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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 8)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 6)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access   (Followers: 2)
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 8)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 11)

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Journal Cover Egyptian Journal of Neurology, Psychiatry and Neurosurgery
  [SJR: 0.121]   [H-I: 3]   [1 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1110-1083 - ISSN (Online) 1687-8329
   Published by Medknow Publishers Homepage  [355 journals]
  • Cortisol level in depressed patients and its relation with suicidal risk
           and anhedonia

    • Authors: Samia Ahmed, Fatma Moussa, Akmal Moustafa, Doaa R Ayoub
      Pages: 193 - 199
      Abstract: Samia Ahmed, Fatma Moussa, Akmal Moustafa, Doaa R Ayoub
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):193-199
      ContextIn recent times, there has been an increased interest in research related to anhedonia. Nevertheless, its linkage to major depressive disorders and underlying neurobiology are still not well understood. High levels of cortisol are associated with an increased risk for suicide as evidenced by several studies; however, others have not found this association between cortisol levels and suicidality.AimThe aim of this work was to examine whether there is an increased activity of the hypothalamic–pituitary–adrenal axis in major depressive disorder patients and to detect the presence of an association between the level of cortisol and thoughts of death and anhedonia in at-risk patients with major depressive disorder.Settings and designThis case–control study that was conducted on 20 patients with major depressive disorder, diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision, in comparison with 20 controls.Patients and methodsAll patients were assessed using the Present State Examination 10th revision of the Schedules of Clinical Assessment in Neuropsychiatry, Snaith Hamilton Pleasure Scale, Beck’s Suicidal Ideation Scale, and Beck’s Depressive Inventory. Blood samples were collected to assess plasma cortisol level in the morning and evening.Statistical analysisStatistical calculations were carried out using SPSS, version 15.ResultsThere were increased levels of morning and evening cortisol in major depressive disorder patients. Thoughts of death were positively associated with elevated morning cortisol in depression. Anhedonia was associated with higher evening cortisol level in depressed patients in the studied sample.ConclusionThere are relatively increased levels of morning and evening cortisol in major depressive disorder patients in comparison with controls; thoughts of death are positively associated with elevated morning and evening cortisol level.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):193-199
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202375
      Issue No: Vol. 53, No. 4 (2017)
       
  • Visual dysfunction and neurological disability in multiple sclerosis
           patients in correlation with the retinal nerve fiber layer and the
           ganglion cell layer using optical coherence tomography

    • Authors: Said A Gomaa, Mohamed B Badawy, Amr M Elfatatry, Amr A Elhennawy
      Pages: 200 - 205
      Abstract: Said A Gomaa, Mohamed B Badawy, Amr M Elfatatry, Amr A Elhennawy
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):200-205
      AimThe aim of this study was to measure retinal nerve fiber layer (RNFL) and ganglion cell layer (GCL) complex thickness with Cirrus optical coherence tomography (OCT) in Egyptian multiple sclerosis (MS) patients, and to correlate the OCT findings with the visual functions and neurological conditions.Patients and methodsThis study design was a cross-sectional one. A total of 40 eyes of 22 MS patients diagnosed according to the McDonald criteria were included in this study. Exclusion criteria were as follows: optic neuritis less than 6 months ago; best-corrected visual acuity (BCVA) less than 0.5; intraocular pressure more than 21 mmHg; cup-to-disc ratio more than 0.5; myopia more than 5 D; and eyes with other ocular or central nervous system diseases. All patients were subjected to the following: full history taking; complete ophthalmic examination, including visual functions (BCVA, color vision, and contrast sensitivity), intraocular pressure, and anterior and posterior segment examination; ophthalmic investigations using the Cirrus OCT (peripapillary RNFL thickness and macular GCL complex thickness); and complete neurological examination containing Expanded Disability Status Scale (EDSS).ResultsThere were statistically significant negative correlations (which is mostly still thickened or biased with BCVA selection) between BCVA and the GCL complex of the superior areas among the studied patients. There were statistically significant negative correlations between color total errors and the GCL complex of the inferior temporal areas among the studied patients. No statistically significant correlations between contrast or EDSS and the GCL complex of any area were found among the studied patients.ConclusionGCL complex thickness is correlated better compared with RNFL thickness in MS patients with their visual functions (mainly color vision with the inferior temporal area of the GCL complex), and visual function is better correlated with them than with neurological disability measured using EDSS.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):200-205
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202376
      Issue No: Vol. 53, No. 4 (2017)
       
