Obstetrics and Gynecology Commons^™

Different Targets In Ablative Surgery In Management Of Parkinsonian Disease, Islam Mohammed Al Aghory, Alaa Rashad Ibrahim, Ahmed Adel Zaki

Al-Azhar International Medical Journal

Background: Surgical options for Parkinson's disease (PD) consist of ablative procedures and deep brain stimulation (DBS). The targets for ablation are the VIM, the globus pallidus, and the subthalamic nucleus.

Aim: To assess efficiency, complications & safety of variable targets in ablative surgery in Parkinsonian disease.

Methods: This Retrospective research was conducted on 20 Parkinsonian individuals in 2022. All patients were subjected to the Unified PD Rating Scale (UPDRS), with special attention to the motor score (part III).

Results: This study demonstrated improvement in the Unified PD Rating Scale (UPDRS) between preoperative and 6-month postoperative motor symptoms in twenty patients. …

Surgical Management Of Extratemporal Epilepsy, Mohamed Hasan Mansour, Alaa Rashad Ibrahim, Sabry Elsayed Ali Negm

Al-Azhar International Medical Journal

Background: Surgery is a commonly established therapy option for pharmaco-resistant extratemporal epilepsies.

Aim and objectives: To evaluate the clinical outcome of different surgical procedures for patients admitted to Al-Azhar Hospitals with drug-resistant extratemporal epilepsy.

Patients and methods: We enrolled 15 patients with drug-resistant epilepsy in our prospective and retrospective study between June 20, 2022, and May 30, 2023. After their admission to the neurosurgery department at Al-Azhar University Hospitals, these patients underwent epilepsy surgery and underwent follow-up monitoring for six months.

Results: The majority of the patients under study were female, with a mean age of 11.5±6.5 years, and 80% …

Comparative Study Of Dynamic Cervical Implant Versus Cervical Interbody Cage Fusion In Management Of Degenerative Cervical Disc Disease, Salah Mohammed Mereka, Mohammed Al Sayed Saleh, Ibraheem Gameel Ewis

Al-Azhar International Medical Journal

Background: Cervical radiculopathy occurs when a herniated disc cause pressure on a nerve root, resulting in dysfunction of the sensory, motor, or reflex pathways served by that nerve root. This trial aimed to evaluate the effectiveness of a dynamic cervical implant against a cervical interbody cage fusion for the treatment of a single degenerative disc in the cervical spine. Methods: This prospective randomized trial was carried out on 30 patients aged from 30 to 50 years old, both sexes, suffering from single degenerative cervical discs who were surgically treated by anterior cervical discectomy, intervertebral disc herniation from C3 to C7. …

Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou

Al-Azhar International Medical Journal

Background: Percutaneous endoscopic stenosis lumbar decompression (PESLD) is regarded as a noteworthy therapeutic option for lumber spinal stenosis (LSS), particularly on the contralateral side, in a satisfactory manner. Objective: To evaluate the efficacy and efficiency of PESLD of LSS through a uniportal-contralateral approach. Subjective: This was a prospective observational study. The patients were admitted to the Neurosurgery Department, Damanhour Educational Hospital, El-Behira Governorate, and Al Hussain Hospital Al Azhar University in Cairo. All patients underwent PESLD through a uniportal-contralateral approach.. Results: The pre-operative visual analogue scale (VAS) was 7.3 ± 0.9 and decreased significantly post-operative to 2.4±1.0. Intraoperative data showed …