Articles

Evaluation of the direct costs of epilepsy in a sample of Egyptian patients following up in Ain Shams University Hospital

Epilepsy is a chronic disorder of the brain, and it is considered as the 4th common neurological disorder. Epilepsy is associated with an economic burden by imposing a significant burden on both the individual...

Authors: Salem Abdelhady, Hossam Shokri, Mai Fathy and mona Mokhtar wahid el din

Transcranial direct current stimulation (tDCS): its effect on improving dysphagia in stroke patients

Transcranial direct current stimulation (tDCS) may have a potential for improving post-stroke dysphagia.

Authors: Salah Abd Elmonem Sawan, Abdelazim M. Reda, Ahmed Hosny Kamel and Mennat Allah Mohamed Ali

Neurosurgical education during COVID-19: challenges and lessons learned in Egypt

The coronavirus pandemic (COVID-19) has disrupted the routine neurosurgical education and practice worldwide and so more in developing countries. Continuing the neurosurgical training while maintaining the wel...

Authors: Ahmed Hamdy Ashry, Hussein Mohammed Soffar and Mohamed Fathalla Alsawy

A brief review of the neurological manifestations of the coronavirus disease

It has been demonstrated experimentally that the coronavirus can enter the central nervous system through olfactory nerves and can even reach medulla. Neurological manifestations are observed more frequently i...

Authors: Ajaya Kumar Ayyappan Unnithan

Assessment of the response to antiepileptic drugs in epileptic patients with structural lesion(s) on neuroimaging

Focal epilepsy is the most common form of epilepsy in adults. Advances in brain imaging allowed better identification of different structural lesions underlying focal epilepsy. However, the response to antiepi...

Authors: Maha Atef Zaki, Lamiaa Nazeeh ElSherif and Reham Mohamed Shamloul

Serum leptin and body mass index in a sample of Egyptian multiple sclerosis patients

The adipose tissues release pro-inflammatory cytokines such as leptin that can be considered a link between obesity and autoimmunity. This study aimed to investigate a possible correlation between BMI, serum l...

Authors: Mohamed A. Abd Elhafeez, Dina A. Zamzam, Mohamed M. Fouad, Hala M. Elkhawas and Hend A. Abdel Rahman

Neurologic manifestations of COVID-19: what can we learn from other coronaviruses

Authors: Zohreh Jadali

Pain related viral infections: a literature review

Pain is a common health problem all around the world. The pain symptoms are various depending on the underlying disease or the direct cause of pain itself. Viral infection could cause arthralgia or acute-onset...

Authors: I. Putu Eka Widyadharma, Putri Rossyana Dewi, Ida Ayu Sri Wijayanti and Desak Ketut Indrasari Utami

Gabapentin as an adjuvant therapy to splinting in carpal tunnel syndrome (CTS): a systematic review and meta-analysis of randomized controlled trials

Carpal tunnel syndrome (CTS) is a common upper limb entrapment neuropathy; severe cases are treated surgically and mild to moderate can be managed conservatively. The purpose of this systematic review and meta...

Authors: Ahmed M. Ahmed, Osama G. Hassan and Ahmed A. Khalifa

Outcome predictors of intravenous thrombolytic therapy in acute ischemic stroke patients: an Egyptian center experiences

Intravenous thrombolytic therapy remains the guideline-recommended treatment to improve outcomes after acute ischemic stroke. However, the functional outcome among patients with acute ischemic stroke after rec...

Authors: Mohamed A. Tork, Hany M. Aref, Hala M. El-Khawas, Mohamed F. Khalil and Ahmed ElSadek

Diagnostic value of matrix metalloproteinase-2 and high mobility group box 1 in patients with refractory epilepsy

There are large numbers of inflammatory molecules and humoral mediators that can be involved in the epileptogenesis such as cytokines, matrix metalloproteinases (MMP), and high mobility group box-1 (HMGB1). We...

Authors: Khalid S. Salih, Farqad B. Hamdan and Qasim S. Al-Mayah

Lentiform fork sign in a uremic patient with a high anion gap metabolic acidosis with seizures: a case report from North West of Ireland

Lentiform fork sign is a neuroradiological abnormality which is encountered in the clinical practice associated with uremic encephalopathy, dialysis disequilibrium syndrome and metabolic acidosis.

