Normal view MARC view ISBD view

Surgical management of spasticity in children / (Record no. 172622)

MARC details
000 -LEADER
fixed length control field	06959namaa22004451i 4500
003 - CONTROL NUMBER IDENTIFIER
control field	OSt
005 - أخر تعامل مع التسجيلة
control field	20250617152854.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field	250617s2024 ua a\|\|\|frm\|\|\| 000 0 eng d
040 ## - CATALOGING SOURCE
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
Acquisition Source	Deposit
082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number	616.845
092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC)
Classification number	616.845
Edition number	21
097 ## - Degree
Degree	Ph.D
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Local Call Number	Cai01.11.20.Ph.D.2024.Sa.S
100 0# - MAIN ENTRY--PERSONAL NAME
Authority record control number or standard number	Sameh Ali Elsayed Kasem,
Preparation	preparation.
245 10 - TITLE STATEMENT
Title	Surgical management of spasticity in children /
Statement of responsibility, etc.	by Sameh Ali Elsayed Kasem ; Supervised Prof. Dr. Ehab Ahmed Mohamed El Refaee, Prof. Dr. Ehab Abdelhalem Abdelsalam, Dr. Ahmed Adel Mohamed Ezzat, Prof. Dr. Marian Yousry Fahmy.
246 15 - VARYING FORM OF TITLE
Title proper/short title	التدخلات الجراحية لحالات الشلل التشنجي بالاطفال /
264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE
Date of production, publication, distribution, manufacture, or copyright notice	2024.
300 ## - PHYSICAL DESCRIPTION
Extent	117 pages :
Other physical details	illustrations ;
Dimensions	25 cm. +
Accompanying material	CD.
336 ## - CONTENT TYPE
Content type term	text
Source	rda content
337 ## - MEDIA TYPE
Media type term	Unmediated
Source	rdamedia
338 ## - CARRIER TYPE
Carrier type term	volume
Source	rdacarrier
502 ## - DISSERTATION NOTE
Dissertation note	Thesis (Ph.D)-Cairo University, 2024.
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note	Bibliography: pages 103-117.
520 ## - SUMMARY, ETC.
Summary, etc.	Although many studies to date have documented the efficacy of SDR worldwide on the treatment of spasticity in children, little work has been done to analyze the efficacy and outcomes of those techniques in our country. The goal of this study is analysis of the clinical & functional outcome of selective dorsal rhizotomy as a surgical treatment for spasticity in children with regard the evaluation of advantages, disadvantages and perioperative complication.<br/>Methods: <br/>After the neurosurgery department ethical committee approval, we prospectively reviewed all the children patients with spasticity (n=12) between January 2023 and August 2024 at Cairo University hospitals. Patient’s demographics, type of cerebral palsy ,Clinical presentation, Complication rates, Clinical and functional outcome with GMFS, Ashworth scale & gait score was recorded (Pre-operative ,immediate post- operative ,3 months post-operative and 6 months post-operative).<br/>Results: <br/>The mean age of the cases is 6 +/-2 in SD, 83.3 % of cases in the study were males while 16.7% of cases were females. Regarding cerebral palsy 91.7% of the children were diplegic cerebral palsy while 8.3% were quadriplegic CP. Regarding the surgical procedure 66.7% of cases operated upon laminoplasty from L1-L5 while the rest (33.3 %) operated upon laminoplasty from D12- L1.