Publications by authors named "Khaled A Mohamed"

Background: The definition of minor ischemic stroke (MIS) is a topic of debate, however, the most accepted definition is a stroke with National Institutes of Health Stroke Scale (NIHSS) ≤ 5. Intravenous thrombolysis (IVT) is a crucial treatment option for acute ischemic stroke (AIS) including: alteplase, recombinant human tissue-type plasminogen activator (r-tPA), and the recently approved tenecteplase. However, there is a debate regarding its safety and efficacy.

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  • The localization and prognosis evaluation of peripheral nerve injuries is difficult in acute cases, but high-resolution ultrasound (HRUS) may provide a cost-effective imaging solution.
  • A systematic review and meta-analysis of 15 studies demonstrated HRUS's high diagnostic accuracy for traumatic nerve injuries, with sensitivity at 92% and specificity at 86%.
  • The findings suggest that HRUS can effectively complement existing diagnostic methods, but further research is needed to explore the ultrasound characteristics of these injuries.
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Background/ Aim: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease affecting upper and lower motor neurons, causing progressive atrophy of muscles, hypertonia, and paralysis. This study aimed to evaluate the current evidence and effectiveness of ultrasound in investigating nerve cross-sectional area (CSA) of peripheral nerves, vagus and cervical roots in those with ALS compared with healthy controls and to pool the CSA measurements.

Methods: A systematic search was conducted on Cochrane, Clarivate Web of Science, PubMed, Scopus, and Embase for the mesh terms nerve, ultrasonography, and amyotrophic lateral sclerosis.

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  • The study investigates the effectiveness of robot-assisted extended total mesorectal excision (R-eTME) versus laparoscopic-assisted extended total mesorectal excision (L-eTME) in treating patients with lateral lymph node metastasis, following concurrent neoadjuvant chemo-radiation and total mesorectal excision (TME).
  • Results indicate that R-eTME has advantages over L-eTME in terms of lower overall recurrence rates and fewer urinary complications, while L-eTME was associated with longer hospital stays and slightly shorter operative times.
  • The conclusion emphasizes that, although both techniques share similar long-term outcomes, R-eTME appears to be the better option for reducing
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  • The study investigates Non-muscle Invasive Bladder Cancer (NMIBC) in Sub-Saharan Africa, focusing on clinical-histopathological characteristics and survival factors among 196 patients over six years.
  • The results showed that the most common cancer type was urothelial carcinoma, primarily affecting older males, with a significant cancer-specific mortality rate of 13.3% and overall 5-year survival rate of 57.1%.
  • Key factors influencing cancer-specific mortality included age, tumor stage and grade, treatment compliance, and use of intravesical therapies, highlighting the need for improved management strategies for NMIBC in the region.*
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Primary rhabdomyosarcoma of the testis is an exceptionally rare and highly malignant sarcoma. To date, there are only 23 reported cases in the literature. We report a 17-year-old male patient presented with massive scrotal swelling that had been progressively enlarging over seven-months.

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Objective: Understanding the lateralization factors, including the anatomic and hemodynamic mechanisms, is essential for diagnosing cardio-embolic stroke. This study aims to investigate the elements, for the first time together, that could affect the laterality of stroke.

Methods: We performed a monocentric retrospective case-control study based on prospective registries of acute ischemic stroke patients in the comprehensive stroke center of the RWTH University hospital of Aachen for three years (June 2018-June 2021).

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  • A study aimed to determine if serum creatine kinase (CK) levels could help differentiate between epileptic seizures, psychogenic non-epileptic seizures (PNES), and syncope, since detailed reports of these events are often unavailable.
  • The results of a cohort study with 202 patients found that CK levels were significantly higher in patients with epileptic seizures 48 hours after the event compared to those with syncope.
  • A meta-analysis involving 1,086 patients reinforced these findings, indicating that CK levels were notably higher in epileptic seizures compared to PNES and syncope, thus suggesting CK could be a useful diagnostic marker.
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This study compares five augmented reality (AR) vasculature visualization techniques in a mixed-reality laparoscopy simulator with 50 medical professionals and analyzes their impact on the surgeon. ​​The different visualization techniques' abilities to convey depth were measured using the participant's accuracy in an objective depth sorting task. Demographic data and subjective measures, such as the preference of each AR visualization technique and potential application areas, were collected with questionnaires.

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Background: Parkinson's disease (PD) is a major cause of disability. We aimed to assess the benefit of ultrasonography of the vagus nerve (VN) to compare between PD and healthy controls as well as to deliver reference values of nerve cross sectional area (CSA).

