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2. Stridor of Epileptic Origin (P5-1.014)

Author

AlHusan, Abdallah, primary, Yassin, Ahmed, additional, Khweileh, Mays, additional, Al-Mistarehi, Abdel-Hamid, additional, Bashayreh, Salma, additional, and El-Salem, Khalid, additional

Published
2024
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8. The Relationship Between Sleep Quality, Sleep-Related Biomarkers, and Motor Skill Acquisition in People With Multiple Sclerosis: A Pilot Study

Author

Al-Sharman, Alham, Al-khazaaleh, Heba Mefleh, Khalil, Hanan, Ala'Aburub, S, and El-Salem, Khalid

Subjects
Multiple sclerosis -- Care and treatment -- Psychological aspects -- Patient outcomes, Motor learning -- Health aspects, Sleep -- Health aspects
Abstract

Objective. Neurorehabilitation that involves learning new motor skills is one of the promising clinical methods for motor recovery in people with multiple sclerosis (PwMS); therefore, factors that influence the acquisition of motor skills in PwMS need to be investigated. Sleep disturbances are common in PwMS; however, no study has investigated the effect of sleep and sleep-related biomarkers on skill acquisition in PwMS. This study aimed to examine the effect of sleep and sleep-related biomarkers on motor acquisition in PwMS. Methods.Forty participants with MS and 40 controls were recruited in this study. To assess motor acquisition, each participant was asked to perform a novel game through a virtual reality (VR) system 5 times (blocks). The main outcome measures for each block were the required time to complete the VR game and the recorded errors. The difference in scores between Block 5 and Block 1 for both outcomes were considered to represent motor skill acquisition. Sleep was assessed by self-report using the Pittsburgh Sleep Quality Index (PSQI) and objectively using sleep monitor technology. Serotonin level was assessed using means of enzyme-linked immunosorbent assay using plasma samples. Results. There were significant positive correlations in both groups between motor skill acquisition and PSQI score. In PwMS, significant negative correlation between motor skill acquisition and sleep efficiency and significant positive correlation between motor skill acquisition and sleep latency were also observed. Interestingly, a significant negative correlation was observed between motor skill acquisition and the plasma serotonin level in both groups. Most of these correlations remained significant after controlling for disease severity, fatigue, baseline performance, and cognitive status. Conclusion. Sleep quality may influence motor skill acquisition in PwMS. Circulatory serotonin level might explain this relationship. Impact.Physical therapists are encouraged to be aware of sleep quality and sleep assessment. Sleep management strategies should be considered when treating PwMS. Keywords: Motor Learning, Multiple Sclerosis, Rehabilitation, Sleep Quality, Virtual Reality, Introduction Multiple sclerosis (MS) is a chronic inflammatory disease characterized by demyelination of the central nervous system neurons. (1) Demyelination can affect parts of the brain that may be required [...]

Published
2021
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13. The relationship between sleep quality and gait in people with multiple sclerosis: A pilot study

Author

Abedalaziz, Wlla, Al-Sharman, Alham, Aburub, Aseel, Latrous, Mariem Syrine, Esser, Patrick, Dawes, Helen, El-Salem, Khalid, and Khalil, Hanan

Abstract

Background:Gait deficits are common among people with multiple sclerosis (PwMS). Therefore, investigating factors that may influence walking in PwMS is important. Previous studies in older adults and other neurological populations demonstrated the relationship between sleep quality and gait performance. Despite the fact that the prevalence of poor sleep quality is very high among PwMS, little is known about the effect of sleep quality on gait among PwMS.Objective:This study aimed to explore the relationship between sleep quality and gait performance in PwMS.Methods:Forty-one PwMS participated in the study between February 2019 and December 2019. Participants were asked to walk at a self-selected speed over 10m with an inertial measurement unit (IMU) attached over the back. Walking speed, step length (left and right), and step time were calculated. Sleep was estimated objectively using a wrist-worn triaxle-accelerometer; the derived parameters were sleep efficiency (SE) and the number of awakening after sleep onset (NASO).Results:SE significantly correlated with step length (p=0.02). Furthermore, the NASO significantly correlated with gait speed (p=0.03), and step-time (p=0.02). These correlations remained significant even after adjusting for age and disease duration.Conclusion:We observed that when corrected for disease duration and age there were relationships between NASO and SE to gait parameters; these observations warrant further investigations.

