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Sanaa Abdelmageed (United States of America) - The 20th Biennial Meeting of the World Society for Stereotactic and Functional Neurosurgery
<!doctype html> <html lang="en"> <head> <meta charset="UTF-8"> <title>Sanaa Abdelmageed (United States of America) - The 20th Biennial Meeting of the World Society for Stereotactic and Functional Neurosurgery</title> <meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=0"/> <meta name="description" content=""/> <meta name="author" content="CTI Meeting Technology"/> <meta property="og:title" content="Sanaa Abdelmageed (United States of America)"/> <meta property="og:url" content="https://cslide.ctimeetingtech.com/wssfn24/attendee/person/1012"/> <meta property="og:image" content="https://cslide.ctimeetingtech.com/global_storage/media/content/wssfn24/persons/photos/1012.jpg"/> <link rel="shortcut icon" href="/images/favicon/favicon.ico"> <link rel="apple-touch-icon" sizes="180x180" href="/images/favicon/apple-touch-icon.png?v=wAdaPpJKvx"> <link rel="icon" type="image/png" sizes="32x32" href="/images/favicon/favicon-32x32.png?v=wAdaPpJKvx"> <link rel="icon" 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src="https://cslide.ctimeetingtech.com/global_storage/media/content/wssfn24/persons/photos/1012.jpg" class="photo" style="width:240px !important;"> </div> <div> <div class="details"> <div class="property-container"> <div class="card-title person-title"><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/person/1012" class="item-expand-action extended">Sanaa Abdelmageed<small> (United States of America)</small></a></div> </div> <div class="property-container"> <div><i class="fa fa-building" aria-hidden="true" title="Company"></i> Ann & Robert H. Lurie Children's Hospital of Chicago</div> </div> <div class="property-container"> <div><i class="fa fa-briefcase" aria-hidden="true" title="Department"></i> Pediatric Neurosurgery</div> </div> <div class="property-container"> </div> <div class="property-container"> <div class="cv">Sunny Abdelmageed is a dedicated 4th-year medical student with a passion for neurosurgery. Currently pursuing specialization in this field, Sunny recently concluded a prestigious year-long research fellowship in pediatric neurosurgery. Their expertise lies in movement disorders, specifically focusing on surgical tone management for mixed hypertonia.</div> </div> </div> </div> </div> <div> <div class="group-container"> <h4>Presenter of 2 Presentations</h4> <div class="app-link"><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/confcal"><i class="fa fa-calendar"></i> Calendar</a></div> <div class="confcal list-view"> <div class="card presentation" data-id="325"> <div class="card-header"> <div class="actions hidden-xs"> </div> </div> <div class="card-block"> <h4 class="card-title">CERVICOTHORACIC VENTRAL-DORSAL RHIZOTOMY FOR TREATMENT OF BRACHIAL HYPERTONIA IN CEREBRAL PALSY</h4> <div class="details property-auto-width"> <div class="property-container internal s"> <div class="info">Session Name</div> <div class="property"><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/confcal/show/session/40">0470 - Flash Presentation Session 03: Movement Disorders I <small>(ID 40)</small></a></div> </div> <div class="property-container internal s"> <div class="info">Session Type</div> <div class="property">Flash Presentations</div> </div> <div class="property-container internal s"> <div class="info">Date</div> <div class="property">09/04/2024</div> </div> <div class="property-container internal s"> <div class="info">Session Time</div> <div class="property">04:50 PM - 05:50 PM</div> </div> <div class="property-container internal s"> <div class="info">Room</div> <div class="property">Montreux 2+3</div> </div> <div class="property-container internal p"> <div class="info">Lecture Time</div> <div class="property">05:04 PM - 05:11 PM</div> </div> <div class="property-container internal p"> <div class="info">Presenter</div> <div class="property"><ul class="persons"> <li><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/person/1012" data-id="1012" class="" >Sanaa Abdelmageed<small> (United States of America)</small></a></li> </ul> </div> </div> </div> <div class="item-content"><div class="additional-materials"> <ul class="nav nav-pills