Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single... more Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single lesion but can be associated with other spinal dysraphism. We report an infant with a very rare presentation of tandem lumbosacral lipomyelomeningoceles, thick filum terminale and split cord malformation.
Journal of Research in Medical Sciences, Jan 4, 2014
Background: Intracerebral aneurysm formation due to infective process is a known entity; but bruc... more Background: Intracerebral aneurysm formation due to infective process is a known entity; but brucella-related aneurysm has rarely been reported. Case presentation: A 34-year-old male who presented by fever and two times attack of intracerebral hemorrhage due to multiple distal Middle cerebral artery aneurysm, was managed surgically because of no improvement on angiography by trial of antibiotic therapy. At secondary work ups, systemic and CNS brucellosis was diagnosed and proper antibiotic regimen was administered, so full recovery could be achieved. Conclusion: By a thorough review of the literature, all the previously reported cases and any possibility of treatment is been reviewed. Normal 0 false false false EN-US X-NONE AR-SA /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;}
Journal of Research in Medical Sciences, Jan 4, 2014
Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They us... more Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They usually assumed to be incidental findings in neuroimaging studies; however they can be symptomatic either because of their aggressive behavior or fracture in the affected vertebrae. There is a bulk data on natural course, diagnosis and treatment of these benign lesions in the literature, but few key points provided regarding their treatment when causing C2/odontoid fractures. Case presentation: 27 year old male who suffered minor head trauma after a motor vehicle accident, presented to the emergency room with a severe neck pain. No obvious functional neurological deficit was noted in the initial and further clinical evaluation. In routine neuroimaging studies there was a displaced type 2 odontoid fracture in the hemangiomatous C2 vertebrea. Based on our literature review external immobilization with a Halo-Vest and close fallow up was sought as the most appropriate treatment strategy. To date, good results have achieved in a very short term course of follow up. Conclusion: pathologic fracture in a hemangioamtous odontoid is a rare clinical situation. Given the paucity of published data, many questions relating to the nature and management of this condition need clarification. Normal 0 false false false EN-US X-NONE AR-SA
Postoperative infection is one of the most common complications after spine surgeries. In our stu... more Postoperative infection is one of the most common complications after spine surgeries. In our study, surgical site infection (SSI) is described as; superficial (i.e., skin and subcutaneous tissues) and deep (i.e., fascia and muscles) infections occurring in the short term (i.e., 1-month) after spine surgeries (Centers for Disease Control and Prevention definition 81.00-81.08). To detect the risk factors for the occurrence of such a complication, studies require a large number of patients, a high quality of data and adequate analysis. In this study, we prospectively enrolled 987 patients undergoing spinal surgery over a 3 years period. From November 2010 to November 2013, 987 patients had a variety of spinal operations that included; disc herniation, spinal stenosis, spondylolisthesis, fracture-dislocations, spine and spinal cord tumors, and syringomyelia. Patients under the age of 10, those with a recent history of infection and antibiotherapy, and patients with immunodeficiency disorders were excluded. Of the 987 spine procedures performed, 27 (2.73%) developed postoperative infections. Multi-variant data analysis indicated that multiple factors correlated with an increased risk of SSI in descending order; trauma, a past history of diabetes, smoking, being confined to bed, in the perioperative period, mean blood sugar levels above 120 mg/dl, longer lengths of incisions, and longer hospital stay. Considering the preventable nature of most of the factors contributing to SSI, it should be possible to reduce these complications.
Journal of Injury and Violence Research, Dec 9, 2012
ABSTRACT Hirudo Medicinalis application in medicine has long been a matter of investigation since... more ABSTRACT Hirudo Medicinalis application in medicine has long been a matter of investigation since Hippocrates. The analgesic and anti-coagulant substances in the leeches’ saliva are used in treatment of venous thrombosis and varicose veins, arthralgia, rheumatologic diseases, low back and cervical pains. Aeromonas infections, excessive bleeding, anemia, and allergic reactions are among the most common complications reported with leech therapy. The present study, reports leech therapy in two patients: one for sciatalgia and the other for deep venous thrombosis. Furthermore, a comprehensive review of the literature on different aspects of leech therapy with special focus on its neurosurgical applications and related dysfunctions is presented. Keywords: Leech therapy, Neurosurgical, Medicinal
Background: Intracerebral aneurysm formation due to infective process is a known entity; but bruc... more Background: Intracerebral aneurysm formation due to infective process is a known entity; but brucella-related aneurysm has rarely been reported. Case presentation: A 34-year-old male who presented by fever and two times attack of intracerebral hemorrhage due to multiple distal Middle cerebral artery aneurysm, was managed surgically because of no improvement on angiography by trial of antibiotic therapy. At secondary work ups, systemic and CNS brucellosis was diagnosed and proper antibiotic regimen was administered, so full recovery could be achieved. Conclusion: By a thorough review of the literature, all the previously reported cases and any possibility of treatment is been reviewed. Normal 0 false false false EN-US X-NONE AR-SA /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0...
Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They us... more Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They usually assumed to be incidental findings in neuroimaging studies; however they can be symptomatic either because of their aggressive behavior or fracture in the affected vertebrae. There is a bulk data on natural course, diagnosis and treatment of these benign lesions in the literature, but few key points provided regarding their treatment when causing C2/odontoid fractures. Case presentation: 27 year old male who suffered minor head trauma after a motor vehicle accident, presented to the emergency room with a severe neck pain. No obvious functional neurological deficit was noted in the initial and further clinical evaluation. In routine neuroimaging studies there was a displaced type 2 odontoid fracture in the hemangiomatous C2 vertebrea. Based on our literature review external immobilization with a Halo-Vest and close fallow up was sought as the most appr...
Trauma is one of the most important issues of most healthcare systems accompanying with head trau... more Trauma is one of the most important issues of most healthcare systems accompanying with head trauma in the most cases. We sought to determine the scoring system and initial Computed Tomography (CT) findings predicting the death at hospital discharge (early death) in patients with traumatic brain injury based on Marshall and Rotterdam CT scores. This is a cross sectional study on traumatic neurosurgical patients with mild-to-severe traumatic brain injury admitted to the emergency department of Emam Reza Hospital, Birjand University of Medical Sciences. Patients≥18 years old with TBI during last 24 hours with GCS≤13 were included and exclusion criteria were multiple trauma, penetrating injuries, previous history of anticoagulant therapy, pregnancy, not willingness for participation. Their initial CT and status at hospital discharge, one and three months (dead or alive) were reviewed, and both CT scores were calculated. We examined whether each score is related to death using SPSS11 by...
Coexistence of pituitary adenoma (PA) and another type of brain tumor is a very rare clinical sce... more Coexistence of pituitary adenoma (PA) and another type of brain tumor is a very rare clinical scenario. Even though such a presentation can be an incidental event but a thorough review of the literature will be made to elucidate the possible mechanisms and treatment options in similar cases. Two cases of concomitant sellar and suprasellar/diaphragmatic tumors are reported. A 37-year-old lady with prolactinoma and a suprasellar diaphragmatic meningioma and a 42-year-old acromegalic man with suprasellar/diaphragmatic meningioma and a PA. Both meningiomas were removed transcranially. The prolactinoma could be managed medically and the growth hormone secreting adenoma was removed trans-sphenoidally. The visual problems and hormonal imbalances of both patients improved postoperatively. The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed.
Postoperative infection is one of the most common complications after spine surgeries. In our stu... more Postoperative infection is one of the most common complications after spine surgeries. In our study, surgical site infection (SSI) is described as; superficial (i.e., skin and subcutaneous tissues) and deep (i.e., fascia and muscles) infections occurring in the short term (i.e., 1-month) after spine surgeries (Centers for Disease Control and Prevention definition 81.00-81.08). To detect the risk factors for the occurrence of such a complication, studies require a large number of patients, a high quality of data and adequate analysis. In this study, we prospectively enrolled 987 patients undergoing spinal surgery over a 3 years period. From November 2010 to November 2013, 987 patients had a variety of spinal operations that included; disc herniation, spinal stenosis, spondylolisthesis, fracture-dislocations, spine and spinal cord tumors, and syringomyelia. Patients under the age of 10, those with a recent history of infection and antibiotherapy, and patients with immunodeficiency dis...
Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single... more Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single lesion but can be associated with other spinal dysraphism. We report an infant with a very rare presentation of tandem lumbosacral lipomyelomeningoceles, thick filum terminale and split cord malformation.
Abstract: Hirudo Medicinalis application in medicine has long been a matter of investigation sinc... more Abstract: Hirudo Medicinalis application in medicine has long been a matter of investigation since Hippocrates. The analgesic and anti-coagulant substances in the leeches’ saliva are used in treatment of venous thrombosis and varicose veins, arthralgia, rheumatologic diseases, low back and cervical pains. Aeromonas infections, excessive bleeding, anemia, and allergic reactions are among the most common complications reported with leech therapy. The present study, reports leech therapy in two patients: one for sciatalgia and the other for deep venous thrombosis. Furthermore, a comprehensive review of the literature on different aspects of leech therapy with special focus on its neurosurgical applications and related dysfunctions is presented. Keywords: Leech therapy, Neurosurgical, Medicinal
Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single... more Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single lesion but can be associated with other spinal dysraphism. We report an infant with a very rare presentation of tandem lumbosacral lipomyelomeningoceles, thick filum terminale and split cord malformation.