Published
2024
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14. Translation, cultural adaptation and validation of the Arabic version of the king's Parkinson's disease pain scale.

Author

Alissa, Nesreen, Khalil, Hanan, Kanaan, Saddam, Aldughmi, Mayis, Al-Sharman, Alham, Morris, Linzette, Latrous, Mariem Sirine, and El-Salem, Khalid

Subjects
PAIN measurement, MULTITRAIT multimethod techniques, REPEATED measures design, CRONBACH'S alpha, TRANSLATIONS, CULTURE, RESEARCH methodology evaluation, RESEARCH evaluation, QUESTIONNAIRES, PARKINSON'S disease, DESCRIPTIVE statistics, BRIEF Pain Inventory, RESEARCH methodology, STATISTICAL reliability, INTRACLASS correlation, ANALYSIS of variance, COMPARATIVE studies, DATA analysis software, FACTOR analysis, PSYCHOLOGICAL tests, RELIABILITY (Personality trait)
Abstract

Pain in Parkinson's disease (PD) is a highly prevalent non-motor symptom occurring in this population. The King's PD Pain Scale (KPPS) was developed to assess pain in people with PD. This study aimed to provide a cross-cultural adaptation and translation of the KPPS into the Arabic language (A-KPPS), and to investigate the construct and convergent validity, internal consistency, and reliability of the translated scale. The English KPPS was translated into Arabic and back-translated into English by an independent translation team. The Arabic version was tested in 103 native Arabic speaking PD patients. We assessed construct validity, convergent validity, and test-retest reliability of the A-KPPS using factor analysis method, comparison with other valid and reliable measures, and using intra-class correlations, respectively. The A-KPPS had three main factors "somatic pain", "visceral and burning pain" and "orofacial pain", rather than the original four factors scale. The A-KPPS correlated with measures of disease motor severity, depression, anxiety, quality of life and pain (p < 0.05). Furthermore, the A-KPPS total score had high test-retest reliability (ICC = 0.9). The A-KPPS demonstrated moderate to good validity and reliability. The A-KPPS can facilitate the assessment and treatment of pain in Arabic-speaking people with PD worldwide. Pain is a highly prevalent non-motor symptom of Parkinson's disease (PD) that is often overlooked. The King's PD Pain Scale (KPPS) is specially designed to assess pain localization, intensity, and frequency in people with PD. The Arabic translation of the KPPS is a valid and reliable tool for the assessment of pain in Arabic speaking people with PD. [ABSTRACT FROM AUTHOR]

Published
2024
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28. The relationship between sleep quality and gait in people with multiple sclerosis : a pilot study

Author

Abedalaziz, Wlla, Al-Sharman, Alham, Aburub, Aseel, Latrous, Mariem Syrine, Esser, Patrick, Dawes, Helen, El-Salem, Khalid, Khalil, Hanan, Abedalaziz, Wlla, Al-Sharman, Alham, Aburub, Aseel, Latrous, Mariem Syrine, Esser, Patrick, Dawes, Helen, El-Salem, Khalid, and Khalil, Hanan

Abstract

Background: Gait deficits are common among people with multiple sclerosis (PwMS). Therefore, investigating factors that may influence walking in PwMS is important. Previous studies in older adults and other neurological populations demonstrated the relationship between sleep quality and gait performance. Despite the fact that the prevalence of poor sleep quality is very high among PwMS, little is known about the effect of sleep quality on gait among PwMS. Objective: This study aimed to explore the relationship between sleep quality and gait performance in PwMS. Methods: Forty-one PwMS participated in the study between February 2019 and December 2019. Participants were asked to walk at a self-selected speed over 10m with an inertial measurement unit (IMU) attached over the back. Walking speed, step length (left and right), and step time were calculated. Sleep was estimated objectively using a wrist-worn triaxle-accelerometer; the derived parameters were sleep efficiency (SE) and the number of awakening after sleep onset (NASO). Results: SE significantly correlated with step length (p=0.02 ). Furthermore, the NASO significantly correlated with gait speed (p=0.03 ), and step-time (p=0.02 ). These correlations remained significant even after adjusting for age and disease duration. Conclusion: We observed that when corrected for disease duration and age there were relationships between NASO and SE to gait parameters; these observations warrant further investigations.

