Medical Specialties Commons^™

Comparison Between Duplex Ultrasound And Digital Subtraction Angiography In Extracranial Arterial Stenosis, Mohamed Ahmed Zaki, Mahmoud Galal Ahmed, Mohamed Salah Elfeshawy, Mohamed Hamed Riad Abdelaty

Al-Azhar International Medical Journal

Background: One of the leading causes of death and disability is stroke. Extracranial vascular stenosis is a significant and often occurring cause of ischemic stroke.

Aim and objectives: To compare the speed and accuracy of Doppler ultrasonography (DUS) to digital subtraction angiography (DSA) to determine the degree of stenosis in the carotid and vertebral arteries.

Patients and methods: 180 patients were recruited for our study between the beginning of February 2023 and the end of October 2023 who had been admitted to the emergency room or stroke unit at Al-Azhar University Hospitals with a clinical suspicion of extracranial vascular stenosis. …

Potential Role Of Subclinical Hypothyroidism In Carpal Tunnel Syndrome Patients (Case Control Study), Hussein Awad El Gharieb, Abdel-Ghaffar Ismail Fayed, Mohamed Ahmed Shaheen, Mohamed Ahmed Dighem

Al-Azhar International Medical Journal

Background: It is debatable how subclinical hypothyroidism affects peripheral nerves. The most prevalent type of nerve entrapment neuropathy, known as carpal tunnel syndrome (CTS), is brought on by compression of the median nerve at the wrist as it travels through the carpal tunnel, an osseo fibrous canal.

Aim: To estimate the potential association between subclinical hypothyroidism and CTS patients without a definite risk factor.

Patients and Methods: Over six months, individuals with CTS symptoms who visited the neurophysiology unit at Al-Azhar University Hospitals for an electrodiagnosis were the subjects of this case-control research. The study was carried out in two …

Comorbidity Of Stroke In Sample Of Egyptian Patients With Autoimmune Disease, Fathi Mahmoud Afifi, Ahmed Essmat Ali, Elsayed Maher Arafat

Al-Azhar International Medical Journal

Background: Autoimmune diseases can increase the risk of stroke and are associated with stroke-related disability.

Aim and objectives: To look into the radiographic, laboratory, and clinical characteristics of people who have autoimmune diseases that are exacerbated by stroke.

Patients and methods: Seven06 patients with acute ischemic stroke were included in our observational prospective cohort study; these patients were divided into two groups: 601 patients had no autoimmune illness, and 105 patients had an autoimmune condition.

Results: Among all participants, 27 patients (3.8%) were rheumatoid arthritis (RA), 34 (4.8%) systemic lupus erythematosus(SLE), 23 (3.3%) Behçet disease, 14 (2%) anti-phospholipid syndrome (APS) …

Diagnostic Utility Of The Sonographic Median To Ulnar Nerve Cross-Sectional Area Ratio In Carpal Tunnel Syndrome, Mohamed Ahmed Zaki, Hany Mohammed Ali, Fathy Mahmoud Mansour, Mohammad Fathi Abdulsalam, Mahmoud Alaa Ahmed Kamal

Al-Azhar International Medical Journal

Background: Carpal tunnel syndrome (CTS)is a prevalent ailment where the median nerve in the wrist is compressed, producing 90% of cases of nerve entrapment.

Aim and objectives: To ascertain the diagnostic utility of the ultrasonographic (US) ratio among the cross-sectional area of the ulnar nerve (u-CSA) and the median nerve (m-CSA) at the carpal tunnel inlet's pisiform bone in CTS.

Patients and methods: In the current research, 20 cases of manifestations of CTS were presented to the neurology department of Al-Hussein University Hospital. At the start of January 2023 & the conclusion of June 2023, 20 healthy controls were enlisted. …

Incidence Of Postprocedural Microembolic Events Following Carotid Artery Stenting Without Protection Devices, Hussein Awad El-Gharieb, Mahmoud Ibrahim El-Shamy, Mahmoud Galal Ahmed, Ahmed Elsaid Elsayed Mohammed, Ahmed Gamal Mohammed

Al-Azhar International Medical Journal

Background: There is debate about the efficacy and complications of The utilisation of carotid artery stenting in the management of carotid artery stenosis, in the absence of embolic protective devices. Objective: To estimate the incidence of microembolic events in CAS procedures without protection device. Patients and Methods: Fifty-three patients with carotid artery stenosis who attended The Neurology Clinic of Kobri El-Koba Military and Al-Hussien University Hospitals, Egypt from July 2022 to March 2023. Undergoing carotid artery stenting without protection devices. Outcome was assessed clinically with the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) and radiologically …

Study Of Non-Motor Manifestations In A Sample Of Egyptian Multiple Sclerosis Patients, El-Noamany Nader Abo-Nar, Mahmoud Mohamed Abd Elsyed, Mohammad Hamed Rashad