  • Correlation between median nerve conduction studies and ultrasonography in
           cases of carpal tunnel syndrome

    • Authors: Hala R El-Habashy, Reem A El-Hadidy, Sandra M Ahmed, Basma B El Sayed, Aya S Ahmed
      Pages: 206 - 210
      Abstract: Hala R El-Habashy, Reem A El-Hadidy, Sandra M Ahmed, Basma B El Sayed, Aya S Ahmed
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):206-210
      BackgroundNerve conduction studies (NCS) have long been the only objective measure used to confirm the diagnosis of carpal tunnel syndrome (CTS), localize median nerve abnormalities, and exclude alternative diagnosis. Ultrasonography (US) can give information about the contents of carpal tunnel (CT) as well as aid in assessing the size of the median nerve (MN).AimThe aim of this study was to detect the relation between median NCS and cross-sectional area (CSA) of the MN measured using US in different grades of CTS.Patients and methodsThis study was a case–control, age-group matched, cross-sectional one. It included 60 wrists of 30 patients diagnosed with CTS and 60 wrists from 30 controls. Candidates were subjected to clinical assessment, median NCS, and measurement of CSA using US.ResultsThere was a significant positive correlation between CSA of the MN at CT inlet and both motor and sensory responses latencies (r=0.638, P<0.001 and r=0.629, P<0.001, respectively). There was a significant negative correlation of CSA of the MN with sensory and motor amplitudes (r=−0.656, P<0.001 and r=−0.657, P<0.001, respectively). Median nerve CSA at CT inlet in the patients’ group was significantly higher than that in the control group (P<0.0001). CSA at CT inlet in early CTS was 13.27±1.56 mm2; 15.13±1.97 mm2 in mild, 16.47±4.16 mm2 in moderate, and 21.43±3.96 mm2 in severe CTS.ConclusionUS is highly correlated to NCS results in CTS. CSA of the MN at CT inlet measured using ultrasonography can be used as a screening tool for detection as well as discrimination of severe cases of CTS.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):206-210
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202378
      Issue No: Vol. 53, No. 4 (2017)
       
  • Carotid artery stenting in high-risk patients: a single-center experience

    • Authors: Mohamed K Elewa
      Pages: 211 - 218
      Abstract: Mohamed K Elewa
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):211-218
      BackgroundCarotid artery stenting (CAS) is a valid alternative to carotid endarterectomy in selected patients. Periprocedural risk of complications is the main determinant for CAS validity. Certain patients’ features may increase the risk of complication.PurposeTo assess the management and outcome of the CAS in high-risk patient population.Patients and methodsClinical, treatment, and outcome variables of consecutive high-risk CAS candidates between January 2011 and June 2016 in one center were analyzed.ResultsAmong 29 patients, 21 patients had successful CAS, and only one (3.45%) patient had minor periprocedural stroke. In total, six (20.69%) patients were shifted to carotid endarterectomy, and two (6.90%) patients were managed with medical treatment. Regression analysis showed that bovine arch was independent predictor of CAS infeasibility (P=0.006). The mean follow-up duration was 21.38±15 months. Follow-up duration passed uneventfully.ConclusionCAS in high-risk patients appears to be technically safe. The adverse outcome in high-risk patients is low and accepted. The morbidity and mortality is avoidable with better patient selection and the avoidance of aggressive manipulation whenever possible. CAS should be avoided in patients with certain anatomic risk factors such as type III arch and bovine arch.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):211-218
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202380
      Issue No: Vol. 53, No. 4 (2017)
       
