Obstetrics and Gynecology Commons^™

Maternal And Perinatal Outcomes Of Women With Vaginal Birth After Cesarean Section Compared To Repeat Cesarean Birth In Select South Asian And Latin American Settings Of The Global Network For Women's And Children's Health Research, Lester Figueroa, Margo Harrison, Manolo Mazariegos, Shivaprasad Gouda, Avinash Kavi, Richard Derman, Archana Patel, Prabir Das, Sarah Saleem, Farnaz Naqvi

Community Health Sciences

Objective: Our objective was to analyze a prospective population-based registry including five sites in four low- and middle-income countries to observe characteristics associated with vaginal birth after cesarean versus repeat cesarean birth, as well as maternal and newborn outcomes associated with the mode of birth among women with a history of prior cesarean.
Hypothesis: Maternal and perinatal outcomes among vaginal birth after cesarean section will be similar to those among recurrent cesarean birth.
Methods: A prospective population-based study, including home and facility births among women enrolled from 2017 to 2020, was performed in communities in Guatemala, India (Belagavi and Nagpur), …

Best Therapeutic Practices In The Management Of Obstetric Sepsis, Gabriel Petre Gorecki, Oana Denisa Balalau, Diana Elena Comandasu, Anca Daniela Stanescu, Dana Rodica Tomescu

Journal of Mind and Medical Sciences

Background. Physiological changes that occur during pregnancy make maternal sepsis a difficult condition to diagnose and treat, still having a fairly high mortality rate. Consequently, an early diagnosis and prompt therapeutic management of sepsis can significantly decrease mortality. The purpose of this study is to review literature data that present current practices in the management of obstetric sepsis. Methods. To collect the data required for the study, we performed a search of published articles in the PubMed and Google Scholar databases related to obstetric sepsis. Research paper articles from the period 2012-2022 were included in the analysis. In addition, 145 …

Sentinel Node Biopsy For Personalized Breast Cancer Management; Advances And Controversies, Rahim Al Moushaly, Daniel Ion, Octavian Andronic, Bogdan Socea, Alexandru Cosmin Palcau, Dan Nicolae Paduraru

Journal of Mind and Medical Sciences

Sentinel lymph node biopsy (SLNB) has become the gold standard for axillary lymph node staging, providing valuable prognostic information while minimizing complications compared to axillary lymph node dissection. However, there are ongoing debates and controversies surrounding SLNB in specific cases. Studies have explored the use of SLNB in neoadjuvant chemotherapy, emphasizing the need for customized therapy decisions. Factors such as age, tumor characteristics, and treatment response influence the selection of SLNB or axillary lymph node dissection. Additionally, the presence of extranodal extension, micrometastases, and isolated tumor cells has been evaluated to determine the need for lymphadenectomy. The importance of accurate …

About Dying And Death: Thanatology's Place In Medical Curriculum, Jill Dombroski

Electronic Thesis and Dissertation Repository

This study explored how healthcare providers engage in advance care planning and end-of-life care conversations. The research explored what shapes their understanding and the extent to which concepts from thanatology they intuitively bring in, explicitly bring in, and maybe fail to recognize. To achieve this, constructivist grounded theory (CGT) methodology guided the design, data collection, analysis, and interpretation of the findings, which allowed for iteration across interviews and analysis with existing theories and data in the literature. The CGT design encouraged further engagement with the literature in an ongoing iterative fashion as well as with the analysis of the data. …

A Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane (Usg-Tap) Block Vs Open Surgical Technique For Post Cesarean Section Pain Control, Abd El-Moneim Mohamed Zakaria, Magdy Ahmed Abdel Momen, Ahmed Mohamed Saeed, Moustafa Mahomoud Nasr Hemdan

Al-Azhar International Medical Journal

Background: Opioids are linked to significant health problems, such as nausea, vomiting, sedations, pruritus, and respiratory depressions in addition to newborns adverse effects via opioid transmitting across breastfeeding during caesarean section, even after the efficient stages of post-operative analgesia attained with the administration of opioids in combination with NSAIDs and paracetamol continuing to follow general anaesthesia.

Aim of the work: This study's objective is to evaluate pain levels at (rests and movements), and need for opioids following cesarean section using TAP block techniques (USG TAP, intraoperative direct vision TAP).

