Pub Date : 2023-09-11DOI: 10.1186/s41984-023-00218-9
Ahmed Elsayed Sultan, Tamer Hassan, Mohamed Abdelbary, Amr Elwany
Abstract Background Catastrophic intraoperative bleeding is a major complication of surgical removal of invasive vertebral hemangioma. Interventional neuroradiology techniques could be more useful tools to manage such hemorrhagic lesions. Results Retrospective analysis of cases of invasive vertebral hemangioma revealed 17 cases treated at the Alexandria University School of Medicine from 2006 to 2020. The study included 52.9% of males with a mean age of 38.4 ± 18.6 years old. All patients reported local and sometimes radicular pain; 64.7% exhibited progressive neurological deficits. Imaging revealed thoracic spine affection in 11 cases, lumbar vertebral in four cases, and cervical vertebra in two cases. Vertebral involvement occurred in 10 cases and paravertebral extension in 13 cases. Neurointervention modalities included transarterial embolization followed by corpectomy and fixation (one case with C4 lesion), direct surgery with corpectomy and anterior fixation (one case with C7 lesion), vertebroplasty alone (four cases), vertebroplasty with fixation (seven cases), and direct transpedicular alcohol injection with immediate devascularization and necrosis of the vascular channels inside the lesions (six cases). The alcohol injection use ranged from 4 to 10 ml in each pedicle. All patients did well during the follow-period post-intervention. The neurological deficits improved over six months. All patients showed improved Nurick grade regardless of the intervention (preoperative mean 2.7 ± 1.9 vs. postoperative mean 1.1 ± 1.3, p value 0.0001). Two patients were completely paraplegic, but with intact deep sensation, they improved dramatically and can walk unsupported post-intervention. Conclusions Vertebral hemangioma can present in an invasive manner that necessitates intervention. Preoperative embolization, alcohol injection, or vertebroplasty are helpful methods to decrease intraoperative catastrophic hemorrhage. Alcohol injection is cost-effective with immediate devascularization of the lesion. The extensive 360 surgery utilization can be decreased with the use of alcohol and vertebroplasty. More cases are needed to validate these conclusions.
{"title":"Multidisciplinary management of invasive vertebral hemangioma: the role of different neurointervention modalities—a retrospective study","authors":"Ahmed Elsayed Sultan, Tamer Hassan, Mohamed Abdelbary, Amr Elwany","doi":"10.1186/s41984-023-00218-9","DOIUrl":"https://doi.org/10.1186/s41984-023-00218-9","url":null,"abstract":"Abstract Background Catastrophic intraoperative bleeding is a major complication of surgical removal of invasive vertebral hemangioma. Interventional neuroradiology techniques could be more useful tools to manage such hemorrhagic lesions. Results Retrospective analysis of cases of invasive vertebral hemangioma revealed 17 cases treated at the Alexandria University School of Medicine from 2006 to 2020. The study included 52.9% of males with a mean age of 38.4 ± 18.6 years old. All patients reported local and sometimes radicular pain; 64.7% exhibited progressive neurological deficits. Imaging revealed thoracic spine affection in 11 cases, lumbar vertebral in four cases, and cervical vertebra in two cases. Vertebral involvement occurred in 10 cases and paravertebral extension in 13 cases. Neurointervention modalities included transarterial embolization followed by corpectomy and fixation (one case with C4 lesion), direct surgery with corpectomy and anterior fixation (one case with C7 lesion), vertebroplasty alone (four cases), vertebroplasty with fixation (seven cases), and direct transpedicular alcohol injection with immediate devascularization and necrosis of the vascular channels inside the lesions (six cases). The alcohol injection use ranged from 4 to 10 ml in each pedicle. All patients did well during the follow-period post-intervention. The neurological deficits improved over six months. All patients showed improved Nurick grade regardless of the intervention (preoperative mean 2.7 ± 1.9 vs. postoperative mean 1.1 ± 1.3, p value 0.0001). Two patients were completely paraplegic, but with intact deep sensation, they improved dramatically and can walk unsupported post-intervention. Conclusions Vertebral hemangioma can present in an invasive manner that necessitates intervention. Preoperative embolization, alcohol injection, or vertebroplasty are helpful methods to decrease intraoperative catastrophic hemorrhage. Alcohol injection is cost-effective with immediate devascularization of the lesion. The extensive 360 surgery utilization can be decreased with the use of alcohol and vertebroplasty. More cases are needed to validate these conclusions.","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135938645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-04DOI: 10.1186/s41984-023-00217-w