  • Importance of early recognition of amyotrophic lateral sclerosis-like
           disorders in the Egyptian population

    • Authors: Heba Raafat, Radwa M Azmy, Reham Shamloul, Amr El Deeb
      Pages: 219 - 224
      Abstract: Heba Raafat, Radwa M Azmy, Reham Shamloul, Amr El Deeb
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):219-224
      BackgroundEarly stages of amyotrophic lateral sclerosis (ALS)-like syndrome when only one limb is affected can be missed by physicians suggesting other unrelated disorders especially with evidenced concomitant pathology of the same limb, leading to diagnostic pitfalls and unnecessary procedures.ObjectiveThe aim of this study was to support the diagnosis of early stages of ALS-like disorders in clinically suspected patients by electrophysiological studies (EDX) including segments that may be clinically unaffected, and searching for the possible etiology.Patients and methodsThis study was conducted on 120 adult patients with unilateral limb symptoms associated with irrelevant imaging abnormalities. Diagnostic workup included history taking, general and neurological examination, and EDX using the El Escorial diagnostic criteria. Further investigations included laboratory studies and paraneoplastic and hormonal assays.ResultsMotor nerve conduction studies revealed reduced amplitude of compound muscle action potential in 62.5% of patients, borderline conduction velocities, normal distal latencies, conduction block in one case, and normal sensory nerve conduction studies. Electromyography of the cranial, cervical, lumbosacral, and dorsal segments showed acute denervation in 80% of patients and chronic denervation in all segments in 35% and in three body segments in 65% of patients. Laboratory investigations revealed 50.83% of patients with chronic hepatitis C, with significant statistical association between EDX and laboratory results, 30.83% with hyperthyroidism, 8.33% with paraneoplastic syndrome, one case with multifocal motor neuropathy with conduction block, one case with myasthenia gravis, and 8.3% with negative results.ConclusionALS-like disorder should be investigated whenever ALS is suspected, and further laboratory workup might unveil a coexisting ‘possibly causative’ pathological condition.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):219-224
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202381
      Issue No: Vol. 53, No. 4 (2017)
       
  • Neuropsychiatric complications after liver transplantation

    • Authors: Mohamed E Elwan, Rasha A El-Kabany, Amr S Shalaby, Ibrahim E Alahmar, Osama Hegazy, Mona S Elkholy
      Pages: 225 - 231
      Abstract: Mohamed E Elwan, Rasha A El-Kabany, Amr S Shalaby, Ibrahim E Alahmar, Osama Hegazy, Mona S Elkholy
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):225-231
      BackgroundNeuropsychiatric complications are responsible for significant mortality and morbidity after liver transplantation (LT).ObjectiveThe aim of this study was to detect the neuropsychiatric complications after LT, and to identify any possible relationship between these complications and certain perioperative risk factors.Materials and MethodsThe study was performed on 35 patients admitted in the National Liver Institute, Menoufiya University, who underwent LT. Patients were assessed 2 weeks preoperatively and followed up for 3 months postoperatively. Preoperatively, clinical assessment, mini mental state examination, Bender–Gestalt test, trail making test, structured clinical interview for DSM-IV axis I disorders scale, assessment using the hospital anxiety depression scale, laboratory tests for hepatic disease and comorbidities, cerebral computerized tomography and/or MRI, carotid duplex and electroencephalography were carried out. Intraoperatively, assessment of warm and cold ischemia time, operative time, and blood transfusion was carried out. Postoperatively, clinical examination, mini mental state examination, Bender–Gestalt test, trail making test, assessment with the structured clinical interview for DSM-IV axis I disorders scale and the hospital anxiety depression scale, brain imaging, electroencephalography, nerve conduction studies, and electromyogram were carried out.ResultsPostoperatively, neurological complications were detected in 13 (37.1%) patients in the form of central complications, such as encephalopathy, seizures, and cerebrovascular strokes, and peripheral neuropathies. However, psychiatric complications were detected in 15 (42.9%) patients in the form of cognitive disorders, maladjustment, anxiety disorders, major depressive disorders, and brief psychotic episode.ConclusionThis work showed that, in adult patients undergoing living donor LT, there was a relevant variety of neurological and psychiatric complications, which represented significant causes of postoperative morbidity and should be diagnosed and managed early.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):225-231
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202382
      Issue No: Vol. 53, No. 4 (2017)
       
