Search

Your search keyword '"Mohamed, Taha Ahmed"' showing total 24 results
Start Over Author "Mohamed, Taha Ahmed"
24 results on '"Mohamed, Taha Ahmed"'

20. Endoscopic Management of Pediatric Complex Hydrocephalus

Author

Peraio, Simone, Amen, Mohamed Mohsen, Ali, Nabil Mansour, Zaher, Ahmed, Mohamed Taha, Ahmed Nageeb, Tamburrini, Gianpiero, Tamburrini, Gianpiero (ORCID:0000-0002-7139-5711), Peraio, Simone, Amen, Mohamed Mohsen, Ali, Nabil Mansour, Zaher, Ahmed, Mohamed Taha, Ahmed Nageeb, Tamburrini, Gianpiero, and Tamburrini, Gianpiero (ORCID:0000-0002-7139-5711)

Abstract

Objective: To define the role of neuroendoscopy as an adjuvant technique for the management of pediatric complex hydrocephalus. Methods: We performed a retrospective analysis of a series of pediatric patients who had undergone surgery for complex hydrocephalus from January 2002 to March 2017 at 2 pediatric neurosurgery units in Rome, Italy and Mansoura, Egypt. The endoscopic procedures performed included cyst or membrane fenestration, septum pellucidotomy, foraminoplasty, and aqueductoplasty with or without a stent. In selected cases, endoscopic third ventriculostomy was performed as a combined procedure. The mean follow-up period was 5 years. Results: A total of 68 patients (26 females, 42 males), with a mean age of 2 years (range, 0–18), underwent 109 endoscopic procedures. Of the 68 patients, 39 (57%) were affected by multiloculated hydrocephalus, 17 by isolated lateral ventricle (24.6%), 3 by an excluded lateral ventricle horn (4.3%), 7 by an isolated fourth ventricle (10.1%), and 1 each by an isolated third ventricle and a cavum septi pellucidi cyst. The overall postoperative complications rate was 28% (shunt infection, 16.1%; shunt malfunction, 8.8%; subdural collection, 2.9%). At the latest clinical follow-up visit, 65% of the children had only 1 shunt, 25% (n = 17) had a double ventricular catheter, and 10% (n = 7) were shunt free. Conclusions: We have confirmed that neuroendoscopy has a main role in the long-term management of complex hydrocephalus, significantly contributing to the reduction of the number of shunts and the shunt revision rate. Neuronavigation should be performed in all cases in which the ideal trajectory should be established.

Published
2018

21. Surgical challenges and outcome of endoscopic endonasal approaches in the management of recurrent pituitary adenomas.

Author

Mohamed Taha, Ahmed Nageeb, Mohamed, Hosam Shata, and Mohamed, Mahmoud Saad

Subjects
*PITUITARY surgery, *SKULL base, *SURGICAL excision, *DIABETES complications, *RHINORRHEA
Abstract

Background: Various surgical approaches for the management of midline anterior skull base meningiomas exist in the literature. The main surgeon target is proper selection the appropriate approach that achieves total removal of the lesion without causing morbidity or mortality and facilitates safe effective removal of the tumor. Objectives: To evaluate the role of the extended pterional approach for excision of midline anterior skull base meningiomas as regard the effectiveness, extent of resection and surgical outcome.Patients and methods: This retrospective study involved 23 cases with midline anterior skull base meningiomas resected through the extended pterional approach. Patients' clinical data, operative notes, imaging studies and clinical follow-up data were analyzed and evaluated. Results: Tumors studied were 9 olfactory groove meningiomas, 8 tuberculum Sellae meningiomas, 4 planum sphenoidale meningiomas and 2 diaphragma sellae meningiomas. Gross total resection tumor excision in 15 cases (64.5%), subtotal excision in 5 cases (21.5%) and partial excision in 3 cases (14%). Complications were diabetes insipidus (2 cases 8.6%), CSF rhinorrhea (3 cases 12.9%) and visual deterioration (3 cases 12.9%). We had two cases of mortality. Conclusion: The extended pterional approach allows safe and effective removal of midline anterior skull base meningiomas. It expands the exposure offered by the classic pterional approach and minimizing the necessity for applying fixed brain retraction with good cosmetic outcome and less approach related morbidities in comparison with the extensive skull base approaches. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

22. The extended pterional approach for midline anterior skull base meningiomas. Technical considerations and clinical outcome.

Author

Mohamed Taha, Ahmed Nageeb, Mohamed, Hosam Shata, and Mohamed, Mahmoud Saad

Subjects
*SKULL base, *SURGICAL excision, *DIABETES complications, *RHINORRHEA
Abstract

Background: Various surgical approaches for the management of midline anterior skull base meningiomas exist in the literature. The main surgeon target is proper selection the appropriate approach that achieves total removal of the lesion without causing morbidity or mortality and facilitates safe effective removal of the tumour. Objectives: To evaluate the role of the extended pterional approach for excision of midline anterior skull base meningiomas as regarding the effectiveness, extent of resection and surgical outcome. Patients and methods: This retrospective study involved 23 cases with midline anterior skull base meningiomas resected through the extended pterional approach. Patients' clinical data, operative notes, imaging studies and clinical follow-up data were analyzed and evaluated. Results: Tumors studied were 9 olfactory groove meningiomas, 8 tuberculum Sellae meningiomas, 4 planum sphenoidale meningiomas and 2 diaphragma sellae meningiomas. Gross total resection tumour excision in 15 cases (64.5%), subtotal excision in 5 cases (21.5%) and partial excision in 3 cases (14%). Complications were diabetes insipidus (2 cases 8.6%), CSF rhinorrhea (3 cases 12.9%) and visual deterioration (3 cases 12.9%). We had two cases of mortality. Conclusion: The extended pterional approach allows safe and effective removal of midline anterior skull base meningiomas. It expands the exposure offered by the classic pterional approach and minimizing the necessity for applying fixed brain retraction with good cosmetic outcome and less approach-related morbidities in comparison with the extensive skull base approaches. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results