Materials And Methods: We performed a systematic search on Medline (PubMed), Scopus, Embase, and Web of Science, up till July 25, 2022.

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Objectives: Nonmalignant meningioma (NM) is the most common brain tumor in the United States (U.S.), accounting for 54% of nonmalignant brain tumors.

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Purpose: Only a few studies have evaluated Augmented Reality (AR) in in vivo simulations compared to traditional laparoscopy; further research is especially needed regarding the most effective AR visualization technique. This pilot study aims to determine, under controlled conditions on a 3D-printed phantom, whether an AR laparoscope improves surgical outcomes over conventional laparoscopy without augmentation.

Methods: We selected six surgical residents at a similar level of training and had them perform a laparoscopic task.

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Introduction/aims: Nerve ultrasound is useful in the diagnosis and follow-up of peripheral nerve disorders in children. The aim of this study was to explore and analyze the current literature on nerve cross-sectional area (CSA) in healthy children, with the goal of presenting reference values and discussing their implications.

Methods: We performed a systematic review and meta-analysis of studies that reported ultrasound measurements of the upper or lower limb nerves in healthy children through a search of Web of Science, PubMed, Embase, and Scopus.

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Purpose: Osteoarthritis (OA) patients demonstrated higher Osteopontin (OPN) plasma, serum, and synovial fluid concentrations than healthy individuals. In the present study, we aimed to investigate whether OPN could be used as a diagnostic or prognostic marker for OA symptom/disease severity.

Methods: Using Web of Science, PubMed, Scopus, and Embase, we conducted a systematic review and meta-analysis of studies that measured OPN levels in OA patients' plasma, serum, or synovial fluid.

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Purpose: Patients with isolated posterior cerebral artery occlusion (iPCAO) represent up to 6% of all acute ischemic stroke patients. Acute revascularization therapies for these patients were not tested in randomized controlled trials. The aim of this study was to evaluate outcomes of iPCAO patients who undergo endovascular treatment (EVT).

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Introduction/aims: Ultrasonography of the cranial nerves has recently gained attention for assessment of inflammatory, compressive, or degenerative neuropathies. However, sonographic reference values of cranial nerves have received less attention than those of peripheral nerves. In this systematic review and meta-analysis we aimed to provide current evidence of sonographic reference values for cranial nerve size.

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Because of the insidious character and variations in presenting symptoms, Charcot-Marie-Tooth (CMT) disease is challenging to diagnose in children. Diagnosis is based on clinical and nerve conduction studies, as well as genetic examination. Therefore, competent nerve imaging techniques and non-invasive alternatives to nerve conduction studies are a necessity, especially in children.

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Inclusion body myositis (IBM) is a slowly progressive muscle weakness of distal and proximal muscles, which is diagnosed by clinical and histopathological criteria. Imaging biomarkers are inconsistently used and do not follow international standardized criteria. We conducted a systematic review and meta-analysis to investigate the diagnostic value of muscle ultrasound (US) in IBM compared to healthy controls.

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Introduction: Major depressive disorder (MDD) is a severe mental health condition that affects millions of people worldwide. Etiologically, several factors may play a role in its development. Previous studies have reported elevated plasminogen activator inhibitor-1 (PAI-1) levels in patients with depression, suggesting that PAI-1 levels might be linked to the etiology of MDD.

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Objectives: Vagus nerve (VN) has been suggested as one of the major routes of Parkinson's disease (PD) progression from enteric nervous system to brain. Therefore, the recent studies have investigated the VN structurally, with a focus on the changes in its size in PD patients using high-frequency ultrasonography. This systematic review and meta-analysis aims to evaluate VN size via ultrasound in PD compared to controls.

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Purpose: To establish the first comprehensive and standardized set of vagus nerve (VN) sonographic reference values across all the published studies that can be used to standardize and guide clinical practice and research.

Methods: This systematic review includes all possible available data from a total of 27 studies and 21 of them were included in the meta-analysis having a total of 864 participants.

Results: The overall mean cross-sectional area ranged from 2.

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Background And Purpose Of Study: Controversy surrounds measures of visual and motor cortical excitability in migraineurs: some authors report that interictal excitability is increased, others decreased. The aim of this work was to provide further evidence about motor and visual cortical excitability in migraineurs between attacks.

Patients And Methods: Twenty-eight migraineurs patients, 18 with aura and 10 patients without aura and 20 healthy right-handed, age and sex matched volunteers were included in the study.

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