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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:
Hassan Ahmed Ibrahim Mohamed Abaza
Staff Zu Site
Abstract In Staff Site
Journal:
Surgical Neurology International, zagaig neurosurgery department
Volume:
Keywords :
Pituitary adenoma surgeries , COVID-19 era: Early
Abstract:
Background: e 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. e 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. e 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
Hassan Ahmed Ibrahim Mohamed Abaza, "Impact of COVID-19 pandemic on the neurosurgical practice in Egypt", Egyptian Journal of Neurosurgery, 2022
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Hassan Ahmed Ibrahim Mohamed Abaza, "Clinical and Radiological Outcomes of Endoscopic Endonasal Transsphenoidal Surgery for Pituitary Adenomas", Egyptian Journal of Hospital Medicine, 2022
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Department Related Publications
Muntasir Ahmed Abdel Fattah Fouda, "نتائج الازالة الميكرسكوبية لضغط الاوعية الدموية في حالات الشد الوجهى النصفي", لايوجد, 1900
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Mohamed Medhat Ali Arnaout, "Prognosis Factor in Oculomotor Schwannoma: A Case of Endoscopic Endonasal Approach and Systematic Review of the Literature", Elsevier, 2019
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Mohamed Medhat Ali Arnaout, "Tentorial dural arteriovenous fistulae presenting as transient ischemic attack", London Academic Publishing, 2019
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Essam Mohamed Yousif, "Endoscopic third ventriculostomy for the management of hydrocephalus secondary to posterior fossa tumors: A retrospective study", Surgical Neurology International, 2022
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Ayman Mohamed Ismail Saied, "What can be achieved by using MR-DWI and ADC value in cases of intramedullary spinal cord lesions of non-traumatic causes?", Elsevier, 2018
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