The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgery

Abstract Background Ventriculo-peritoneal shunt insertion is an age-long and yet persistent procedure employed for the management of hydrocephalus in children. Although, the concerns of foreign body implantation and possible complications, is gaining attention, many surgeons continue to use ventriculo-peritoneal shunt to surgically treat hydrocephalus. In low-resource settings with limited or una…

Abstract Background The sciatic nerve is long wide peripheral nerve and innervates the much of the lower limb muscles. Because of the long course of the sciatic nerve, many different causes and scenarios can cause its injury. Common causes of these injuries include road traffic accidents (RTA), hip joint dislocation, injection injuries, penetrating stap injuries and gunshot wounds (GSW). Also, ac…

Abstract Objective T o compare postoperative remission rates among different trigeminal nerve branches after microvascular decompression (MVD). Methods We retrospectively analyzed patients with trigeminal neuralgia (TN) who underwent MVD in our department from January 2016 to December 2023 to investigate postoperative prognosis and factors associated with prognosis. Results 275 patients with TN, …

Abstract Hydrocephalus remains one of the most common and challenging conditions in pediatric neurosurgery, with substantial morbidity and long-term healthcare burden worldwide. Endoscopic Third Ventriculostomy (ETV) has emerged as an important alternative to cerebrospinal fluid shunting; however, its success remains highly variable across patient populations. To address this variability, the End…

Abstract Hydrocephalus management is particularly challenging in patients with contraindications to conventional cerebrospinal fluid (CSF) diversion pathways. We report the case of a 37-year-old woman with obstructive hydrocephalus and a complex surgical history, including multiple shunt failures, extensive venous thrombosis and impaired peritoneal absorption. After exhaustion of standard options…

Abstract Background Surgical evacuation of a hematoma offers several theoretical advantages, including the prevention of mass effect and subsequent cerebral herniation, the reduction of elevated intracranial pressure, and the mitigation of excitotoxic and neurotoxic effects caused by the accumulation of blood breakdown products. Aim The present study aims to evaluate survival and functional outco…

Abstract Introduction A neurenteric cyst is a rare, benign congenital spinal malformation that is classified as a type of notochordal dysraphism and categorized by the World Health Organization as ‘rare benign developmental, malformative lesions of the Central nervous system’. Its lumbar location is particularly unusual, and its manifestation as a conus medullaris syndrome is even more exceptiona…

Abstract Objective Malformations of the craniovertebral junction (CVJ) have recently arisen as a focal point for research. Chiari malformation (CM) and basilar invagination (BI) are the most common CVJ malformations in adults. Conducting qualitative and quantitative analyses of the relevant literature are essential to understand these conditions. Therefore, the present study aimed to identify and…

Abstract Background Calcium pyrophosphate deposition (CPPD) disease usually affects peripheral joints in older adults, whereas spinal involvement is rare and intramedullary cases have not been reported. We describe a unique case of intramedullary spinal pseudogout mimicking a tumor. Case presentation A 59-year-old woman presented with chronic cervicothoracic pain. MRI revealed an intramedullary l…

Abstract Background Robotic assistance in neurosurgery has emerged as a promising tool to enhance surgical precision, reduce intraoperative variability, and improve recovery outcomes. However, the clinical benefits of these systems remain under ongoing evaluation. Objective To systematically assess the impact of robotic-assisted neurosurgical procedures on operative time, accuracy, and postoperat…

Abstract Background Subdural hematoma (SDH) is a recognized complication following ventriculoperitoneal shunt (VPS) placement, primarily caused by excessive cerebrospinal fluid (CSF) drainage. This overdrainage can result in ventricular collapse and traction of the bridging veins, leading to hemorrhage. Management remains challenging, requiring a balance between evacuating the hematoma, maintaini…

Abstract Aims This study aimed to compare the clinical presentation, radiology, surgical management, and outcomes between spontaneous and traumatic CSDH. Materials and methods A prospective cohort of 63 patients with radiological confirmed CSDH was enrolled over six months and categorized by etiology into spontaneous ( n = 32) and traumatic ( n = 31) groups. It was classified according to a modif…

Abstract Background This study aimed to evaluate the histomorphological cellular and fibrotic responses in rat brain tissue following direct placement of platinum coils, simulating potential coil protrusion or extravasation scenarios encountered during endovascular treatment of ruptured intracranial aneurysms. Methods A burr hole was made in the biparietal bone region of 40 Winstar albino rats to…

Abstract Background The association between chronic uncal herniation and meningioma is not well recognized. This rare presentation may represent a missed neurosurgical emergency. We report a case series of eight meningiomas with this unusual radiological finding, including patients’ clinical presentations, imaging characteristics, operative challenges, and surgical and neurological outcomes. Fact…

Abstract Background Degenerative cervical myelopathy (DCM) is the primary cause of nontraumatic spinal cord injury in adults and the elderly. Laminoplasty (LP) offers benefits for cervical lordosis and laminectomy (LF) for spinal instability, prevention of fusion-related complications, and decreased dura mater constriction from scar tissue. Although it has some drawbacks, like hinge fractures and…

Abstract Background Angiocentric glioma (AG) is a rare form of brain tumor first reported in 2005. It is mainly characterized by cortical epileptogenic lesions with an angiocentric arrangement of tumor cells. Cystic degeneration is an uncommon radiological manifestation of this disease. Case description We present the case of a 33-year-old woman who was treated with microsurgical resection. The o…

Abstract Background When ventriculoperitoneal (VP) shunting fails or is contraindicated, selection between ventriculoatrial (VA) and ventriculopleural (VPl) shunts remains largely empirical, driven by surgeon preference rather than evidence-based criteria. Despite increasing use of alternative CSF diversions, systematic guidance for terminus selection remains limited. Methods A narrative review s…

Abstract Background Benign spinal extradural vascular neoplasms are rare lesions that may present with radiculopathy and mimic common degenerative lumbar pathologies. Misinterpretation of imaging findings may lead to an incorrect preoperative diagnosis. Case presentation A 47-year-old woman presented with a three-year history of low back pain and progressive right leg pain consistent with L5 radi…

Abstract Background Chronic subdural hematoma (CSHD) is a common neurological disorder, especially in older people and those on anticoagulant therapy, with incidences of 58 per 100,000 and 80 per 100,000 annually in those individuals over 65 and 75 years, respectively. It is caused by tearing of bridging veins after a minor head injury , presenting with signs and symptoms such as headache , gait …