Articles

Guillain-Barre syndrome in 220 patients with COVID-19

This review summarises and discusses recent findings concerning the pathophysiology, clinical presentation, diagnosis, treatment, and outcome of SARS-CoV-2-associated Guillain-Barre syndrome (SC2-GBS). By the ...

Authors: Josef Finsterer and Fulvio A. Scorza

Prevalence of burnout among neurologists in Saudi Arabia

Burnout is a psychological syndrome defined as emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA) secondary to work stress. Burnout is widespread among medical workers....

Authors: Zina Ali Al-Qahtani and Adel Alhazzani

Decompressive laminectomy with instrumented posterolateral fusion for degenerative lumbar disease in elderly, is it safe and beneficial?

With improvement of health care in last decades, the age of general population increased. As the elderly with degenerative lumbar disease needs to remain physically active for more years, lumbar decompression ...

Authors: Ahmed A. Arab, Mohammed H. Eltantawy and Ashraf El-Desouky

Outcomes and issues of 12 chordomas treated in a single center

Chordomas stem from notochordal vestiges and rank as low-grade bone malignancies although fraught with high risk of recurrence. This study assesses the clinical outcomes of twelve chordoma cases treated in our...

Authors: Maria Karampouga, Fotis Tsetsos, Pavlos Sakellariou and Ioannis Baltas

Reliability and validity of Arabic version of the brief international cognitive assessment for multiple sclerosis: Egyptian dialect

Given the diversity of multiple sclerosis (MS) symptoms including cognitive impairment in certain domains, the need to develop a rapid and at the same time thorough tool for cognitive assessment is mandatory a...

Authors: Marwa Farghaly, Dawn W. Langdon, Nevin M. Shalaby, Hatem S. Shehata, Noha T. Abokrysha, Amr Hassan, Mohamed I. Hegazy, Alaa Elmazny, Sandra Ahmed, Shaimaa Shaheen, Alshaimaa S. Othman, Osama Yacoub and Nirmeen A. Kishk

Assessment of the outcome of percutaneous pedicle screws in management of degenerative and traumatic dorsal and lumbar pathologies

Percutaneous pedicle screw technique is relatively a recent technique that evolved the concept of posterior spinal instrumentation, utilizing familiar fluoroscopic landmarks to guide the procedure of screws in...

Authors: Ayman Hussein, Hamdy Ibrahim, Hazem Mashaly, Sameh Hefny and Abdelrahman El Gayar

Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review

Guillain-Barre syndrome (GBS) is an acute polyradiculoneuropathy, often preceded by an infection. Rarely, it is preceded by a surgical procedure. Most of the postsurgical GBS cases are reported with the neuros...

Authors: Sajid Hameed, Lubna Ashraf Jafri and Dureshahwar Kanwar

Predictive factors of epilepsy outcome in a sample of Egyptian pre-elderly and elderly population

Elderly people with epilepsy are large, but neglected group. Data on the predictive factors for recurrent seizures in the elderly population are inconclusive or are not known for the majority of patients. This...

Authors: Steven Emil Gerges, Mahmoud Hemeda El Rakawy, Naglaa Mohammed El Khayat, Yousry Abo Elnaga Abdelhamid, Ahmed Mohammed Hazzou, Hossam Mohammed Shokri and Mona Mokthar Wahid El din

Impact of gender, depression severity and type of depressive episode on efficacy and safety of escitalopram: an observational study on major depressive disorder patients in southern India

Antidepressant response is a complex trait influenced by clinical, demographic and genetic factors.

Authors: Tatiyana Mandal, Laxminarayana Kurady Bairy, Podila Satya Venkata Narasimha Sharma and Vijaya Lakshmi Valaparla

Depression facilitators from the perspective of Iranian patients with major depressive disorder: a qualitative research

Major depressive disorder is the most common psychological disorder and affects many people worldwide. Therefore, it is important to identify the factors that cause or facilitate this disorder.