Patients and Methods: This study comprised 100 pregnant women who underwent …

Masseteric Nerve Transfer For Facial Reanimation: Meta-Analysis Study, Hossam Abdelatef Mahmoud, Moustafa Sayed Ahmed Meky, Sherif Hamdeno Youssif

Al-Azhar International Medical Journal

Background: Loss of facial nerve function, always follows facial nerve damage is called facial palsy. Since communicating emotions or intentions becomes difficult, this complicated condition hinders social connections. Thus, facial nerve repair requires a customized meticloulus techniques.

Objective: Meta-analysis study to evaluate masseteric nerve transmission role in reanimation of the face.

Methodology: This is Meta-analysis study for Literature that was implemented from January 2012 to 28th of Aug 2022, with the aid of these databases: Google Scholar, PubMed, Scopus, and Web of Science (ISI). We searched carfully all the included references of appropriate reviews in addition to the original articles …

Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan

Al-Azhar International Medical Journal

Background; Lower extremity wounds that don't heal are still a difficult problem for reconstructive surgery. Over 50% of all amputations are caused by diabetic foot and peripheral artery illness.

Aim and objectives: The goal of this research was to evaluation of free flap in diabetic foot as regard eradication of infection, coverage durability, and lower extremity function.

Patient and methods: The research was done at the AL-Azhar University Department of Plastic and Reconstructive Surgery. From patients hospitalized to the department of cosmetic and reconstructive surgery at AL-Azhar University, 20 diabetic patients with lower extremities defects had been chosen for a …

Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin

Al-Azhar International Medical Journal

Background: Prematurity lowers body weight and bone mineral density in nearly 30% of preterm newborns. Premature newborns are not screened for metabolic bone disease, hence bone biochemical markers should be investigated. Acetylcholinesterase mediates bone remodeling in recent investigations. Bone biochemical indicators and acetylcholinesterase (AChE) levels in preterm newborns may be linked. Objective: The aim of our study is to evaluate the probable correlation of AChE levels with multiple bone biomarkers in full-term and premature neonates. Subjects and Methods: This study was designed as a case control study. We examined 80 newborns (40 preterm with gestational age less than 37 weeks, …

Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry

Al-Azhar International Medical Journal

Background: In-Vitro Fertilization (IVF). Patients with infertility are usually advised to have intracytoplasmic sperm injections (ICSI). Doppler ultrasound, which uses high frequency transvaginal probes and coloured pictures, is one of the most frequently used methods in this field. One of the parameters supplied by an ultrasonographic test for determining the success of IVF includes endometrial thickness, endometrial pattern, endometrial volume, and endometrial blood flow. Aim: To detect implantation window using uterine artery indices in ICSI cycles. Subject and Methods: This study will be concluded at the assisted reproductive techniques unit of AlAzhar University on 100 patients. Results: Regarding BMI, there …

Perioperative Ketamine Use For Post Mastectomy Pain, Alessia Cooney, Jaylyn Thompson, Naomi Watkins-Granville

Rowan-Virtua Research Day

PMPS is defined as chronic neuropathic pain following breast cancer procedures in the ipsilateral arm, chest wall, axilla or shoulder.1-3 Approximately 20 to 50% of post mastectomy patients suffer from Post Mastectomy Pain Syndrome (PMPS).1 With more than 3.8 million breast cancer survivors, due to advances in treatment, there is increased importance in findings ways to better manage the quality of life of breast cancer survivors.1,4 Ketamine induces analgesic effects through its non-competitive antagonism of NDMA receptors.5 Low doses of ketamine infusion (20–30 mg x h−1) have been shown to produce analgesia in neuropathic pain states with benefits lasting up …

Abnormal Placentation With Placenta Accreta In A Post Ablation Pregnancy, Amanda Mirmanesh, Raechel Fockler, Woojin Chong

Rowan-Virtua Research Day

Placenta accreta spectrum (PAS) is a rare complication of pregnancy in which the placenta abnormally implants into, and in rarer cases, through the uterine wall which leads to increased maternal morbidity with risk of maternal mortality. PAS diagnosed at the time of delivery is associated with severe maternal morbidity largely due to elevated blood loss which can result in complications such as DIC and even maternal death. We present a case of a woman with PAS to reiterate the importance of close antepartum monitoring along with having a high suspicion for placenta accreta in a patient with risk factors, specifically …

