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Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    61-73
Measures: 
  • Citations: 

    0
  • Views: 

    331
  • Downloads: 

    123
Abstract: 

Background and Aim: Intracranial Arachnoid Cysts (IAC) are suitable choices for endoscopicprocedure to avoid craniotomy or shunt placement. Our main objective is to study the outcome ofendoscopic procedure in IAC treatment. Methods and Materials/Patients: In this descriptive and retrospective study, we report ourexperience of 27 symptomatic patients with IAC who underwent endoscopic surgery at NationalInstitute of Neurosciences Hospital and Dhaka Medical College Hospital, Dhaka, Bangladeshfrom January 2009 to December 2016. The recorded data of patients’ management includingoperations, outcomes, and follow up were studied retrospectively. The diagnosis was confirmedby neuroimaging, surgery and histopathological examination. Patients were postoperativelyfollowed up on regular basis. Results: Size of the IAC decreased (significant to minimal) in all cases. Even where size reductionwas minimal, patients’ symptoms improved significantly. No IAC increased in size after endoscopicprocedure. There was no recurrence of symptoms in the follow up period. There was nopostoperative mortality or major morbidity related to the surgery. Conclusion: Based on our results, most of symptomatic IAC cases can be managed by endoscopicprocedure which seems to be a safe and effective method.

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    75-82
Measures: 
  • Citations: 

    1
  • Views: 

    185
  • Downloads: 

    139
Abstract: 

Background and Aim: This study aimed to present the results of early and delayed operationon patients with ruptured brain aneurysms. In addition to comparing the results and rates ofmorbidity and mortality in the surgical procedure and identifying the effective factors, this studyaimed to provide methods to improve the treatment of brain aneurysm. Methods and Materials/Patients: This was a retrospective study on 60 patients with a definitivediagnosis of brain aneurysm admitted to Neurosurgery Ward of Poursina Hospital, Rasht, Iran from2009 to 2013. Results: 7(11. 7%) patients on the first 3 days and 37(61. 7%) patients on the days 4-14 and16(26. 7%) after 2 weeks and selectively underwent surgery. In total, 11. 7% of patients died and15% developed severe complications. In the group underwent surgery on the first 3 days, 2(28. 5%)patients died and 2 experienced severe complications. In the second group (in 4-14 days), 4(10. 8%)patients died and 5(13. 5%) suffered from severe complications, and in the group (16 patients)with delayed surgeries, 1(6. 2%) patient died and 2(12. 5%) suffered from severe complications. Neurological grading and operation time were important factors in complications and mortalityof patients. Conclusion: This study showed that Hunt and Hess neurological grading score has a directrelationship with increased morbidity and mortality rates, while delayed operation is associatedwith a reduction in morbidity and mortality. Given the complications of early aneurysm surgery(during the first 3 days) compared with delayed surgery, and also most of these patients die dueto vasospasm or recurrent hemorrhage before the onset of a delayed phase, performing earlysurgery in these patients requires further evaluation. According to this study, the reduction of eachepisode of occlusion with temporary clipping will result in fewer complications.

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    83-92
Measures: 
  • Citations: 

    0
  • Views: 

    205
  • Downloads: 

    218
Abstract: 

Background and Aim: Lumbar Disc Degeneration (LDD) is one of the most important causes ofpain in the lower back, and lack of physical activity, overweight and obesity have been regardedas the most significant factors in its occurrence. The present study was conducted with the aim ofevaluation of body mass index, abdominal obesity and physical activity level in patients undergoingfor lumbar disc degeneration surgery. Methods and Materials/Patients: This descriptive-analytical study was conducted on 130 adultpatients (20 to 77 years old) candidates for surgery admitted to the Poursina Hospital in Rasht City, Iran in 2016 due to degenerative lumbar vertebrae diseases. After obtaining the patients' consent, their abdominal circumference, weight, and height were measured by the researcher. The RapidAssessment of Physical Activity (RAPA) questionnaire was used to assess the level of physical activityof the subjects and questions about professional sports were asked by the researchers. SPSS 16was used to analyze the study findings. The Chi-square test and Fisher exact test were applied toexamine the relationship between qualitative data. Results: The mean± SD BMI values in males and females were 26. 63± 4. 47 and 28. 96± 4. 45 kg/m2, respectively. Also, the mean± SD values of abdominal circumference in men and women were99. 8± 13. 35 cm and 107. 44± 17. 58 cm, respectively. The majority of the people (88. 5%), including71. 7% of men and 97. 6% of women had suboptimal physical activity, and a small percentage ofsamples (10. 8%) reported previous professional exercisesConclusion: The present study results indicate the lack of activity level, high BMI and abdominalobesity in our patients. Further study is required to investigate the significant relationship betweenBMI and degenerative disease types.

