Egyptian journal of neurosurgery最新文献_第7页

Pediatric traumatic brain injury in chad: about 256 cases 乍得小儿脑外伤：约 256 例

Egyptian journal of neurosurgery Pub Date : 2024-01-23 DOI: 10.1186/s41984-023-00257-2

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

{"title":"Pediatric traumatic brain injury in chad: about 256 cases","authors":"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","doi":"10.1186/s41984-023-00257-2","DOIUrl":"https://doi.org/10.1186/s41984-023-00257-2","url":null,"abstract":"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 admitted for PTBI over a year period. The incidence was 19.09%. The mean age was 6.2 years with extremes of 1 day and 15 years. The male represented 68.8% with a ratio of 2.2. The transport of the injured patients to health facilities using other means than ambulances in 87.5%. Initial loss of consciousness (IOL) accounted for 79.1% and coma seizures for 34.37%. Public road accidents accounted for 64.5% of causes. Severe traumatic brain injury (TBI) accounted for 24.2%. The cerebral scanner was performed in 37.9% of cases and had shown the association of craniocerebral lesions in 10.1% of cases. Craniocerebral wound trimming was the most common surgical procedure performed in 21.8% of cases, followed by removal of the depressed fracture of skull in 6.2% of cases. Mortality rate was 9% and sequelae 5.4%. PTBI is a frequent neurosurgical pathology in the pediatric setting in Chad. The absence of health insurance in our context makes access to care and radiological examinations very difficult. The prognosis was conditioned by the rapidity of the management and the initial loss of consciousness.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139562509","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

Posterior lumbar interbody fusion using single PEEK cage without pedicle screw fixation for lumbar disc herniation; Initial experience in Menoufia University Hospital 使用无椎弓根螺钉固定的单个 PEEK 保持架治疗腰椎间盘突出症的后路腰椎椎间融合术；梅努菲亚大学医院的初步经验

Egyptian journal of neurosurgery Pub Date : 2024-01-04 DOI: 10.1186/s41984-023-00262-5

Ahmed Gabry Elnaggar, Yasser Bahgat Elsisi, Osama Saber Shereef

{"title":"Posterior lumbar interbody fusion using single PEEK cage without pedicle screw fixation for lumbar disc herniation; Initial experience in Menoufia University Hospital","authors":"Ahmed Gabry Elnaggar, Yasser Bahgat Elsisi, Osama Saber Shereef","doi":"10.1186/s41984-023-00262-5","DOIUrl":"https://doi.org/10.1186/s41984-023-00262-5","url":null,"abstract":"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 of 40 patients (24 men and 16 women) with lumbar disc herniation, was conducted in the period from January 2016 through January 2021. The follow-up continued till December 2021. All patients suffered from single level lumbar disc herniation and were treated with Posterior Lumbar Interbody Fusion with a single unilateral stand-alone PEEK cage without pedicle screw fixation. The affected levels were L2–3 in 2 cases, L3–4 in 8 cases, L4–5 in 18 cases and L5–S1 in 12 cases. On 18th month follow-up, significant decrease in leg pain, LBP and ODI scores was detected (p < 0.001). This technique produced satisfying clinical enhancement in residual LBP, accepted radiological outcome such as maintaining the proper intervertebral disc space and prevention of recurrent disc herniation.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139094585","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

Foraminal and far lateral lumbar disc herniation: outcome of unilateral full facetectomy with instrumented fusion 椎间孔和远侧腰椎间盘突出症：单侧全椎面切除加器械融合术的疗效

Egyptian journal of neurosurgery Pub Date : 2024-01-02 DOI: 10.1186/s41984-023-00253-6

