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Pituitary adenoma surgeries in COVID-19 era: Early local experience from Egypt
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Medhat Ali Arnaout
Staff Zu Site
Abstract In Staff Site
Journal:
surgical Neurology International Scientific Scholar
Volume:
Keywords :
Pituitary adenoma surgeries , COVID-19 era: Early
Abstract:
Background: The pandemic of COVID-19 has a great impact on all health-care services worldwide. Neurosurgical recommendations are to postpone the endoscopic endonasal pituitary surgeries during the pandemic. We would like to express our experience with urgent pituitary adenomas during the current COVID-19 pandemic. Methods: In our country, COVID-19 has started to become a paramount problem by March 2020. Nine cases of pituitary adenomas have presented with urgent manifestations. The endoscopic endonasal approach was performed in eight patients, while a craniotomy was selected for a recurrent pituitary adenoma. Pre- and postoperative thorough clinical evaluations with chest CT scans were performed. Other strict infection control measures have been applied. Results: In 8 weeks duration starting from the past days of February 2020, we have operated on four females and five males of pituitary adenomas. Visual deterioration was the main presenting symptom. The driving factor for surgery was saving vision in eight patients. Fortunately, the postoperative course was uneventful for all patients. No suspected COVID-19 infection has been reported in any patient or health-care team except one patient. In our city, PCR test was routinely not available. Conclusion: In the era of COVID-19, strict infection control precautions should be employed to limit the possibility of transmission of any possible infection to patient or any of the surgical team. We believe that the risk of getting such infection is not increased by the endonasal approach. Long-term follow-up and large numbers of prospective studies are recommended to delineate the impact of COVID-19 infection on pituitary surgeries.
Author Related Publications
Mohamed Medhat Ali Arnaout, "Increased frequency of cataract surgery in patients over age 50 with pituitary macroadenomas and chiasmal compression", Springer Nature, 2019
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Mohamed Medhat Ali Arnaout, "Direct head injury caused by a tear gas cartridge. Questions on safety: A case report from Iraq and review of the literature", Elsevier, 2018
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Mohamed Medhat Ali Arnaout, "Diagnostic value of early postoperative MRI and diffusion-weighted imaging following trans-sphenoidal resection of non-functioning pituitary macroadenomas", Elsevier, 2018
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Mohamed Medhat Ali Arnaout, "Endoscopic and Endoscopic Assisted Surgeries for Sellar and Parasellar Tumors", sciencepg, 2017
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Mohamed Medhat Ali Arnaout, "Anterior communicating artery division in the endoscopic endonasal translamina terminalis approach to the third ventricle: an anatomical feasibility study", Acta Neurochirurgica, 2018
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Department Related Publications
Ahmed Hazem Saad Elsayed Soliman, "نتائج تثبيت الفقرات القطنية بالمسامير والقضبان في حالات ازاحة الفقرات مقارنة بنتائج التثبيت بمستطيل لوكس", لايوجد, 1900
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Ahmed Hazem Saad Elsayed Soliman, "دراسة وجود بروتين ف أ س (أ ب ,-1) في الاورام السرطانية الحرشفية للانف والجيوب النفية", لايوجد, 1900
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Hassan Abdelsalam Abdelfatah, "التثبيت الجراحى الدلخلي لكسور وتزحزح الفقرات الصدرية والقطنية عقب الاصابة", لايوجد, 1900
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Hassan Abdelsalam Abdelfatah, "علاج تورم المخ الكاذب باستخدام صمام تنظيم السائل النخاعي من القناة الشوكية القطنية الي التجويف البريوني", لايوجد, 1900
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