  • Frequency and determinants of subclinical neuropathy in type 1 diabetes
           mellitus

    • Authors: Yosria A Al-Taweel, Rasha M Fahmi, Nahed Shehta, Tamer S Elserafy, Hala M Allam, Ahmed F Elsaid
      Pages: 232 - 237
      Abstract: Yosria A Al-Taweel, Rasha M Fahmi, Nahed Shehta, Tamer S Elserafy, Hala M Allam, Ahmed F Elsaid
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):232-237
      BackgroundDiabetic neuropathy is the most common complication of diabetes. We hypothesized that uncontrolled diabetes is associated with subclinical diabetic neuropathy that is influenced by duration of disease. Assessment of the prevalence and associated determining factors will be important for the prevention and treatment of neuropathy.ObjectiveThis aim of this study was to assess the frequency and determining factors of subclinical peripheral neuropathy in type 1 diabetic (T1DM) patients.Patients and methodsThe current hospital-based, case–control study was conducted at Zagazig University Hospitals. It included three age-matched and sex-matched groups. Each group comprised 30 participants: group A included diabetic patients with a duration of T1DM of 5 years or less; group B included patients with a duration of T1DM of more than 5 years; and the control group included normal healthy individuals. Clinical assessment was carried out to exclude symptoms and signs of neuropathy. Laboratory investigations including fasting and 2-h postprandial blood glucose level, glycosylated hemoglobin (HbA1c), lipid profile, liver function, kidney function, and nerve conduction studies were carried out for every participant.ResultsThe frequency of subclinical neuropathy in group A and group B was 46.6 and 76.6%, respectively, and this difference was statistically significant (P=0.03). Univariate analysis revealed significantly higher levels of HbA1c, dyslipidemia, and nerve conduction parameters in group B compared with group A and the control group. Multivariate logistic regression analysis showed that duration of diabetes (P=0.02) and HbA1c (P=0.02) were the only independent factors associated with subclinical neuropathy.ConclusionThe high frequency of subclinical neuropathy in diabetic patients highlights the importance of nerve conduction studies for the early detection of neuropathy in T1DM.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):232-237
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202383
      Issue No: Vol. 53, No. 4 (2017)
       
  • Role of interleukin-6 in refractory epilepsy

    • Authors: Nervana M El-Fayoumy, Hatem A El-Massry, Montasser M Hegazy, Amany H Ragab, Rabab A Mohamed, Sara G Abdel Alim
      Pages: 238 - 243
      Abstract: Nervana M El-Fayoumy, Hatem A El-Massry, Montasser M Hegazy, Amany H Ragab, Rabab A Mohamed, Sara G Abdel Alim
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):238-243
      BackgroundThere is increasing evidence of a complex relationship between epilepsy and the immune system.ObjectiveThe aim of this study was to ascertain the relationship between inflammatory cytokines, immune system dysregulation, and the pathogenesis of refractory epilepsy by determining the level of interleukin-6 (IL-6) in patients with refractory epilepsy and its relation to different factors.Patients and methodsThis study was conducted on 30 patients with refractory epilepsy and 10 healthy control participants. All patients were assessed using clinical evaluation, conventional digital electroencephalogram, brain MRI, routine laboratory tests, and IL-6 level in serum.ResultsSerum IL-6 level was significantly higher in patients with refractory epilepsy than in the control group.ConclusionThere is a significant association between serum IL-6 level and refractory epilepsy.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):238-243
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202384
      Issue No: Vol. 53, No. 4 (2017)
       
