ABSTRACT
The clinical and radiographic findings , surgical treatment and outcome in 8 patients with intracanial cysts are reviewed , were done at Nasr Institute, within three years [between 1999 and 2002] .There were 3 females and 5 males, ranging in age from a 5 years to 56 years, six patients were children below the age of 15 years. The clinical presentation reflected the anatomical location of the lesions. Computerized tomography or magnetic resonance imagine scans were diagnostic in all cases, in addition to CSF study. Surgical intervention were done for all cases, by cystoperitoneal shunting with placement of a low pressure shunt. In addition to ventriculoperitoneal shunting in tow cases. There is one case came with history for initial operation consisted of craniectomy for fenestraion and drainag of posterior fossa cyst at Jordan and recurrence of the cyst occws. All cases discharged without any neurological deficit. The results in this series show that cystoperitoneal shunting is the treatment of choice for most intracranial aracnoid cysts
ABSTRACT
The perioperative time pattern of routine coagulation parameters and the specific hemostasis activation marker D-dimer in 24 consecutive patients [nine females and fifteen males] undergoing elective surgery for brain tumor removal were estimated. Computerized tomography scans and/or nuclear magnetic resonance images were routinely obtained preoperatively to detect tumor size, location and intracranial bleeding. Blood samples were drawn at baseline one day before surgery and again after the scalp incision was closed as well as one and seven days postoperative in 1: 10 volume of 3.8% Na, citrate, centrifuged at 2200G and C and the supernatant plasma was apportioned. Prothrombin time [PT], aPTT and fibrinogen were measured on a coagulometer and fresh samples of antithrombin III [AT III] on analyzer. Levels of cross-linked fibrin degradation products [D- dimer] were measured by enzyme-linked immunosorbent assay from thawed samples stored at -70 C for a maximum of two month