Lumbar canal stenosis is a common disease with disabling sequences to the patient either due to the disease itself or due to the common surgical procedures which aim to decompress the canal but with much common complications due to removal of the posterior complex (bone and ligaments) of the stenosed segment causing more chance for instability of the spine, much trauma to the other tissues (e.g. muscles of the back on both sides), much scare tissue formation, dead space, postoperative pain and impaired quality of life. The microscopic bilateral decompression by only unilateral laminectomy aims to preserve stability by preserving midline structures like spinous process, intraspinous and supra spinous ligaments and facet joint besides proper dural and foraminal decompression. In this study, it was noticed that this procedure produce proper decompression of segmental spinal stenosis regarding post operative radiological studies, which revealed adequate decompression of the stenosed segment regarding measuring canal cross-sectional area and dimensions both pre and postoperative, and clinically regarding estimating clinical improvement of the patients by estimating low back pain and lower limb pain by visual analogue scale before and after the operation with follow up after one week, 3 months and 6 months, which revealed proper clinical improvement. Patient quality of life was estimated by using Oswestry Disability Index and questionnaire, pre and postoperative after one week, 3 months and 6 months, which revealed proper improvement of the quality of patient life after such procedure.

Background: Intracranial aneurysms are common with a prevalence of 0.2% to 9% in adults. Intracranial aneurysms have high mortality and morbidity, so exclusion of aneurysms from cerebral circulation is aimed with established endovascular embolization.

Aim:-Endoscopic transsphenoidal approaches to sellar tumor have undergone several refinement over the last 100 years, we report the results of our early experience of a consecutive series patients who underwent sellar tumor excision via endoscopic endonasal approach and the results of the evaluation of the efficacy and safety of this approach and recognized the learning curve for this procedure. Material And Methods:-20 patients undergoing sellar region surgery between March 2014 and March 2016 were assessed retrospectively and prospectively in our department. Results: The preoperative clinical presentation of the patients, visual assessment, hormone profile, computed tomography and magnetic resonance imaging findings, were evaluated and revealed the importance of the parameters for surgery. Surgical technique, tumor characteristics, postoperative clinical condition of the patients, hormone profile, complications and follow-up period were reviewed. Conclusion: Endonasal endoscopic pituitary surgery is a minimal invasive, safe and effective surgical technique.

Goal: To understand endoscopic third ventriculostomy (ETV) surgical result in the hydrocephalus. Setting: Benha University Hospitals Department of Neurosurgery. Between January 2016 to February 2020. Materials and processes: A total of 58 hydrocephalus patients were included in this research, regardless of gender prejudice. CSF loculation or tumour hydrocephalus was excluded. Hydrocephalus CT scan brain and MRI were diagnosed. Information on patient specifics, causes of hydrocephalus and operation problems were recorded in Performa patient. The data were examined in version 26 of SPSS. Frequency and percentage for categorical variables were computed. Mean ± SD for age has been computed. Results were presented as tables. Results: The research comprised a total of 58 individuals with hydrocephalus. Of the 58 patients, 32 were male (55.2 per cent) and 26 were female (44.8 percent ). The average age was 22.86 months. The most frequent cause of hydrocephalus was congenital aqueductal stenosis. CSF leaking was observed in 20 individuals after surgery (34.5 percent ). 6 individuals have postoperative infection (10.3 percent ). Conclusions: third ventriculostomy endoscopic is safe and effective. Patients who fulfil the requirements are offered the option of freeing themselves from shunt dependence via endoscopic third ventriculostomy.