Authors: Salman Mansoor, Lize De Klerk, James Lineen, Muhammad Fahad, Imran Ali, Barry Coffey, Monica Ann Mulry, Shoab Saadat, Siobhan Kelly, Mohammad Hijaz Adenan and Kevin Murphy

Attitude and experience of neurologists towards percutaneous endoscopic gastrostomy: an Egyptian study

Dysphagia is a common symptom among various neurological diseases. Guidelines recommend gastrostomy insertion for prolonged dysphagia with lower rate of intervention failure encountered with percutaneous endos...

Authors: Sherien Farag, Shady S. Georgy, Mai Fathy, Ahmed elSadek and Khaled O. Abdulghani

Peripheral embolization following thrombolytic therapy for acute ischemic stroke—a case report

Intravenous recombinant tissue plasminogen activator is the only golden approved medical therapy for acute ischemic stroke, guidelines for its injection relay on reducing or preventing associated hemorrhage as...

Authors: Tamer Roushdy, Eman Hamid, Mai Fathy, Islam Bastawy, Hany Aref and Nevine El Nahas

Prevalence of peripheral arterial diseases in patients with large artery ischemic stroke and its prognostic value

Peripheral artery disease (PAD) can be an important predictor of comorbid cerebrovascular disease (CVD). However, it is not sufficiently investigated or considered in the management and prevention of stroke.

Authors: Sherien Farag, Mahmoud Elbalkimy, Ahmed Elbassiouny, John George and Mai Fathy

Cognitive and balance impairments in people with incidental white matter hyperintensities

White matter hyperintensities (WMHs) is the most frequent type of cerebral small vessel diseases and a common incidental finding in MRI films of the geriatric population. The objectives of this work were to st...

Authors: Amr El Sayed Ali Mohamed Tag Eldin, Wafik Said Bahnasy, Naglaa Lotfy Dabees and Hazem Abd El-Rahman Fayed

Effect of mirror therapy on hand functions in Egyptian chronic stroke patients

Most stroke survivors (more than 60%) suffer from persistent neurological impairments that significantly affect activities of daily living. Hand functions are essential for doing daily living and working activ...

Authors: Hussein Shaker, Ebtesam Mohammed Fahmy, Ayman Anwar Nassif Honin and Shaimaa Shaheen Mohamed

A model of cognitive evaluation battery for diagnosis of mild cognitive impairment and dementia in educated and illiterate Egyptian elderly people

The high illiteracy rates in the North African and Middle Eastern region make direct cognitive testing challenging. Validated instruments for dementia in Arabic language are lacking specially those targeting l...

Authors: Nehal ElKholy, Heba Mohamed Tawfik, Somaia Ebeid, Omaima Refat Elsayed Madkor and Sarah Ahmed Hamza

Evaluation of cerebrospinal fluid flow dynamic changes in patients with idiopathic intracranial hypertension using phase contrast cine MR imaging

Idiopathic intracranial hypertension (IIH) mainly affects overweight women in the middle age period. The pathophysiology of IIH stays unclear, but suggested mechanisms include excess CSF production, reduced CS...

Authors: Tamer Belal, Abd-Elhalim Al Tantawy, Fatema Mohamed Sherif and Alshaimaa Ramadan

Hyperbaric oxygen therapy after acute ischemic stroke with large penumbra: a case report

Hyperbaric oxygen therapy (HBOT) for the treatment of acute stroke has been under the radar for a long time. Previous studies have not been able to prove efficacy. Several factors might have contributed to suc...

Authors: Omar Hussein, Khalid Sawalha, Ahmed Abd Elazim, Diana Greene-Chandos and Michel T. Torbey

The management of subacute and chronic vascular aphasia: an updated review

Post-stroke aphasia (PSA) is an impairment of the generation or comprehension of language due to acute cerebrovascular lesions. Subacute phase span the 7th day to 24 weeks post-onset while > 6 months is termed...