logged" data-module='confcal' data-log_entity_id="325" data-log_entity_type_id="25"> <li><a data-toggle="pill" href="#presentation-abstract-325522315560" data-log="ATTENDEE_CONFCAL_PRESENTATION_EXPAND_ABSTRACT">Abstract</a></li> </ul> <div class="tab-content"> <div id="presentation-abstract-325522315560" class="tab-pane"> <h4 class="pane-header">Abstract</h4> <div class="abstract"><div class='abstract-section' section-id='0b79795d3efc95b9976c7c5b933afce2'><h4 class='section-title'>Introduction</h4><p>Cervicothoracic ventral-dorsal rhizotomy (VDR) is a potential treatment of medically refractory hypertonia in children who are not candidates for intrathecal baclofen, particularly in cases of severe upper limb hypertonia with limited to no function. Lumbar rhizotomy are commonly performed, however there are limited data in the treatment of pediatric hypertonia with cervicothoracic VDR. A longitudinal cohort was identified to highlight our institutional safety and efficacy using cervicothoracic VDR for the treatment of hypertonia.</p></div><div class='abstract-section' section-id='20c51b5f4e9aeb5334c90ff072e6f928'><h4 class='section-title'>Methods</h4><p>Retrospective data analysis was performed for children that underwent non-selective cervicothoracic VDR between 2022-2023. Non-modifiable risk factors, clinical variables, and operative characteristics were collected.</p></div><div class='abstract-section' section-id='fd69c5cf902969e6fb71d043085ddee6'><h4 class='section-title'>Results</h4><p>6 patients (3 female) were included. Four patients underwent a bilateral C6-T1 VDR, one patient underwent a left C7-T1 VDR, and another underwent a left C6-T1 VDR. Three patients had quadriplegic mixed hypertonia, one patient had quadriplegic spasticity, one patient had triplegic mixed hypertonia, and one patient had mixed hemiplegic hypertonia. The mean difference of proximal upper extremity modified Ashworth scale (mAS) was -1.4 卤 0.55 (p = 0.002), and -2.2 卤 0.45 (p < 0.001) for the distal upper extremity. Both patients with independence noted quality of life improvements as well as increased ease with dressing and orthotics fits. Caregivers for the remaining four patients noted improvements in caregiving provision, mainly in dressing, orthotics fit, and ease when transferring.</p></div><div class='abstract-section' section-id='b651e8a99c4375feb982b7c2cad376e9'><h4 class='section-title'>Conclusions</h4><p>Cervicothoracic VDR is safe, provides tone control and quality of life improvements. Cervicothoracic VDR is appropriate when ITB is impractical; it can be considered as a first-line surgical option in medically refractory brachial hypertonia patients with CP. Larger multicenter studies with longer follow-up are necessary to further determine safety along with long-term functional benefits in these patients.</p></div></div> <a class="nav-pills-collapse" href="#">Hide</a> </div> </div> </div> </div> </div> </div> <div class="card presentation" data-id="318"> <div class="card-header"> <div class="actions hidden-xs"> </div> </div> <div class="card-block"> <h4 class="card-title">NON-SELECTIVE LUMBOSACRAL VENTRAL-DORSAL RHIZOTOMY FOR MANAGEMENT OF LOWER-LIMB HYPERTONIA IN NON-AMBULATORY CHILDREN WITH CEREBRAL PALSY</h4> <div class="details property-auto-width"> <div class="property-container internal s"> <div class="info">Session Name</div> <div class="property"><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/confcal/show/session/124">0640 - Oral Presentation Session 07: Radiosurgery & Lesions <small>(ID 124)</small></a></div> </div> <div class="property-container internal s"> <div class="info">Session Type</div> <div class="property">Oral Presentations</div> </div> <div class="property-container internal s"> <div class="info">Date</div> <div class="property">09/05/2024</div> </div> <div class="property-container internal s"> <div class="info">Session Time</div> <div class="property">03:10 PM - 04:10 PM</div> </div> <div class="property-container internal s"> <div class="info">Room</div> <div class="property">St. Gallen 1+2</div> </div> <div class="property-container internal p"> <div class="info">Lecture Time</div> <div class="property">03:50 PM - 04:00 PM</div> </div> <div class="property-container internal p"> <div class="info">Presenter</div> <div class="property"><ul class="persons"> <li><a