Medical Specialties Commons^™

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 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 …

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, …

Evaluation Of Non-Compressive Myelopathy In A Sample Of Egyptian Patients, Mohie-Eldin Tharwat Mohamed, Abdel-Ghaffar Ismail Fayed, Islam Shaaban Al-Emam

Al-Azhar International Medical Journal

Background; "Spinal cord malfunction in the lack of clinico-radiological evidence of spinal cord compression" is the definition of non-compressive myelopathy. In the absence of imaging modalities that show compression, it may be caused by demyelinating, viral, autoimmune, vascular, degenerative, and metabolic illnesses. Aim and objectives: The goal of this research was to assess the etiological factors of non-compressive myelopathy in a sample of Egyptian patients. Subjects and methods: Between January 1 and June 30, 2022, researchers at Cairo, Egypt's Al-Azhar University Hospitals (Al-Hussein and Sayed Galal) performed a prospective observational study on patients with non-compressive myelopathy. At three and six …

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 …

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, …

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 …