Published
2023

30. Acute diffuse cerebral vasospasm as a complication of endoscopic resection of a colloid cyst: a case report.

Author

Yassin, Ahmed, Al-Mistarehi, Abdel-Hameed, Tremont-Lukats, Ivo W., El-Salem, Khalid, Shawagfeh, Ahmad, Al-Hafez, Baraa, and Levine, Nicholas

Subjects
BRAIN tumors, ENDOSCOPIC surgery, CEREBRAL vasospasm, CRANIOTOMY, BASILAR artery, BLOOD pressure, CEREBRAL arteries
Abstract

Endoscopic resection can be used for removing colloid cysts as a substitute for open craniotomy. Cerebral vasospasm, a possible complication of the craniotomy procedure, has not been reported as a complication of endoscopic removal of colloid cysts. A 58-year-old man developed the worst headache of his life. The CT and MRI showed a 1.3 cm midline third ventricular cyst at the level of the foramen of Monro, consistent with a colloid cyst. The patient elected to undergo an endoscopic resection of the colloid cyst. The image-guided frameless stereotactic endoscopic colloid cyst resection proceeded without events. Postoperative MRI showed a gross total resection. The patient continued to improve until post-operative day #9 when he experienced an episode of slurred speech and several episodes of legs buckling. An MRI did not show a stroke. A CT angiogram showed diffuse vasospasm, including the basilar artery and bilateral middle cerebral arteries, when compared to the patient's preoperative MRA. The patient's antihypertensive medications were stopped. The patient was started on Nimodipine, 60 mg every 4 hours, and triple H therapy (Hypertension, Hypervolemia, and Hemodilution) was applied. His blood pressure rose and his neurologic exam improved over several days. The patient returned to his baseline in 14 days without any neurological deficits. To our knowledge, this is the first case report of a patient undergoing endoscopic colloid cyst resection that was complicated by diffuse cerebral vasospasm. We report the first case of acute, transient cerebral vasospasm following endoscopic resection of a colloid cyst. [ABSTRACT FROM AUTHOR]

Published
2023
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31. Limbic and cortical regions as functional biomarkers associated with emotion regulation in bipolar disorder: A meta-analysis of neuroimaging studies

Author

Ahmed, Yaman B., primary, Al-Bzour, Ayah N., additional, Alzghoul, Saja M., additional, Ibrahim, Ruaa B., additional, Al-Khalili, Anas A., additional, Al-Majali, Ghayda'a N., additional, Hamza, Ammar I., additional, Al-Zamer, Yazan S., additional, Alhayek, Kefah, additional, Kofahi, Raed, additional, Leffler, Alexandra, additional, El Salem, Khalid, additional, and Al Qawasmeh, Majdi, additional

Published
2023
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35. Meta-analytical evidence of functional and structural abnormalities associated with pain processing in migraine patients: An activation likelihood estimation

Author

Al Qawasmeh, Majdi, primary, Ahmed, Yaman B., additional, Al-Bzour, Ayah N., additional, Al-Majali, Ghayda’a N., additional, Alzghoul, Saja M., additional, Al-Khalili, Anas A., additional, Ibrahim, Ruaa B., additional, Hamza, Ammar I., additional, Al-Mannai, Ramaz S., additional, Refaie, Haneen, additional, Alhayek, Kefah, additional, Kofahi, Raed, additional, Leffler, Alexandra, additional, and El Salem, Khalid, additional

Published
2022
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37. Exercise capacity in people with Parkinson's disease: which clinical characteristics are important?

