Ghanem Al-Sulaiti - Academia.edu (original) (raw)

Papers by Ghanem Al-Sulaiti

Journal of Epidemiology and Public Health Reviews

Background: Brain tumors in general are rare tumors and their epidemiologic features in the Middl... more Background: Brain tumors in general are rare tumors and their epidemiologic features in the Middle East including the state of Qatar is rarely tackled. The objective of this study is to delineate the epidemiologic characteristic of brain tumors in the gulf state of Qatar. Methods: We run a retrospective analysis of brain tumors diagnosed histologically in the main Hospital in Qatar between January 1 st , 2006-December 31 st 2015. We studied the following indices: Histologic type, gender, age, and location. We obtained the demographic data from Qatar Planning and Statistic Authority (www.psa.gov.qa). Results: A total of 383 cases of primary brain tumors were identified and analyzed during the 10 years period studied. The incidence rate of primary brain tumors is 2.2/100,000 population. Normalized Male/Female ratio is 0.93:1. The commonest histological subtypes were Meningioma (21.9%) and Glioblastoma (18.3 %) followed by Astrocytoma (G2-G3) (18%) and Oligodendroglioma (15.1%). Conclusion: Brain tumors incidence in the state of Qatar is low (2.2/100,000) when compared to developed countries which may reflects the young age population.

Journal of neonatal-perinatal medicine, 2011

... Correspondingauthor: Husam Salama, MD, NICU, Women Center, Hospital Department of Pediatrics,... more ... Correspondingauthor: Husam Salama, MD, NICU, Women Center, Hospital Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar. Tel.: +974 4393249; E-mail: hsalama1@ yahoo.com. Case report 29 A preterm newborn girl was born at 33 weeks of 30 ...

eNeurologicalSci, 2017

A 66 year old Indian gentleman presented with a 3 days history of headache and gradual progressiv... more A 66 year old Indian gentleman presented with a 3 days history of headache and gradual progressive loss of vision in his eft eye, ophthalmological assessment showed no light perception in his left eye with papilledema and afferent papillary defect. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) were done and showed an expanding lesion in the left anterior clinoid process encroaching upon the left orbital apex and optic nerve with features suggestive of a mucocele. Patient was started on dexamethasone, and urgent craniotomy was undertaken, where marsupialization and resection of left anterior clinoid mucocele was done, and histopathologic examination of the operative specimen was consistent with a mucocele. Post-operatively, patient was kept on dexamethasone for few days, with uneventful outcome, and his follow up at 6 months showed complete recovery of his vision from no light perception to 6/12 in the affected eye.

Background This study reviews the effect of albumin-induced volume expansion therapy on symptomat... more Background This study reviews the effect of albumin-induced volume expansion therapy on symptomatic vasospasm and clinical outcome in aneurysmal subarachnoid hemorrhage (SAH) and evaluates the outcomes to those associated with use of albumin among the comparison groups. Methods Computer searches carried out from the Scopus, Medline, Embase, Web of Science, the Cochrane Library, and Internet documents; hand searching of medical journals; and review of reference lists. Randomized, controlled trials (RCT) and observational studies comparing albumin therapy in combination or alone with crystalloid therapy for treatment of cerebral vasospasm in aneurysmal SAH. Results Out of total 1078 searches, one RCT (published in two articles) and one observational (retrospective) study were included for final analysis. In RCT, albumin used for volume expansion therapy with a baseline crystalloid regime and comparison made between hypervolemic and normovolemic groups and it showed no beneficial effec...

Qatar Medical Journal, 2012

A 63-year old Yemeni male, known case of endstage renal disease (ESRD), hypertension and diabetes... more A 63-year old Yemeni male, known case of endstage renal disease (ESRD), hypertension and diabetes mellitus, underwent craniotomy and endoscopic removal of an intraventricular mass. Peri-operatively he was started on cefazolin, a normal diet and regular hemodialysis without heparin. The international normalising ratio (INR) increased rapidly, reaching 4.2 on day five but responded equally rapidly to parenteral Vitamin K and withdrawal of cefazolin. Cefazolin is an antibiotic commonly used in clinical practice because of its long half-life, narrow spectrum and its ability for dose adjustment in renal failure patients. We review the literature, discuss the risk factors of its use and suggest possible mechanisms causing the prolonged coagulation.

