Intraoperative ultrasound is suggested to be a useful imaging technique in defining the border between the tumor and healthy brain tissue pre-resection, in detecting residual tumor tissues after the resection of the mass, and in guiding to the shortest and safest access to the tumor during neurosurgery.
Background: Coronavirus disease 2019 , caused by severe acute respiratory syndromecoronavirus-2 (SARS-CoV2), is an ongoing pandemic that has already affected millions of patients worldwide, and is associated with significant morbidity and mortality burden.Objective: To characterize the clinical manifestations and outcomes of COVID-19 in Egyptian patients.
Patients and Methods:This was a retrospective cohort study conducted on 333 subjects with COVID-19 who were admitted to Al-Azhar University Specialized Hospital, Quarantine Hospital, and some patients during follow up after discharge from other quarantine hospitals, during the period from 15th of April, 2020 to 31st of August, 2020. Presenting clinical manifestations, laboratory findings, imaging findings and mortality rate were recorded from electronic medical records and sometimes from patients.
Results:The vast majority had cough (82.6%) and fever (51.7%), while 23.4% had dyspnea among COVID-19 patients. There was a significant older age among died cases (66.4 ± 17.4 years old) than recovered cases (40.3 ± 14.9 years old) (p-value <0.001). The overall co-morbiditis 89.5% and 38.5% in died and recovered cases respectively. Significant differences (p-value < 0.001) were found between died and recovered patients regarding, Lymphocytes and neutrophilic/ lymphocytic ratio (NLR). The C-reactive protein (CRP), ferritin and D-Dimer were higher in died cases. Crazy paving appearance was the findings in CT chest in deceased patients. The mortality rate was 5.7%.Conclusions: Age, obesity, lymphopenia, D. dimer, CT chest findings and other co-morbid disease could be considered as a predictor of outcome among COVID-19 patients.
Background: Infantile spasm is a type of pediatric seizure often associated with a negative prognosis. The aim of this study was to evaluate the role of Magnetic Resonance Imaging (MRI) in categorization and neurodevelopmental outcomes in children with infantile spasm. Materials and Methods: A retrospective study of the clinical charts and MRI findings of infants diagnosed with infantile spasm between December 2007 and February 2014. Results: A total of 26 children (16 males; 1.6/1) were included: 8 of unknown etiology and 18 with a genetic/structural-metabolic causes. Unknown etiology cases revealed normal brain MRI in 5/8 (62.5%). In the genetic/ structural-metabolic group, only 2/18 (11.1%) had normal imaging. Abnormal imaging findings significantly correlated with genetic/structural-metabolic infantile spasm which had unfavorable neurodevelopmental outcome. Conclusion: Neuroimaging conveys substantial information to the further categorization of children with infantile spasm, providing not only relevant information of the underlying cause but also the prediction of the neurodevelopmental outcome.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.