Authors: Milad Rezaiye, Moloud Radfar and Masumeh Hemmati MaslakPak

Motor unit number estimation versus compound muscle action potential in the evaluation of motor unit loss in amyotrophic lateral sclerosis

Motor neuron loss is the primary pathologic feature of amyotrophic lateral sclerosis (ALS). An estimate of the number of surviving motor units (MUs) represents a direct measure of the disease state in ALS. The...

Authors: Arwa Khalid Ibrahem, Akram Mohammed Al-Mahdawi and Farqad Bader Hamdan

Recurrent spontaneous CSF rhinorrhea: combined endo-nasal endoscopic repair with lumbo-peritoneal shunt insertion

Spontaneous cerebrospinal fluid (CSF) leaks are associated with high morbidity and recurrence rates. Most cases had increased intracranial pressure (ICP) on presentation. There is still controversy regarding t...

Authors: Ahmed Y. Soliman, Kamal Ebeid and Amr Abu Elfadle

Multiple sclerosis patients and COVID-19

Coronavirus disease 2019 (COVID-19) is now a major issue for all fields of medicine. Due to the higher mortality rate among patients with chronic diseases, it has also caused concern in patients with multiple ...

Authors: Hubert Mado and Monika Adamczyk-Sowa

Surgical outcome of primary intradural spinal arachnoid cysts: a series of 10 cases

Primary intradural spinal arachnoid cysts are rare pathologies of uncertain etiology and variable presentation from no symptoms to myelopathy or radiculopathy according to cord or root compression. MRI with di...

Authors: Essam Abdelhameed and Ahmed Ali Morsy

Role of some inflammatory biomarkers in prediction of short-term outcome in acute ischemic stroke

Several factors affect acute ischemic stroke (AIS) outcomes.

Authors: Yosria Abd Al Hameed AlTaweel, Rania Sanad Nageeb, Pakinam Mahmoud Metwally and Ahmed Elsayed Badawy

Serum level of brain-derived neurotrophic factor in patients with relapsing–remitting multiple sclerosis: a potential biomarker for disease activity

Brain-derived neurotrophic factor (BDNF) is secreted by immune cells in response to neuroimmune and inflammatory cascades as an act to prevent axonal and neuronal damage after various pathological insults. The...

Authors: Mohammed I. Oraby, Hatem A. El Masry, Sanaa S. Abd El Shafy and Esraa M. Abdul Galil

Frequency of peri-ictal apnea and cardiac arrhythmias in epileptic seizures

Available data from witnessed and monitored sudden unexpected death in epilepsy (SUDEP) cases postulate that ictal central apnea (ICA) and ictal arrhythmias are the main causes of SUDEP. ICA is a frequent semi...

Authors: Rady Yousif, M. Ossama Abdulghani, A. Gaber, Naglaa El Khayat, Y. A. Abo Elnaga and Mona Mokhtar Wahid El Din

Clinical predictors to cognitive impairment in multiple sclerosis patients

Cognitive dysfunction is increasingly recognized in multiple sclerosis, even in the early phase of the disease. Multiple sclerosis patients with even mild cognitive deficits may experience greater difficulties...

Authors: Haidy Elshebawy, Ebtesam Mohamed Fahmy, Nervana Mohamed Elfayoumy, Ahmed Mohamed Abdelalim and Rania Shehata Ismail

Assessment of cerebral hemodynamics in multiple sclerosis patients

Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. Autonomic dysfunction is present in a wide range of patients (15–80%) that might present with abnormalities in th...

Authors: Nouran M. Salah, Ahmed M. Elsadek, Lobna M. ELnabil, Ayman M. Nassef, Azza A. Abdelaziz and Mohamed A. Abdel Hafeez

MicroRNAs in central nervous system disorders: current advances in pathogenesis and treatment

MicroRNAs (miRNAs) are a class of short, non-coding, regulatory RNA molecules that function as post transcriptional regulators of gene expression. Altered expression of multiple miRNAs was found to be extensiv...

