E-ISSN: 1019-5157 ISSN: 2651-5024

Historical Article

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Ernst von Bergmann and the First Neurotraumatology Book
[Abstract] [Similar Articles]

We aimed to introduce Ernst von Bergman, who contributed greatly to the establishment of modern neurosurgery and introduced antisepsis practices to routine use in surgery, and his important work, which is the first book on neurotrauma. The world's first book dedicated to neurotrauma, Lehre von Kopfv...


The Contributions of Four Pioneers in the Incunabula Period of Modern Neurosurgery
[Abstract] [Similar Articles]

AIM: To highlight the contributions of four surgeons who practiced neurosurgery in the late nineteenth century by examining their works and assessing their impact on the field. MATERIAL and METHODS: The study focuses on the works of four pioneering neurosurgeons?Fedor Krause, Victor Horsley, Harv...


Two Different Approaches Regarding Hydrocephalus Treatment in the Islamic World During the Middle Ages
[Abstract] [Similar Articles]

AIM: To present the sections allocated to hydrocephalus in the works of Ibn Hubal al-Baghd?d? and Ibn al-Quff, to include them and determine their position in the history of medicine by discussing relevant literature. MATERIAL and METHODS: A printed copy and a manuscript in İstanbul Süleymaniye Ma...


Prominent Neurosurgery Books of the Western World: How They Defined the Era of Modern Neurosurgery in the 19<sup>th</sup> Century
[Abstract] [Similar Articles]

The aim of this article is to introduce the 19th century neurosurgery books to reveal their contributions to modern neurosurgery. Methods In this study, 29 books were accessed, and reviewed, and the resources from the late 18th century and early 20th century were included. However, neurology or ge...


Original Investigation

(2000)
Integration of a Hybrid Operating Room for the Management of Severe Traumatic Brain Injury: A Combined Approach with Real-Time Xper-CT Imaging and Neurointervention
[Abstract] [Similar Articles]

AIM: To evaluate the safety and efficacy of the hybrid operating room (HOR) approach in the management of severe traumatic brain injury (sTBI) using Xper-computed tomography (CT)-guided imaging and neurointerventional techniques. MATERIAL and METHODS: A retrospective analysis was conducted on 154 pa...


Preventive Effects of Melatonin Against Post-Traumatic Contusional Expansion in Rats
[Abstract] [Similar Articles]

AIM: To provide insight into the molecular mechanism of contusional expansion (CE) by creating experimentally induced contusion cerebri (CC) in rats and investigating whether melatonin administration prevents CE or not. MATERIAL and METHODS: Rats were randomized into four groups: Group 1 (control, n...


Endovascular Treatment of Multiple Intracranial Aneurysms: A Multicenter Study from Türkiye on Morphology-Based Strategies and Clinical Outcomes
[Abstract] [Similar Articles]

AIM: To evaluate the role of recent endovascular techniques as less invasive alternatives in the management of multiple intracranial aneurysms, particularly in the context of heterogeneous aneurysm morphology and anatomical complexity. MATERIAL and METHODS: This retrospective analysis included 65 pa...


Evaluation of the Role of miRNAs Expression Profiles in Aneurysm
[Abstract] [Similar Articles]

AIM: To evaluate the diagnostic and prognostic significance of miRNA signatures by identifying differences in miRNA expression between ruptured and unruptured intracranial aneurysm (IA) cases, as well as to pinpoint miRNAs that correlate with clinical severity in patients with aneurysmal subarachnoi...


Genetic Association Between Systemic Lupus Erythematosus and Cerebrovascular Disorders
[Abstract] [Similar Articles]

AIM: To evaluate the potential genetic differences between systemic lupus erythematosus (SLE) and cerebrovascular disorders (CVDs) patients. MATERIAL and METHODS: This genetic association study conducted Mendelian randomization (MR) analyses on the derived exposures and outcomes from summary stat...


Revascularization in Pediatric Patients with Moyamoya Disease
[Abstract] [Similar Articles]

AIM: To evaluate the patients who underwent surgery with a diagnosis of Moyamoya disease (MMD), and to contribute to the literature from a single-center in Türkiye. MATERIAL and METHODS: Patients were evaluated retrospectively based on age, symptoms, history of cerebrovascular events (CVE), genet...


Intra-Articular vs Medial Branch Pulsed Radiofrequency in the Management of Lumbar Facet Joint-Related Low Back Pain: A Prospective Randomized Trial
[Abstract] [Similar Articles]

AIM: To compare the efficacy of intra-articular PRF (IA-PRF) and medial branch PRF (MB-PRF) in the treatment of facet joint-related low back pain. MATERIAL and METHODS: In this prospective observational study, 116 patients with ≥50% pain relief after diagnostic intraarticular anesthetic injection we...


Distal Junctional Failure in Posterior Thoracolumbar Surgery: An Analysis of Spinopelvic Alignment and Surgical Outcomes
[Abstract] [Similar Articles]

AIM: To evaluate the incidence, risk factors, and spinopelvic alignment parameters associated with distal junctional failure (DJF) following posterior thoracolumbar stabilization surgery. MATERIAL and METHODS: This retrospective cohort study included 40 patients who underwent thoracolumbar stabiliza...


The Role of DTI and DTT in the Evaluation of Cervical Extramedullary Tumors
[Abstract] [Similar Articles]

AIM: To evaluate the efficacy of diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) in establishing the relationship between cervical extramedullary tumors and the spinal cord with reference to, especially treatment planning, clinical outcome prediction and diagnostic accuracy. M...


Effective Management of Brainstem Tumors: A Study of 22 Patient Experiences
[Abstract] [Similar Articles]

AIM: To evaluate the surgical outcomes, extent of resection, and postoperative clinical improvement in 22 patients with brainstem tumors. MATERIAL and METHODS: We performed surgery on 22 patients with brainstem tumors using various approaches to access the pathology. Our goal was to achieve gross...


Stereotactic Radiosurgery-Induced Peritumoral Edema in Asymptomatic Convexity, Parasagittal, and Parafalcine Meningiomas
[Abstract] [Similar Articles]

AIM: To evaluate the incidence and identify the risk factors of stereotactic radiosurgery (SRS)-induced peritumoral edema (PTE) in the asymptomatic convexity, parasagittal, and parafalcine meningiomas without pre-existing PTE. MATERIAL and METHODS: We retrospectively analyzed 52 patients with asympt...


The Anterior Endoscopic Transcervical Approach: A Cadaveric Study on Anatomical Challenges and Surgical Limitations in Odontoidectomy
[Abstract] [Similar Articles]

AIM: To investigate the anatomical characteristics, procedural constraints, and technical details of anterior endoscopic transcervical approach (AETCA) through cadaveric dissection. MATERIAL and METHODS: Nine human cadaver heads, transected at the C6-C7 level and preserved in 10% formalin for no les...


A Comparative Study of Large Language Models in Turkish Neurosurgery Education Using a Mock Neurosurgery Board Examination
[Abstract] [Similar Articles]

AIM: To evaluate Deepseek-R1, Gemini-2.0 Pro, ChatGPT-o3-mini-high, and GPT-4.5 on a mock neurosurgery board exam to assess their accuracy and educational value. MATERIAL and METHODS: We created a 50-question mock neurosurgery board examination and administered it to three major large language mo...