Management Of Pelvic Pain Caused By Endometriosis, Denisa Oana Balalau, Ioana Andreea Ciupitu, Delia-Maria Bogheanu, Alexia-Ioana Ghiocel-Zariosu, Cristian Balalau, Liana Ples, Daniela Gabriela Bălan, Ioana Paunica, Marina-Romina Sima

Journal of Mind and Medical Sciences

Endometriosis is a disorder of the epithelium and/or endometrial-like stroma outside the endometrium and myometrium, usually with an associated inflammatory process. It mainly affects young women of reproductive age, the prevalence being estimated at approximately 10%. Due to the varied clinical symptoms marked by chronic pelvic pain, dysmenorrhea, infertility, dyspareunia, dysuria, endometriosis requires a complex treatment. Endometriosis is a major health problem with socioeconomic impact, which is why many gynecological societies have published different guidelines to assist clinicians in the diagnosis and treatment of endometriosis. The variety of available treatments combined with the complexity of this disease leads to significant …

Long-Term Safety And Efficacy Of Non-Absorbable Abdominal Mesh For Apical Prolapse Surgery: A 10-Year Experience At Tertiary Care Hospital, Samia Aijaz, Novera G. Chughtai, Urooj Kashif, Summera Malik

Department of Obstetrics & Gynaecology

Objectives: To evaluate the complications of apical prolapse correction with abdominally placed mesh and to assess the long-term efficacy of Sacrohysteropexy and Sacrocolpopexy.
Method: A retrospective cohort study was conducted at the Department of Gynecology and Obstetrics, Aga Khan University Hospital. All women who underwent apical prolapse surgery using abdominal mesh from January 2010 to December 2019 at AKUH were included. Patients with missing routine follow up visits and incomplete data up to one year post op were excluded. Patient notes were reviewed, and subjective and objective success and complications were analyzed. Safety was measured by incidence of intra, early …

Juvenile-Type Granulosa Cell Tumor In Pregnancy Presenting As A Ruptured Abdominal Mass, Odinaka Mogor, Steven Feinstein, Glen Friedman, Jose Salvador Saldivar, Melissa Mendez

HCA Healthcare Journal of Medicine

Introduction

Granulosa cell tumors (GCTs) are part of the sex cord-stromal tumors occurring with a rare incidence rate that only makes up about 2-5% of all ovarian malignancies.

Case Presentation

A 28-year-old woman, gravida 2, para 1, presented with a juvenile-type granulosa cell tumor at 31 weeks gestation, which appeared as a rapidly growing mass with rupture. She underwent an exploratory laparotomy with unilateral salpingo-oophorectomy, and consequently had a successful vaginal delivery. Post-operatively she was treated with paclitaxel and carboplatin chemotherapy regimen with no evidence of recurrence after one year.

Conclusion

Radical surgical management is recommended for these tumors due …

Efficacy And Safety Of Endovascular Embolization Of Cerebral Avm, Abdou Hamdy Abdou El-Rahamany, Yousef Abdel Gelel Barakat, Ahmed Mahmoud Elsherif

Al-Azhar International Medical Journal

Background; Endovascular embolization of cerebral arteriovenous malformations (AVM) has several benifits including AVM occlusion and flow reduction in preparation for other treatment techniques. Aim and objectives; To assess the efficacy and safety of endovascular embolization of cerebral AVM with different techniques and materials. Patients and methods; In a prospective and retrospective study, 22 patients diagnosed as AVM or arteriovenous fistula (AVF) and underwent endovascular embolization at Neurosurgical intervention Unit at Al Hussein University Hospital were recruited in the period from beginning of Jan, 2020 to the end of May, 2022. We included patients aged above one month, diagnosed to have …

Comparative Study Between Using Of Radio Frequency Ablation And Endovenous Laser Ablation In The Treatment Of Primary Lower Limb Varicose Veins, Ashraf Mohamed Ewida, Mohamed Ibrahim Hammoda, Ahmed Ibrahim El-Saied Ibrahima