Authors: Samwel Sylvester Msigwa and Xianglin Cheng

Coexistence of anti-MuSK antibody-positive myasthenia gravis and rheumatoid arthritis

Rheumatoid arthritis (RA) is an autoimmune disease characterized with symmetric synovitis and occasional extra articular involvement; also, some neurologic disorders can be observed during the disease course. ...

Authors: Amber Eker, Mehtap Tınazlı and Senem Ertugrul Mut

Prevalence of internal carotid artery morphological variations and its association with cerebrovascular ischemic stroke (hospital-based study)

Morphological variations (MV) in the course of the internal carotid artery (ICA) are commonly identified. Their prevalence and relationship with ischemic stroke (IS) remain unclear. The present study attempted...

Authors: Noha AboElfetouh, Eman Khedr, Hesham Aboloyoun, Mahmoud Nageeb and Ahmed Nasreldein

Public knowledge about Alzheimer disease in Mecca Region, Kingdom of Saudi Arabia: a cross-sectional study

Raising the general population knowledge of Alzheimer’s disease is crucial for optimizing care and ultimately enhancing the quality of life of people diagnosed and their caregivers.

Authors: Faisal Salem Alhumaidi, Muhammad Irfanullah Siddiqui, Abdulaziz Fahad Altowairqi, Hattan Hassan Alshawkani, Bashar Omar Babkour and Fahad Khalid Alaugla

Platelet-rich plasma injection versus surgical and medical treatment of mild-moderate carpal tunnel syndrome

Carpal tunnel syndrome (CTS) accounts for approximately 90% of peripheral entrapment neuropathy cases. Treatments of CTS as splinting, corticosteroid injection, and surgery are not 100% effective, and alternat...

Authors: MA Eltabl, DS Saif and SE Alemam

Association of miR-196a2 and miR-149 single-nucleotide polymorphisms with atherosclerotic ischemic stroke susceptibility

Beside common risk factors for stroke such as diabetes and hypertension, single-nucleotide variants occurring within micro RNA genes have been identified as susceptibility loci for ischemic stroke risk.

Authors: Dina Mahmoud, Ola El-Sisi, Marwa Sheta, Sandra Ahmed, Mona Fathy, Kareeman Gomaa and Tarek Ramzy

Retinal nerve fiber layer and ganglion cell layer changes using optical coherence tomography in patients with chronic migraine: a case-control study

Migraine is a prevalent, chronic, and multifactorial neurovascular disease.

Authors: Dalia M. Labib, Montaser Hegazy, Soheir Mohamed Esmat, Enas Abdel Hamid Ali and Foraysa Talaat

Association between serum bilirubin and migraine in children and adolescents

Migraine in children and adolescents is very common and can be associated with equivalents, psychiatric disorders, or abnormal electroencephalogram findings. Neurogenic inflammation is involved in migraine pat...

Authors: Hosna S. Elshony, Wafik M. El Sheikh and Mostafa S. Melake

Persistent idiopathic unilateral isolated hypoglossal nerve palsy – a report of two cases

Isolated unilateral hypoglossal nerve palsy is an infrequent condition that usually appears in connection to an underlying disease. Rarely, the cause cannot be determined, and there is no symptom remission.

Authors: Clement Olesen, Martin Biilmann Groen, Jonatan Forsberg and Ronald Antulov

Somatic cough syndrome: a report of two cases and review of literature

Somatic cough syndrome is a somatization disorder that usually presents in children and which is often diagnosed late after an extensive search for organic causes. The condition was redefined by the DSM-5 crit...

Authors: Mahmoud Bashtawi, Amal Abuabada and Belal Aldabbour

Role of circulating miR 194-5p, miR 106b, and miR 146a as potential biomarkers for epilepsy: a case-control study

Epilepsy is a chronic neurological disease. A suitable biomarker for epilepsy diagnosis remains lacking. MicroRNAs (miRNAs) were pronounced as promising biomarkers for epileptogenesis.

Authors: Mervat Moustafa, Noha T. Abokrysha, Nermeen A. Eldesoukey, Dalia Gamil Amin, Nesma Mounir and Dalia M. Labib

Public awareness, knowledge, and attitude toward Alzheimer’s disease in Aseer region, Saudi Arabia

Alzheimer’s disease (AD) is a major public health problem and represents commonest form of dementia that affects many aspects of brain functions and contributes to 60–70% of dementia cases. No study has been c...