  • Evaluation of neurotrauma in motorcycle-related accidents at a tertiary
           hospital in Egypt

    • Authors: Ahmed El-Fiki, Omar El Falaky
      Pages: 244 - 247
      Abstract: Ahmed El-Fiki, Omar El Falaky
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):244-247
      BackgroundAlthough traffic laws in Egypt obligate drivers to wear helmets, they are not strictly followed, resulting in an increased incidence of neurotrauma during accidents.ObjectiveThe aim of the present study was to evaluate head and spine injuries as a result of motorcycle accidents in 1 year.Patients and methodsThis study was conducted in the Neurosurgical Emergency Department of Cairo University Hospitals. Only motorcycle-related neurotrauma patients were included. Demographic data, types of lesions inflicted, operations and procedures carried out, hospital stay, and outcome were investigated by analyzing admission files and operation records. The results were then compared with the published literature.ResultsOut of 117 patients, there were 93% males and 7% females. The age group 20–40 years represented 61.5% of the cases. Extradural hematoma was present in 42 (36%) cases, fissure fracture and base of skull fracture in 64%, brain contusion in 29%, and spine fracture in four (0.034%). Helmeted drivers represented only 9.5% of the patients. Thirty-nine percent of patients had other associated injuries than of head and spine. Operations were performed on 45 (38.5%). Nearly half of the operation procedures comprised evacuation of extradural hematoma. Others included elevation of depressed fracture, frontal sinus repair, decompressive craniotomy, and spinal fixation surgeries. Hospital stay ranged from 2 to 28 days with an average of about 4.5 days; furthermore, 22.2% of the victims became handicapped and dependent.ConclusionFollowing safety measures during motorcycling significantly reduces morbidity and mortality at time of accidents. Although these patients have a short median hospital stay but surgery rates are obviously high. Follow-up for victims may reveal other potential burdens and help in the reintegration of society.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):244-247
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202385
      Issue No: Vol. 53, No. 4 (2017)
       
  • Correlation between clinical neuropathy scores and nerve conduction
           studies in patients with diabetic peripheral neuropathy

    • Authors: Lamia Afifi, Ahmed M Abdelalim, Amal S Ashour, Aussan Al-Athwari
      Pages: 248 - 252
      Abstract: Lamia Afifi, Ahmed M Abdelalim, Amal S Ashour, Aussan Al-Athwari
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):248-252
      BackgroundDiabetic peripheral neuropathy (DPN) represents one of the most common complications of diabetes mellitus.ObjectiveThe aim of this study was to assess the correlation between clinical neuropathy scores and nerve conduction studies (NCS).Patients and methodsThis study included 30 (12 men and 18 women) Egyptian patients with type 2 diabetes mellitus complaining of symptoms suggestive of DPN. All patients underwent a clinical evaluation using three clinical scores: the Neuropathy Disability Score (NDS), the Neuropathy Impairment Score in the Lower Limbs (NIS-LLs), and the Diabetic Neuropathy Examination (DNE) score. Neurophysiological studies using NCS as well as measurement of glycated hemoglobin (HbA1C) were carried out.ResultsHbA1C was significantly correlated with NDS, NIS-LL, and DNE. The NDS was statistically correlated to median nerve sensory amplitude, sensory conduction velocity; ulnar nerve sensory amplitude, sensory conduction, motor amplitude, motor conduction velocity; and peroneal nerve sensory amplitude, sensory conduction velocity, motor amplitude, and motor conduction velocity. NIS-LL was significantly correlated with median nerve sensory amplitude, sensory conduction velocity; motor amplitude, motor conduction velocity; ulnar nerve sensory amplitude, sensory conduction velocity, motor conduction velocity; and peroneal nerve sensory amplitude, sensory conduction velocity, motor amplitude, and motor conduction velocity. DNE was significantly correlated with median nerve sensory amplitude, sensory conduction velocity, motor amplitude, motor conduction velocity; ulnar nerve sensory amplitude, sensory conduction velocity, motor amplitude, motor conduction velocity; and peroneal nerve sensory amplitude, sensory conduction velocity, motor amplitude, and motor conduction velocity.ConclusionClinical neuropathy scores represent a simple tool for evaluation and follow-up of patients with DPN in comparison with NCS, and we recommend the use of these scores in clinical practice on a routine basis.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):248-252
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202386
      Issue No: Vol. 53, No. 4 (2017)
       