<br/>Regarding GMFS for cerebral palsy was assessed pre-operatively, immediate post-operatively, 3 months and 6 months post operatively and was compared showing statistical significance in the mean GMFS in the immediate post-operative and the follow up after 3 months and 6 months. (P-value < 0.001)<br/>Regarding Ashworth scale for Spasticity was assessed pre-operatively, immediate post-operatively,3 months and 6 months post operatively and<br/>was compared showing statistical significance in the mean Ashworth in the follow up after 3 months and 6 months. (P-value < 0.001)<br/>Conclusion:<br/>We concluded that Selective Dorsal Rhizotomy is the procedure of choice for treatment of spasticity in spastic diplegic CP and in selected children with spastic quadriplegic CP. Optimal selection and outcomes achieved using a multidisciplinary approach. In our study, SDR showed better outcome clinically and functionally with GMFS, Ashworth scale and gait score with lower rates of complication provided that all cases underwent early post-operative physiotherapy treatment. Serial and Long-term clinical follow-up are recommended with will organized physiotherapeutic program with cooperative and well oriented parents aiming for better outcome and to avoid relapse of symptoms.
520 ## - SUMMARY, ETC.
Summary, etc.	على الرغم من أن العديد من الدراسات حتى الآن قد وثقت فعالية جراحة القطع الانتقائي لجزور الاعصاب الطرفية في جميع أنحاء العالم لعلاج حالات الشلل التيبسي لدى الأطفال، إلا أنه لم يتم القيام إلا بالقليل من الدراسات لتحليل فعالية ونتائج تلك التقنيات في بلدنا ..<br/> لذا فان الهدف من هذه الدراسة هو تحليل النتائج السريرية والوظيفية للخيارات الجراحية المتاحة لحالات الشلل التيبسي لدى الأطفال فيما يتعلق بتقييم المزايا والعيوب والمضاعفات المحيطة بالجراحة..<br/>.<br/>بعد موافقة اللجنة الأخلاقية لقسم جراحة المخ والأعصاب، قمنا بمراجعة مستقبلية لجميع الاطفال الذين يعانون من الشلل التيبسي بين يناير 2023 وأغسطس 2024 بقسم جراحات المخ والاعصاب للاطفال بمستشفيات جامعة القاهرة. <br/>حيث تم تسجيل التركيبة السكانية للمريض، وتحديد نوع الشلل الدماغي، والاعراض السريرية، ومعدلات التحسن بعد الجراحة مباشرة وبعد 3 اشهر و 6 اشهر مع متابعة دقيقة للمضاعفات المحتملة مع متابعة النتائج السريرية والوظيفية بمقياس أشوورث وتحديد درجة المشي خلال تلك الفترات..<br/>استنتجنا أن جراحة القطع الانتقائي لجزور الاعصاب كخيار جراحي لعلاج الشلل التيبسي لدى الأطفال أظهر نتائج أفضل سريريًا ووظيفيًا مع مقياس أشوورث ودرجة المشي مع انخفاض بنسبة المضاعفات شرط أن تخضع جميع الحالات للعلاج الطبيعي المبكر بعد العملية الجراحية..<br/>كما يوصى بالمتابعة السريرية التسلسلية وطويلة الأمد من خلال برنامج العلاج الطبيعي المنظم مع أولياء الأمور المتعاونين والموجهين جيدًا بهدف تحقيق نتائج أفضل وتجنب انتكاس الأعراض.
530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE
Issues CD	Issues also as CD.
546 ## - LANGUAGE NOTE
Text Language	Text in English and abstract in Arabic & English.
650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element	Spasticityf
Source of heading or term	qrmak
653 #0 - INDEX TERM--UNCONTROLLED
Uncontrolled term	Clinical outcome
--	Functional outcome
--	Complications
--	SDR
--	Spasticity
--	scissoring gait
--	cerebral palsy
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name	Ehab Ahmed Mohamed El Refaee
Relator term	thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name	Ehab Abdelhalem Abdelsalam
Relator term	thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name	Ahmed Adel Mohamed Ezzat
Relator term	thesis advisor.
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name	Marian Yousry Fahmy
Relator term	thesis advisor.
900 ## - Thesis Information
Grant date	01-01-2024
Supervisory body	Ehab Ahmed Mohamed El Refaee
--	Ehab Abdelhalem Abdelsalam
--	Ahmed Adel Mohamed Ezzat
--	Marian Yousry Fahmy
Universities	Cairo University
Faculties	Faculty of Medicine
Department	Department of Neurosurgery
905 ## - Cataloger and Reviser Names
Cataloger Name	Shimaa
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme	Dewey Decimal Classification
Koha item type	Thesis
Edition	21
Suppress in OPAC	No

Holdings
Source of classification or shelving scheme	Home library	Current library	Date acquired	Inventory number	Full call number	Barcode	Date last seen	Effective from	Koha item type
Dewey Decimal Classification	المكتبة المركزبة الجديدة - جامعة القاهرة	قاعة الرسائل الجامعية - الدور الاول	17.06.2025	91421	Cai01.11.20.Ph.D.2024.Sa.S	01010110091421000	17.06.2025	17.06.2025	Thesis