Asian Journal of Neurosurgery, 2016

Background: High spinal cord injury (HSCI) is one of the devastating traumatic injuries. 80% of t... more Background: High spinal cord injury (HSCI) is one of the devastating traumatic injuries. 80% of these patients are young male, and 93% will have major neurological disabilities. There is a paucity of literature about prolonged bradycardia in HSCI patients. The aim of this study was to know the prevalence, risk factors, precipitating factors for prolonged bradycardia in the HSCI patients. Materials and Methods: All patients who were admitted to the Intensive Care Unit (ICU) of a tertiary hospital, with spinal cord injury above level of dorsal (D4) were enrolled in this study prospectively. Patient's demographic data, mechanism, level and type of spinal injury, associated injuries, injury severity score (ISS), spinal shock, vasopressors used, time of occurrence of bradycardia, treatment for bradycardia, precipitating as well as risk factors and outcome were recorded. Results: During the study period, a total of 138 patients were admitted to the ICU with HSCI. Majority of patients ...

Journal of Neurosurgery, 2012

Object Although decompressive hemicraniectomy has been shown to reduce death and improve function... more Object Although decompressive hemicraniectomy has been shown to reduce death and improve functional outcome following malignant middle cerebral artery territory infarction, there is ongoing debate as to whether surgery should be routinely performed, considering the very high rates of disability and functional dependence in survivors. Through a systematic review of the literature, the authors sought to determine the outcome from a patient's perspective. Methods In September 2010, a MEDLINE search of the English-language literature was performed using various combinations of 12 key words. A total of 16 papers were reviewed and individual study data were extracted. Results There was significant variability in study design, patient eligibility criteria, timing of surgery, and methods of outcome assessment. There were 382 patients (59% male, 41% female) with a mean age of 50 years, 25% with dominant-hemisphere infarction. The mortality rate was 24% and the mean follow-up in survivors...

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, Jan 7, 2017

The purpose of this retrospective multicenter, pooled-data analysis was to determine the factors ... more The purpose of this retrospective multicenter, pooled-data analysis was to determine the factors associated with in-hospital mortality in decompressive hemicraniectomy (DHC) for malignant middle cerebral artery (MMCA) stroke. The authors reviewed pooled DHC database from 3 countries for patients with MMCA with hospital mortality in spite of DHC to identify factors that predicted in-hospital mortality after DHC. The identified factors were applied to the group of patients who were selected for DHC but either refused surgery and died or stabilized and did not undergo DHC. There were 137 patients who underwent DHC. Multiple logistic regression analysis showed middle cerebral artery (MCA) with additional infarcts (odds ratio [OR], 7.9: 95% confidence interval [CI], 2.4-26; P = .001), preoperative midline shift of septum pellucidum of 1 cm or more (OR, 3.83: 95% CI, 1.13-12.96; P = .031), and patients who remained unconscious on day 7 postoperatively (8.82: 95% CI; OR, 1.08-71.9; P = .04...

Cystic mature teratomas presenting in the spine are rare, comprising less than 0.1% of all spinal... more Cystic mature teratomas presenting in the spine are rare, comprising less than 0.1% of all spinal tumors. They arise from all three germ cell layers and usually accompany other congenital abnormalities. Spinal teratomas are more common in children as compared to adults and are usually associated with spinal dysraphism. Dermal Sinus is a closed type of Spinal dysraphsim, lined with epithelium and are mostly associated with Dermoid, Epidermoid and Posterior arch defect [1]. We present a case of an infant with recurrent meningitis. His examination was remarkable for a lumbar dimple. Imaging revealed a dermal sinus track continuous with a dumbbell appearance of extradural and intradural nodules, while the histopathology confirmed mature cystic Teratoma. J Spine Res Surg 2021; 3 (3): 099-105 DOI: 10.26502/fjsrs0034 Journal of Spine Research and Surgery 100