Beyond Human 'Eyes' in Neurosurgical Exams: Success of Artificial Intelligence (ChatGPT-4o, Grok, and Gemini) in the Image-Based Questions of Turkish Neurosurgical Society Proficiency Board Exams
[Abstract] [Similar Articles]

AIM: To evaluate the impact of generative artificial intelligence and large language models (LLMs) on medical training and neurosurgical education, specifically focusing on their emerging capabilities in image interpretation. MATERIAL and METHODS: This study evaluated the performance of three majo...


From Presentation to Publication: Publication Rates of Abstracts Presented at the Meetings of Two Neurosurgical Societies in Türkiye
[Abstract] [Similar Articles]

AIM: To assess the overall trends in scientific dissemination at neurosurgery meetings organized by the Turkish Neurosurgical Society (TNS) and the Society of Surgery of the Nervous System (SSNS), two major neurosurgical societies in Turkey. MATERIAL and METHODS: We reviewed 2,696 abstracts presen...


Affordable Excellence: A Meta-Analysis on the Efficacy of Topical Tranexamic Acid in Reducing Blood Loss in Thoracolumbar Spinal Surgery
[Abstract] [Similar Articles]

AIM: To evaluate the efficacy and safety of topical tranexamic acid (tTXA) in thoracolumbar fusion surgery. MATERIAL and METHODS: A systematic review was conducted per PRISMA guidelines. Studies from January 1970 to August 2024 were retrieved from PubMed, Cochrane, EMBASE, Medline, and Google Scho...


Hemostasis Versus Immunosuppression in Preventing Postlaminectomy Epidural Fibrosis: An Experimental Study in Rats
[Abstract] [Similar Articles]

AIM: To compare haemostasis induced with tranexamic acid (TXA) and immunosuppression induced with infliximab (INF) as strategies to reduce epidural fibrosis (EF) in rat laminectomy model. MATERIAL and METHODS: Twenty-one male Sprague?Dawley rats were randomly assigned into control group (no treatm...


Complications of Biportal Endoscopic Surgery for Lumbar Pathologies: Retrospective Analysis of 374 Cases
[Abstract] [Similar Articles]

AIM: To evaluate the complications associated with Unilateral Biportal Endoscopy (UBE) in spinal surgery, highlighting the risks and outcomes of this minimally invasive approach. MATERIAL and METHODS: A retrospective analysis was conducted on 374 patients who underwent UBE at three centers from 2...


Finite Element Analysis of Mechanical Stress Distribution in Titanium and PEEK Rod Constructs for Isthmic L5-S1 Spondylolisthesis
[Abstract] [Similar Articles]

AIM: To compare the biomechanical behavior of titanium and polyetheretherketone (PEEK) rods using finite element analysis (FEA) in a Grade I L5-S1 isthmic spondylolisthesis model. MATERIAL and METHODS: An anatomically accurate 3D finite element model of the L3?S1 spine was created from CT data of ...


Effects of Caudal Epidural Pethidine on Pain Control and Early Mobilization after Posterior Spinal Instrumentation: A Randomized Controlled Trial
[Abstract] [Similar Articles]

AIM: To evaluate the effects of administering pethidine (also known as meperidine), a long-acting narcotic analgesic, via the caudal epidural route at the conclusion of posterior lumbar instrumentation (PLI) surgery on postoperative pain control, and early mobilization of patients. MATERIAL and M...


Comparison of the Effects of Amantadine, Methylprednisolone and Nimodipine in Sciatic Nerve Crush Injury
[Abstract] [Similar Articles]

AIM: To assess the therapeutic effects of methylprednisolone, nimodipine, and amantadine on peripheral nerve injury using a rat sciatic nerve compression model, simulating potential treatments for humans. MATERIAL and METHODS: A total of 36 adult male Wistar albino rats were divided into five groups...


Evaluation of the First Cervical Vertebra Anatomy for Screw Fixation
[Abstract] [Similar Articles]

AIM: To conduct a morphometrical analysis of the atlas to facilitate the development of atlas-related treatment methods and demonstrate the variations in atlas anatomy to aid surgical approaches and reduce complications. MATERIAL and METHODS: The present study was conducted on 58 dry human atlas v...


Impact of DNA Methylation Profiling on Central Nervous System Tumor Diagnosis and Management: A Pediatric Cohort Study from Türkiye
[Abstract] [Similar Articles]

AIM: To present a single-center experience, and to highlight the urgent need for multi-institutional collaboration in Türkiye and surrounding regions lacking access to methylation platforms, with the aim of enhancing diagnostic precision and neuropathological practice. MATERIAL and METHODS: All p...


Acute Subdural Hematoma: Evaluation of Predictive Factors and Efficacy of Various Surgical Approaches on Prognosis
[Abstract] [Similar Articles]

AIM: To examine the parameters influencing prognosis, and the effectiveness of surgical techniques in patients aged over 65 years with acute subdural hematoma (ASH). MATERIAL and METHODS: From 2017 to 2023, a retrospective evaluation was conducted on 62 individuals admitted to the emergency depar...


Shape Analysis of the Corpus Callosum in Pediatric Hydrocephalus: A Comparison Between Cases with and without Shunt Revision Surgery
[Abstract] [Similar Articles]

AIM: To investigate corpus callosum shape differences in pediatric hydrocephalus patients with and without shunt revisions. MATERIAL and METHODS: Midsagittal magnetic resonance imaging studies from 45 cases (25 with and 20 without shunt revision surgeries) that underwent ventriculoperitoneal shunt...


Transnasal Transsphenoidal versus Transcranial Surgery for Resection of Sellar Lesions; A National Database Analysis
[Abstract] [Similar Articles]

AIM: To present a national database analysis comparing transnasal transsphenoidal (TNTS) and transcranial (TC) approaches in sellar lesion management. MATERIAL and METHODS: We analyzed the National Surgical Quality Improvement Program (NSQIP) database by TNTS and TC CPT codes from 2014-2018. Outc...


Risk Factors and the Management of Entrapped Temporal Horn following Lateral Ventricular Tumor Surgery
[Abstract] [Similar Articles]

AIM: To investigate the risk factors and optimize the management of entrapped temporal horn (ETH) following lateral ventricular tumor surgery. MATERIAL and METHODS: We reviewed 41 cases of lateral ventricular tumors treated at the department of neurosurgery of our institution between January 2012...


Evaluation of the Regeneration Effects of Systemically Applied Methylprednisolone and Vitamin B12 on Mental Nerve Crush Injury
[Abstract] [Similar Articles]

AIM: To evaluate the effects of methylprednisolone and vitamin B12 injection on the regeneration of the nerves after a mental nerve crush injury. MATERIAL and METHODS: A total of 40 albino Wistar rats have been randomly divided into four groups: group 1 (n=10): crushlike nerve damage was created ...


Effects of Surgical Timing on the Prognosis of Far Lateral Disk Herniation
[Abstract] [Similar Articles]

AIM: To evaluate the effects of surgical timing on the prognosis in far lateral disk herniations. MATERIAL and METHODS: We retrospectively evaluated 171 patients diagnosed with far lateral disk herniation who underwent surgery between 2015 and 2021. Patients were divided into three groups: Those o...


Evaluation of the Effect of Granulocyte Colony Stimulating Factor on Spinal Fusion in a Rat Model of Spinal Surgery
[Abstract] [Similar Articles]

AIM: To evaluate the effects of granulocyte colony stimulating factor (G-CSF) on spinal fusion through manual palpation, radiological examinations, and histopathological analyses in a rat model. MATERIAL and METHODS: A total of 21 rats were evaluated in this study. The rats were divided into the f...


