000 03138cam a2200349 a 4500
003 EG-GiCUC
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008 180331s2017 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.Mo.V
100 0 _aMohammad Abdullahamed Elbatanouny
245 1 0 _aVisual outcome assessment in patients with meningiomas associated with optic canal involvement /
_cMohammad Abdullah Hamed Elbatanouny ; Supervised Ahmed Abdelaziz Hegazy , Ahmed Abdallah Alfiki , Mohammad Ibrahim Refaat
246 1 5 _aتقييم النتائج البصرية في المرضى الذين يعانون من الأورام السحائية المصاحبة بالتأثير على القناة البصرية - قناة العصب البصري
260 _aCairo :
_bMohammad Abdullahamed Elbatanouny ,
_c2017
300 _a103 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
520 _aObjective: Optic canal involvement is a prominent feature of many meningiomas of the anterior and middle cranial fossae, presented mainly with deterioration of vision, we aimed to perform a predictive regression model, determining the variables mostly associated with visual outcome, especially that with anterior clinoid process resection. Methods: A retrospective analysis of 109 patients with meningiomas associated with optic canal involvement. With only the surgical options of treatment, fully detailed neurological examination conducted, especially the visual parameters of visual acuity, field and fundus pre- & post-operatively. Results: 60 % of cases had visual acuity better than or equal 6/12.All the patients undergone surgical removal of the tumor, with anterior clinoidectomy in 56 % of them only. Then we studied them (109 cases) regarding the visual improvements (VA & VF) postoperatively than the preoperative state & the relation between it and other variables. For Visual acuity of the right eye, there was positive change in 7.34 % of total cases, negative change in 2.75 % & no change in89.91 %, concluding that the positive change became 72.7 % with 27.3 % negative change in changed patients, in other terms, there is a positive effect of surgery on the visual acuity & field in the right eye only, but we noticed that there is no significant difference either with ACP resection or not, also improvements were towards the smaller sized tumors in the visual acuity of the right and left eye. Strangely, we noticed only improvement in the group of incomplete resections of tumor only in the right eye visual acuity
530 _aIssued also as CD
653 4 _aMeningiomas
653 4 _aOptic canal
653 4 _aVisual parameters
700 0 _aAhmed Abdallah Alfiki ,
_eSupervisor
700 0 _aAhmed Abdelaziz Hegazy ,
_eSupervisor
700 0 _aMohammad Ibrahim Refaat ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c65651
_d65651