Al-Azhar International Medical Journal

Background: Varicose veins are a frequent vascular issue. Radiofrequency ablation (RFA) and Endo-venous laser ablation (EVLA) are endo-venous treatments for varicose veins. Endo-venous therapy demonstrated superior outcomes than standard high ligation and stripping regarding pain, quality of life, healing, and recurrence. The RFA and ELA surpass vein stripping in morbidity, outcome, and neovascularization (recurrence), which is attributed for greater recurrence rates. Aim of the study: We aim to compare between using of radio frequency ablation and endo-venous laser ablation in the treatment of primary lower limb varicose veins as regard to complications, treatment failure, and recurrence. Patients and Methods: This …

Ultrasonographic And Hysteroscopic Assessment Of Uterine Cavity Post Myomectomy, Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed

Al-Azhar International Medical Journal

Background: Growth of the uterus's smooth muscles and connective tissue is known as uterine fibroids. They are viewed as the most widely recognized harmless growth of the pelvis. Moderate a medical procedure stays the primary methodology for the board of uterine myomas. Myomectomy is viewed as a significant choice for ladies who want future childbearing or essentially need to protect their uterus. Objective: The review's goal was to assess the uterine cavity using hysteroscopic and ultrasonographic devices. Methods: A planned (observation) logical plan was utilized in this review. Our research was had 50 patients that chosen from the short-term gynecological …

Protective Role Of Single Versus Multiple Remote Ischemic Preconditioning In Elective Percutaneous Coronary Interventions., Mohamed Eid Youssuf, Ibrahim Abdel Fattah Yassin, Mansour Mohamed Sallam

Al-Azhar International Medical Journal

Background: One common approach to treat the symptoms of coronary artery disease (CAD) is percutaneous coronary intervention (PCI). Unfortunately, the myocardium is vulnerable to ischemia reperfusion damage whenever a previously blocked coronary artery is reopened.

Aim of the work: Our aim is to compare the efficacy of single and multiple remote ischemic preconditioning (RIPC) in preventing post-percutaneous coronary intervention (PCI) chest discomfort, ST-segment deviation, and myocardial infarction.

Subjects and Methods: In this prospective interventional trial, 125 patients were included who had been diagnosed with CAD and were candidates for PCI. Four groups of patients were studied separately. Fifty individuals made …

Prediction Of Fetal Macrosomia In Patients With Gestational Diabetes Mellitus Through Measuring The Umbilical Cord Thickness And Glycated Hemoglobin (Hba1c) Levels, Fahd Abd Elaal Elomda, Mohamad Abdel Hameed Kheder, Ahmed Mohamed Said, Mohamad Yousef Elsead

Al-Azhar International Medical Journal

Background: One of the most prevalent medical issues, diabetes mellitus, has emerged as a serious concern to pregnant women. It is linked to a number of maternal and fetal issues, including delivery traumas, perinatal death, shoulder dystocia, macrosomia, and operating room interference. Early prediction of fatal complications will improve outcome and reduce perinatal mortality. Aim and objectives; to determine if pregnant diabetes women's use of HbA1c and umbilical cord thickness may accurately predict fetus's macrosomia. Subjects and methods; At Al-Hussein University Hospital, six-month prospective observational research on 100 pregnant women with gestational diabetes who were 28 to 29 weeks along …

Relationship Between Visfatin Level And Cardiovascular Changes In Hemodialysis Patients., Mohamed Abdelhameed Hussein Abdelsalam, Ahmed Alaa-Eldin Ahmed Mohamed Saad, Sami Hassan Nouh, Maged Mohamed Abdelaziz, Nabil Fathy Esmael Hassan

Al-Azhar International Medical Journal

Background: Cardiovascular alterations include atherosclerosis, calcification, heart failure, diastolic and systolic dysfunction, and stroke are a primary cause of mortality in people with CKD and ESRD. Individuals with CKD have been demonstrated to have increased serum levels of visfatin. A new study suggests that high visfatin levels in individuals with chronic kidney disease accurately predict cardiovascular abnormalities. Chronic renal failure, atherosclerosis, and calcification in the carotid arteries vary in individuals. The researchers set out to look at correlation of visfatin level and cardiovascular abnormalities in CKD patients. In this case-control comparative study, conventional Echocardiogram and carotid duplex assessment were used …