Endoscopy-Assisted Suturectomy: Can It be the Priority Choice in the Treatment of Metopic Synostosis?
[Abstract] [Similar Articles]

AIM: To mathematically present the results of endoscopic assisted surgery in the treatment of metopic synostosis. MATERIAL and METHODS: We present a follow-up of the stages of treatment of 43 patients with metopic synostosis who underwent surgery in a multicenter retrospective study between 2018 a...


Is There a Risk of Stroke During Anterior Cervical Discectomy? A Randomized Controlled Trial
[Abstract] [Similar Articles]

AIM: To examine the effects of different retractor techniques for anterior cervical discectomy on cerebral oxygen saturation. MATERIAL and METHODS: In this study, a prospective comparative design was employed to examine the effects of different retractor techniques on a cohort of 48 adult patients...


Finite Element Analysis of Bilateral Double Rod Constructs in Thoracolumbar Fractures
[Abstract] [Similar Articles]

AIM: To evaluate bilateral double rod contructs in thoracolumbar fractures in a Finite Element model MATERIAL and METHODS: A computed tomography of a 35-year old male have been chosen to create a vertebra model and 1/3 of the T12 was removed to create the burst fracture model. In model A, transped...


Survival and Prognostic Factors in Re-irradiation for Recurrent/Progressive Malignant Gliomas: Turkish Society of Radiation Oncology Neuro-Oncology Group, TROD 007-006 Study
[Abstract] [Similar Articles]

AIM: To evaluate survival and prognostic factors associated with survival among patients who underwent reirradiation for recurrent/ progressive primary brain tumors. MATERIAL and METHODS: A multicenter, retrospective study (7 centers, N=236) was conducted by the Neuro-oncology Group of the Turkis...


Repeat Microvascular Decompression for Recurrent Trigeminal Neuralgia
[Abstract] [Similar Articles]

AIM: To review our experience with patients presenting with recurrent trigeminal neuralgia (TN) and who have undergone repeat microvascular decompression surgery (rMVD). MATERIAL and METHODS: This retrospective observational study was conducted at the Department of Neurosurgery at a university ho...


Investigation of the Effect of Tenoxicam on Neural Tube Defect Using Chick Embryo Model
[Abstract] [Similar Articles]

AIM: To evaluate tenoxicam?s effects on embryonic neural tube formation to identify potential teratogenicity and determine the underlying mechanisms leading to neural tube defects (NTDs). MATERIAL and METHODS: This study was conducted at our University?s Neuro-embryology Laboratory. A total of 100...


What Happens to Serum Levels of Visinin-Like Protein-1, Caveolin-1 and Neuron-Specific Enolase after Supratentorial Glioma Resection: A Pilot Study
[Abstract] [Similar Articles]

AIM: To observe changes in the serum levels of visinin-like protein-1 (VILIP-1), caveolin-1 (Cav-1) and neuron-specific enolase (NSE) after glioma resection. MATERIAL and METHODS: Consecutive 14 glioma patients with different histologic grade and 14 age and gender-matched healthy subjects were in...


Surgical Treatment Results of Adult Tethered Spinal Cord Syndrome
[Abstract] [Similar Articles]

AIM: To present symptoms and surgical results of patients operated on with the diagnosis of tethered cord syndrome (TCS) in adulthood. MATERIAL and METHODS: In this retrospective study, 20 patients older than 18 years were evaluated. There were 17 female and 3 male patients. Patient demographics,...


Assessment of Increased T2 Signal Activity in Patients with Cervical Spondylotic Myelopathy Undergoing Posterior Cervical Fusion
[Abstract] [Similar Articles]

AIM: To compare the preoperative and postoperative increased signal intensity (ISI) outcomes of cervical spondylotic myelopathy (CSM) patients who underwent posterior decompression and fusion, and to assess the correlation between ISI changes and postsurgical clinical prognosis. MATERIAL and METH...


The Role of NLRP1 Inflammasome and Interleukin 1&#946; in Experimental Neuropathic Pain Model in Rat and the Effect of Tramadol Treatment
[Abstract] [Similar Articles]

AIM: To evaluate the effects of tramadol on inflammation by measuring NLRP1 and IL-1 beta (IL-1β) levels in an experimental neuropathic pain model. MATERIAL and METHODS: Sprague-Dawley rats were divided into three groups: control, chronic constriction injury (CCI), and CCI + tramadol. Neurop...


A Novel Perspective to Gamma-Knife Radiosurgery for Solitary Meningiomas: Adaptability of Fast Imaging Employing Steady-State Acquisition/Constructive Interference in Steady-State Magnetic Resonance Imaging
[Abstract] [Similar Articles]

AIM: To compare T1-weighted contrast-enhanced (T1+C) with fast imaging employing steady-state acquisition (FIESTA) magnetic resonance imaging (MRI) sequences to protect healthy brain tissue during meningioma treatment with Gamma-Knife radiosurgery (GKRS). MATERIAL and METHODS: After reviewing the...


Hybrid Operating Room for the Treatment of Spetzler-Martin Grade III-V Brain Arteriovenous Malformation: An Institutional Experience
[Abstract] [Similar Articles]

AIM: To report our institutional experience of the one-stop treatment of Spetzler?Martin grade (SMG) III?V brain arteriovenous malformations (BAVMs) in a hybrid operating room. MATERIAL and METHODS: Clinical data obtained from all the patients with SMG III?V BAVMs who underwent one-stop treatment ...


Clinical Characteristics and Rehabilitation Results of Traumatic Brain Injury Patients Who Have Early Rehabilitation
[Abstract] [Similar Articles]

AIM: To examine the clinical characteristics and early rehabilitation results and to investigate the relationship between rehabilitation initiation time and rehabilitation-related outcome measurements in traumatic brain injury (TBI) patients who have early rehabilitation. MATERIAL and METHODS: For...


Effect of External Magnetic Field on the Efficacy of ADSC Transplantation in Rats with Spinal Cord Injury
[Abstract] [Similar Articles]

AIM: To assess the effect of intravenously injected superparamagnetic iron oxide nanoparticle (SPION)-labeled adipose-derived stem cells (ADSCs) under an external magnetic field on the efficacy of ADSC transplantation in rats with spinal cord injury (SCI). MATERIAL and METHODS: ADSCs were isolated...


Redefining Diagnostic Criteria for Basilar Invagination Using Linear Craniometric Parameters
[Abstract] [Similar Articles]

AIM: To establish the diagnosis of basilar invagination (BI) on the basis of specific bony landmarks Klaus? index (KI), perpendicular distance between the tip of the odontoid process and palato internal occipital protuberance (PI) line. MATERIAL and METHODS: Forty-nine patients were analysed, who ...


Exogenous Ceramide Treatment Induce Death and Cytotoxicity in Glioma Cells
[Abstract] [Similar Articles]

AIM: To evaluate the cytotoxic and proapoptotic effects of C6 ceramide on the C6 rat glioma cell line. MATERIAL and METHODS: The C6 rat glioma cell line was evaluated. Using a confocal microscope and the appropriate software, the cytotoxic effects of C6 ceramide were identified using 3-(4,5-dimeth...


Choroid Plexus Tumors of the Central Nervous System: A Review of Data with a Case of Disseminated Choroid Plexus Papilloma
[Abstract] [Similar Articles]

AIM: To highlight the critical role of molecular profiling of choroid plexus epithelium tumors (CPTs) in guiding individualized treatment strategies. MATERIAL and METHODS: Histopathological diagnoses were obtained from surgically resected tumors at Centro Medico Nacional 20 de Noviembre, Mexico C...