Background: Dural metastasis from breast carcinoma, prostrate and lung carcinoma have been report... more Background: Dural metastasis from breast carcinoma, prostrate and lung carcinoma have been reported, but presentation of Dural metastasis as subdural hematoma is extremely rare. In literature, only few cases been reported, most of them being adenocarcinoma from breast, lung and gastric cancer [1-3]. We present an uncommon case of Dural based mammary carcinoma with lymphatic involvement presenting as incidental subacute subdural hematoma in asymptomatic patient who was diagnosed on her work up for breast carcinoma. We would like to mention the importance of MRI and Dural biopsy in such cases as the treatment and management of these cases would change based on the result of Dural biopsy.

Journal of Spine Research and Surgery

Asian Journal of Neurosurgery

Surgical neurology international, 2018

Symptomatic hydrocephalus due to vertebrobasilar dolichoectasia is a rare occurrence. We report a... more Symptomatic hydrocephalus due to vertebrobasilar dolichoectasia is a rare occurrence. We report a patient who presented with acute confusion and vomiting. Neuroimaging revealed elongated and tortuous basilar artery indenting and elevating the floor of third ventricle causing obstructive hydrocephalus. Initially, the patient was treated with external ventricular drain and then with ventriculo-peritoneal shunt. We suggest prompt surgical intervention upon diagnosis as a first choice of treatment in order to avoid further complications.

Journal of Neurosurgery Pediatrics, May 1, 2011

Journal of Neurosurgery Pediatrics

Journal of neurosurgery. Pediatrics, 2011

Pilomyxoid astrocytomas (PMAs) are low-grade (WHO Grade II) tumors for which the imaging features... more Pilomyxoid astrocytomas (PMAs) are low-grade (WHO Grade II) tumors for which the imaging features are similar to pilocytic astrocytomas (PAs), but for which histological features and the clinical course differ. They are classified as a variant of PA. They have only been recently recognized, and they behave more aggressively than PAs. Most cases occur in the hypothalamic-chiasmatic area, although they may be located in any part of the neuraxis. Posterior fossa PMAs are very rare. The authors report a case of a 2-year-old girl with cerebellar PMA.

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 2000

Internal carotid artery dissection has been extensively studied and well-described. Although ther... more Internal carotid artery dissection has been extensively studied and well-described. Although there has been a recent increase in the number of reported cases of vertebral artery (VA) dissection, the clinical variety of presentation and the early warning symptoms have not been well-described before. Our objectives in this study include: (1) To determine the early symptoms and warning signs which may help the clinician in the early identification and treatment of patients with VA dissection. (2) To explore the variety of clinical presentation of VA dissection and its relation to prognosis. Retrospective analysis of hospital records in a tertiary academic centre for the period 1989-1999. Twenty-six patients were identified (13 men and 13 women). The mean age was 48. Possible precipitating factors were identified in 14 patients (53%). Sporting activity and chiropractic manipulations were the most common (15% and 11% respectively). Headache and/or neck pain was the prominent feature in 8...

Asian journal of neurosurgery, 2011

Neuroleptic malignant syndrome (NMS) is a rare, but potentially lethal neurological emergency. Fi... more Neuroleptic malignant syndrome (NMS) is a rare, but potentially lethal neurological emergency. Fifty percent of traumatic brain injury (TBI) patients will have emotional disorders and post-traumatic agitations. Haloperidol is a neuroleptic antipsychotic medication commonly used in the traumatic brain injury patients due to its advantage of no effect on respiration and conscious level. But it is one of the common medications causing NMS. A 19-year-old male driver involved in the road traffic accident had an acute subdural hematoma, which was immediately evacuated. Postoperatively, he was awake. He was weaned from ventilator and extubated. He received 20 mg of intravenous haloperidol in divided doses with in 24 hours to control his agitation. Next day, he became drowsy, spastic, febrile, and tachycardic with labile blood pressure. He was diagnosed to have NMS, needed intubation, aggressive hydration and pharmacological treatment with dentrolene sodium and bromocriptin. He was weaned f...