Publications by authors named "R Mackieh"

Background: Migraine is the most common primary headache. It's alone responsible for 1.3% of disability in the world.

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This multicenter retrospective cohort study aimed to evaluate the effectiveness of the retrosigmoid surgical approach in decompressing vestibular schwannomas, focusing on tumor decompression, neurological function preservation, and postoperative complications. A cohort of 60 patients, operated between 2016 and 2019, was analyzed for age, sex, symptoms, tumor size, surgery duration, complications, mortality, and facial/auditory functions using established criteria. Hearing loss was observed in 80% of patients, mainly progressive, with tumor size emerging as a critical prognostic factor.

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Article Synopsis
  • The study evaluates the effectiveness of simultaneous vs. delayed placement of ventriculoperitoneal shunts (VPS) during myelomeningocele (MMC) repair in newborns with hydrocephalus, focusing on risks and benefits.
  • It involved 144 infants, with 101 receiving VPS at the same time as MMC repair and 43 having VPS inserted later; results showed that the delayed group had more complications such as CSF leaks and wound dehiscence.
  • While concurrent insertion appeared to lower some risks, both groups experienced similar rates of shunt infections and malfunctions, highlighting ongoing challenges in managing these complications.
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Caudal regression syndrome (CRS) is a rare genetic disorder affecting less than 0.1%-0.5% of newborns that manifests as the total or partial absence of lower vertebral structures including the sacral spine.

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Background: Iniencephaly is a rare neural tube defect (NTD) characterized by deformities in the occiput and inion, along with rachischisis in the cervical and thoracic spine, resulting in the head appearing in retroflexion.

Observations: This report details the case of a female newborn who underwent surgery for an encephalocele. She survived up to 6 months, exhibiting good overall health, although she displayed physical abnormalities, including facial deformity, a short neck, and minor spasms in all limbs.

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