Authors: Mona Hussein and Rehab Magdy

Sequential approach of internal maxillary-to-middle cerebral artery bypass and endovascular occlusion for giant middle cerebral artery aneurysm: a case report

The combined approach to complex brain МСА aneurysm seems to be generally considered viable. Although it is fairly common, the combinations of modalities, which are suggested in different case reports, vary si...

Authors: Andrey Vladimirovich Sergeev, Alexander Viktorovich Savello, Vladislav Urievich Cherebillo, Aigazi Islamovich Kiskaev and Fatima Chemurzieva

Association of epileptiform brain activity and specific language impairment (SLI) in preschool children

Epileptiform activities can cause transient or permanent deficits that affect the children during development and may be accompanied by neurodevelopmental disorders like specific language impairment.

Authors: Ahmed Esmael, Sara Elsherbeny and Mohammed Abbas

High neutrophil-to-lymphocyte ratio predicts early neurological deterioration in spontaneous intracerebral hemorrhage patients

Intracerebral hemorrhage (ICH) is caused by bleeding, primarily into parenchymal brain tissue, and accounts for 9 to 27% of all strokes worldwide. Higher neutrophils, lower lymphocytes, and higher neutrophil-t...

Authors: Wafaa S. Mohamed, Amr E. Kamel, Ahmed H. Abdelwahab and Mohamed E. Mahdy

Depression and COVID-19 patients with chronic pain: practical considerations

Authors: A. Alcántara Montero, S. R. Pacheco de Vasconcelos and F. Peñato Tarifa

Correlation of cortical lesions of multiple sclerosis at double inversion recovery with cognition screening scores

Multiple sclerosis is a chronic inflammatory disease affecting both white and gray matters of the central nervous system. It has been approved that the degree of gray matter involvement is closely associated w...

Authors: Sally Mohamed Shaaban, Azza Elmongui Elmongui, Ahmed Abdel Khalek Abdel Razek and Tamer Mohamed Belal

Hydrocephalus with lateral ventricular lesions: case series and review of literature

Lateral ventricular lesions associated with hydrocephalus are considered a challenge to neurosurgeons. Hydrocephalus after surgery of such lesions and its pathogenesis and how to deal with it is a big question...

Authors: Ahmed Mohamed Ahmed Alselisly, Ahmed Hamdy Ashry and Ayman Tarek Mahmoud

Validity of neuron-specific enolase as a prognostic tool in acute ischemic stroke in adults at Suez Canal University Hospital

Biological markers of acute nerve cell damage can assist in the outcome of acute ischemic stroke, such as neuron-specific enolase (NSE) that have been tested for association with initial severity of stroke, ex...

Authors: Mohammed H. Shash, Reda Abdelrazek, Nashwa M. Abdelgeleel, Rasha M. Ahmed and Adel H. El-baih

Neurologic manifestations of COVID-19 infection in Asia: a systematic review

COVID-19 infection can show various manifestation, including neurologic manifestations, such as anosmia, ageusia, or dysgeusia, and causes the neurologic disorder such as stroke, Guillain-Barre syndrome, encephal...

Authors: I. Putu Eka Widyadharma, Alvin Hendellyn, A. A. A. Putri Laksmi Dewi, I. Made Oka Adnyana, D. P. G. Purwa Samatra and Desak Ketut Indrasari Utami

Prevalence of antinuclear antibody in patients with multiple sclerosis: a case-control study

Antinuclear antibody (ANA) is a common test for excluding alternative diagnoses. However, the significance of ANA testing in patients with multiple sclerosis (MS) remains unclear.

Authors: Hind Alnajashi and Foziah Alshamrani

Migraine prevalence, clinical characteristics, and health care-seeking practice in a sample of medical students in Egypt

Migraine is a common disabling primary headache disorder with significant personal and socio-economic impacts. Medical students usually have multiple triggers for migraine, particularly stress and irregular sl...

