020. Degenerative spondylolisthesis was diagnosed using static and dynamic spinal X-rays. The research excluded the patients with grade 5 spondylolisthesis, congenital anomalies, or prior spinal surgery. The visual rating scale was used to assess pain alleviation (GRS). Dynamic or static lumbosacral X-rays and 3D CT scans were used to assess union. \u0000Results: In total 70 patients, 38 (54.3%) were male and 32 (45.7%) were female. L5–S1 was impacted in most of the cases (68%). 40% of patients were having Meyerding grade II. All patients had pedicle screw fixation. Following surgery, 44 (63%) patients reported no pain, and 12 (17%) patients reported mild discomfort. 8 (11%) patients reported moderate pain and 6(9%) patients experienced severe pain. There existed a significant difference between pre/postoperative moderate-severe GRS scores (p-value: 0.000336). After surgery, we were able to negotiate surgical unions with 91.4% of the patients. \u0000Conclusion: For individuals with spondylolisthesis who need pain relief, transpedicular fixation is a safe, straightforward, and effective treatment. It also aids with the surgical union and the improvement of the neurological condition. \u0000Keywords: Spondylolisthesis, Meyerding grading, Transpedicular fixation.","PeriodicalId":19963,"journal":{"name":"Pakistan Journal Of Neurological Surgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85455509","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