Journal of Research in Medical Sciences, Jan 4, 2014
Background: Intracerebral aneurysm formation due to infective process is a known entity; but bruc... more Background: Intracerebral aneurysm formation due to infective process is a known entity; but brucella-related aneurysm has rarely been reported. Case presentation: A 34-year-old male who presented by fever and two times attack of intracerebral hemorrhage due to multiple distal Middle cerebral artery aneurysm, was managed surgically because of no improvement on angiography by trial of antibiotic therapy. At secondary work ups, systemic and CNS brucellosis was diagnosed and proper antibiotic regimen was administered, so full recovery could be achieved. Conclusion: By a thorough review of the literature, all the previously reported cases and any possibility of treatment is been reviewed. Normal 0 false false false EN-US X-NONE AR-SA /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;}
Journal of Research in Medical Sciences, Jan 4, 2014
Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They us... more Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They usually assumed to be incidental findings in neuroimaging studies; however they can be symptomatic either because of their aggressive behavior or fracture in the affected vertebrae. There is a bulk data on natural course, diagnosis and treatment of these benign lesions in the literature, but few key points provided regarding their treatment when causing C2/odontoid fractures. Case presentation: 27 year old male who suffered minor head trauma after a motor vehicle accident, presented to the emergency room with a severe neck pain. No obvious functional neurological deficit was noted in the initial and further clinical evaluation. In routine neuroimaging studies there was a displaced type 2 odontoid fracture in the hemangiomatous C2 vertebrea. Based on our literature review external immobilization with a Halo-Vest and close fallow up was sought as the most appropriate treatment strategy. To date, good results have achieved in a very short term course of follow up. Conclusion: pathologic fracture in a hemangioamtous odontoid is a rare clinical situation. Given the paucity of published data, many questions relating to the nature and management of this condition need clarification. Normal 0 false false false EN-US X-NONE AR-SA
Postoperative infection is one of the most common complications after spine surgeries. In our stu... more Postoperative infection is one of the most common complications after spine surgeries. In our study, surgical site infection (SSI) is described as; superficial (i.e., skin and subcutaneous tissues) and deep (i.e., fascia and muscles) infections occurring in the short term (i.e., 1-month) after spine surgeries (Centers for Disease Control and Prevention definition 81.00-81.08). To detect the risk factors for the occurrence of such a complication, studies require a large number of patients, a high quality of data and adequate analysis. In this study, we prospectively enrolled 987 patients undergoing spinal surgery over a 3 years period. From November 2010 to November 2013, 987 patients had a variety of spinal operations that included; disc herniation, spinal stenosis, spondylolisthesis, fracture-dislocations, spine and spinal cord tumors, and syringomyelia. Patients under the age of 10, those with a recent history of infection and antibiotherapy, and patients with immunodeficiency disorders were excluded. Of the 987 spine procedures performed, 27 (2.73%) developed postoperative infections. Multi-variant data analysis indicated that multiple factors correlated with an increased risk of SSI in descending order; trauma, a past history of diabetes, smoking, being confined to bed, in the perioperative period, mean blood sugar levels above 120 mg/dl, longer lengths of incisions, and longer hospital stay. Considering the preventable nature of most of the factors contributing to SSI, it should be possible to reduce these complications.
Journal of Injury and Violence Research, Dec 9, 2012
ABSTRACT Hirudo Medicinalis application in medicine has long been a matter of investigation since... more ABSTRACT Hirudo Medicinalis application in medicine has long been a matter of investigation since Hippocrates. The analgesic and anti-coagulant substances in the leeches’ saliva are used in treatment of venous thrombosis and varicose veins, arthralgia, rheumatologic diseases, low back and cervical pains. Aeromonas infections, excessive bleeding, anemia, and allergic reactions are among the most common complications reported with leech therapy. The present study, reports leech therapy in two patients: one for sciatalgia and the other for deep venous thrombosis. Furthermore, a comprehensive review of the literature on different aspects of leech therapy with special focus on its neurosurgical applications and related dysfunctions is presented. Keywords: Leech therapy, Neurosurgical, Medicinal
Background: Intracerebral aneurysm formation due to infective process is a known entity; but bruc... more Background: Intracerebral aneurysm formation due to infective process is a known entity; but brucella-related aneurysm has rarely been reported. Case presentation: A 34-year-old male who presented by fever and two times attack of intracerebral hemorrhage due to multiple distal Middle cerebral artery aneurysm, was managed surgically because of no improvement on angiography by trial of antibiotic therapy. At secondary work ups, systemic and CNS brucellosis was diagnosed and proper antibiotic regimen was administered, so full recovery could be achieved. Conclusion: By a thorough review of the literature, all the previously reported cases and any possibility of treatment is been reviewed. Normal 0 false false false EN-US X-NONE AR-SA /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0...
Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They us... more Background: Vertebral hemangiomas are among the commonest benign primary spinal tumors. They usually assumed to be incidental findings in neuroimaging studies; however they can be symptomatic either because of their aggressive behavior or fracture in the affected vertebrae. There is a bulk data on natural course, diagnosis and treatment of these benign lesions in the literature, but few key points provided regarding their treatment when causing C2/odontoid fractures. Case presentation: 27 year old male who suffered minor head trauma after a motor vehicle accident, presented to the emergency room with a severe neck pain. No obvious functional neurological deficit was noted in the initial and further clinical evaluation. In routine neuroimaging studies there was a displaced type 2 odontoid fracture in the hemangiomatous C2 vertebrea. Based on our literature review external immobilization with a Halo-Vest and close fallow up was sought as the most appr...
Trauma is one of the most important issues of most healthcare systems accompanying with head trau... more Trauma is one of the most important issues of most healthcare systems accompanying with head trauma in the most cases. We sought to determine the scoring system and initial Computed Tomography (CT) findings predicting the death at hospital discharge (early death) in patients with traumatic brain injury based on Marshall and Rotterdam CT scores. This is a cross sectional study on traumatic neurosurgical patients with mild-to-severe traumatic brain injury admitted to the emergency department of Emam Reza Hospital, Birjand University of Medical Sciences. Patients≥18 years old with TBI during last 24 hours with GCS≤13 were included and exclusion criteria were multiple trauma, penetrating injuries, previous history of anticoagulant therapy, pregnancy, not willingness for participation. Their initial CT and status at hospital discharge, one and three months (dead or alive) were reviewed, and both CT scores were calculated. We examined whether each score is related to death using SPSS11 by...
Coexistence of pituitary adenoma (PA) and another type of brain tumor is a very rare clinical sce... more Coexistence of pituitary adenoma (PA) and another type of brain tumor is a very rare clinical scenario. Even though such a presentation can be an incidental event but a thorough review of the literature will be made to elucidate the possible mechanisms and treatment options in similar cases. Two cases of concomitant sellar and suprasellar/diaphragmatic tumors are reported. A 37-year-old lady with prolactinoma and a suprasellar diaphragmatic meningioma and a 42-year-old acromegalic man with suprasellar/diaphragmatic meningioma and a PA. Both meningiomas were removed transcranially. The prolactinoma could be managed medically and the growth hormone secreting adenoma was removed trans-sphenoidally. The visual problems and hormonal imbalances of both patients improved postoperatively. The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed.
Postoperative infection is one of the most common complications after spine surgeries. In our stu... more Postoperative infection is one of the most common complications after spine surgeries. In our study, surgical site infection (SSI) is described as; superficial (i.e., skin and subcutaneous tissues) and deep (i.e., fascia and muscles) infections occurring in the short term (i.e., 1-month) after spine surgeries (Centers for Disease Control and Prevention definition 81.00-81.08). To detect the risk factors for the occurrence of such a complication, studies require a large number of patients, a high quality of data and adequate analysis. In this study, we prospectively enrolled 987 patients undergoing spinal surgery over a 3 years period. From November 2010 to November 2013, 987 patients had a variety of spinal operations that included; disc herniation, spinal stenosis, spondylolisthesis, fracture-dislocations, spine and spinal cord tumors, and syringomyelia. Patients under the age of 10, those with a recent history of infection and antibiotherapy, and patients with immunodeficiency dis...
Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single... more Lipomyelomeningocele, a closed neural tube defect, usually occurs in lumbosacral area as a single lesion but can be associated with other spinal dysraphism. We report an infant with a very rare presentation of tandem lumbosacral lipomyelomeningoceles, thick filum terminale and split cord malformation.
Abstract: Hirudo Medicinalis application in medicine has long been a matter of investigation sinc... more Abstract: Hirudo Medicinalis application in medicine has long been a matter of investigation since Hippocrates. The analgesic and anti-coagulant substances in the leeches’ saliva are used in treatment of venous thrombosis and varicose veins, arthralgia, rheumatologic diseases, low back and cervical pains. Aeromonas infections, excessive bleeding, anemia, and allergic reactions are among the most common complications reported with leech therapy. The present study, reports leech therapy in two patients: one for sciatalgia and the other for deep venous thrombosis. Furthermore, a comprehensive review of the literature on different aspects of leech therapy with special focus on its neurosurgical applications and related dysfunctions is presented. Keywords: Leech therapy, Neurosurgical, Medicinal
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Papers by Hamed Hanif