A5004809430- Botulinum Toxin and Related Neurological Disorders
- Cerebral Palsy and Movement Disorders
- Spine and Intervertebral Disc Pathology
- Neurological disorders and treatments
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Epilepsy research and treatment
- Medical Imaging and Analysis
- Nerve Injury and Rehabilitation
- Pharmacological Effects and Toxicity Studies
- Head and Neck Surgical Oncology
- Spinal Dysraphism and Malformations
- Hip and Femur Fractures
- Cerebrospinal fluid and hydrocephalus
- Pelvic and Acetabular Injuries
- EEG and Brain-Computer Interfaces
- Balance, Gait, and Falls Prevention
- Vagus Nerve Stimulation Research
- Hereditary Neurological Disorders
- Management of metastatic bone disease
- Teratomas and Epidermoid Cysts
- Fetal and Pediatric Neurological Disorders
- Trigeminal Neuralgia and Treatments
- Neurological and metabolic disorders
- Peripheral Nerve Disorders
Ain Shams University
2016-2024
Ain Shams University Hospital
2013-2020
Creative Commons
2016
BACKGROUND: Children with cerebral palsy (CP) can present severe secondary dystonia or without associated spasticity of their extremities. OBJECTIVE: To assess the outcomes combined anterior and posterior lumbar rhizotomy for treatment mixed hypertonia in lower extremities children CP. METHODS: Fifty CP were subjected to rhizotomies a prospective study. Clinical outcome measurements recorded preoperatively evaluated at 2, 6, 12 months postoperatively. The operative techniques performed by...
In epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection antiseizure medication, and monitoring are all essential. However, despite recent therapeutic advances conceptual reconsiderations in the classification management serious gaps still encountered day-to-day practice Egypt as well several other resource-limited countries. Premature mortality, poor quality life, socio-economic burden, cognitive problems, treatment outcomes, comorbidities major challenges...
This is a retrospective-comparative-pilot study to investigate the role of vagal nerve stimulation (VNS) in improving cognitive functions pediatric age group with Drug resistant epilepsy (DRE). It was conducted from January 2018 February 2023. Children between 4-18 years were divided into two groups, "VNS group" and "best medical treatment (BMT) group". Follow up period 12 months. Demographic, clinical, etiological investigational data noted. Cognitive assessment using Modified Mini-Mental...
Abstract Objective The aim of our study was to assess cases trigeminal pain by MRI evaluate the underlying pathology and correlate imaging findings with clinical data. Materials methods Forty-five patients (28 males 17 females) or without other associated neurologic symptoms signs were included in this study. brain, dedicated view protocol conducted contrast injection selected according conventional scan. Detailed assessment course nerve (anatomical based assessment). Results MR could depict...
Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because its location between the stiff kyphotic thoracic mobile lordotic region. To compare short-segment fixation with screws into index level long-segment in maintaining angle correction pain. A prospective study included 91 patients, who had single-level thoracolumbar fracture Cobb's ≤ 25° underwent posterior fixation. Forty-four patients level, 47 skipped level....
True hamartomas of the spinal cord are very rare, and although several have been reported in literature, there few detailed radiological pathological descriptions condition. There is also considerable overlap with other entities, most common being teratomas. The authors report case a 13-month-old child supragluteal sacral dimple who presented acute neurological deterioration. MRI spine revealed big intramedullary lesion heterogeneous signal intensity. A near-total resection was performed,...
Background"Selective peripheral neurotomies" (SPNs) are indicated for the treatment of refractory focal and multifocal spasticity lower limbs in adults.ObjectiveTo evaluate surgical results selective neurotomies 20 adult patients who had & limbs, follow up period one year.Patients MethodsProspective study included limbs. Preoperative evaluation muscle tone using Modified Ashworth Score (MAS), power Medical Research Council Scale (MRCS), functional assessment Oswestry Functional (OFS) Range...
<title>Abstract</title> <bold>Background:</bold> Botulinum toxin type A (BoNT) is a well-established therapeutic modality for the treatment of lower limb spasticity in children with cerebral palsy. <bold>Objective:</bold> To assess functional outcomes and tolerability BoNT injection neurometabolic/genetic disorders. <bold>Methods:</bold> We conducted retrospective chart review history, demographic data, comorbidities, neurological examination, neuroimaging findings all patients diagnosed...
