Abstract book 6th RMS 16.indd

years) and with healthy control subjects
(53.6 ± 9.56), myocardial infarction was
equally affected males and females. There
was no statistical significant difference
of platelet indices between males and
females and the results obtained were not
divided according to sex (P-value > 0.05).
All platelet indices were significantly raised
in patients with acute myocardial infarction
compared with healthy control group.
Conclusion: Platelet indices are an
important, simple and cost-effective tool
that should be used more extensively
to predict impending acute myocardial
infarction.
460
Review of Spinal Meningioma Cases
at King Hussein Medical Center
Rakan Al-Lozi MD*, Amer AL-Shurbaji MD**,
Nazmi Kamal MD***
* Neurosurgery Specialist at King Hussain
Medical Center
** Neurosurgery Cosultant at KHMC
*** Histopathology Consultant at KHMC
(Jordan)
dr.rakan.lozi@gmail.com
Objectives: A retrospective analysis
study of our experience in the surgical
management of spinal meningioma cases
at the neurosurgery department at King
Hussain Medical Centre emphasising
on the timing of surgery , best surgical
approach and optimal outcome for
different age groups.
Methods: A review of 45 cases of spinal
meningiomas managed surgically and
followed in our department since 2003 up
to date for a mean of 3 to 7 years. Inclusion
criteria was for patients diagnosed to
have spinal meningioma confirmed by
histopathology and managed surgically
in our department. The analysis included
age, neurological status at presentation,
diagnostic methods, timing of surgery,
surgical approach, postoperative care and
outcome.
Results: Most of the spinal meningioma
cases who were managed surgically
improved neurologically post operatively
and on physiotherapy especially the ones
with minimal and short standing deficits
in contrast to the ones who presented
late with profound neurological deficits
and worst in patients who were unable to
walk.
Conclusion: Early diagnosis and surgical
intervention are mandatory for a good
surgical outcome. MRI improved outcome
by early detection, diagnosis and proper
detailed planning of the surgery aiming for
total resection. Calcification and En plaque
patterns limit total resection.
461
Endoscopy Evolution and Revolution
Rami Alqroom MD, Nidal Khasawneh MD,
Feras Haddad MD, Feras A. Shaaban MD
Neurosurgery Department, King Hussein
Medical Centre, Amman (Jordan)
agriolouloud@yahoo.gr
Objective: Neuroendoscopy is a corner
stone in minimal invasive surgery in the
field of neurosurgery. and an alternative
to shunts in different types of cranial
pathologies. In this paper we present our
experience with neuroendoscope at King
Hussein Medical Centre.
Methods: During the last 8 years 218 cases
were operated on using neuronendoscope,
174 cases of hydrocephalus and 41 cases of;
arachnoid cyst (15 cases), tumour biopsies
(17 cases), chronic subdural haematoma (5
cases), and craniopharyngioma (4 cases).
Procedures and cases are described.
The 174 cases of hydrocephalus included
the following aetiologies; 71 cases
congenital aqueductal stenosis, 53
cases secondary to brain tumor,8 cases
secondary to intraventricular bleeding, 19
cases with shunt failure (7 cases infection
and 12 cases shunt obstruction), 23 cases
of complicated hydrocephalus (9 loculated
hydrocephalus, 11 septated hydrocephalus
and 3 cases of isolated ventricle.).
Results: The mean age for the 174 cases
of hydrocephalus was 2.5 years (7 days
to 66 years). Procedures included 163
cases of third ventriculostomy, 7 cases of
aqueductoplasty, and 4 cases of lamina
terminalis fenestration.
Procedure was successful in 59 cases
(83%) of congenital aqueductal stenosis,
42 cases (80%) of brain tumour, 3 cases
(37.5%) secondary to intraventricular
bleeding, and 16 cases (68.4%) with shunt
failure.
For complicated hydrocephalus unification
www.jrms.gov.jo
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