MARC details
| 000 -LEADER |
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| fixed length control field |
06918namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
OSt |
| 005 - أخر تعامل مع التسجيلة |
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| control field |
20250223033401.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
250101s2023 |||a|||fr|m|| 000 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Original cataloguing agency |
EG-GICUC |
| Language of cataloging |
eng |
| Transcribing agency |
EG-GICUC |
| Modifying agency |
EG-GICUC |
| Description conventions |
rda |
| 041 0# - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
eng |
| Language code of summary or abstract |
eng |
| -- |
ara |
| 049 ## - Acquisition Source |
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| Acquisition Source |
Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER |
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| Classification number |
617.4810083 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) |
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| Classification number |
617.4810083 |
| Edition number |
21 |
| 097 ## - Degree |
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| Degree |
Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| Local Call Number |
Cai01.11.20.Ph.D.2023.Ha.R |
| 100 0# - MAIN ENTRY--PERSONAL NAME |
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| Authority record control number or standard number |
Hala Emad Abd El Rahman Fahmy, |
| Preparation |
preparation. |
| 245 14 - TITLE STATEMENT |
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| Title |
The role of Choroid plexus coagulation in management of hydrocephalus in pediatric patients / |
| Statement of responsibility, etc. |
by Hala Emad Abd El Rahman Fahmy ; Under the supervision of Prof. Dr. Khaled Bassim Aly, Prof. Dr. Ehab Ahmed El Refaee, Dr. Mohamed Ahmed Ali Eissa Wahdan, Dr. Karim Abd El Aziz Mohamed. |
| 246 15 - VARYING FORM OF TITLE |
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| Title proper/short title |
دور تجلط الضفيرة المشيمية بالكي في علاج استسقاء المخ لدى مرضى الأطفال / |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE |
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| Date of production, publication, distribution, manufacture, or copyright notice |
2023. |
| 300 ## - PHYSICAL DESCRIPTION |
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| Extent |
173 pages : |
| Other physical details |
illustrations ; |
| Dimensions |
25 cm. + |
| Accompanying material |
CD. |
| 336 ## - CONTENT TYPE |
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| Content type term |
text |
| Source |
rda content |
| 337 ## - MEDIA TYPE |
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| Media type term |
Unmediated |
| Source |
rdamedia |
| 338 ## - CARRIER TYPE |
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| Carrier type term |
volume |
| Source |
rdacarrier |
| 502 ## - DISSERTATION NOTE |
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| Dissertation note |
Thesis (M.Sc.)-Cairo University, 2023. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliography: pages 158-173. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Hydrocephalus is a pathological condition characterized by the abnormal<br/>accumulation of cerebrospinal fluid (CSF) within the ventricular system. The<br/>accumulation of this fluid can occur due to either obstructed flow or impaired<br/>absorption, with the most common causes being infection, intracranial<br/>hemorrhage, or brain tumors. Recent hydrodynamic models propose that<br/>hydrocephalus arises as a result of dysfunctional absorption of the CSF in the<br/>subarachnoid and intraventricular spaces, leading to abnormally high amplitudes<br/>of pulsation that can subsequently cause ventricular enlargement. The primary<br/>treatment options for hydrocephalus are surgical in nature and include<br/>ventriculoperitoneal shunt (VPS), endoscopic third ventriculostomy (ETV), and<br/>endoscopic third ventriculostomy with choroid plexus cauterization (ETV-CPC)<br/>(Pande et al.,2021)<br/>Patients and Methods:<br/>This study was conducted on 60 pediatric patients of both genders, who<br/>presented with hydrocephalic changes due to diverse etiologies, either congenital<br/>or acquired. The diagnosis was made through clinical examination and<br/>radiological imaging (CT or MRI) over the duration from February 2022 to July<br/>2023. Patients underwent intergroup comparisons based on age, hydrocephalus<br/>etiology, and severity of hydrocephalus preoperatively. Inclusion criteria were<br/>broadened to include patients above the age of 1 year, so the limitation of age<br/>was eliminated in our study to compensate for the low number of cases available<br/>and family refusal for the procedure. Choroid plexus coagulation and ETV were<br/>then performed. Allprocedures were performed in the Pediatric Department of<br/>Neurosurgery, Abo El Resh, Cairo University. All data were collected from the<br/>patients’ files at the outpatient clinic or after admission<br/>to wards, after the permission and explanation of the procedure, its outcome,<br/>complications possible, and follow-up regimen prior to the data collection. This<br/>study was carried out in accordance with the guidelines approved by the ethical<br/>committee prior to this study's conduction.