Goertz Dunia Mirenge, Mohamed Elsayed Abdel Bary, A. Elwany, Wael Mohamed Mohamed Moussa
{"title":"Ability of diagnostic injection to predict surgical outcomes in patients with chronic low back pain and lumbar radiculopathy","authors":"Goertz Dunia Mirenge, Mohamed Elsayed Abdel Bary, A. Elwany, Wael Mohamed Mohamed Moussa","doi":"10.1186/s41984-023-00217-w","DOIUrl":"https://doi.org/10.1186/s41984-023-00217-w","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89800906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.1186/s41984-023-00216-x
Shashin N. Vyas, Jitender Shekhawat
{"title":"Large intracranial supratentorial tuberculoma imitating as a malignant lesion: a case report","authors":"Shashin N. Vyas, Jitender Shekhawat","doi":"10.1186/s41984-023-00216-x","DOIUrl":"https://doi.org/10.1186/s41984-023-00216-x","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78337542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-14DOI: 10.1186/s41984-023-00215-y
Fresnel Lutèce Ontsi Obame, I. El Kacemi, Y. Dokponou, J. Laaguili, M. E. Saad, S. Mohcine, A. C. El Asri, M. Gazzaz
{"title":"Cervical intramedullary spinal cord metastasis from esophageal adenocarcinoma: a case report","authors":"Fresnel Lutèce Ontsi Obame, I. El Kacemi, Y. Dokponou, J. Laaguili, M. E. Saad, S. Mohcine, A. C. El Asri, M. Gazzaz","doi":"10.1186/s41984-023-00215-y","DOIUrl":"https://doi.org/10.1186/s41984-023-00215-y","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87565237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-14DOI: 10.1186/s41984-023-00220-1
Eti Sthapak, N. Pasricha, S. Narayan, A. Gaharwar, R. Bhatnagar
{"title":"Optic canal: a CT-based morphometric study in north Indian population","authors":"Eti Sthapak, N. Pasricha, S. Narayan, A. Gaharwar, R. Bhatnagar","doi":"10.1186/s41984-023-00220-1","DOIUrl":"https://doi.org/10.1186/s41984-023-00220-1","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90483281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-07DOI: 10.1186/s41984-023-00213-0
Yousra Regaya, A. Amira, S. Dakua
{"title":"Towards developing a segmentation method for cerebral aneurysm using a statistical multiresolution approach","authors":"Yousra Regaya, A. Amira, S. Dakua","doi":"10.1186/s41984-023-00213-0","DOIUrl":"https://doi.org/10.1186/s41984-023-00213-0","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81846652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.1186/s41984-023-00212-1
Mohamed Nabil Elmarawany
{"title":"Bilateral sudden sensorineural hearing loss due to subcortical cerebral hemorrhage in a patient with Moyamoya disease: case report","authors":"Mohamed Nabil Elmarawany","doi":"10.1186/s41984-023-00212-1","DOIUrl":"https://doi.org/10.1186/s41984-023-00212-1","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72525186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-31DOI: 10.1186/s41984-023-00211-2
A. Pesce, D. Armocida, G. Petrella, A. Frati, A. Pompucci
{"title":"Post-traumatic meningoencephalocele as a complication after head trauma and surgery: literature review focusing on the relevance of patient’s history and radiological follow-up","authors":"A. Pesce, D. Armocida, G. Petrella, A. Frati, A. Pompucci","doi":"10.1186/s41984-023-00211-2","DOIUrl":"https://doi.org/10.1186/s41984-023-00211-2","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75885363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-24DOI: 10.1186/s41984-023-00210-3
N. Agada, Nourou Dine Adeniran Bankole, M. W. Dossou, O. Badirou, Emeka Alfred Clement, F. L. O. Obame, L. D. Lawson, R. B. Murhega, A. Nyalundja, N. Togbenon, Thierry Alihonou, Y. Dokponou
{"title":"Chronic epidural hematoma: a systematic review and meta-analysis","authors":"N. Agada, Nourou Dine Adeniran Bankole, M. W. Dossou, O. Badirou, Emeka Alfred Clement, F. L. O. Obame, L. D. Lawson, R. B. Murhega, A. Nyalundja, N. Togbenon, Thierry Alihonou, Y. Dokponou","doi":"10.1186/s41984-023-00210-3","DOIUrl":"https://doi.org/10.1186/s41984-023-00210-3","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80068068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-17DOI: 10.1186/s41984-023-00209-w
Heba Mohamed Azouz, H. Soffar, W. Abbass, Ahmed El-said Ahmed, Mohamed Tarek El-far
{"title":"Comparative study between the outcome of decompressive craniotomy versus craniectomy in the management of acute subdural hematoma","authors":"Heba Mohamed Azouz, H. Soffar, W. Abbass, Ahmed El-said Ahmed, Mohamed Tarek El-far","doi":"10.1186/s41984-023-00209-w","DOIUrl":"https://doi.org/10.1186/s41984-023-00209-w","url":null,"abstract":"","PeriodicalId":72881,"journal":{"name":"Egyptian journal of neurosurgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80615005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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