Ahmed Gabry Elnaggar, Hosam Abdel-Azim Habib

{"title":"Foraminal and far lateral lumbar disc herniation: outcome of unilateral full facetectomy with instrumented fusion","authors":"Ahmed Gabry Elnaggar, Hosam Abdel-Azim Habib","doi":"10.1186/s41984-023-00253-6","DOIUrl":"https://doi.org/10.1186/s41984-023-00253-6","url":null,"abstract":"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 out on 34 cases (24 males, 10 females) aged from 27 to 68, with mean value of 49 years who were entered to the Neurosurgery Department, Menoufia University Hospital from January 2018 and January 2022. All patients suffered from foraminal and/or far lateral lumbar disc herniation and were treated with unilateral full facetectomy with instrumented fusion. The herniation level was at L2-3, L3-4, L4-5, and L5-S1 in 2, 10, 18, and 4 patients, respectively. Overall, the mean preoperative VAS score decreased from 8.6 to 2.3 in the short-term. When the long-term functional outcome following surgery was analyzed according to the MacNab Criteria, the recovery was excellent, good, fair, and poor in 26, 8, 0, and 0, respectively. Full facetectomy ± laminectomy technique provides direct visualization of the complete course of the nerve root extending far laterally to avoid missed disc fragments and protect the nerve root from inadvertent trauma. Pedicle fixation for stabilization following full facetectomy has been indicated to avoid postoperative pain syndromes due to `micro-instability'.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139077494","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

Acute subdural hematoma in a footballer following a head-ball of the ball: a rare neurosurgical complication 足球运动员头部撞球后出现急性硬膜下血肿：罕见的神经外科并发症

Egyptian journal of neurosurgery Pub Date : 2023-12-20 DOI: 10.1186/s41984-023-00252-7

Victor-Claude Eyenga, Ignatius N. Esene, Ernestine A. Bikono

引用次数: 0

A rare case report of frontoethmoidal encephalocele in a neonate 一例罕见的新生儿前蝶窦脑积水病例报告

Egyptian journal of neurosurgery Pub Date : 2023-12-11 DOI: 10.1186/s41984-023-00256-3

Ermias Algawork Kibru, Yidnekachew Girma Mogessie

{"title":"A rare case report of frontoethmoidal encephalocele in a neonate","authors":"Ermias Algawork Kibru, Yidnekachew Girma Mogessie","doi":"10.1186/s41984-023-00256-3","DOIUrl":"https://doi.org/10.1186/s41984-023-00256-3","url":null,"abstract":"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 neonate born to a 24-year-old mother with no antenatal follow-up was referred with a compliant of frontonasal swelling which was present since birth. Physical examination of the neonate revealed a cystic lobulated swelling over the upper edge of the nasal bridge. Computed tomography imaging showed an anterior skull defect, resulting in frontonasal meningoencephalocele. The patient underwent a one-stage operation, which combined nasal-coronal approach with frontal craniotomy, to remove the dysplastic tissue and reconstruct the defect. The patient had successful recovery period with acceptable cosmesis. We presented a case of frontoethmoidal encephalocele, which is rare in western countries but whose incidence is relatively higher in African countries. Perinatal care is necessary for prevention and early detection of such cases. Direct surgical repair is still the main mode of intervention.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138574805","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

Subdural evacuating port system for chronic subdural hematoma: a systematic review and meta-analysis of clinical outcomes 治疗慢性硬膜下血肿的硬膜下抽血孔系统：临床结果的系统回顾和荟萃分析

Egyptian journal of neurosurgery Pub Date : 2023-12-08 DOI: 10.1186/s41984-023-00251-8

Muhammad Ashir Shafique, Muhammad Saqlain Mustafa, Abdul Haseeb, Naeemullah Arbani, Aashish Kumar, Subash Perkash, Abdul Raheem, Syed Muhammad Sinaan Ali

{"title":"Subdural evacuating port system for chronic subdural hematoma: a systematic review and meta-analysis of clinical outcomes","authors":"Muhammad Ashir Shafique, Muhammad Saqlain Mustafa, Abdul Haseeb, Naeemullah Arbani, Aashish Kumar, Subash Perkash, Abdul Raheem, Syed Muhammad Sinaan Ali","doi":"10.1186/s41984-023-00251-8","DOIUrl":"https://doi.org/10.1186/s41984-023-00251-8","url":null,"abstract":"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 and assess the safety and efficacy of SEPS as a first-line treatment for cSDH. We conducted an exhaustive literature search to explore outcomes resulting from the implementation of SEPS as the initial treatment for cSDH. The main focus was on treatment success, comprising both symptom improvement and the absence of additional operating room interventions. Supplementary outcomes encompassed factors such as discharge arrangements, length of hospital stay (LOS), recurrence of hematoma, and any associated complications. A total of 15 studies, involving 1146 patients who underwent SEPS placement, satisfied the inclusion criteria. The combined rate of achieving a successful outcome stood at 0.79 (95% CI 0.75–0.83). The occurrence of delayed hematoma recurrence was found to be 0.155 (95% CI 0.101–0.208). Meanwhile, the aggregated inpatient mortality rate was 0.017 (95% CI 0.007–0.031). In terms of complications, the rates were 0.02 (95% CI 0.00–0.03) for any acute hemorrhage, 0.01 (95% CI 0.00–0.01) for acute hemorrhage necessitating surgery, and 0.02 (95% CI 0.01–0.03) for seizures. Notably, SEPS placement is associated with a success rate of 79% and exceptionally low incidences of acute hemorrhage and seizure. SEPS is a viable first-line treatment for cSDH, supported by its minimally invasive nature, avoidance of general anesthesia, high success rate, and favorable safety profile.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138560872","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