BRAIN ABSCESSES: REVIEW OF 97 CASES
[Abstract] [Similar Articles]


THE INCIDENCE OF EPILEPSY AFTER POSTERIOR FOSSA SURGERY
[Abstract] [Similar Articles]


GAMMA HYDROXYBUTYRATE IMPROVES EARLY ULTRASTRUCTURAL FINDINGS AFTER EXPERIMENTAL SPINAL CORD INJURY
[Abstract] [Similar Articles]


Use of 3- Dimensional Modeling and Virtual Reality in the Education of Posterior Spinal Instrumentation
[Abstract] [Similar Articles]

AIM: To assess the effectiveness and safety of Virtual Reality (VR) simulations for education of posterior spinal instrumentation. MATERIAL and METHODS: Participants were instructed to apply Cervical-Thoracic-Lumbar and Sacral posterior instrumentation techniques using the VR. Each participant und...


Medial Pontine Area: A Safe Entry to the Brainstem as a Cut Above the Rest
[Abstract] [Similar Articles]

AIM: To examine the fiber-based anatomy of the medial pontine area (MPA), one of the most commonly used brainstem (BS) safe entry zones in neurosurgery. MATERIAL and METHODS: According to the protocol of Klingler and Ludwig, six BSs were kept in 10% formalin solution for at least 2 months. After ...


Anatomy of the Petrosphenoidal Ligament and Its Relationship with the Abducens Nerve in Newborn Cadavers
[Abstract] [Similar Articles]

AIM: To examine the anatomy of the petrosphenoidal ligament (PSL), and its relationship with the abducens nerve (AN) in newborn cadavers. MATERIAL and METHODS: Using 10 formalin-fixed newborn cadavers, 20 PSLs and ANs on both sides were examined. The structure of each PSL, its morphometric featur...


Morphometric Development of Medial Surface of Cerebrum in Fetal Cadavers
[Abstract] [Similar Articles]

AIM: To investigate the morphometric and morphological development of the medial surface of the cerebrum in 40 fetal cadavers without external anomalies and pathologies between the gestational ages of 22 and 40 weeks. MATERIAL and METHODS: In this study, we measured the height and width of the cer...


Impact of Tumor Resection Volume on Visual Outcomes and the Need for Secondary Surgery Following Transsphenoidal Surgery in Suprasellar Extended Non-Functionial Pituitary Adenomas
[Abstract] [Similar Articles]

AIM: To investigate the surgical outcomes in patients with nonfunctional pituitary adenomas (NFPAs) exhibiting visual field defects (VFDs) in order to ascertain the impact of the volume of adenoma excised during surgery on recurrence rates and improvements in VFDs. MATERIAL and METHODS: From a co...


Molecular Subgrouping Based on Immunohistochemistry in Medulloblastoma: A Single-Center Experience
[Abstract] [Similar Articles]

AIM: To investigate the efficacy of immunohistochemical methods to determine molecular subgroups and prognostic predictions of medulloblastomas (MBs). MATERIAL and METHODS: ?-catenin, GAB1, YAP1, filamin A and p53 were immunohistochemically stained, and MYC and MYCN fluorescent in situ hybridizat...


Outlining the Molecular Profile of Glioblastoma: Exploring the Influence of Subventricular Zone Proximity
[Abstract] [Similar Articles]

AIM: To investigate the correlation between specific glioblastoma multiforme (GBM) molecular markers and their proximity to the subventricular zone (SVZ) to uncover potential prognostic indicators and therapeutic strategies. MATERIAL and METHODS: The study retrospectively analyzed 171 patients who...


Relationship of Serum Microsomal Prostaglandin E2 Levels with Residual Tumor Volume in Patients with Astrocytoma
[Abstract] [Similar Articles]

AIM: To investigate the relationship between tumor volume and serum microsomal prostaglandin E2 (mPGE2) levels in patients with astrocytic tumors. MATERIAL and METHODS: The study included patients with astrocytic tumors who were treated at our clinic between August 2015 and December 2016. Preoper...


Outcomes of Surgical and Endovascular Treatment of Intracranial Aneurysms: A Single-Center Analysis of 1183 Patients
[Abstract] [Similar Articles]

AIM: To compare the treatment outcomes of surgical and endovascular methods in patients with intracranial aneurysms. MATERIAL and METHODS: A total of 1183 patients [722 (61%)] female and 461 [(39%) male] with intracranial aneurysms, including 615 with subarachnoid hemorrhage (SAH) and 568 without ...


The Role of Different Antioxidant Pathways Like AKT, SIRT-1, NRF2 and HO-1 in Cardiac Damage After Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

AIM: To explore the pathophysiological mechanism of subarachnoid haemorrhage (SAH) using cellular oxidative stress mechanisms and inflammation. MATERIAL and METHODS: A total of 20 Wistar Albino rats were divided into two groups, namely sham and SAH. On day 0, 0.3 mL of saline in the sham group an...


Evaluations of Oxidative Stress, Thiol/Disulphide Homeostasis, and Nitric Oxide in Patients with Aneurysmal Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

AIM: To investigate changes in nitric oxide (NO) levels, oxidative stress, and dynamic thiol/disulphide homeostasis in the serum and cerebrospinal fluid (CSF) of patients with aneurysmal subarachnoid hemorrhages (aSAH). MATERIAL and METHODS: This prospective study included a total of 40 consecutiv...


Correlations Between Facet Tropism, Joint Mobility and Degree of Displacement in Patients with Low Grade Spondylolisthesis
[Abstract] [Similar Articles]

AIM: To compare lumbar X-ray and magnetic resonance imaging (MRI) findings, and to identify the factors associated with joint instability in cases with lumbar spondylolisthesis. MATERIAL and METHODS: We performed a retrospective and observational study of patients with a confirmed diagnosis of lu...


Predictive Value of T2-weighted Perfusion and T1-weighted Permeability MRI Parameters in Determining IDH Mutational Status and Grade of Gliomas
[Abstract] [Similar Articles]

AIM: To assess the performance metrics of perfusion and permeability magnetic resonance imaging (MRI) parameters with optimal cut-offs in differentiating isocitrate dehydrogenase (IDH) genotype and tumor grade in patients with grade 2-4 gliomas. MATERIAL and METHODS: This retrospective study inclu...


Can Qualitative Cervical Tractography Predict Clinical Findings as Effectively as It Aids Surgical Planning Today?
[Abstract] [Similar Articles]

AIM: To investigate cervical spinal tractography (CST) and diffusion tensor imaging findings in patients with intramedullary cervical spinal cord (CSC) tumors and to evaluate the association between qualitative diffusion tensor tractography (DTT) findings and neurological examination findings (NEF...


Intracranial Arachnoid Cysts in Adulthood: A Retrospective, Multicenter Magnetic Resonance Imaging-Based Study
[Abstract] [Similar Articles]

AIM: To retrospectively evaluate the cranial magnetic resonance imaging (MRI) features and determine the incidence of intracranial arachnoid cysts (ACs) based on sex, age, location, size, affected side, Galassi type, and their association with hydrocephalus, mega cisterna magna (MCM), bone erosion...


Analysis of the Cranial Aperture of the Optic Canal in Patients with Chiari Type-I Malformation
[Abstract] [Similar Articles]

AIM: To examine the morphological properties of the cranial aperture of the optic canal (CAOC) in patients with a Chiari type-I malformation (CIM). MATERIAL and METHODS: Radiological images of 40 patients with CIM (24 females/16 males, mean age: 20.75 ± 14.98 years) and 40 normal individuals (24 ...