Author

Khalil, Hanan, Rehan, Reem, Al-Sharman, Alham, Aburub, Ala' S., Darabseh, Mohammad Z., Alomari, Mahmoud A., Aburub, Aseel, and El-Salem, Khalid

Subjects
STATISTICS, EXERCISE tolerance, SCIENTIFIC observation, CROSS-sectional method, REGRESSION analysis, PARKINSON'S disease, DESCRIPTIVE statistics, RESEARCH funding, DATA analysis software, DATA analysis, MOTOR ability
Abstract

People with Parkinson's (PwP) are suffering from reduced exercise capacity. However, little information is known about clinical correlates of exercise capacity in this population This study aimed to evaluate correlations between motor and non-motor symptoms with exercise capacity in PwP. A total of 50 individuals with Parkinson's disease participated in the study. Exercise capacity was measured by 6 minutes' walk test (6MWT). Besides, the Movement Disorder Society-Unified Parkinson's Disease Rating Scale-Part III used to evaluate disease motor severity, Berg Balance Scale to assess balance, Montréal Cognitive Assessment to evaluate cognitive status, hospital anxiety and depression scale to assess depression and anxiety, Modified Fatigue Impact scale to evaluate fatigue, and the Pittsburgh Sleep Quality Index to evaluate sleep quality. The results showed that exercise capacity, when measured by the 6MWT, can be significantly predicted by balance, disease motor severity, anxiety, and age (R2 = 0.61 P <.0001). These results suggest that exercise capacity in PwP is multifactorial and can potentially be predicted by balance, motor severity, anxiety, and age. [ABSTRACT FROM AUTHOR]

Published
2023
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38. Functional outcomes of COVID-19 patients with acute ischemic stroke: A prospective, observational, single-center study in North Jordan

Author

Nsour, Omar A., Qarqash, Aref A., Al-Horani, Sami S., Hazaimeh, Ethar A., Jbarah, Omar F., Yassin, Ahmed, Aldabbour, Belal, Alhusban, Ahmed, and El-Salem, Khalid

Subjects
Stroke, Jordan, MENA, COVID-19, Functional outcome
Abstract

We assessed whether stroke severity, functional outcome, and mortality in patients with ischemic stroke differed between patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and those without. We conducted a prospective, single-center cohort study in Irbid, North Jordan. All patients diagnosed with ischemic stroke and SARS-CoV-2 infection were consecutively recruited from October 15, 2020, to October 16, 2021. We recorded demographic data, vascular risk factors, National Institutes of Health Stroke Scale (NIHSS) score, stroke subtype according to the Trial of ORG 10172 in Acute Stroke Treatment Criteria (TOAST), treatments at admission, and laboratory variables for all patients. The primary endpoint was the functional outcome at 3 months assessed using the modified Rankin Score. Secondary outcomes involved in-hospital mortality and mortality at 3 months. We included 178 patients with a mean (standard deviation) age of 67.3 (12), and more than half of the cases were males (96/178; 53.9%). Thirty-six cases were coronavirus disease 2019 (COVID-19) related and had a mean (standard deviation) age of 70 (11.5). When compared with COVID-19-negative patients, COVID-19-positive patients were more likely to have a higher median NIHSS score at baseline (6 vs 11; P = .043), after 72 hours (6 vs 12; P = .006), and at discharge (4 vs 16; P < .001). They were also more likely to have a higher median modified Rankin Score after 3 months of follow-up (P < .001). NIHSS score at admission (odds ratio = 1.387, 95% confidence interval = 1.238–1.553]; P < .001) predicted having an unfavorable outcome after 3 months. On the other hand, having a concomitant SARS-CoV-2 infection did not significantly impact the likelihood of unfavorable outcomes (odds ratio = 1.098, 95% confidence interval = 0.270–4.473; P = .896). The finding conclude that SARS-CoV-2 infection led to an increase in both stroke severity and in-hospital mortality but had no significant impact on the likelihood of developing unfavorable outcomes.

Published
2022

39. Fear of falling in people with multiple sclerosis: Which clinical characteristics are important?

Author

Khalil, Hanan, Al-Shorman, Alham, El-Salem, Khalid, Abdo, Nour, Alghwiri, Alia A., Aburub, Aseel, Shalabi, Sarah, and Al-Mustafa, Firas

Subjects
Falls (Accidents) -- Research -- Psychological aspects -- Health aspects, Multiple sclerosis -- Research -- Risk factors, Patients -- Health aspects -- Psychological aspects -- Research, Fear -- Risk factors -- Research -- Psychological aspects -- Health aspects, Health
Abstract

Background. Fear of falling (FOF) is an important risk indicator for health-related outcomes and quality of life in patients with multiple sclerosis (MS). However, factors associated with FOF in MS [...]