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    93-100
Measures: 
  • Citations: 

    0
  • Views: 

    163
  • Downloads: 

    172
Abstract: 

Background and Aim: In-hospital rebleeding and early aneurysm rupture are major causesof mortality and morbidity in aneurysmal subarachnoid hemorrhage. Rebleeding may occur atthe referring hospital, during transfer or at the referral neurovascular center prior to surgical orendovascular treatment. However, there has been no report regarding the rate of in-hospitalrebleeding and early aneurysm rupture at the referral centers. This study aims to clarify theincidence, significance, management, and outcome of individuals who suffer in-hospitalaneurysmal rebleeding and early aneurysm rupture at the referral hospital due to anteriorcirculation cerebral aneurysm to the time when its neck is visualized for clipping. Methods and Materials/Patients: Among 617 patients with anterior circulation cerebralaneurysms who underwent operation between September 2010 and September 2017 atNeurovascular Unit of Namazi Hospital (main referral neurovascular center in southern Iran), 22suffered rebleeding since the time of neuroradiologic diagnosis of aneurysm to intraoperativevisualization of aneurysm for neck dissection. A surgical technique for fast access and securing theaneurysm is described in this article, too. The patients’ demographics were collected via hospitalrecords in a retrospective fashion. Six-month functional outcome was obtained via OPD records aswell as phone calls. Utilizing Independent t test, 1-way ANOVA, Kruskal-Wallis and Mann-Whitneytests in SPSS22, the effect of each study variable was evaluated during 6 months follow-up period. Results: Rebleeding occurred at different venues from CT angiography to frontal lobe retraction. Anterior communicating artery was the most common aneurysm to suffer in-hospital rebleedingand male gender was found as a risk factor. These patients have significantly higher bleedingamount and longer operative time (P<0. 001), but still have a 68. 2% chance of surviving with goodfunctional recovery. Earlier in-hospital rebleedings are used to have worse outcomes (P=0. 036 forGOS and 0. 028 for mRS, respectively). Conclusion: Patients with in-hospital rebleeding and early aneurysm rupture at the referralhospitals will have a considerable chance for favorable outcome if they undergo aggressive surgicalmanagement emergently.

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Author(s): 

REZAEIAN AHMAD

Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    101-108
Measures: 
  • Citations: 

    0
  • Views: 

    248
  • Downloads: 

    162
Abstract: 

Background and Aim: Several surgical techniques have been so far used for treating CerebrospinalFluid (CSF) leakage (rhinorrhea) such as using abdominal fat or fascia lata, but these methods havecomplications such as the presence of several surgeons in variable fields in the operating room orcosmetic complications for donors such as the surgical scar. This study aimed to investigate usingbuccal fat pad for management of traumatic CSF leakage. Methods and Materials/Patients: In this clinical trial, 46 patients with traumatic CSF leakage wereenrolled according to inclusion criteria and randomly divided into intervention and control groups. Buccal fat pad for the intervention and abdominal fat for the control were inserted in the defectof the anterior cranial cavity by applying endoscopic sinus surgery. The patients were followed upfor 1 year postoperatively. Results: All patients were improved with no recorded report of CSF leakage relapse. In theintervention group, temporary complications such as edema (18. 2%), numbness (9. 1%) andfacial asymmetry (9. 1%) were observed in resected buccal fat pad areas. Also the control groupall developed abdominal scar. The duration of surgery in the intervention group was significantlyshorter than control (P=0. 02). Conclusion: Using buccal fat pad for management of CSF leakage is a highly effective and reliablemethod which requires simple procedure with low cosmetic complication and short duration ofsurgery compared with other methods such as an abdominal fat graft. In addition, using buccal fatpad has better cosmetic results, so we suggest this surgical method for patients with CSF leakage

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    109-115
Measures: 
  • Citations: 

