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  1. Article ; Online: Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study.

    Refaee, Ehab Ahmed El / Refaat, Mohamed Ibrahim / Reda, Mohamed

    Journal of neurological surgery. Part A, Central European neurosurgery

    2018  Volume 79, Issue 1, Page(s) 15–18

    Abstract: Background:  Encephaloceles presents as a protrusion of the cranial contents through a defect in the cranium. The most common sites of occurrence are the occipital and frontonasal regions. The surgical outcome is reported to be satisfactory; however, ... ...

    Abstract Background:  Encephaloceles presents as a protrusion of the cranial contents through a defect in the cranium. The most common sites of occurrence are the occipital and frontonasal regions. The surgical outcome is reported to be satisfactory; however, the incidence of hydrocephalus in patients with encephaloceles is variable in the literature. This study investigated the relationship between the size of the encephaloceles and the occurrence of hydrocephalus.
    Patient and methods:  Data of all neonates with encephaloceles who presented to our institution from September 2012 to September 2014 were collected. Surgery was performed during the first 2 weeks of age. Encephaloceles with a maximal diameter > 10 cm were included in the study, and the clinical picture, surgical technique, pre- and postoperative imaging, and follow-up were analyzed.
    Results:  Nineteen cases were included in this study. The mean follow-up period was 7 months. Sixteen cases were occipital; three were frontal. In all patients the maximum diameter was > 10 cm. However, in four patients it was > 18 cm. Postoperative ventriculomegaly occurred in seven cases. Of these, four patients needed a permanent ventriculoperitoneal shunt implantation (21%). Wound dehiscence occurred in two patients who required secondary sutures with a favorable outcome. One patient died 2 weeks after the surgery due to a poor general condition and wound infection.
    Conclusion:  Early surgical excision provides effective treatment of huge encephaloceles. Overall, 21% of cases require cerebrospinal fluid (CSF) diversion afterward depending on associated anomalies. Despite their size, giant encephaloceles can have an excellent prognosis with no need for further treatment or CSF diversion.
    MeSH term(s) Encephalocele/surgery ; Female ; Humans ; Hydrocephalus/epidemiology ; Hydrocephalus/etiology ; Hydrocephalus/surgery ; Incidence ; Infant ; Infant, Newborn ; Male ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery ; Prognosis ; Retrospective Studies ; Treatment Outcome ; Ventriculoperitoneal Shunt/adverse effects
    Language English
    Publishing date 2018-01
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2651663-9
    ISSN 2193-6323 ; 2193-6315
    ISSN (online) 2193-6323
    ISSN 2193-6315
    DOI 10.1055/s-0036-1597548
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Incidence of Secondary Hydrocephalus after Excision of Huge Encephaloceles in Neonates: Case Study

    Refaee, Ehab Ahmed El / Refaat, Mohamed Ibrahim / Reda, Mohamed

    Journal of Neurological Surgery Part A: Central European Neurosurgery

    2017  Volume 79, Issue 01, Page(s) 15–18

    Abstract: Background: Encephaloceles presents as a protrusion of the cranial contents through a defect in the cranium. The most common sites of occurrence are the occipital and frontonasal regions. The surgical outcome is reported to be satisfactory; however, the ...

    Abstract Background: Encephaloceles presents as a protrusion of the cranial contents through a defect in the cranium. The most common sites of occurrence are the occipital and frontonasal regions. The surgical outcome is reported to be satisfactory; however, the incidence of hydrocephalus in patients with encephaloceles is variable in the literature. This study investigated the relationship between the size of the encephaloceles and the occurrence of hydrocephalus.
    Patient and Methods: Data of all neonates with encephaloceles who presented to our institution from September 2012 to September 2014 were collected. Surgery was performed during the first 2 weeks of age. Encephaloceles with a maximal diameter > 10 cm were included in the study, and the clinical picture, surgical technique, pre- and postoperative imaging, and follow-up were analyzed.
    Results: Nineteen cases were included in this study. The mean follow-up period was 7 months. Sixteen cases were occipital; three were frontal. In all patients the maximum diameter was > 10 cm. However, in four patients it was > 18 cm. Postoperative ventriculomegaly occurred in seven cases. Of these, four patients needed a permanent ventriculoperitoneal shunt implantation (21%). Wound dehiscence occurred in two patients who required secondary sutures with a favorable outcome. One patient died 2 weeks after the surgery due to a poor general condition and wound infection.
    Conclusion: Early surgical excision provides effective treatment of huge encephaloceles. Overall, 21% of cases require cerebrospinal fluid (CSF) diversion afterward depending on associated anomalies. Despite their size, giant encephaloceles can have an excellent prognosis with no need for further treatment or CSF diversion.
    Keywords encephalocele ; ventriculocele ; secondary hydrocephalus
    Language English
    Publishing date 2017-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2651663-9
    ISSN 2193-6323 ; 2193-6315
    ISSN (online) 2193-6323
    ISSN 2193-6315
    DOI 10.1055/s-0036-1597548
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.130: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Endoscopic endonasal skull base surgery during the COVID-19 pandemic: A developing country perspective.