Efficacy Of Repetitive Transcranial Magnetic Stimulation On Spasticity In Egyptian Multiple Sclerosis Patients, Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan

Al-Azhar International Medical Journal

Background; One of the most common neurologic disorders is multiple sclerosis. To improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity in a sample of Egyptian MS patients. Patients and methods; 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from beginning of Jan, 2022 for 6 months. Patients were …

Uterine Artery Doppler And Sub-Endometrial Blood Flow And Serum Progesterone Level In Patients With Unexplained Recurrent Miscarriage, Moustafa H. Gad Allah, Farid I. Hassan, Mofeed F. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer

Al-Azhar International Medical Journal

Background: Unexplained Miscarriage that occurs repeatedly is still a difficult issue for couples and professionals. It affects 2–5% of females attempting to conceive and represents a considerable challenge for physicians. Aim of the Work: This study compares women who have unexplained recurrent miscarriages to healthy, fertile women in order to assess uterine artery blood flow, sub-endometrial blood flow, and serum progesterone levels in these women. Patients and Methods: At Al-Galaa Maternity Teaching Hospital, our research was carried out, and patients were divided into two groups. The case group: 50 individuals disclosed a history of recurrent, unexplained miscarriages, and the control …

Nerve Conduction Study And Ultrasonography Of Median Nerve In Predicting Outcome After Surgical Release In Carpal Tunnel Syndrome, Mahmoud Mohamad Hasan, Ali Farrag El Hadad, Maysra Abdelhalim Ali, Tarek Mohammed Mansour, Mohammed Fouad Mehanny

Al-Azhar International Medical Journal

Background: Carpal tunnel syndrome (CTS) is peripheral entrapment neuropathy in which compression of the median nerve at the wrist occurs. Objective: To evaluate and study, ultrasound and nerve-conduction of median nerve in predicting outcome after open surgical release in carpel tunnel syndrome. Patients and Methods: This prospective observational study, include 30 patients from out-patient Neurology and orthopedic clinics of Al Azhar Assuit University Hospitals. The duration of the study ranged from 6-12 months. Results: Ultrasound findings were significantly decreased postoperatively. As regard ROC curve of ultrasound findings in predicting outcome after open surgical release in carpel tunnel syndrome, regarding Cross-sectional …

Clinical Relevance Of Chest Pain During Dobutamine Stress Echocardiography, Amr Mohammed Elsayed Elkorashy, Wael Mohamed Attia, Mohamed Ali Mohamed Abdel Mageed

Al-Azhar International Medical Journal

Introduction; Chest pain is a common presentation in emergency units in daily life. Dobutamine stress echocardiography (DSE) was considered an early non-invasive method that help stratifying the risk for development of CVD. However, many patients experience chest pain shortly after DSE. Aim of study; assess the relevance between chest pain during DSE in those who are negative for DSE and presence of atherosclerosis in coronary angiography. Methods; 150 patients admitted to catheter unit in Cardiology Department at Al-Hussein Hospitals between June 2021 and June 2022 with chest pain despite negative DSE. They all underwent coronary angiography. Results; The median age …

Repeated Failure Of Arterio-Venous Haemodialysis Access: (Causes And Possible Solutions), Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy

Al-Azhar International Medical Journal

Background: In 1960, Quinton and Scribner developed an external shunt that allowed for repeated access to the circulation, making chronic hemodialysis a viable option for treating end-stage renal disease. Patients may now be kept on dialysis for decades because to the improvement of vascular access methods and equipment. Aim of study: To evaluate the most possible causes behind repeated arteriovenous (AV) access failure in ESRD patients. Patients and methods: This retrospective, non-randomized study was carried out at the vascular surgery department of Al-Azhar University hospitals(Al-Hussein and Sayed Glaal Hospitals). Results: Access thrombosis comes first as a cause of access failure …

Comparison Between Oxytocin Intravenous Bolus, Oxytocin Intravenous Bolus And Infusion, Rectal Misoprostol And Carbetocin Infusion For The Control Of Blood Loss At Elective Cesarean Section, Fahd Abdelaal Elomda, Ahmed Mohamed Said, Wesam Hamdy Sahloul

