000			03284cam a2200325 a 4500
003			EG-GiCUC
008			160118s2015 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.20.M.Sc.2015.Am.S
100	0		_aAmr Abdelmonam Abdelaziz Mostafa
245	1	0	_aSurgical Management of chiari malformation type 1 in adults / _cAmr Abdelmonam Abdelaziz Mostafa ; Supervised Mohamed Shehab Saad Zaghloul , Ahmed Mostafa Kersh , Ehab Abdelhalem
246	1	5	_aالعلاج الجراحى لتشوهات كيارى النوع الاول فى البالغين
260			_aCairo : _bAmr Abdelmonam Abdelaziz Mostafa , _c2015
300			_a79 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
520			_aPatients and methods: This study included 10 patients with chiari malformation type I. Operated in the period between March 2014 to December 2014 at neurosurgery department of Kasr El-Aini Cairo university Hospitals. Data were collected prospectively from the involved patients in the study. All patients were evaluated preoperatively by neurological, ophthalmological and radiological assessment. All patients underwent evaluation by, CT scanning of the brain & skull and MRI imaging of the brain.CT and MRI were done as the routine follow up investigations for all patients.Follow up CT was done after 24 hours for all patients.Follow up MRI was 3 months postoperatively.Extra scans were done for any deteriorating patient.CT showing also any hydrocephalic changes a. Follow up MRI was scheduled at three months postoperativelyIn our study, we operate through midline lower neck inciscion, craniectomy, durotomy in y shaped manner,Shrinkage of cerebellar tonsils by bipolar electrocautry,Duroplasty by fascia lata graft, water tight closure . Results: The mean age at the time of surgery for the studied group was 41.5 years ranging from 18 to 65 years. There was a female predomi»nance .There were 6 females (60%) and 4 males (40%) which provide a female/male ratio of (1.5/1). The most common clini»cal findings presented at diagnosis were headache in 10 patients, neck pain in 9 patients, dizziness and fatigue in 7, extremities numbness and parathesia in 6 patients, weakness of fine movements in 4 patients, sphincteric manifestation in 2 patients, cerebellar dysfunction in 2 patients. The clinical outcome was assessed as: 1. Good: patients having marked improvement with no residual symptoms causing any sort of disability. 2. Fair: patients having residual symptoms causing mild disability in performing their usual daily activities. 3. Poor: patients having no improvement at all.This assessment from E.J.N.S.vol.24 no.2 june 2009.In our study, 6 patients reported good out come,2 fair,2 poor
530			_aIssued also as CD
653		4	_aChiari malformation type 1
653		4	_aHydrocephalus
653		4	_aPosterior fossa decompression
700	0		_aAhmed Mostafa Kersh , _eSupervisor
700	0		_aEhab Abdelhalem , _eSupervisor
700	0		_aMohamed Shehab Saad Zaghloul , _eSupervisor
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c54564 _d54564