Mohamed El-Fiki

• MBBCh, MS, DNCh, MD
• Professor at Alexandria University

Neurosurgery has been practiced for more than 12,000 years worldwide. Cranial and transnasal approaches to the brain have beenpracticed for variable religious, mystical, or therapeutic purposes in ancient civilizations of Africa and specifically in Egypt (1). AncientEgyptian medicine is documented in the paintings on the walls of temples and numero...

The authors of the video reviewed “Surgical Dissection of a Perimedullary Fistula of Conus Medullaris With Long-Term Follow-up: 2-Dimensional Operative Video,”1 which presented a well-documented highquality video on partial surgical resection of a perimedullary conus medullaris dural arteriovenous fistula (DAVF). The video is quite educational tech...

BACKGROUND: Prolactinomas are the commonest functional tumors of the pituitary gland. There are still controversies regarding medical therapy in specific clinical situations. Patients may be managed by different specialists in the Middle East and North Africa (MENA) region and no data exist on patterns of clinical management. OBJECTIVES: To ascerta...

Vertebral osteoporotic fractures present by pain and interfere with daily activity. They are devastating if they inflict neurological deficits especially if unstable. They are on the rise because of aging population and more sedentary life. Conservative lines of prolonged bed rest or prolonged open surgery are hazardous to the injured old flail pop...

Objectives: Cerebral palsy (CP) is a disorder caused by injury or abnormal development of the brain at or immediately after birth. Current management of CP may improve the symptoms, such as muscle tone and gait, but is not directed to the original damage. Cellular therapy is evolving as a regenerative tool in many diseases with neural damage. Mesen...

Introduction: Decompressive craniotomy may be performed in several indications including severe traumatic brain injuries. To date, there is no specific drug treatment and many promising agents in pre-clinical animal models have failed in clinical trials. Evidence-based guidelines for traumatic brain injury management have not made a major impact on...

INTRODUCTION: Post-resection hydrocephalus is observed in approximately 30% of pediatric patients with posterior fossa tumors. However, which patients will go on to develop post-resection hydrocephalus is not known. The Canadian Preoperative Prediction Rule for Hydrocephalus (CPPRH) was developed in an attempt to identify this subset of patients al...

A prospective study was performed on 80 cases of different types of sellar lesions during the period between January 2007 and December 2010. The binasal approach was used in all patients. Functioning lesions were diagnosed in 59 patients. The most common secretory tumors were prolactinomas (37 patients) followed by adrenocorticotropic hormone produ...

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Lumbar textilomas are rare postoperative finding responsible for occasional morbidity and mortality after posterior lumbar spine surgery. Each year (3), 1500 cases of retained foreign bodies are reported in the American literature with 1.5% of them as spinal textilomas. It is mainly due to foreign body reaction presenting either early or several mo...

Two major challenges facing African neurosurgery include quality and quantity, in both recourses and personnel. Discrepancy is noted between the two poles, namely, the north and south of the continent and the sub-Saharan area. Although reasonably advanced in the north and south, neurosurgery remains poorly distributed and has multiple deficiencies....

Meningiomas are usually solid tumours. Cystic changes in meningiomas are rare. These cysts may occur extratumoural, peritumoural or intratumoural. Diagnostic difficulties arise in cases of cystic meningiomas. Nine cases of cystic meningiomas were operated on in the past 6 years at the department of neurosurgery University of Alexandra. The mean age...

Sphenoid sinus mucoceles are rare lesions. Those with intracranial extension were thought to be extremely rare in Western literature. We encountered three such cases within 1 year. These cases were confirmed on pathological examination to be pyoceles of the sphenoid sinus, extending to the sella and suprasellar region. Bilateral exophthalmos, papil...

A saphenous vein graft was implanted from the right subclavian to the right common carotid artery in seven dogs (group I) and between the right and left common carotid arteries in another seven dogs (group II). The recipient artery was ligated proximally to augment blood flow through the graft. Immediately after the anastomoses were completed, the...

Mural vascular repair following experimental and clinical aneurysm obliteration was studied using the scanning electron microscope and standard histological techniques. Two of the more frequently utilized clinical obliteration techniques, clipping and coagulation, were examined. A chronological description of the mural reparative process reveals th...

The results of superficial temporal to middle cerebral artery bypass surgery for bilateral internal carotid artery occlusion were reviewed in 39 patients. Preoperative symptoms included recurrent transient ischemic attacks (TIA's) in 31 patients (80%) and mild or moderate stroke in 15 (29%). Deficits were unilateral in 23 cases and bilateral in 14....