<br/>Results:<br/>Regarding the 60 pediatric patients who underwent Choroid plexus<br/>coagulation as the main operation (in addition to septostomy in patients with<br/>intact septum, ETV in most of the cases and lamina terminalis fenestration was<br/>also documented in 15 patients) , where 51.7% were males, with a median age of<br/>9.35 months. A percentage of 41.7%of cases were successful, while 51.7% ended<br/>in failure. Inconclusive outcomes “Query success outcome” yielded 3.3%, and<br/>3.3% were terminated intraoperatively due to extensive adhesions. Patients under<br/>the age of one exhibited a success rate of 38.5%. The most prevalent presentation<br/>observed was an increase in the circumference of the head, which accounted for<br/>76.6% of cases. Head circumference greater than 50-55 cm displayed the highest<br/>failure rate, with a 100% failure rate for exceeding 50cm under the age of 1 year.<br/>Dandy-Walker variant also cases exhibited a 100% failure rate. Obstructive<br/>hydrocephalus achieved 50% success, whereas communicating hydrocephalus<br/>achieved 44.4%. Regarding intraoperative findings, patients with PHH had a<br/>failure rate of 66.6%, PIH had 33.3% failure and 33.3% applied VP shunts<br/>intraoperatively for extensive adhesions.Total follow up ranged between 0-538<br/>days with a median of 70.5 days, and a mean of 162.3 days.<br/>Conclusion:<br/>In our preliminary study, we concluded that the performance of endoscopic<br/>CPC/ETV in the management of infantile hydrocephalus can be influenced by<br/>variable etiologies and different age groups. Fulfilling the correct pre-operative<br/>data collection, including history taking and clinical examination is as important<br/>as intraoperative findings to predict the possible outcome of CPC/ETV. Operating<br/>on patients under 1 year of age and certain etiologies were explanatory variables<br/>and predictors for failure outcomes in our study. A long-term, close follow up<br/>period is recommended to detect any signs of failure and treated accordingly. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
كي الضفيرة المشيمية (CPC) هو إجراء جراحي يستخدم في علاج استسقاء المخ حيث يتم كي الضفيرة المشيمية بالمنظار لتقليل إنتاج السائل النخاعي. تمت دراسة 60 مريضًا من الأطفال المصابين بالاستسقاء في مستشفى أبو الريش للأطفال خلال الفترة من فبراير 2022 حتى يوليو 2023، حيث خضعوا لكي الضفيرة المشيمية. كانت المتابعة الدقيقة إلزامية لتقييم معدل النجاح والفشل ومدته. كان لدى المرضى الذين تقل أعمارهم عن سنة واحدة معدل فشل أعلى بنسبة 56.4٪ و66.6% لاستسقاء ما بعد النزيف ومحيط الرأس بين50-55 سم 66.7%. |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE |
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| Issues CD |
Issued also as CD |
| 546 ## - LANGUAGE NOTE |
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| Text Language |
Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Neurosurgery Pediatrics |
| Source of heading or term |
qrmak |
| 653 #0 - INDEX TERM--UNCONTROLLED |
|---|
| Uncontrolled term |
Endoscopy |
| -- |
Choroid plexus coagulation (CPC) |
| -- |
Endoscopic third ventriculostomy (ETV) |
| -- |
Pediatrics |
| -- |
Hydrocephalus |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Khaled Bassim Aly |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Ehab Ahmed El Refaee |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Mohamed Ahmed Ali Eissa Wahdan |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Karim Abd El Aziz Mohamed |
| Relator term |
thesis advisor. |
| 900 ## - Thesis Information |
|---|
| Grant date |
01-01-2023 |
| Supervisory body |
Khaled Bassim Aly |
| -- |
Ehab Ahmed El Refaee |
| -- |
Mohamed Ahmed Ali Eissa Wahdan |
| -- |
Karim Abd El Aziz Mohamed |
| Discussion body |
Ahmed Zohdy |
| -- |
Asim Monir |
| Universities |
Cairo University |
| Faculties |
Faculty of Medicine |
| Department |
Department of Neurosurgery |
| 905 ## - Cataloger and Reviser Names |
|---|
| Cataloger Name |
Eman Ghareeb |
| Reviser Names |
Huda |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Dewey Decimal Classification |
| Koha item type |
Thesis |
| Edition |
21 |
| Suppress in OPAC |
No |