Non missile penetrating brain injuries are rarely seen in the surgical practice and few international literatures reported case reports or small case series and it comprises a small percentage of head trauma cases. There are no unanimous rules to manage such cases as each case should be -ideally- managed individually, however these injuries classified as a form of severe head ... Read more

BACKGROUND: Anterior cervical discectomy and fusion (ACDF) with or without instrumentation is a surgical procedure performed to remove a herniated cervical disc which has an irritative and compressive effect on the neural elements, producing features of discogenic neck pain, radiculopathy, or myelopathy. Anterior cervical discectomy has proven to be a safe and effective procedure for the treatment of degenerative disc ... Read more

INTRODUCTION: For many years, the VP shunt was the main treatment of hydrocephalus till the recent advances in the neuroendoscopic applications. The use of the endoscopic third ventriculostomy provides an ideal treatment without complications of the traditional shunts. However, it can be challenging in the age group below 2 years as the results are unexpected and different from the adult ... Read more

BACKGROUND: The paraspinal posterior approach to the lumbar spine initially was described for spinal fusion, particularly for the treatment of lumbosacral spondylolisthesis. Wiltse described his approach for lower lumbar and sacral vertebrae by bilateral incisions 4.5 cm lateral to the mid-line going through the natural cleavage plane between the multifidus part of sacrospinalis and the longissimus part. This will carry ... Read more

SURGICAL MANAGEMENT OF CARPAL TUNNEL SYNDROME IN ELDERLY PEOPLE, IS IT SATISFACTORY ? INTRODUCTION: The steps of treating the carpal tunnel syndrome are conservative treatment followed by surgical options either standard open surgery or endoscopic maneuver if the conservative treatment failed or neurological deficit appeared. Nevertheless, the surgical intervention outcome in elderly is questionable. Moreover, elderly people are less convinced ... Read more

INTRODUCTION: Penetrating spinal cord injuries caused by missile or stab wound injuries are uncommon. The harm may be due to the direct injurious effect or the resulting vascular insult either in the form of an intra- or extradural hemorrhage, spinal infarction or a late infection at the site of injury. Penetrating injuries may cause a neurological motor, sensory or an ... Read more

Introduction: Spontaneous intracerebral hemorrhage is a major health problem worldwide; representing 25% of stroke cases. Risk factors include old age, hypertension, amyloid angiopathy, history of anticoagulant intake and cardiovascular disease. The surgical role remains controversial in the literature and this debate is because of the possible brain injury occurring during the evacuation. However, the surgical evacuation may relieve local ischemia ... Read more

BACKGROUND: In spite of the rapid advances in both diagnostic and therapeutic roles in the field of central nervous system infections, brain abscesses remain a difficult challenge that faces physicians to choose the ideal management route. The abscess is a result of the patient’s internal conflict between immunity and the virulence of the organism. This study is to report our ... Read more

Background: Epidural hematoma (EDH) is not uncommon in our locality (Sohag governorate) and its incidence is progressively increasing due to the growing incidence of road traffic accidents (RTAs) in Egypt, the high incidence of assaults and falling from height. Bone flap evacuation is the classic standard treatment of epidural hematomas as it is a neurosurgical emergency to control bleeding and ... Read more

INTRODUCTION: Since the introduction of neuro endoscope in the last century, it was the mainstay treatment of hydrocephalus secondary to third ventricular cysts and tumors as craniopharyngiomas, pineal body tumors, and posterior fossa tumors. Preoperative MRI & MRA brain are mandatory to know the course of the posterior communicating arteries and to know the presence or absence of Liliequest membrane. ... Read more