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Papers by Ahmed Alselisly

Research paper thumbnail of Evaluation of Minimal Invasive Fragmentectomy in Treatment of Lumbar Disc Prolapse

The Medical Journal of Cairo University

Background: Various surgical methods were described for treatment of lumbar disc prolapse includi... more Background: Various surgical methods were described for treatment of lumbar disc prolapse including microdiscectomy, later sequestrectomy was described for preservation of disc height and minimalizing the surgical intervention. Aim of Study: The aim of this study is to evaluate the outcomes of lumbar disc fragmentectomy in patients with lumbar disc herniation in terms of pain (back pain and radicular) relief, improvement of neurological deficit if present, hospital stay duration, time consumed for return to work, and the incidence of complications with this intervention compared to conventional microdiscectomy. Patients and Methods: This is case series study, where patients having lumbar disc herniation were evaluated preoperatively both clinically and radiologically patients were operated by microfragmentectomy and followed-up conducted for 3 months for recurrence rate and outcomes. Results: We operated twenty cases in this study, with microfragmentectomy, the mean age of patients was 34.75 years, there were 15 males and 5 females, postoperative pain improvement was better in microfragmentectomy. Hospital stay, blood loss, and postoperative complications were less in microfragmentectomy. Conclusion: Microfragmentectomy allows good surgical visualization and is less traumatic to the involved tissues. The results of this study indicated that microfragmentectomy reduces hospitalization time, improves the overall surgery related outcome, microfragmentectomy allows patients earlier return to work and normal life with less reliance on postoperative narcotic analgesic agents.

Research paper thumbnail of A Comparative Study Between Traditional Full Laminectomies And Microsurgical Bilateral Decompression By Unilateral Approach In Treatment Of Lumbar Canal Stenosis

Journal of cardiovascular disease research, 2021

Research paper thumbnail of Hydrocephalus with lateral ventricular lesions: case series and review of literature

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2021

Background Lateral ventricular lesions associated with hydrocephalus are considered a challenge t... more Background Lateral ventricular lesions associated with hydrocephalus are considered a challenge to neurosurgeons. Hydrocephalus after surgery of such lesions and its pathogenesis and how to deal with it is a big question facing neurosurgeons. Objectives In this study, we tried to discuss the pathogenesis and different forms of presentation of hydrocephalus in lateral ventricular lesions and how to deal with it. Methods Eleven patients with lateral ventricular lesions associated with hydrocephalus either preoperative or postoperative presenting to our hospital were managed by excision of the lesion. A prospective study was done for these cases including their clinical data, radiological data, the presence, or absence of hydrocephalus either preoperative or postoperative and how we managed it. Results This study included 11 cases. The mean patient age at surgery was 25 years old. Nine cases were presented with radiological signs of hydrocephalus preoperatively. Two cases developed new...

Research paper thumbnail of Surgical considerations for maximal safe resection of exophytic brainstem glioma in the pediatric age group

Surgical Neurology International, 2021

Background: Brainstem glioma is the leading cause of morbidity and mortality among all central ne... more Background: Brainstem glioma is the leading cause of morbidity and mortality among all central nervous system tumors, especially in childhood as it represents about 20% of all pediatric brain tumors. Therefore, this study aimed to present our experience in a tertiary center in a developing country with limited resources for the surgical management of exophytic brainstem gliomas. Methods: This retrospective study included pediatric patients with brainstem (midbrain, pontine, or medullary) focal or diffuse gliomas whether low or high grade that had dorsal, ventral, or lateral exophytic component who were presented to our hospitals from January 2019 to January 2021. The patients’ data were collected, such as age, sex, preoperative and postoperative clinical condition, radiological data, surgical approach, extent of tumor removal, histopathology, follow-up period, and adjuvant therapy. Results: A total of 23 patients were included in this study. The telovelar approach was used in 17 pat...

Research paper thumbnail of Surgical management of cerebral venous sinus thrombosis: Case series and literature review

Surgical Neurology International, 2021

Background: Cerebral venous sinus thrombosis (CVST) is not a common type of stroke (5%) but still... more Background: Cerebral venous sinus thrombosis (CVST) is not a common type of stroke (5%) but still hazardous to be misdiagnosed or mistreated. Aggressive medical treatment is usually failed to hinder increase intracranial tension. Therefore, decompressive craniectomy (DC) is the final measure to mitigate the deleterious effect of supratentorial herniation. The purpose of the study is to illustrate our experience with the surgical treatment of CVST and reviewing the previous works of literature. Methods: Forty-two patients were admitted to Kasr Al-Ainy University Hospital from June 2019 to March 2020. The admission was either to the neurology department or intensive care unit or neurosurgery department. Every patient who was diagnosed with CVST received an emergency neurosurgery consultation. Seven patients were operated on with DC according to the criteria mentioned above. Therapeutic heparin was given in addition to intracranial pressure lowering measures. Results: The mean and stan...