  • Influence of cognitive dysfunction on spatiotemporal gait parameters in
           patients with diabetic polyneuropathy

    • Authors: Mohamed S El-Tamawy, Moshera H Darwish, Shereen S Mohamed, Montaser Hegazy, Mye A Basheer
      Pages: 253 - 257
      Abstract: Mohamed S El-Tamawy, Moshera H Darwish, Shereen S Mohamed, Montaser Hegazy, Mye A Basheer
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):253-257
      BackgroundAn accurate rehabilitation program of diabetic polyneuropathy (DPN) depends on a precise assessment of cognition and determination of its relation to gait using different objective and valid methods.ObjectiveOur aim was to assess cognitive function and analyze the influence of cognitive dysfunction on the spatiotemporal gait parameters under three different gait conditions (walking without a cognitive task, walking with verbal fluency, and walking with an arithmetic task) in DPN patients.Patients and methodsTwenty patients with type II diabetes mellitus with moderate polyneuropathy (PN) (group 1) and 20 matched patients with type II diabetes mellitus without PN (group 2) represented the sample of this study. Different cognitive domains of cognition were assessed using a computer-based RehaCom procedure. Spatiotemporal gait parameters were assessed using a 2D video-based motion analysis under the three different gait conditions.ResultsThe results showed a significant decrease in all cognitive domains in the DPN patients (group 1) (P<0.05). All spatiotemporal gait parameters were significantly affected in the DPN (group 1), especially during dual-task performance (P<0.05).ConclusionThere is an association between cognitive dysfunction and PN complications in diabetic patients. Spatiotemporal gait parameters are affected more in DPN patients, especially under dual-task conditions, than in diabetic patients without PN.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):253-257
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202387
      Issue No: Vol. 53, No. 4 (2017)
       
  • Hormonal profile and clinical characteristics of epileptic females with
           abnormal ovarian morphology

    • Authors: Asmaa M Ebraheim, Reham M Shamloul, Soha Talaat
      Pages: 258 - 262
      Abstract: Asmaa M Ebraheim, Reham M Shamloul, Soha Talaat
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):258-262
      BackgroundWomen with epilepsy (WWE) tend to have ovarian echographic abnormalities, raising concerns about an interaction between the brain and the ovaries.ObjectiveThis study aims to determine the relationship between abnormal ovarian follicular morphology as detected by ultrasonography (US) and clinical features, hormonal profile, and antiepileptic drugs (AEDs) in epileptic females.Participants and methodsWWE who attended Kasr Al-Ainy Epilepsy Clinic and fulfilled the inclusion criteria were recruited and assessed clinically. Transabdominal US of the ovaries and the uterus was performed; in addition, serum levels for luteinizing hormone (LH), follicle-stimulating hormone, estradiol, testosterone, and fasting insulin were determined for all the participants. Thirteen WWE who had ovarian echographic abnormalities were compared with 67 epileptic females with normal ovarian US.ResultsSignificantly elevated LH was detected in patients with ovarian morphologic abnormality compared with the control group. The clinical parameters, the frequency of use of different AEDs, and the mean values of the other hormones were comparable in both groups.ConclusionElevated LH in patients with an ovarian echographic abnormality points to altered gonadotropin secretion in these patients, which could be explained by the effect of epileptic discharges on the hypothalamus, but not the use of AEDs.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):258-262
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202388
      Issue No: Vol. 53, No. 4 (2017)
       
