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003 EG-GiCUC
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008 180312s2017 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.2017.Sa.I
100 0 _aSameh Anwar Helal
245 1 0 _aIncidence and outcome of brainstem involvement in sphenoid ridge meningiomas /
_cSameh Anwar Helal ; Supervised Alaa Abdalfattah , Ahmed Zaatar , Abdelrahman Enayet
246 1 5 _aالنتائج المترتبة على حدوث إمتداد لأورام الأغشية السحائية من العظم الوتدى بقاع الجمجمة إلى جذع المخ
260 _aCairo :
_bSameh Anwar Helal ,
_c2017
300 _a103 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
520 _aObjectives: Sphenoidal meningiomas represent 11.9% of intracranial meningiomas. They still present a difficult surgical challenge as they may encase internal carotid artery and middle cerebral artery as well as cranial nerves, besides it may extend to the brainstem. No previous studies have focused on the incidence and outcome of brainstem affection in these cases. Our aim was to present a series of surgically treated sphenoid ridge meningiomas patients with clinical and/or radiological evidence of brainstem involvementand to focus on its incidence and outcome. Patients and methods: Retrospective review of the records of the patients with sphenoid ridge meningiomas admitted to Kasr Al Ainy hospitals within the last two years as well as their follow up records to detect their outcome. Results: The incidence of brainstem involvement was found to be 70% in our study. Total excisionwas achieved in all cases with good outcome in nearly all patients (80 %) as measured by KPS. We had one mortality in our series caused probably by irreversible damage to brain stem on presentation. No recurrence was documented during the follow up period. Conclusion: The involvement of brainstem in cases of sphenoid wing meningiomas is not uncommon and may be by the direct effect of tumor itself or indirect by the edematous brain and it usually has a good prognosis and outcome
530 _aIssued also as CD
653 4 _aBrainstem
653 4 _aMeningioma
653 4 _aSphenoid wing
700 0 _aAbdelrahman Enayet ,
_eSupervisor
700 0 _aAhmed Zaatar ,
_eSupervisor
700 0 _aAlaa Abdalfattah ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c65411
_d65411