Authors: Mohammed I. Oraby, Rasha H. Soliman, Mustafa A. Mahmoud, Eman Elfar and Noha A. Abd ElMonem

Comparison of knowledge, attitude, socioeconomic burden, and mental health disorders of COVID-19 pandemic between general population and health care workers in Egypt

The global devastating effect of COVID-19 has caused anxiety and fear to variable extent among the public. We aimed to evaluate the knowledge, attitude, socioeconomic burden, and the mental health problems reg...

Authors: Gellan K. Ahmed, Haidi Karam-Allah Ramadan, Samah Mohammed Refay and Mohamed A. Khashbah

Right to left shunting detection by contrast-enhanced transcranial color-coded duplex among patients with cryptogenic stroke

Contrast-enhanced transcranial duplex (c-TCD) might be more sensitive than transesophageal echo (TEE) for detection of right to left shunting (RLS), which misses some cases with substantial RLS and might be va...

Authors: Samia Ashour Mohamed, Mohamed Ayman Saleh, Hala Mahmoud ELKhawas, Eman Saleh ElHadidi, Ahmed ElSadek and Noha Lotfy Soliman

Post-stroke dysphagia: frequency, risk factors, and topographic representation: hospital-based study

The frequency of dysphagia varies considerably across literature. Post-stroke dysphagia is a common cause of increased morbidity and length of hospitalization. This study aimed to estimate the frequency, risk ...

Authors: Eman M. Khedr, Mohamed A. Abbass, Radwa K. Soliman, Ahmed F. Zaki and Ayman Gamea

Could SARS-CoV-2 herald a surge of multiple sclerosis?

During the current COVID-19 pandemic, many queries are raised regarding its nature, outcome, and sequelae. This letter raises the concern of potential impact on increasing the incidence of multiple sclerosis w...

Authors: Nevin Mohieldin Shalaby and Hatem Samir Shehata

The efficacy of repetitive transcranial magnetic stimulation in treating patients with chronic daily headache

Headache is the most common pain disorder, affecting around 66% of the global population. This study aimed to investigate the efficacy of high-frequency

Authors: Ann Ali AbdElkader, Ebtesam Mohammed Fahmy, Ayat Allah Farouk Ahmad, Amira A. Labib, Leqaa Ali El-Mekkawy and Shaimaa shaheen Mohammed Abd El Razek

Elevated factor VIII levels and arterial stroke: a review of literature with a case report

Cerebral arterial thromboses or ischemic strokes may be caused by cumulative or independent effects of a variety of risk factors. High factor VIII level is one of those important but less known risk factors fo...

Authors: Dinesh Khandelwal, Vaibhav Mathur, Arvind Vyas, Chandani Shah, Chandrajeet Singh Ranawat and Parth Patel

Clinical differentiation of psychogenic non-epileptic seizure: a practical diagnostic approach

Psychogenic non-epileptic seizure (PNES) has long been the counterpart of epileptic seizure (ES). Despite ample of evidence differentiating the two, PNES mistakenly diagnosed as ES was still common, resulting ...

Authors: I. Putu Eka Widyadharma, Andreas Soejitno, D. P. G. Purwa Samatra and Anna M. G. Sinardja

Spheno-orbital meningiomas: surgical techniques and results

Spheno-orbital meningiomas are characterized by bone invasion with extensive hyperostosis and possible encroachment into the orbit, infra-temporal fossa, and/or the cavernous sinus that render total surgical e...

Authors: Mohamed Abdelrahman Elborady and Wael Mohamed Nazim

Prospective study of thyroid functions in multiple sclerosis patients treated with interferon beta in Alexandria University MS clinic

The incidence of thyroid dysfunction in multiple sclerosis (MS) patients on interferon (as a disease-modifying line) has been reported in many studies performed on patients already on interferon therapy. Our s...

Authors: Farouk Talaat and Hany Eldeeb

Characteristics of headache disorders, according to ICHD-III in an outpatient headache clinic in Sohag Governorate, Egypt

Headache disorders are rated among the ten most disabling conditions around the world. The primary headache disorders are more common that of secondary headache. The third edition of the International Classifi...