Abstract Background Traumatic brain injury (TBI) in children is a significant health burden worldwide. Children aged 0 to 4 years have the highest incidence of TBI among non-elderly. These suffer from long term neurological deficits that compromise their quality life and daily living activities. Objective To determine developmental outcomes infants with TBI. Subjects Methods A prospective descriptive study on was conducted. Developmental by Age Stage Questionnaire 3rd edition (ASQ-3)...
<b><i>Background:</i></b> The optimum target in surgery for Parkinson’s disease (PD) is still controversial, especially patients with tremor-dominant PD. We aim to compare results undergoing pallidotomy vs. those simultaneous posteroventral (PVP) and ventral intermediate nucleus (VIM) thalamotomy. <b><i>Methods:</i></b> Twenty-four PD were included this study. Twelve received unilateral PVP contralateral the most affected side. other 12 VIM...
In the publication of this article [1], unfortunately not latest version Declarations section has been published.
Intraoperative ultrasonography (IOUS) represents a cheap and safe alternative to the more expensive intraoperative guidance modalities. In this study, we investigate impact of introducing IOUS in surgical management supratentorial gliomas compare its use objectively unguided surgery. We conducted prospective cohort study comparing two groups patients with amenable gross total resection. One group was operated using ultrasound while other traditional approach no image guidance. The main...
Background Further reports are required to describe the outcome of truncal dystonia treated by bilateral pallidal stimulation (globus pallidus interna deep brain [GPi-DBS]), owing small number and clinical variability complexity dystonia. Retrospectively, we report our experience treating three patients with idiopathic generalized dystonia, predominant mobile GPi-DBS.Methods Three underwent GPi-DBS. One patient had adult-onset while two childhood-onset All mixed abnormal postures...
Abstract In epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection anti-seizure treatment, and monitoring; all are essential. However, despite recent therapeutic advances conceptual reconsiderations in the classification management serious gaps still encountered day-to-day practice Egypt as well several other limited resources countries. Premature mortality, poor quality life, disabilities, diminished family function, cognitive problems, treatment outcomes,...
Abstract Background Cervical dystonia is the most common form of focal and managed by multiple modalities including repeated botulinum toxin injections, in addition to medical treatment with anticholinergics, muscle relaxants, physiotherapy. However, surgical interventions could be beneficial otherwise refractory patients. This study aims report our experience neurosurgical management cervical evaluate patient outcomes using reliable outcome scores for assessment patients possible...
Abstract Background Craniosynostosis is a major category in craniofacial anomalies defined as premature closure of one or more cranial sutures. Diagnostic Indices and different measures landmark points are being chosen according to age, the type deformity its severity, surgical procedure targeted cosmetic outcome. Objectives Primary objective compare anthropometric Post-operative short long term follow up between modalities impact on outcome need second corrective session. Secondary evaluate...
Ventriculomegaly is an increase in cerebral ventricular dimensions. It could be secondary to increased cerebrospinal fluid pressure the cavity (hydrocephalus), or a lack of brain parenchyma due atrophic involution arrested development. causes diagnostic, therapeutic, and prognostic dilemma for obstetricians, neonatologists, neurosurgeon. Mild fetal ventriculomegaly borderline defined as axial diameter > 10 mm across atrium posterior anterior horn lateral ventricles at any gestation. Moderate...
Abstract Background : Drug-resistant epilepsy (DRE) is very common in our daily clinical practice for which vagal nerve stimulation (VNS) used as a non-pharmacological therapeutic modality. VNS offered patients who are not amenable to resective surgery. There growing body of evidence suggesting that only improves seizure control but also modifies cognitive functions. Objective: This study aims at investigating this proposed dual effect it has great impact on the developing brain crucial,...
Abstract Background: Botulinum toxin type A (BTX-A) is a well-established therapeutic modality for the treatment of lower limb spasticity in children with cerebral palsy. There paucity evidence about its effectiveness and safety genetic disorders. Objective: To assess functional outcomes BTX-A injection Methods: We conducted retrospective chart review history, demographic data, comorbidities, neurological examination, neuroimaging findings all patients diagnosed disorders from December 2020...