    Soliman, Mohamed A R / Elbaroody, Mohammad / Elsamman, Amr K / Refaat, Mohamed Ibrahim / Abd-Haleem, Ehab / Elhalaby, Walid / Gouda, Hazem / Safwat, Amr / Shazly, Mohamed El / Lasheen, Hisham / Younes, AbdelRahman / El-Hemily, Yousry / Elsaid, Ahmed / Kandel, Haitham / Lotfy, Mohamed / Refaee, Ehab El

    Surgical neurology international

    2020  Volume 11, Page(s) 310

    Abstract: Background: Although primarily a respiratory disorder, the coronavirus pandemic has paralyzed almost all aspects of health-care delivery. Emergency procedures are likely continuing in most countries, however, some of them raises certain concerns to the ... ...

    Abstract Background: Although primarily a respiratory disorder, the coronavirus pandemic has paralyzed almost all aspects of health-care delivery. Emergency procedures are likely continuing in most countries, however, some of them raises certain concerns to the surgeons such as the endoscopic endonasal skull base surgeries. The aim of this study is to present the current situation from a developing country perspective in dealing with such cases at the time of the COVID-19 pandemic.
    Methods: A cross-sectional analytical survey was distributed among neurosurgeons who performed emergency surgeries during the COVID-19 pandemic in Cairo, Egypt, between May 8, 2020, and June 7, 2020. The survey entailed patients' information (demographics, preoperative screening, and postoperative COVID-19 symptoms), surgical team information (demographics and postoperative COVID-19 symptoms), and operative information (personal protective equipment [PPE] utilization and basal craniectomy).
    Results: Our survey was completed on June 7, 2020 (16 completed, 100% response rate). The patients were screened for COVID-19 preoperatively through complete blood cell (CBC) (100%), computed tomography (CT) chest (68.8%), chest examination (50%), C-reactive protein (CRP) (50%), and serological testing (6.3%). Only 18.8% of the surgical team utilized N95 mask and goggles, 12.5% utilized face shield, and none used PAPRs. Regarding the basal craniectomy, 81.3% used Kerrison Rongeur and chisel, 25% used a high-speed drill, and 6.3% used a mucosal shaver. None of the patients developed any COVID-19 symptoms during the first 3 weeks postsurgery and one of the surgeons developed high fever with negative nasopharyngeal swabs.
    Conclusion: In developing countries with limited resources, preoperative screening using chest examination, CBC, and CT chest might be sufficient to replace Reverse transcription polymerase chain reaction. Developing countries require adequate support with screening tests, PPE, and critical care equipment such as ventilators.
    Keywords covid19
    Language English
    Publishing date 2020-09-25
    Publishing country United States
    Document type Journal Article
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_547_2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Endoscopic endonasal skull base surgery during the COVID-19 pandemic: A developing country perspective

    Soliman, Mohamed A. R. / Elbaroody, Mohammad / Elsamman, Amr K. / Refaat, Mohamed Ibrahim / Abd-Haleem, Ehab / Elhalaby, Walid / Gouda, Hazem / Safwat, Amr / El Shazly, Mohamed / Lasheen, Hisham / Younes, AbdelRahman / El-Hemily, Yousry / Elsaid, Ahmed / Kandel, Haitham / Lotfy, Mohamed / El Refaee, Ehab

    Surgical Neurology International

    Abstract: Background: Although primarily a respiratory disorder, the coronavirus pandemic has paralyzed almost all aspects of health-care delivery Emergency procedures are likely continuing in most countries, however, some of them raises certain concerns to the ... ...

    Abstract Background: Although primarily a respiratory disorder, the coronavirus pandemic has paralyzed almost all aspects of health-care delivery Emergency procedures are likely continuing in most countries, however, some of them raises certain concerns to the surgeons such as the endoscopic endonasal skull base surgeries The aim of this study is to present the current situation from a developing country perspective in dealing with such cases at the time of the COVID-19 pandemic Methods: A cross-sectional analytical survey was distributed among neurosurgeons who performed emergency surgeries during the COVID-19 pandemic in Cairo, Egypt, between May 8, 2020, and June 7, 2020 The survey entailed patients' information (demographics, preoperative screening, and postoperative COVID-19 symptoms), surgical team information (demographics and postoperative COVID-19 symptoms), and operative information (personal protective equipment [PPE] utilization and basal craniectomy) Results: Our survey was completed on June 7, 2020 (16 completed, 100% response rate) The patients were screened for COVID-19 preoperatively through complete blood cell (CBC) (100%), computed tomography (CT) chest (68 8%), chest examination (50%), C-reactive protein (CRP) (50%), and serological testing (6 3%) Only 18 8% of the surgical team utilized N95 mask and goggles, 12 5% utilized face shield, and none used PAPRs Regarding the basal craniectomy, 81 3% used Kerrison Rongeur and chisel, 25% used a high-speed drill, and 6 3% used a mucosal shaver None of the patients developed any COVID-19 symptoms during the first 3 weeks postsurgery and one of the surgeons developed high fever with negative nasopharyngeal swabs Conclusion: In developing countries with limited resources, preoperative screening using chest examination, CBC, and CT chest might be sufficient to replace Reverse transcription polymerase chain reaction Developing countries require adequate support with screening tests, PPE, and critical care equipment such as ventilators [ABSTRACT FROM AUTHOR] Copyright of Surgical Neurology International is the property of Scientific Scholar LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #831624
    Database COVID19

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