  • Barriers for acute ischemic stroke treatment using recombinant tissue
           plasminogen activator in Mansoura Emergency Hospital: prehospital and
           inhospital delay factors

    • Authors: Mohammad Abu-Hegazy, Ibrahim Elmenshawi, Mohamed Saad
      Pages: 263 - 267
      Abstract: Mohammad Abu-Hegazy, Ibrahim Elmenshawi, Mohamed Saad
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):263-267
      IntroductionEffective treatment must start as early as possible as brain cells die rapidly after stroke. To increase the number of patients who are eligible to receive tissue plasminogen activator, measures are needed to reduce the prehospital and inhospital delay time. The study aimed to evaluate the possibility of thrombolytic therapy in acute ischemic stroke patients in Mansoura Emergency Hospital (MEH) by studying the effect of prehospital and inhospital delay factors.Patients and methodsA standardized, structured questionnaire was completed for every stroke suspect; in it we documented the exact time of stroke onset, the way of referral and transport to hospital, and their demographic data. The exact time of patient arrival, time to neurology consultation, and detailed time delay inside MEH was marked on the forms of the hospital as well.ResultsIn total, 435 patients had arrived MEH in less than 24 h, their mean age being 61.7 years. The median prehospital time was 2.7 h. Patients with younger age, locals, those who reached by private vehicle, or reached directly without any medical reference were significantly associated with early hospital admission. Sex, time of arrival, or severity of stroke had no influence on reaching hospital early. The median times to computed tomography request and acquisition were 20 and 35 min versus 25 and 45 min, respectively, National Institute of Neurological Disorders and Stroke recommendations.ConclusionHyperacute treatment of ischemic stroke is possible in MEH. Methods to improve the emergency medical services and reduction of the patient circulation system in MEH will give more chance for these therapies by reducing prehospital and inhospital delay times.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):263-267
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202377
      Issue No: Vol. 53, No. 4 (2017)
       
  • The subclinical epileptiform discharges among nonepileptic cerebral palsy
           patients

    • Authors: Mohamed K Elewa, Magdy A Mostafa
      Pages: 268 - 273
      Abstract: Mohamed K Elewa, Magdy A Mostafa
      The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):268-273
      BackgroundSubclinical epileptiform discharges (SEDs) are assumed to play a role in the development of cognitive dysfunction in cerebral palsy (CP) patients.PurposeThe aim of this study was to estimate the prevalence of SEDs among nonepileptic CP patients and their cognitive correlates.Patients and methodsFifty-one nonepileptic CP patients were recruited. All patients were subjected to history taking, neurological examination, assessment using Gross Motor Function Classification System for CP, the Stanford–Binet scale (5th edition), encephalography, and MRI of the brain. They were divided into two groups: group 1, which included 19 CP patients without SEDs, and group 2, which included 32 CP patients with SEDs. A comparison between patients’ features studied in groups 1 and 2 was made using independent-samples t-test and the χ2-test. A correlation between SEDs and the studied features was made using Spearman’s rank correlation coefficient (ρ).ResultsThe prevalence of SEDs among nonepileptic CP patients was 62.7%. The presence of MRI abnormality and moderate mental retardation showed a highly significant positive correlation with SEDs. Meanwhile, central nervous system malformation and severe mental retardation showed a significant positive correlation with SEDs. However, normal intelligence showed a highly significant negative correlation with SEDs. Kernicterus and dyskinetic CP showed a significant negative correlation with SEDs.ConclusionSEDs are a common finding among nonepileptic CP children. They are positively correlated to cognitive dysfunction. This finding supports the assumption that SEDs are therapeutic target in mentally subnormal children. Larger studies are needed to confirm our results and to evaluate the clinical benefit of treating SEDs.
      Citation: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2016 53(4):268-273
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/1110-1083.202379
      Issue No: Vol. 53, No. 4 (2017)
       
 
 
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