Al-Azhar International Medical Journal

Background: Uterine atony is the greatest typical etiology of primary PPH. Developed nations' atonic PPH rates are rising despite regular active control of the third stage of work. Primary PPH continues to be the greatest cause of maternal mortality in less developed nations. Aim and objectives: to assess the effectiveness of rectal misoprostol, oxytocin infusion, and oxytocin intravenous bolus and infusion in reducing blood loss during and after elective caesarean delivery. Subjects and methods: This prospective research included 200 pregnant patients who were hospitalized to the labor ward at the Al-Hussein University Hospital's Department of Obstetrics and Gynecology. Result: There …

Role Of Different Imaging Modalities And Fnac Correlation In Diagnosing Thyroid Gland Pathologies, Mohamed Talaat Mohamed Ibrahim, Ahmed Abdel Fattah Abu Rashid, Mohammed Osama Wahbi, Doaa Mokhtar Emara

Al-Azhar International Medical Journal

Background: Thyroid nodule, goiter, thyroiditis, and thyroid cancer are all common conditions that may have a negative impact on normal thyroid function. Objective: Determine how FNAC correlation and various imaging modalities contribute to the diagnosis of thyroid gland diseases. Patients and Methods: Al-Hussein University Hospital's outpatient departments (OPD) for thyroid problems saw 100 participants for the research. All patients were screened with ultrasound, and based on the results of that exam, some were sent for further radiological testing. Results: Out of the 100 patients included in the study, US was able to classify the thyroid diseases as focal (69 cases) …

“Middle Ear Function Of Recovered Severe Acute Respiratory Syndrome Coronavirus-2 (Sars-Cov2) Patients”., Mariam Magdy Medhat, Hedayat El Sayed El Fouly, Abdulrahman Nabil Fathi Abdulghffar

Al-Azhar International Medical Journal

Background: Several otolaryngology symptoms are reported with Coronavirus 2019 (COVID-19). Ascending infection from the nasopharynx can affect the conductive part of the hearing pathway. which lead to middle ear effusion. Otitis media may be the first presentation of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. Objective: To evaluate middle ear function in recovered SARS-COV-2 patients. Also, to compare between the complaint of the patient and the test results. Patient and methods : a case-control study in which the cases and controls groups were age and gender matched, with ages ranging from 18 to 50 years. The middle ear function of …

The Role Of Dynamic Mri In Hypovascular Hepatic Tumors, Abdulla Nazir, Ahmed Seif, Mohamed Soliman Ibrahim

Al-Azhar International Medical Journal

Background: Despite new advances in liver imaging, it is still difficult to identify and classify hepatic focal lesions. Particularly in cancer patients, where accurate tumor staging depends on the definition of the hepatic focal lesion for best treatment planning. Aim and objectives: was to evaluate the significance of Dynamic Magnetic Resonance identification and description of hypo-vascular hepatic tumor. subjects and methods: Our current research comprised 50 patients, 34 men and 16 women, who had hepatic lesions that were detected using variety of imaging modalities as ultrasound, CT scan, dynamic and diffusion MRI. Results: On non -contrast MRI 26 lesions were …

Stroke As A Presenting Symptom Of Covid-19; A Study Of Risk Factors, Characteristics And Outcomes In A Sample Of Egyptian Patients, Mahmoud Elsayed Mohamed Elassasy, Hussein Awad El Gharieb, Fathy Mahmoud Mansour

Al-Azhar International Medical Journal

Background; It is not known whether COVID-19 associated stroke patients have worse functional and vital outcomes than those without infection. Aim and objectives; To compare between COVID-19 associated stroke and non-COVID-19 stroke patients as regard risk factors, characters and outcome. Patients and methods; In a prospective study, 297 patients diagnosed clinically and radiologically as stroke and admitted to emergency department and stroke unit of Al- Azhar University hospitals were recruited in the period from beginning of December, 2021 to the end of May, 2022. They were classified into ischemic stroke (IS), Cerebral venous thrombosis (CVT), Subarachnoid hemorrhage (SAH), and Intracerebral …