Published
2017
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41. Trends of Prevalence Estimates and Risk Factors of Depressive Symptoms among Healthcare Workers Over one Year of the COVID-19 Pandemic

Author

Yassin, Ahmed, primary, Al-Mistarehi, Abdel-Hameed, additional, Soudah, Ola, additional, Karasneh, Reema, additional, Al-Azzam, Sayer, additional, Qarqash, Aref A., additional, Khasawneh, Aws G., additional, Alhayk, Kefah A., additional, Al Qawasmeh, Majdi, additional, Kofahi, Raid M., additional, Bashayreh, Salma Y., additional, and El-Salem, Khalid, additional

Published
2022
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42. Functional outcomes of COVID-19 patients with acute ischemic stroke: A prospective, observational, single-center study in North Jordan

Author

Al Qawasmeh, Majdi, primary, Ahmed, Yaman B., additional, Nsour, Omar A., additional, Qarqash, Aref A., additional, Al-Horani, Sami S., additional, Hazaimeh, Ethar A., additional, Jbarah, Omar F., additional, Yassin, Ahmed, additional, Aldabbour, Belal, additional, Alhusban, Ahmed, additional, and El-Salem, Khalid, additional

Published
2022
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45. Fibrous Meningioma in a Patient with Encephalocraniocutaneous Lipomatosis: A Rare Case with Unique Features

Author

Al Qawasmeh, Majdi, Aldabbour, Belal, Alhayek, Kefah, and El-Salem, Khalid

Subjects
Haberland syndrome, neurocutaneous disorders, neurocutaneous syndromes, encephalocraniocutaneous lipomatosis, Case Report
Abstract

Encephalocraniocutaneous lipomatosis “ECCL” is a rare, sporadic neurocutaneous disorder that results from a lethal autosomal mutation surviving by somatic mosaicism. It is characterized by unilateral involvement of skin, eyes and central nervous system in addition to a propensity for mesenchymal tumors. A 30-year-old male with previously controlled epilepsy presented with recurrent seizures. Brain imaging revealed a left parietal parasagittal enhancing tumor, in addition to left sided gyriform calcifications, and bilateral cerebral atrophy and ventricular dilatation more prominent on the left side. He also presented multiple left sided sebaceous nevi and abundant subcutaneous lipomas in addition to left mandibular condylar cysts. The brain tumor was excised, and cytopathology revealed a WHO grade I fibrous meningioma. After a thorough evaluation and exclusion of alternative diagnoses, the patient was diagnosed with definite encephalocraniocutaneous lipomatosis as per Moog’s criteria. Several cases of ECCL recently presented with different intracranial neoplasms. Here we report the first case of ECCL in association with meningioma.

Published
2020

46. Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients

Author

Al Qawasmeh, Majdi, Aldabbour, Belal, Abuabada, Amal, Abdelrahman, Khalid, Elamassie, Samah, Khweileh, Mays, Zahran, Mohammad, and El-Salem, Khalid

Subjects
Stroke, MENA region, Disability, nervous system, Depression, musculoskeletal, neural, and ocular physiology, mental disorders
Abstract

Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching hospital with ischemic or hemorrhagic strokes were enrolled. Participants were screened on admission for premorbid depression using the PHQ-9 questionnaire; then, screening for PSD was repeated one and three months after stroke using the same tool. Depression prevalence at each screening was reported, and logistic regression analysis was conducted to evaluate for significant predictors. PHQ-9 scores suggestive of depression were reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months, respectively. Scores suggesting severe depression were reported by 0.71%, 2.13%, and 6.52% of respondents, respectively. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependence (BI) after one month ( values 0.007, 0,002, 0.014, and 0.031, respectively). Patients with secondary and high school education levels were less likely to get depression compared with illiterate patients ( 0.042). This study showed that nearly one in four Jordanian stroke survivors experienced PSD after one month. In contrast, while the overall PSD prevalence declined towards the end of follow-up period, patients who remained depressed showed a tendency towards higher PSD severity.

Published
2022

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