Research paper thumbnail of Evaluation of Minimal Invasive Fragmentectomy in Treatment of Lumbar Disc Prolapse

The Medical Journal of Cairo University

Background: Various surgical methods were described for treatment of lumbar disc prolapse includi... more Background: Various surgical methods were described for treatment of lumbar disc prolapse including microdiscectomy, later sequestrectomy was described for preservation of disc height and minimalizing the surgical intervention. Aim of Study: The aim of this study is to evaluate the outcomes of lumbar disc fragmentectomy in patients with lumbar disc herniation in terms of pain (back pain and radicular) relief, improvement of neurological deficit if present, hospital stay duration, time consumed for return to work, and the incidence of complications with this intervention compared to conventional microdiscectomy. Patients and Methods: This is case series study, where patients having lumbar disc herniation were evaluated preoperatively both clinically and radiologically patients were operated by microfragmentectomy and followed-up conducted for 3 months for recurrence rate and outcomes. Results: We operated twenty cases in this study, with microfragmentectomy, the mean age of patients was 34.75 years, there were 15 males and 5 females, postoperative pain improvement was better in microfragmentectomy. Hospital stay, blood loss, and postoperative complications were less in microfragmentectomy. Conclusion: Microfragmentectomy allows good surgical visualization and is less traumatic to the involved tissues. The results of this study indicated that microfragmentectomy reduces hospitalization time, improves the overall surgery related outcome, microfragmentectomy allows patients earlier return to work and normal life with less reliance on postoperative narcotic analgesic agents.

Research paper thumbnail of A Comparative Study Between Traditional Full Laminectomies And Microsurgical Bilateral Decompression By Unilateral Approach In Treatment Of Lumbar Canal Stenosis

Journal of cardiovascular disease research, 2021

Research paper thumbnail of Hydrocephalus with lateral ventricular lesions: case series and review of literature

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2021

Background Lateral ventricular lesions associated with hydrocephalus are considered a challenge t... more Background Lateral ventricular lesions associated with hydrocephalus are considered a challenge to neurosurgeons. Hydrocephalus after surgery of such lesions and its pathogenesis and how to deal with it is a big question facing neurosurgeons. Objectives In this study, we tried to discuss the pathogenesis and different forms of presentation of hydrocephalus in lateral ventricular lesions and how to deal with it. Methods Eleven patients with lateral ventricular lesions associated with hydrocephalus either preoperative or postoperative presenting to our hospital were managed by excision of the lesion. A prospective study was done for these cases including their clinical data, radiological data, the presence, or absence of hydrocephalus either preoperative or postoperative and how we managed it. Results This study included 11 cases. The mean patient age at surgery was 25 years old. Nine cases were presented with radiological signs of hydrocephalus preoperatively. Two cases developed new...

Research paper thumbnail of Surgical considerations for maximal safe resection of exophytic brainstem glioma in the pediatric age group

Surgical Neurology International, 2021

Background: Brainstem glioma is the leading cause of morbidity and mortality among all central ne... more Background: Brainstem glioma is the leading cause of morbidity and mortality among all central nervous system tumors, especially in childhood as it represents about 20% of all pediatric brain tumors. Therefore, this study aimed to present our experience in a tertiary center in a developing country with limited resources for the surgical management of exophytic brainstem gliomas. Methods: This retrospective study included pediatric patients with brainstem (midbrain, pontine, or medullary) focal or diffuse gliomas whether low or high grade that had dorsal, ventral, or lateral exophytic component who were presented to our hospitals from January 2019 to January 2021. The patients’ data were collected, such as age, sex, preoperative and postoperative clinical condition, radiological data, surgical approach, extent of tumor removal, histopathology, follow-up period, and adjuvant therapy. Results: A total of 23 patients were included in this study. The telovelar approach was used in 17 pat...

Research paper thumbnail of Surgical management of cerebral venous sinus thrombosis: Case series and literature review

Surgical Neurology International, 2021

Background: Cerebral venous sinus thrombosis (CVST) is not a common type of stroke (5%) but still... more Background: Cerebral venous sinus thrombosis (CVST) is not a common type of stroke (5%) but still hazardous to be misdiagnosed or mistreated. Aggressive medical treatment is usually failed to hinder increase intracranial tension. Therefore, decompressive craniectomy (DC) is the final measure to mitigate the deleterious effect of supratentorial herniation. The purpose of the study is to illustrate our experience with the surgical treatment of CVST and reviewing the previous works of literature. Methods: Forty-two patients were admitted to Kasr Al-Ainy University Hospital from June 2019 to March 2020. The admission was either to the neurology department or intensive care unit or neurosurgery department. Every patient who was diagnosed with CVST received an emergency neurosurgery consultation. Seven patients were operated on with DC according to the criteria mentioned above. Therapeutic heparin was given in addition to intracranial pressure lowering measures. Results: The mean and stan...