Authors: Adel Ali Alhazzani, Ali Mohammed Alqahtani, Mohammed Saeed Alqahtani, Tariq Mohammed Alahmari and Abdulmajeed Abdullah Zarbah

Doctor-patient distancing: an early experience of telemedicine for postoperative neurosurgical care in the time of COVID-19

Telemedicine remains an important tool of healthcare services delivery especially in the era of the COVID-19 pandemic. Its advantages include saving the time and money of the patients and the prevention of inf...

Authors: Ahmed Hamdy Ashry and Mohamed Fathalla Alsawy

Serum zinc and copper levels in a sample of Egyptian epileptic children

Epilepsy is among the most common disabling neurological disorders among children. Altered serum levels of zinc and copper may facilitate seizure occurrence and repetition, and antiepileptic drugs may disturb ...

Authors: Mona A. Eissa, Khaled O. Abdulghani, Maha A. Nada, Hala M. Elkhawas, Ahmed E. Shouman and Nahed S. Ahmed

Migraine and tension headache comorbidity with hypothyroidism in Egypt

Migraine, tension type headache (TTH), and hypothyroidism are clinical problems that affect patient daily activities and quality of life.

Authors: Ali A. Abou Elmaaty, Mohamed E. Flifel, Tamer Belal and Carmen A. Zarad

Serum prolactin in patients with relapsing remitting multiple sclerosis

Multiple sclerosis (MS) is an inflammatory demyelinating disorder that affects the central nervous system (CNS) of females more than males. The objective of the current study was to assess serum level of prola...

Authors: Hoda A. Alwakil, Ayman M. Al-Malt, Osama A. Ragab, Muhammed T. Abdel Ghafar and Elsayed A. Tageldin

An adult woman with transient headache, neurological deficits, and lymphocytic pleocytosis (HaNDL syndrome) with intracerebral melanosis: case report

Headache with a neurological deficit and cerebrospinal fluid (CSF) lymphocytosis (HaNDL) is usually under-recognized and under-reported. HaNDL is a self-limiting condition, but the grave symptoms require a lar...

Authors: Nesma A. M. Ghonimi, Mai A. AbdAlla and Rasha M. Fahmi

Efficacy of transmastoidal galvanic stimulation on recovery outcomes in patients with unilateral peripheral vestibular disorders: a randomized controlled trial

Peripheral vestibular disorders are common disorders among population with increased prevalence with age advancement, manifested by balance disorders and postural instability that negatively affect daily activ...

Authors: Reham Ali Mohamed Ali Ahmed, Ebtesam Mohamed Fahmy, Amina Mohamed Awad, Mona Mohamed Hamdy and Hussein Ahmed Abd Rahman Shaker

The relationship between oxidative stress and acute ischemic stroke severity and functional outcome

Cerebral ischemia initiates an oxidative stress response in the brain which is a composite process that involves many oxidative stress biomarkers. High levels of malondialdehyde (MDA) in patients with acute is...

Authors: Wael M. Elsayed, El-Hady A. Abdel-Gawad, Dalia I. A. Mesallam and Tamer S. El-Serafy

Patterns of olfactory dysfunctions in patients with Parkinson disease

Olfactory dysfunction (OD) is a well-established nonmotor manifestations (NMM) of Parkinson disease (PD) which needs objective assessment for better understanding of the disease pathogenesis. The aim of this w...

Authors: Khaled Hussein Rashed, Wafik Said Bahnasy, Yasser Abo Elfotoh El-Heneedy, Ehab Ahmed Shawky El-Seidy, Mohamed Osama Tomoum, Mohamed Adel Eltomey and Shereen Ahmed ELAhwal

Role of magnetic susceptibility-weighted imaging in characterization of cerebral microbleeds in acute ischemic stroke Egyptian obese patients

The study was done to investigate the role of susceptibility-weighted imaging (SWI) in characterization of cerebral microbleeds (CMBs) and incidence of CMBs in acute ischemic stroke obese patients.