Al-Azhar International Medical Journal

Background: Nonmotor symptoms are commonly reported with multiple sclerosis (MS) patients including fatigue, depression, anxiety, pain, cognitive impairment, sleep disorders, pseudobulbar affect, sexual dysfunction, paroxysmal symptoms, and bladder and bowel control problems. However, such manifestations are not sufficiently reported in Egypt. Aim: This study aimed to estimate the proportion of nonmotor symptoms associated with MS amongst Egyptian patients, and investigate their relationship with MS course and the related-disability. Method: A cross-sectional study was conducted on 120 MS patients with different clinical courses in Al-Azhar University hospitals from January 2020 till January 2021. All patients diagnosed with MS using MRI and …

Can Aspirin Be Used As A Prophylactic Treatment In Migraine: A Double Blind Study In Upper Egypt, Mahmoud M. Hasan, Abd Elaziz S. Abd Elaziz, Mohammed A. Mohammed

Al-Azhar International Medical Journal

Background: Migraine is the 2nd most prevalent neurological disease in the world. Women are approximately 3 times more likely than men to have migraine.

Aim To evaluate possible role of aspirin as a prophylactic treatment in patient with migraine

Patients and Methods: In this prospective study sixty seven patients presented by migraine with and without aura. All patients were subjected to both HURT and MIDAS questionnaire before the treatment and .after the first, second and third month of treatment.

Results: Sixty seven participants (31 male and 36 female).Their age ranged from 25-60 years old, divided into 3 groups received placebo, …

Study Of Mental Health, Emotional And Behavioural Aspect In Childhood Epilepsy, Nabiel Abd Elhakeem Metwally, Ali Farrag Elhadad, Abd El Nasser Hussein Ahmed

Al-Azhar International Medical Journal

Back ground: Epilepsy and psychiatric comorbidities are in a complex relationship, which can be evidenced by the relatively high prevalence of comorbidities and the existence of a bidirectional relationship that puts not only people with epilepsy, but also patients with primary epileptic disorders at increased risk for developing psychiatric Disorders exposes mental disorders. diseases, the risk of developing epilepsy is higher. Aim of the study: To investigate the impact of epilepsy on the mental health, emotional and behavioral aspects of children with epilepsy. Methods: Cross-sectional study of 100 children aged 6 to 18 years diagnosed with epilepsy recruited from 175 …

Sleep Abnormalities In A Sample Of Egyptian Patients With Chronic Pain, Kamel M. Hewedi, Mohamed M. Elsheikh, Mohamed H. Rashad, Mahmoud S. Attia

Al-Azhar International Medical Journal

Background: It's likely that chronic pain and sleep are inversely correlated. Therefore, The importance of accurate diagnosis and quick treatment of sleep issues is highlighted by the possibility that insufficient sleep is vital in the long-term appearance and/or aggravation of pain. Objective: Clinical and neurophysiological evaluation of sleep disturbances in Egyptian patients with chronic pain. Patients and Methods: Patients with a diagnosis of chronic pain were recruited from Al-Azhar University Hospitals (Al-Hussein and Bab Al-Sheria University Hospitals) between July 2019 and August 2021. 29 participants served as the study's healthy control group, while 59 people had chronic pain. Clinical evaluation, …

Causes Of Early Deterioration Of Acute Ischemic Stroke Patients Inside Intensive Care Units, Sayed A. El-Zayat, Ahmed A. Nem, Mahmoud G. Ahmed, Mohammed A. Mohamed

Al-Azhar International Medical Journal

Background - Ischemic stroke is defined as the sudden onset of focal neurologic deficits of ischemic etiology lasting at least 24 hours, without hemorrhage on brain imaging. Early neurological deterioration (END) in acute ischemic stroke is a prevalent occurrence. END has a severe long-term and short-term impact on patient outcomes. Aim - To determine the different causes of early deterioration of ischemic cerebro-vascular stroke inside stroke units within the first 72 hours. Patients and Methods - This study was done in El-Maady Military Hospital. The study included 177 patients with acute ischemic stroke. Results - Deterioration of the case means …

Study Of Patients With Acute Visual Loss, Nabiel A. Metwally, Ali F. El-Hadad, Ghada A. Salem

Al-Azhar International Medical Journal

Background - Acute vision loss can be transient (lastinghours) or persistent (lasting >24 hours). When evaluating a patient with acute vision loss, it is important to determine whether the vision loss affected one eye or both eyes. The World Health Organization (WHO) estimates that 90% of the 285 million visually impaired people in the world live in low-income countries.

Aim - To Study the possible neurological causes in the patients presented by acute visual loss.

Patients and Methods - This prospective observational study included 60 patients with acute visual loss of different ages, and sex recruited from the Neurology department …