Parasagittal Meningioma surgery

Background: meningioma in parasagittal location represent between 20%-30% of meningioma in the cranial cavity. The close relation of it with Superior Sagittal Sinus make its surgical resection is a great challenge to the surgeon to get a good result.Patients & method: we collected 23 cases of Parasagittal Meningioma cases medical records (including pre-& postoperative clinical pictures, images plus operative details and complications post operatively) who admitted to neurosurgery dept., Mansoura University Hospital and underwent surgical resection in the period that began in 2010 and ended in 2016. We followed up the cases at least for 6 months.Results: the patient’s age varied between 64-35 years. 16 female & 7 males. The presenting symptoms was headache (11 patients), fits (6 patients), motor weakness (5 cases), abnormal gait (1 patient) and dizziness (1 case). 15 cases had gross total tumor excision while 8 cases showed partial tumor removal. Recurrence rat was in 4 cases (17.4%) plus two mortality cases.Conclusion: through our series we could detect cardinal factors in prognosis of these cases which included: tumor size, histology, preoperative identification of the venous collateral and preservation of it in the surgical maneuver. The meticulous microscopic surgical technique can augment this goal

Safety and e?ectiveness of microvascular decompression for treatment of hemifacial spasm through mini craniotomy

Background: The hemifacial spasm (HFS) defined as involuntary intermittent twitching of the muscles of the face (usually unilateral). The spasms characteristically begin around the eye and then extend to affect other muscles of the ipsilateral face. It is caused by vascular element compressing the facial nerve that may be either the anterior or the posterior inferior cerebellar arteries in most cases. Objective of our work: to describe the operative technique (pearls and common mistakes), the efficacy and morbidity of microvascular decompression technique for hemifacial spasm through mini craniotomy, determine the prognostic factors affecting success rate of the surgery. Material & method: A retrospective study of 23 cases of hemifacial spasm treated by mini craniotomy retro sigmoid approach and microvascular decompression at neurosurgery dept., Mansoura University Hospital in last 10 years was investigated. This include Epidemiological, clinical and imaging details, selected treatment options and patients’ outcome. Results: complete resolving of symptoms was conducted in 19 cases 82.6% while reoperated in 2 cases with improvement in one case. Facial palsy appeared post-operative in 6 cases 4 of them improved in 3 months, transient hearing loss in 4 cases17.4% which improved later, cerebrospinal fluid leak appeared in 3 cases 13% which managed conservatively. Conclusions: MVD relieves symptoms of HFS in about 80% of patients while recurrence still in low percentage. The study reported low permanent Complications and generally transient

Simplified technique achieving low cost and high performance impact for construction in very deep very soft ground sites

Geotechnical engineers are still facing the true harmful problems of the very deep deposits of very soft clay soils for structural foundations. It is believed that the current used methods of geotechnical engineering improvement in soft clays are justified on the basis that pre-knowledge of the potential problems can lead to economic benefits if the planning, design, and construction of projects can be modified to suit the problems to provide increase of its strength, reduction of total and differential settlement, reasonable cost, and shorten construction time. Therefore, the cost-effective alternatives play significantly an essential role to evaluate considerably the efficiency among the widely used current methods in this true problematic field. From this considerable point, vast experience has been acquired to solve this problem through soft ground improvement before turning to deep foundations which need considerably huge cost especially for the very deep very soft ground. Unfortunately, the improvement magnitudes of the most widely used current techniques do not suit even fairly with their required cost and their installation difficulty which need highest level of accuracy.In this paper, innovative convenient type of foundation system has been laboratory tested to evaluate the significance through the aspect of cost-effective alternative which is clearly unachieved by the currently used techniques. This novel technique was achieved by high efficiency rate, simplicity for execution, huge increase of strength under footings, rapid rate of construction process, considerable saving in the required cost, and significantly reduce total and differential settlement. Keywords: Soft ground, Properties, Improvement methods, Their performanc

Wilson’s disease clinic at the Assiut Liver Center in Egypt: a real well-established step on the way

Abstract Wilson’s disease (WD) is a rare genetic disorder of copper metabolism that results in dysfunction of copper excretion into bile leading to its accumulation in the liver, brain, cornea, and kidney. Only a few epidemiological studies about WD have been carried out, with limited available data about the disease. The most common liver disease in Egypt is viral hepatitis, which masks other liver diseases, especially in adults. This review describes the establishment of the first specialized WD clinic in the Assiut Liver Center, Upper Egypt. This multidisciplinary clinic comprises stakeholders working in WD management from different specialties, including hepatologists, pediatric hepatologists, neuropsychiatrists, dieticians, radiologists, pathologists, and ophthalmologists. Over 2 years since the launch of the WD clinic in February 2020, a total of 64 WD suspected cases were referred to our center. The WD clinic at the Assiut Liver Center is a step to provide an integrated service for neglected diseases like WD. Besides the provided integrated services for WD patients, a family screening program is applied with satisfying results