Authors: Ali Ahmed Abou Elmaaty and Carmen Ali Zarad

A clinical and radiological study in patients with idiopathic intracranial hypertension

Idiopathic intracranial hypertension (IIH) is one of the chronic causes of elevated intracranial pressure with no evident cause in neuroimaging and normal CSF analysis. It primarily affects overweight women of...

Authors: Lubna Ibrahim Sultan, Abdelaziz Mohamed Elnekidy, Amr Mohamed Elfatatry and Amira Sayed

Early disability in ambulatory patients with multiple sclerosis: optical coherence tomography versus visual evoked potentials, a comparative study

Multiple sclerosis (MS) is a common cause of neurological disabilities in adults and commonly affects the visual pathway. The objective of this study is to assess and compare the sensitivity of visual evoked p...

Authors: Mohamed N. Thabit, Mahmoud Mohamed Farouk, Martha Awni and Al-Amir Bassiouny Mohamed

Diagnostic dilemma of amyotrophic lateral sclerosis (ALS): insights from the first ALS specialized clinic in Egypt

Amyotrophic lateral sclerosis (ALS) diagnosis could be challenging in some cases and a thorough workup should be done to rule out ALS mimics. Thus, diagnosis should be made by an experienced neurologist and sh...

Authors: Hebatallah R. Rashed and Mohamed A. Tork

Proper timing of control of hypertension and outcome in acute spontaneous intracerebral hemorrhage

Hypertension is the commonest cause of acute spontaneous intracerebral hemorrhage (ICH) which is life-threatening with a poor prognosis. The aim of this study is to evaluate the prognosis and blood pressure mo...

Authors: Ahmed Esmael, Wessam Fathi, Mahmoud Abdelbadie, Nehal Tharwat Mohammed El-sayed, Mahitab Ghoneim and Aymen Abdelnaby

Essential tremor: what is beyond the oscillatory monosymptomatic illness?

Essential tremor (ET) is now considered as a slowly progressive neurodegenerative disorder with a variety of motor and non-motor manifestations. The objectives of this work were to study the existence of cogni...

Authors: Mahmoud Ebrahim Mostafa Elhassanien, Khaled Hussein Rashed, Wafik Said Bahnasy, Yasser Abo Elfotoh El-Heneedy, Ehab Ahmed Shawky El-Seidy, Mohamed Osama Tomoum, Kareem Mohammed Ramadan, Mona Ahmed Kotait, Reham Abdel Rahman Amer and Shereen Ahmed ELAhwal

Post-stroke depression: frequency, risk factors, and impact on quality of life among 103 stroke patients—hospital-based study

Post-stroke depression (PSD) has worse functional outcomes and quality of life. Despite the extensive literature on this topic, there is no agreement on the frequency or risk factors for post-stroke depression.

Authors: Eman M. Khedr, Ahmed A. Abdelrahman, Tarek Desoky, Ahmed Fathi Zaki and Ayman Gamea

Basal ganglia hemorrhage secondary to scorpion sting: a fatal presentation

Cerebrovascular manifestations are uncommon presentations of scorpion sting in the Indian subcontinent. Encephalopathy, cerebral edema, subarachnoid hemorrhage, non-hemorrhagic strokes, and cortical necrosis a...

Authors: Avirup Majumdar, Virendra Atam, Shahnawaz Ali Ansari, Satish Kumar and Akriti Bhardwaj

Polyradiculitis in autoimmune encephalitis: a case report and review

Limbic encephalitis is a subacute progressive disorder characterized by disturbances in memory and behavior along with seizures. Antibodies against leucine-rich glioma-inactivated 1 (LGI1) are associated with ...

Authors: Tejas R. Mehta and Elanagan Nagarajan

A case of anti-LGI-1 encephalitis presented as acute psychosis

Anti-leucine-rich glioma inactivated protein-1 (LGI-1) encephalitis is a rare autoimmune disease with a varied neuropsychiatric clinical manifestation and have potential for reversal with immunotherapy. Early ...

Authors: Mohammed Reyazuddin, Faisal Shaan and S. A. Azmi