Authors: Al-Amir Bassiouny Mohamed

Post-stroke dementia: frequency, predictors, and health impact

Cognitive impairment is an important aspect for stroke survivors. Little data are available about the frequency and risk factors of post-stroke dementia in Egypt.

Authors: Bastawy Al Fawal, Ahmed Ibrahim and Mohamed Abd Elhamed

Predictors of the functional outcome after thrombolysis in an Egyptian patients’ sample

About 6.2 million individuals worldwide and approximately 200 Egyptians/100,000 citizens have cerebrovascular stroke annually, and only less than 1% of stroke patients received intravenous (IV) thrombolysis in...

Authors: H. M. Eldeeb, D. H. Elsalamawy, A. M. Elabd and H. S. Abdelraheem

Ischemia-modified albumin and fibulin-5 as diagnostic and prognostic markers for acute cerebrovascular disease

Fibulin-5 and ischemia-modified albumin (IMA) levels increase in acute phase of cerebrovascular diseases, yet data regarding their levels in various stroke subtypes and correlation with severity and prognosis ...

Authors: Hosna S. Elshony, Mohammed A. Okda and Rasha A. El-Kabany

The efficacy of ultrasound-guided multifidus cervicis plane block versus greater occipital nerve block for cervicogenic headache

Traditionally, non-invasive and invasive techniques were used for the treatment of cervicogenic headache (CH). Greater occipital nerve block is the most frequent peripheral nerve block invasive technique used ...

Authors: Zenat Eldadamony Mohamed, Carmen Ali Zarad, Mohamed E. Flifel and Ali A. Abou Elmaaty

The value of cervical MRI in surgical lumbar canal stenosis patients

The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and indiv...

Authors: Omar Youssef Abdalla, Hieder Al-Shami, Heba Medhat Maghraby and Abdelrhman Enayet

Topiramate-induced ocular side effects in Egyptian patients, idiosyncratic versus dose-dependent effect, a prospective study

To test the nature of the ocular side effects induced by topiramate (TPM) whether dose dependent or idiosyncratic, and to test various predictors that might influence the occurrence of those side effects.

Authors: Mohamed N. Thabit and Mahmoud Mohamed Farouk

Natalizumab-associated progressive multifocal leukoencephalopathy (PML) in multiple sclerosis (MS): “a case report from Ireland with review of literature, clinical pitfalls and future direction”

Progressive multifocal leukoencephalopathy (PML) is one of the most serious treatment-related complications that is encountered in patients with multiple sclerosis (MS). PML is a serious complication of MS tre...

Authors: Salman Mansoor, Gerard Mullane, Mohammad Hijaz Adenan, Siobhan Kelly, Aine Water, Grainne McPartland and Kevin Murphy

Troponin-I elevation predicts outcome after thrombolysis in ischemic stroke patients

Prognostic significance of troponin-I (T-I) elevation for poor short-term outcome in thrombolyzed ischemic stroke patients remains uncertain.

Authors: Rania S. Nageeb, Alaa A. Omran and Wafaa S. Mohamed

An unusual presentation of posterior reversible encephalopathy syndrome—a case report

Acute neurological emergencies in pregnant and postpartum women presenting as headache, visual disturbances, seizures, and elevated blood pressure are usually attributed to preeclampsia and eclampsia. However ...

Authors: K. Soundarya Rajeshwari, Vishaka Agarwal, S. Satish and K. T. Jayakumar

Effect of cycling exercise on motor excitability and gait abnormalities in stroke patients

The concepts of brain excitability are still re-wiring in response to changes in environment. Ambulation is often limited in stroke patients.

Authors: Mohamed S. El-Tamawy, Moshera H. Darwish, Mye A. Basheer, Abdelazim M. Reda, Mahmoud Elzanaty and Heba A. Khalifa