The Utility of Neuroendoscopic Approach for Pineal Region Lesions: Single-Centre Experience
[Abstract] [Similar Articles]

AIM: To investigate the treatment approaches and follow-up data of patients with pineal region tumours at our institution. MATERIAL and METHODS: A retrospective study was planned to evaluate patients who diagnosed with a pineal mass between 2019 and 2022 whether incidentally or symptomatically. Al...


Nonacute Subdural Hematoma Evacuation Using a Rigid Endoscopy System: A Clinical Study
[Abstract] [Similar Articles]

AIM: To determine the clinical relevance of a rigid endoscopy surgical method for subdural hematomas, as previously described in a cadaver study. MATERIAL and METHODS: Between May 2021 and September 2023, 21 patients underwent subdural hematoma drainage using a 0-degree rigid endoscope. Traumatic...


Experimental Feasibility Study of TRAIL Gene Transfected into Neural Stem Cells
[Abstract] [Similar Articles]

AIM: To investigate the feasibility of transfecting the TNF-related apoptosis-inducing ligand (TRAIL) gene into neural stem cells (NSCs) in vitro, and explore whether NSCs retain their proliferative and differentiated activities after transfection. MATERIAL and METHODS: NSCs were obtained from fet...


Trolox Reduces Neuroblastoma-Induced Oxidative Stress and Inflammation
[Abstract] [Similar Articles]

AIM: To determine the effects of different concentrations of Trolox on the cytotoxic, oxidant, antioxidant, and cytokine levels in the SH-SY5Y cell line. MATERIAL and METHODS: SH-SY5Y cells were grown in an appropriate medium and under appropriate conditions. Trolox was added to the cell line at ...


Mediation of Epigenetic Mechanisms in the Regenerative Effect of Uridine in a Rat Model of Sciatic Nerve Injury
[Abstract] [Similar Articles]

AIM: To investigate the possible mediation of epigenetic mechanisms underlying the regenerative effect of uridine in a sciatic nerve transection rat model. MATERIAL and METHODS: Fifty adult male rats were randomized to sham, control, and uridine groups. After unilateral transection and primary an...


Amantadine's Neuroprotective Effects in Rabbit Spinal Cord Ischemia/Reperfusion Model
[Abstract] [Similar Articles]

AIM: To examine the effects of amantadine, a drug with neuroprotective and anti-inflammatory activities on oxidative stress, tissue necrosis, apoptosis, and neurological recovery in an experimental rabbit spinal cord ischemia-reperfusion injury (SCIRI) model. MATERIAL and METHODS: A total of 32 ra...


Effects of Vitamin D and Memantine on Repetitive Mild Traumatic Brain Injury via mTOR, TRPM2, and GABA Expression Levels on Juvenile Rats
[Abstract] [Similar Articles]

AIM: To investigate the effects of vitamin D and memantine on the healing process in juvenile rats with repetitive brain injury (rTBI) and to elucidate the mechanisms underlying these potential therapeutic effects. MATERIAL and METHODS: Juvenile rats were randomly allocated into seven groups, with...


Alternative Magnification Devices for Microsurgical Training: Comparative Analysis
[Abstract] [Similar Articles]

AIM: To determine if low-cost magnification devices (USB computer microscope, smartphone) enable the acquisition and maintenance of basic microsurgical skills by comparing skills learned using these devices against those learned using a surgical microscope. Determining whether skills acquired usin...


Clinicopathological and Prognostic Significance of Tim-3 and Rel-B Expressions in Grade 4 Diffuse Gliomas
[Abstract] [Similar Articles]

AIM: To assess the clinicopathological and prognostic significance of Tim-3, an immune checkpoint molecule, and Rel-B, an NF-?B subunit, in grade 4 diffuse glioma samples and their relationship with each other. MATERIAL and METHODS: The demographic, radiologic, treatment, and prognostic data of pa...


Prognostic Utility of Albumin-to-gamma-Glutamyltransferase Ratio in Patients with High-Grade Glioma and the Development of a Nomogram for Overall Survival
[Abstract] [Similar Articles]

AIM: To assess the prognostic utility of the albumin-to-gamma-glutamyltransferase ratio (AGR) in patients with high-grade glioma [World Health Organization (WHO) grade III and IV] and to develop a predictive nomogram. MATERIAL and METHODS: Data from 185 patients diagnosed with high-grade gliomas, ...


Cytotoxic Effects of Hypericum Perforatum on Glioblastoma Cells by Inducing Oxidative Stress, Autophagy and Apoptosis
[Abstract] [Similar Articles]

AIM: To identify the autophagy mechanism T98 glioma cells. MATERIAL and METHODS: Three groups were created with T98 human glioblastoma cells; Group 1: T98 glioma cells without treatment (Control group). Group 2: T98 glioma cells treated with 3 µl/ml JWO. Group 3: T98 glioma cells treated with 6 µl...


Is Unilateral Extended Pterional Craniotomy Adequate Instead of Bicoronal (Bifrontal) Craniotomy in Large or Giant Olfactory Groove Meningiomas?
[Abstract] [Similar Articles]

AIM: To evaluate the radiological characteristics, clinical features,and surgical outcomes of bicoronal incision and bifrontal craniotomy for olfactory groove meningiomas (OGMs). MATERIAL and METHODS: This was a retrospective review of 16 patients (nine male and seven female) with large and giant ...


Evaluation of Postoperative Prognosis on Carotid Endarterectomy: Single Center Experience
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AIM: To determine the prognostic value of routine hematological indices in patients undergoing carotid endarterectomy (CEA). MATERIAL and METHODS: As a retrospective single center study, we measured the systemic immune inflammation index (SII) and other systemic inflammatory parameters to estimate...


Impact of Obesity on Subarachnoid Hemorrhage-Induced Cerebral Vasospasm: An Experimental Rat Model
[Abstract] [Similar Articles]

AIM: To investigate the effect of obesity on the severity of cerebral vasospasm after subarachnoid hemorrhage. MATERIAL and METHODS: In this study, six experimental groups, each consisting of 10 rats, were defined (60 rats in total). Groups 1 and 2 comprised rats with normal body weight, Groups 3 ...


Morphometry of Latissimus Dorsi in Fetal Cadavers for Prenatal Spina Bifida Surgery
[Abstract] [Similar Articles]

AIM: To investigate latissimus dorsi morphometry, innervation, vascularization, and variational situations in fetuses. MATERIAL and METHODS: Forty-nine fetuses, aged between 15 and 40 weeks of gestation, were examined for the morphological development of the latissimus dorsi. The horizontal length...


Relationship Between Defect Volume and Comorbid Pathologies in Patients Undergoing Surgery for Myelomeningocele
[Abstract] [Similar Articles]

AIM: To determine sac volume based on radiological examinations in patients undergoing surgery for myelomeningocele (MMC) and to investigate the relationship of sac volume with hydrocephalus and Chiari malformation type 2 (CM) with a view to determining the optimum length of follow-up and recommen...


Supratentorial Intracranial Anomalies in Myelomeningocele Patients
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AIM: To assess associated cerebral supratentorial anomalies in patients who underwent myelomeningocele repair in hopes of developing a better morphological apprehension of the forebrain?s anomalies in this category of patients. MATERIAL and METHODS: This retrospective observational study assessed ...