href="https://cslide.ctimeetingtech.com/wssfn24/attendee/person/1012" data-id="1012" class="" >Sanaa Abdelmageed<small> (United States of America)</small></a></li> </ul> </div> </div> </div> <div class="item-content"><div class="additional-materials"> <ul class="nav nav-pills logged" data-module='confcal' data-log_entity_id="318" data-log_entity_type_id="25"> <li><a data-toggle="pill" href="#presentation-abstract-3181024507979" data-log="ATTENDEE_CONFCAL_PRESENTATION_EXPAND_ABSTRACT">Abstract</a></li> </ul> <div class="tab-content"> <div id="presentation-abstract-3181024507979" class="tab-pane"> <h4 class="pane-header">Abstract</h4> <div class="abstract"><div class='abstract-section' section-id='0b79795d3efc95b9976c7c5b933afce2'><h4 class='section-title'>Introduction</h4><p>Children with cerebral palsy (CP) often suffer from medically refractory hypertonia, for which there are surgical therapies including neuromodulation and rhizotomy. Traditional surgical treatment for medically refractory mixed hypertonia or dystonia includes intrathecal baclofen pumps (ITBP) and selective dorsal rhizotomy (SDR). A non-selective lumbosacral VDR (ventral and dorsal roots lesioned by 80-90%) has the potential to address the limitations of traditional surgical treatment options. We identified a cohort to highlight our institutional safety and efficacy using non-selective lumbosacral VDR for palliative tone management in non-ambulatory patients with highly involved CP.</p></div><div class='abstract-section' section-id='20c51b5f4e9aeb5334c90ff072e6f928'><h4 class='section-title'>Methods</h4><p>Retrospective analysis was performed for patients that underwent lumbosacral VDR between 2022-2023. Demographic factors, clinical variables, and operative characteristics were collected.</p></div><div class='abstract-section' section-id='fd69c5cf902969e6fb71d043085ddee6'><h4 class='section-title'>Results</h4><p>Fourteen patients (7 female) were included. All patients underwent a T12-L2 osteoplastic laminoplasty and bilateral L1-S1 VDR. Nine patients had quadriplegic mixed hypertonia, four patients had quadriplegic spasticity, and one patient had generalized secondary dystonia. Following VDR, there was a significant decrease in both the lower extremity modified Ashworth scale (mAS), mean difference (MD) -2.77 卤 1.0 (p <0.001) and upper extremity mAS, MD -0.71 卤 0.76 (p= 0.02), postoperatively with average follow-up of three months. In the patient with generalized dystonia, the lower extremity Barry Albright Dystonia Scale (BADS) score decreased from 8 to 0 and the overall score decreased from 32 to 13. All parents noted improvement in caregiving provisions, particularly with positioning, transfers and changing. Mean daily enteral baclofen dose decreased from 47 mg preoperatively to 24.5 mg (p<0.001) postoperatively. Three patients developed wound dehiscence, two of which had concurrent infections.</p> <p><img src="https://s3.eu-central-1.amazonaws.com/eu-cpaper-prod/mediafiles/wssfn_24/0000000318/000128.jpg" alt="figure 2.jpg" title="figure 2.jpg" thumbnail="large"/></p></div><div class='abstract-section' section-id='b651e8a99c4375feb982b7c2cad376e9'><h4 class='section-title'>Conclusions</h4><p>Lumbosacral VDR is safe, effective for tone control, and can provide quality of life improvements in patients with medically refractory lower-limb mixed hypertonia. Lumbosacral VDR can be considered for palliative tone control in non-ambulatory patients with more involved CP. Larger studies with longer follow-up are necessary to further determine safety and long-term benefits in these patients.</p></div></div> <a class="nav-pills-collapse" href="#">Hide</a> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div id="footer"> <div class="footer text-center"> <div class="footer_wrapper"> <i class="fa fa-chevron-up" aria-hidden="true" style="display: none;"></i> <p>Programme and Faculty are preliminary and subject to change.<br /> <b><a href="http://www.surveymonkey.com/r/MSHLPYT?c=7647_The 20th Biennial Meeting of the World Society for Stereotactic and Functional Neurosurgery_2024" target="_blank"><span>Give Feedback</span></a></b><br /> <span>© 2024 cSLIDE </span><a href="http://www.ctimeetingtech.com" target="_blank"><span>CTI MEETING TECHNOLOGY</span></a><span>. 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