Clinical and radiological predictors of ventriculo-peritoneal shunt insertion in myelomeningocele patients / (Record no. 79718)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03642cam a2200349 a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | EG-GiCUC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250223032659.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210125s2020 ua dh f m 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | EG-GiCUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GiCUC |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| 049 ## - LOCAL HOLDINGS (OCLC) | |
| Holding library | Deposite |
| 097 ## - Thesis Degree | |
| Thesis Level | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Classification number | Cai01.11.20.Ph.D.2020.Ah.C |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Ahmed Mohamed Fathi Elghoul |
| 245 10 - TITLE STATEMENT | |
| Title | Clinical and radiological predictors of ventriculo-peritoneal shunt insertion in myelomeningocele patients / |
| Statement of responsibility, etc. | Ahmed Mohamed Fathi Elghoul ; Supervised Ibrahim Mohamed Ibrahim , Mohamed Hamdy Elsissy , Mohamed Fouad Eldash |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | المؤشرات الأكلينيكية و الاشاعية لوضع صمام مخى بريتونى فى مرضى القيلة السحائية |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Cairo : |
| Name of publisher, distributor, etc. | Ahmed Mohamed Fathi Elghoul , |
| Date of publication, distribution, etc. | 2020 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 103 P. : |
| Other physical details | charts , facimiles ; |
| Dimensions | 25cm |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background: Myelomeningocele repair conventionally occurs in the post-natal period. With the technological advances in surgical practice and fetal surgeries, intra uterine myelomeningocele repair IUMR is adopted in some centers (Tulipan et al. 2003). Cerebrospinal fluid shunting has numerous complications, most notably shunt failure and shunt infection. Studies have suggested that patients with greater numbers of shunt revisions have poorer performance on neuropsychological testing (Dennis et al. 2007). There is also good evidence to suggest that the IQs of patients with myelomeningocele who do not undergo shunt placement is higher than that of their shunt treated counterparts (Mapstone TB et al. 1986). objective: In this study, we are trying to identify strong clinical and radiological predictors for the need of VP shunt insertion in patients with myelomeningocele who underwent surgical repair and closure of the defect initially.This will decrease the overall rate of shunt placement in this group of patients through applying a strict policy adopting only shunt insertion for the really needing patient. methods: prospective clinical study conducted on 96 patients with myelomeningoceles presented to Aboul Reish Pediatric Specialized Hospital, Cairo University. After confirming the diagnosis via clinical and radiological aid, patients are carefully examined, if hydrocephalus is evident clinically and radiologically a shunt is inserted together with MMC repair at the same session after excluding sepsis or CSF infection. (GROUP A). If there are no signs of increased intracranial pressure, MMC repair shall be done alone (GROUP B). Those patients shall be monitored carefully post-operatively and after discharge and shall be followed up regularly to early detect and promptly manage latent hydrocephalus. Multiple clinical and radiological indices were used throughout the follow up period and statistical significance of each was measured. results: Shunt placement was required in 45 (46.88 %) of the 96 patients. Eighteen patients (18.75%) needed the shunt as soon as they presented to us (GROUP A), because xi they were having clinically active hydrocephalus |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Additional physical form available note | Issued also as CD |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | CM-II: chiari malformation type II |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | MMC: myelomeningocele |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | VP shunt: ventriculoperitoneal shunt |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ibrahim Mohamed Ibrahim , |
| Relator term | |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mohamed Fouad Eldash , |
| Relator term | |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mohamed Hamdy Elsissy , |
| Relator term | |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://172.23.153.220/th.pdf">http://172.23.153.220/th.pdf</a> |
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) | |
| Cataloger | Nazla |
| Reviser | Revisor |
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) | |
| Cataloger | Shimaa |
| Reviser | Cataloger |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Source of classification or shelving scheme | Not for loan | Home library | Current library | Date acquired | Full call number | Barcode | Date last seen | Koha item type | Copy number |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 11.02.2024 | Cai01.11.20.Ph.D.2020.Ah.C | 01010110082645000 | 22.09.2023 | Thesis | ||
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | مخـــزن الرســائل الجـــامعية - البدروم | 11.02.2024 | Cai01.11.20.Ph.D.2020.Ah.C | 01020110082645000 | 22.09.2023 | CD - Rom | 82645.CD |