Retrospective Evaluation of Radiological and Clinical Postoperative Findings of Patients Who Had Endoscopic Lumbar Discectomy
[Abstract] [Similar Articles]

AIM: To evaluate the postoperative magnetic resonance imaging (MRI) findings and clinical outcomes of patients who underwent monoportal endoscopic lumbar discectomy. MATERIAL and METHODS: Preoperative and postoperative 3rd and 6th month MRI features, visual analog scale (VAS), and Oswestry Disabi...


Posterior Dynamic/Semi-Rigid Stabilization as an Effective Treatment for Cervical Spinal Stenosis
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AIM: To investigate the short- term results of dynamic/semi-rigid stabilization in patients with cervical spinal stenosis and compare them with patients for which decompression and pos-terior cervical fusion was performed. MATERIAL and METHODS: 28 patients were included in this study. Group 1 was ...


The Effect of Obesity on the Treatment Outcomes of Lumbar Transforaminal Epidural Steroid Injections
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AIM: To investigate the effects of obesity on the treatment outcomes of lumbar transforaminal epidural steroid injections (TFESIs). MATERIAL and METHODS: This retrospective study included patients who underwent single-level TFESI in a pain management center between January 2021 and April 2023. Bod...


Evaluation of the Effects of HDAC Activity in Hydroxychloroquine Applied Human Primary Chondrocyte and Nucleus Pulposus Cultures
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AIM: To evaluate the in vitro effects of hydroxychloroquine (HCQ) on histone deacetylase (HDAC) enzyme activity and interleukin (IL)-6, IL-10, and tumor necrosis factor-alpha (TNF-α) expressions. MATERIAL and METHODS: Primary cell cultures were prepared. Samples that did not receive any medic...


Assessing the Potential of Transorbital and Supraorbital Approaches for Stereotactic Surgery: An Anatomical Feasibility Study
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AIM: To evaluate the supraorbital and transorbital approaches as alternative entry sites and trajectories targeting the nucleus accumbens (NAc), subcallosal cingulate gyrus (SCG), and lateral hypothalamic area (LHA), in cadavers and surgical planning station. MATERIAL and METHODS: The three-dimens...


Analysis of Intracranial Compliance Through Noninvasive Intracranial Pressure Waveforms in Hydrocephalus Patients. A Pilot Study
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AIM: To assess the changes of intracranial pressure waveforms (ICPW) acquired noninvasively in a set of acute hydrocephalus patients prior to and posterior to interventions. MATERIAL and METHODS: Patients with clinical and radiological diagnosis of hydrocephalus were evaluated for alterations in ...


Efficacy and Safety of Guideless Catheter Placement Technique in Revision External Ventricular Drainage and Ventricular Shunt Surgery
[Abstract] [Similar Articles]

AIM: To evaluate the efficacy and safety of the guideless catheter placement technique in revision surgeries for external ventricular drainage (EVD) and ventricular shunt systems to improve treatment outcomes for hydrocephalus. MATERIAL and METHODS: We retrospectively analyzed 111 patients who und...


Evaluation of the Sella Morphology in Chiari Malformation Type I
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AIM: To investigate the morphology of sella turcica (ST) in Chiari malformation type I (CM-I) using computed tomography. MATERIAL and METHODS: The size and shape of ST were examined using the radiological images of 32 CM-I patients (21 female/11 male, mean age: 26.09 ± 15.39 years), and 32 normal ...


Dawud al-Antaki's Account on Macrocephaly and Microcephaly in al-Nuzhat al-Mubhija
[Abstract] [Similar Articles]

AIM: To present information regarding macrocephaly and microcephaly provided in D?w?d al-An??k??s Arabic book, al-Nuzhat al- Mubhija, which was translated into English and discussed in the context of the period?s literature. MATERIAL and METHODS: The copy of al-Nuzhat al-Mubhija, which was publish...


Correlations of the Laminectomy Width and C5 Palsy After Open-Door Cervical Laminoplasty
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AIM: To examine the risk factors for postoperative C5 palsy, particularly an association between the laminectomy width and C5 palsy after open-door cervical laminoplasty (CLP). MATERIAL and METHODS: This single-center study analyzed data from 132 adult patients who underwent open-door CLP for deg...


Unilateral Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures: Effects of Cement Amount on Pain, Coronal Balance, and New Compression Fracture Formation
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AIM: To evaluate the impact of the volume of cement injected during unilateral percutaneous vertebroplasty (PVP) on the occurrence of new fractures, as well as its effect on coronal balance and pain management in patients with osteoporotic vertebral compression fractures (OVCFs). MATERIAL and MET...


Impact of Rod Material and Spinopelvic Parameters on Distal Junctional Failure Following Lumbar Fusion: A Comparative Study of Semirigid PEEK and Rigid Titanium Alloy Rods
[Abstract] [Similar Articles]

AIM: To investigate the incidence of distal junctional failure (DJF) in patients undergoing posterior lumbar fusion with either semirigid polyether ether ketone (PEEK) or rigid titanium alloy rods, focusing on the impact of preoperative and postoperative spinopelvic parameters on DJF development. ...


An Anatomical Variation to Consider for a Safe Carpal Tunnel Surgery: Transverse Carpal Muscle
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AIM: To investigate the incidence of transverse carpal muscle (TCM) occurrence around carpal tunnel which may lead to carpal tunnel syndrome (CTS), and cause disorientation of surgeons during the surgery. MATERIAL and METHODS: We reviewed patients in our department between January 2007 and March 2...


Perspectives of Turkish Neurosurgeons on Concussion/Mild Traumatic Brain Injury: A National Survey
[Abstract] [Similar Articles]

AIM: To evaluate the adherence to and awareness of current concussion/mild traumatic brain injury (mTBI) guidelines among Turkish neurosurgeons. MATERIAL and METHODS: A cross-sectional electronic survey was administered to all members of the Turkish Neurosurgical Society (n=1875 neurosurgeons) be...


Analysis of Preoperative Imaging Factors and Development of a Nomogram Model for Predicting Recurrence in Patients with Septated Chronic Subdural Hematoma
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AIM: To develop a nomogram model that provides a clinical prediction method for preventing septated chronic subdural hematoma (sCSDH) recurrence after surgery and serves as a reference for selecting surgical approaches. MATERIAL and METHODS: This study involved 237 patients diagnosed with sCSDH. B...


Investigation of the Protective and Therapeutic Effects of Ginger (Zingiber officinale) Extracts on Neuroinflammatory, Motor and Cognitive Impairments Caused by Mild Traumatic Brain Injury Model
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AIM: To examine the effects of phenolic compound-rich ginger extract on motor and cognitive functions as well as cytokine levels in the mild traumatic brain injury (mTBI) model. MATERIAL and METHODS: The mTBI model was modeled employing the Marmarou method. The Ginger group rats were i.p. adminis...


Tumour Shrinkage and Good Facial Nerve Function After Planned Partial Resection and Gamma Knife Radiosurgery in Koos 4 Vestibular Schwannoma
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AIM: To evaluate clinical and radiological outcome in surgically treated Koos 4 vestibular schwannomas. MATERIAL and METHODS: Volumetric analysis of the tumour volumes before surgery, after surgery (before radiation), and at follow-up time-points after radiation was performed. Clinical data on fac...


Intracranial Solitary Fibrous Tumor/Hemangiopericytoma A Clinicoradiological Poorly Recognized Entity-An Institutional Experience
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AIM: To present a series of four cases of solitary fibrous tumor/hemangiopericytoma (SFT/HPC) of the brain, which mimicked other central nervous system (CNS) tumors both clinically and radiologically. MATERIAL and METHODS: This is a retrospective study over a period of two and a half years. Out of...