A review on decompressive craniectomy for traumatic brain injury: the mainstay method for neurotrauma patients 创伤性脑损伤减压术:治疗神经损伤的主要方法综述

Egyptian journal of neurosurgery Pub Date : 2023-12-01 DOI: 10.1186/s41984-023-00237-6

Tariq Janjua, Alexis R. Narvaez, William A. Florez-Perdomo, Natalia Guevara-Moriones, Luis Rafael Moscote-Salazar

引用次数: 0

Endoscopic transsphenoidal resection of a non-functioning ectopic pituitary adenoma located in the clivus: a case report and literature review 经蝶窦内镜切除斜坡无功能异位垂体腺瘤1例报告及文献复习

Egyptian journal of neurosurgery Pub Date : 2023-11-30 DOI: 10.1186/s41984-023-00261-6

Jiangang Liu, Chengyuan Ji

引用次数: 0

Cerebral sparganosis: rare parasitic infection of the brain 脑斯巴达病:罕见的脑部寄生虫感染

Egyptian journal of neurosurgery Pub Date : 2023-11-23 DOI: 10.1186/s41984-023-00247-4

Meghana V. Chougule, Aniruddha Mohite, Vijay P. Joshi, Amit Agrawal

引用次数: 0

Laminectomy alone versus laminectomy with lateral mass screw fixation in the treatment of multisegment cervical spinal canal stenosis: a comparative analysis 单纯椎板切除术与椎板切除术联合侧块螺钉固定治疗多节段颈椎管狭窄的比较分析

Egyptian journal of neurosurgery Pub Date : 2023-11-23 DOI: 10.1186/s41984-023-00260-7

Hany Elkholy, Mohamed Ahmed El Tabl, Osama Saber El Sherif

{"title":"Laminectomy alone versus laminectomy with lateral mass screw fixation in the treatment of multisegment cervical spinal canal stenosis: a comparative analysis","authors":"Hany Elkholy, Mohamed Ahmed El Tabl, Osama Saber El Sherif","doi":"10.1186/s41984-023-00260-7","DOIUrl":"https://doi.org/10.1186/s41984-023-00260-7","url":null,"abstract":"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 cervical spine range of motion and curvature. To compare the clinical and radiological outcome of laminectomy alone versus laminectomy with lateral mass screw fixation in the treatment of patients with multisegment cervical canal stenosis. A retrospective study conducted on 46 patients with multisegment cervical canal stenosis who were treated between April 2018 and April 2021. Patients were divided into two groups. The 20 cases in group (A) underwent conventional laminectomies and the 26 cases in group (B) underwent laminectomies with lateral mass screw fixation. Operative complications, visual analogue scale (VAS), neurological functional recovery and cervical curvature changes were compared between the two groups. Operative times in group A were significantly less than it was in group B (P < 0.001). The postoperative VAS scores in group B were significantly lower than those in group A (P < 0.05). No statistical differences in the modified Japanese Orthopedic Association score could be found between the two groups after surgery. Patients in group B in comparison with those in group A had good alignment of the cervical spine with maintenance of curvature index (P < 0.001). In multilevel cervical canal stenosis, internal fixation using lateral mass screws in conjunction with laminectomy can be of a considerable significance than laminectomy alone in improving the axial symptoms and ceasing further disease progression through stabilization of the cervical spine and maintaining the sagittal alignment.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138533981","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