    0
  • Views: 

    239
  • Downloads: 

    150
Abstract: 

Background and Aim: This is a retrospective epidemiological study, based on ICD-10 system, usingstatistical data from the Cyprus Statistical Service official archives. To estimate the spinal cord injuryincidence and its characteristics like gender preference and hospitalization, in Cyprus people, over a10-year period of time. The study investigated cases that have occurred within the territory of theRepublic of Cyprus. Methods and Materials/Patients: The data from the Cyprus Statistical Service official archives werereviewed based upon the ICD-10 searching, using annual reports, from 2005 to 2014. The extractedinformation included the number of hospitalized patients, using ICD-10 codes S14, S24 and S34, sexand days of hospitalization. In order to report the incidence rates, we used the Cyprus StatisticalService official demographic data. Results: The Mean Spinal Cord and the related Nerves Injury (SCI and NI) incidence was calculated tobe 0. 24%. The Mean SCI & NI male incidence was 0. 158 %. The Mean SCI and NI female incidence was0. 076 %. There were 2. 8 days of hospitalization per every SCI and NI patient per year. Conclusion: Based on the study results, it seems advisable to have a National Spine and Spinal CordInjury registry, in order that different parameters be correlated in a more effective way. The studyhighlights the need for a well-organized trauma and rehabilitation center which would be of greatbenefit for the health system of the country. Furthermore, this information can be useful in futurehealth economic studies related to the SCI and NI.

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    117-122
Measures: 
  • Citations: 

    0
  • Views: 

    217
  • Downloads: 

    167
Abstract: 

Background and Importance: Selective Dorsal Rhizotomy (SDR) is a neurosurgical procedurecurrently used as a surgical treatment of children with spasticity in their legs. In SDR, the dorsalroots from L2 to S1 or S2 is partially sectioned. The primary goal of SDR is to reduce spasticityand improve the range of movement with preservation of muscle strength. The dorsalroots involved in spasticity are identified on the basis of intraoperative electrophysiologicalstimulation. Currently, SDR is most commonly performed for the treatment of spastic cerebralpalsy in children. Case Presentation: We report an 8-year-old child with spastic cerebral palsy who underwentintraoperative neurophysiology monitoring during SDR for treating his spasticity. Before theoperation, patient’ s examination revealed more spasticity at the lower extremities, mildspasticity at the upper extremities, and occurrence of fixed contracture of his both ankle joints. Intraoperative neuromonitoring (consisting of motor evoked als, direct nerve root stimulation, and free run electromyography) was performed during the operation. Electrophysiologicalmonitoring was initially used to help differentiate between the ventral and dorsal roots andcutting the abnormal sensory rootlets. Conclusion: After the operation, his motor power of the lower extremities in the proximal anddistal muscles was 4 out of 5, his saddle sensation became normal, and there was no urinaryand stool incontinency. Four weeks after the surgery, he could walk about 10 m withouthelp. His examination at 2 and 4 weeks after the operation showed was no sign of sensorydeficits, urinary, or stool incontinency. Two months after the operation, the patient could walkindependently without help while before the operation, he could not.

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Issue Info: 
  • Year: 

    2018
  • Volume: 

    4
  • Issue: 

    2 (13)
  • Pages: 

    123-123
Measures: 
  • Citations: 

    0
  • Views: 

    246
  • Downloads: 

    0
Keywords: 
Abstract: 

Okhovvat A, Yaghoubi Hamgini M, Hashemi SM, Abtahi SH, Nemati SH. Evaluation of Two Facial Nerve LandmarksFrequency in Parotidectomy. IrJNS. 2017; 2(4): 6-8. Published online at: March, 30, 2017, Corrected after print atNov 19, 2018. In the version of this article initially published, one of the authors (Shadman Nemati) is missed. The error hasbeen corrected in the HTML and PDF versions of the article. This article is a product of a research project which was conducted with co-operation of Rhino-sinus, Ear and SkullBase Diseases Research Center, Guilan University of Medical Sciences and Department of Otolaryngology-Headand Neck Surgery, Isfahan University of Medical Sciences; and the authors acknowledge that this paper is only theresults of the Isfahan center and the other findings of the colleagues in Rhino-sinus, Ear and Skull Base DiseasesResearch Center of Guilan will be published in future.

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