The Effect of Initial Treatment Modality on Oncological Outcomes in Children with Ependymoma
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AIM: To evaluate the oncological outcomes and the prognostic factors for children with ependymoma who receive radiotherapy (RT) ± chemotherapy after surgery. MATERIAL and METHODS: The medical records of 71 children with ependymoma who received RT between 2001 and 2022 were retrospectively evaluat...


In Vitro Antitumoral Effect of Tarantula Venom Combined with Temozolomide in Human Glioblastoma Cells
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AIM: To investigate the effect of 48-hour (h) administration of Tarantula Logoplex® (TL), a homeopathic medical product containing Tarantula cubensis venom, alone and in combination with temozolomide (TMZ) on T98G glioblastoma cell line with regard to cytotoxicity, cell migration, nitric oxide syn...


Genetic Characterization of Turkish Patients with Pituitary Neuroendocrine Tumors
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AIM: To examine the genetic results of patients diagnosed with pituitary neuroendocrine tumors (PitNETs) with respect to clinical, radiological, and pathological findings. MATERIAL and METHODS: A total of 53 patients (30 men and 23 women) diagnosed with PitNETs were included in the study. The cli...


Analysis of Patients Undergoing Anterior Temporal Lobectomy for Drug-Resistant Mesial Temporal Lobe Epilepsy: A Retrospective Study
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AIM: To analyze the epidemiologic, clinical, neuroradiological, and histopathological data of patients who have undergone anterior temporal lobectomy (ATL) for drug-resistant mesial temporal lobe epilepsy (MTLE). MATERIAL and METHODS: The study included patients who were diagnosed with MTLE refrac...


Precision of Intraoperative Cone-Beam Computed Tomography in Electrode Placement and Complications in Asleep Deep Brain Stimulation Surgery: A Multidetector Computed Tomography-Verified Comparative Study
[Abstract] [Similar Articles]

AIM: To examine intraoperative cone-beam computed tomography (iCBCT) accuracy, and the need for postoperative imaging to confirm electrode position, and to assess the complications of deep brain stimulation (DBS) surgery. MATERIAL and METHODS: Thirty-two movement disorder patients and 69 targets w...


A Comprehensive Analysis of Stent during Stent Assisted Coil Embolization for Cerebral Aneurysms: A 17-Year Institutional Study
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AIM: To compare the outcomes and complications of stent-assisted coil (SAC) embolization for the treatment of cerebral aneurysms according to stent type. MATERIAL and METHODS: Since January 2006, a total of 1293 patients have been added to our institutional aneurysm database. We excluded cases wi...


Evaluation of Neurosurgery Residency Training and Surgical Performance: A National Survey in Turkey
[Abstract] [Similar Articles]

AIM: To assess the number of independent surgical procedures performed, working hours, and satisfaction with training among residents in Turkey. MATERIAL and METHODS: An electronic survey was sent to all neurosurgery residency in Turkey through e-mail and social media group. The survey, which inc...


Step-by-Step Dissection of the Pterygopalatine Fossa, Infratemporal Fossa, and Parapharyngeal Space via the Middle Cranial Fossa Approach with Preservation of the Temporomandibular Joint
[Abstract] [Similar Articles]

AIM: To illustrate the middle cranial fossa (MCF) approach to the pterygopalatine fossa (PPF), infratemporal fossa (ITF), and parapharyngeal space (PPS) with temporomandibular joint (TMJ) preservation through step-by-step cadaver dissection and discuss certain critical considerations that are inad...


The Impact of Atlantoaxial Intra-Articular Fusion on Cervical Spine Curvature and Sagittal Balance
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AIM: To investigate whether atlantoaxial intra-articular fusion (AIF) can maintain sagittal balance stability in the cervical spine during follow-up. MATERIAL and METHODS: The data of 39 patients with anterior atlantoaxial dislocation who underwent AIF and 21 patients who underwent structural bon...


Comparison of Mechanical Stress on Implants in Anterior Single and Double Screw Fixation of Odontoid Fractures in a Finite Element Model
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AIM: To evaluate the effect of single and double anterior odontoid screw fixation on the ROM of the craniocervical area and the stress distribution on the implants in a Finite Element Analysis which may give us ideas about the possible results for IF and malunion. MATERIAL and METHODS: A FE model ...


Management of Subaxial Cervical Spine Injury with Unilateral Locked Facet: An Institutional Experience
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AIM: To describe a series of 31 surgically managed cases in a single center. MATERIAL and METHODS: We retrospectively collected data from 31 surgically managed cases that occurred between October 2014 and July 2019. We used the PubMed database to conduct a systematic literature search. RESULTS: O...


Simplifying Transforaminal Endoscopic Lumbar Discectomy (TELD) Through the Guiding Framework of Ten Landmarks
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AIM: To streamline the transforaminal endoscopic lumbar discectomy (TELD) technique to facilitate a shorter learning curve for novice surgeons by providing a comprehensive guide featuring ten crucial landmarks. MATERIAL and METHODS: In this retrospective study, we reviewed patients diagnosed with ...


Is There Postoperative Fluid Accumulation After the Unilateral Biportal Endoscopic Technique as Minimally Invasive Spine Surgery: In Vivo Study
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AIM: To establish the presence and amount of fluid accumulation in UBE procedure, and the relationship of fluid management with other variables. MATERIAL and METHODS: All patients underwent UBE spinal surgery with one level between September 2019 and February 2022. The exclusion criteria were det...


Investigation of Clinical, Surgical, and Histopathological Findings of Pediatric Intracranial Meningiomas: A Single-Center Study
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AIM: To report a series of pediatric intracranial meningiomas operated in a single institution, and to compare their features with the literature. MATERIAL and METHODS: Using our hospital?s automation system, patients under the age of 18 who had been operated in the last 11 years were identified....


A Two-Step Therapeutic Strategy in the Management of Critical Neonatal Hydrocephalus
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AIM: To identify novel therapeutic strategies to improve the outcomes of neonatal hydrocephalus. MATERIAL and METHODS: The treatment strategies for cases of neonatal hydrocephalus in our hospital between February 1, 2015, and February 1, 2024 reviewed and analyzed, with the aim of identifying valu...


Non-Surgical Management of Trigonocephalic Patients: An OCT and 3D-CT Based Follow-up Study
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AIM: To evaluate the cosmetic and visual aspects of trigonocephaly patients who have not received surgical intervention throughout a long-term follow up. MATERIAL and METHODS: Patients with trigonocephaly who did not undergo surgery were evaluated. Using 3D computed tomography images, the frontal...


Increased SIRT1 Signalling and VEGF Expressions by Dexpanthenol Suppress Oxidant, Inflammatory and Apoptotic Processes in a Rat Experimental Model of Subarachnoid Haemorrhage
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AIM: To investigate the effects of dexpanthenol (Dex) on subarachnoid haemorrhage (SAH) induced brain injury via sirtuin 1 (SIRT1) signaling in a rat experimental model. MATERIAL and METHODS: A total of 46 Wistar Albino rats were divided into 5 groups as control, sham, SAH, SAH+Dex, and Dex. Firs...


Mutational and Expressional Similarities Among Paraganglioma, Low-Grade Glioma, and Glioblastoma: A Comprehensive Clustering Approach to Central Nervous System Tumors
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AIM: To compare central nervous system (CNS) tumors, such as paraganglioma, low-grade glioma (LGG), and glioblastoma (GBM), in terms of driver genes and gene expression, and to investigate the roles of common driver genes and genes with altered expression in cellular proliferation mechanisms and t...


Preoperative Stereotactic Radiosurgery for Brain Metastases: A Single-Institution Experience
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AIM: To report a single center experience in preoperative stereotactic radiosurgery (SRS) in patients with metastatic brain tumors. MATERIAL and METHODS: We identified 18 patients who underwent preoperative stereotactic radiosurgery (SRS) in our clinic between 2015 and 2021. Two patients were lost...


Gamma Knife Radiosurgery for Intractable Trigeminal Neuralgia - Comparative Study Between Single Versus Two Isocenter Targets
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AIM: To assess the safety and efficacy of using Two isocenter targets in Gamma Knife Radiosurgery (GKRS) for treating trigeminal neuralgia (TN) versus a single isocenter target solely at the root entry zone (REZ). MATERIAL and METHODS: A retrospective study was conducted.The study involved 171 pat...


Associations of Blood Pressure and Serum Lactate Levels Upon Admission with One-week Mortality in Patients with Severe Traumatic Brain Injury: A Multi-Center Retrospective Study
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AIM: To explore interrelationships between serum lactate (Lac) levels and other hemodynamic parameters, including diastolic blood pressure (DBP) and mean arterial pressure (MAP) and acute-phase mortality in severe traumatic brain injury (sTBI). MATERIAL and METHODS: Clinical data for sTBI patients...


Using Patient-Reported Outcome Measures for Adult Chiari Malformation Type 1
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AIM: To validate the Chicago Chiari Outcome Scale (CCOS) as a patient-reported outcome measures (PROMs) tool and identify the cutoffs of CCOS-PROM and EuroQoL-5D-3L score index (EQ-SI) against Gestalt in adults who underwent chiari malformation type 1 (CM1) treatment. MATERIAL and METHODS: This c...


The Initial Experience of Turkish Neurosurgical Stroke Centers: A National Study
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AIM: To evaluate the clinical and radiological outcomes of newly established Turkish neurosurgical stroke centers , and to assess their competency in managing acute ischemic stroke from June 2023 to June 2024. MATERIAL and METHODS: We retrospectively analyzed data from 69 patients (mean age = 69.0...


Comparison of Pre-Operative and Post-Operative Mean Transit Time Delay in Ipsilateral and Contralateral Hemispheres in Moyamoya Disease Using DSC Perfusion
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AIM: To perform comparison of preoperative and postoperative mean transit time (MTT) delay in ipsilateral, and contralateral hemispheres in Moyamoya disease using dynamic susceptibility contrast (DSC) perfusion. MATERIAL and METHODS: Preoperative images were obtained within 1 week before surgery a...


Neuroendoscopic Surgical Treatment of Hypertensive Brainstem Hemorrhage
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AIM: To investigate the clinical effect of neuroendoscopic surgery on 15 patients with hypertensive brainstem hemorrhage (HBSH). MATERIAL and METHODS: A retrospective analysis was conducted on the clinical data collected from 15 patients with HBSH and treated with neuroendoscopy between January 20...


Endovascular Occlusion of Intracranial Pial Arteriovenous Fistula: Technical Aspects
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AIM: To evaluate pial arteriovenous fistulas (AVFs), focusing on the radio-anatomic architecture and contemporary endovascular devices and techniques. MATERIAL and METHODS: Sixteen patients with congenital pial AVFs who underwent endovascular treatment between 2002 and 2023 at a single institutio...


Syringic Acid Reduces Subarachnoid Hemorrhage?Induced Oxidative Damage in Rats
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AIM: To investigate the neuroprotective effects of various amounts of syringic acid (SA) on cerebral damage resulting from experimentally induced subarachnoid hemorrhage (SAH) in rats, utilizing both histological and biochemical analyses. MATERIAL and METHODS: In total, 40 male Wistar albino rats ...


Accuracy of Deep Brain Stimulation Lead Placement Using a Cranial Robotic Guidance Platform: A Preliminary Cadaveric Study
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AIM: To measure the deviation rate of a custom 3D-printed Deep Brain Stimulation (DBS) lead holder assisted electrode placements from their intended targets, providing a benchmark for the system?s accuracy and paving the way for its use in standard DBS workflows. MATERIAL and METHODS: The study w...


Non-Root Exit Zone Exploration during Facial Nerve Microvascular Decompression: A Discussion of the Pathogenesis in Atypical Cases of Hemifacial Spasm
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AIM: To summarise atypical cases of hemifacial spasm (HFS) found during microvascular decompression (MVD), and to investigate its pathogenesis and range of exploration. MATERIAL and METHODS: We retrospectively analysed cases of HFS performed in our department in recent years and summarised the in...


Not to Wait Too Long After Failed Surgery for Intractable Mesial Temporal Lobe Epilepsy: Results of Reoperation at a Tertiary Hospital
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AIM: To evaluate the causes and risk factors of seizure recurrence, as well as the outcomes of reoperation in patients who did not achieve sufficient seizure control following surgery for mesial temporal lobe epilepsy (MTLE). MATERIAL and METHODS: We retrospectively reviewed the hospital charts of...


Epilepsy in Children with Myelomeningocele: A Single-Center Retrospective Cohort Study and Review of the Literature
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AIM: To examine the prevalence of epilepsy and other associated cortical abnormalities in patients with Myelomeningocele (MMC), and to present our findings along with a review of the literature. MATERIAL and METHODS: A retrospective chart review was conducted with MMC patients followed in our pedi...


Neurosurgical Management and Follow-up of Pediatric Lumbosacral Lipomas: A Single-Center Experience with 28 Patients
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AIM: To evaluate the efficacy of surgical interventions for pediatric lumbosacral lipomas (LSL) by focusing on preoperative symptoms, postoperative outcomes, and long-term prognosis. MATERIAL and METHODS: The medical records and magnetic resonance images (MRI) of 28 pediatric patients (15 boys and...


Proactive External Lumbar Drainage Use in Pediatric Idiopathic Intracranial Hypertension and Proposal of a New Treatment Algorithm
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AIM: To determine if the concurrent use of external lumbar drainage (ELD) and oral medication will hasten the decrease in intracranial pressure (ICP) and resolution of papilledema in pediatric idiopathic intracranial hypertension (IIH). MATERIAL and METHODS: In this retrospective study, we evaluat...


An Ensemble Learning Approach for AI-based Classification of Paraganglioma/ Pheochromocytoma, Low Grade Glioma, and Glioblastoma Tumors
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AIM: To propose a weighted vote-based ensemble classification method to classify paraganglioma/pheochromocytoma, low-grade glioma, and glioblastoma tumors-conditions that present with similar symptoms-against other central nervous system tumors using clinical and molecular data. MATERIAL and METH...


Prediction and Analysis of Risk Factors for Lower Extremity Deep Vein Thrombosis After Craniotomy in Patients with Primary Brain Tumors: A Machine Learning Approach
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AIM: To explore the risk factors associated with the occurrence of lower extremity deep vein thrombosis (DVT) after craniotomy in patients with primary brain tumors, and to develop a predictive model using machine learning. MATERIAL and METHODS: A prospective cohort study was conducted on 140 pati...


Thromboelastography in Patients with Chronic Subdural Hematoma: A Prospective Pilot Study
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AIM: To evaluate association between chronic subdural hematoma (CSDH) and thromboelastography (TEG). MATERIAL and METHODS: A prospective pilot study was conducted on 52 patients with CSDH. The primary outcomes were CSDH severity, recurrence rate, and outcome. The secondary outcome was the associat...


Anatomical Segmentation and Connectivity of the Uncinate Fasciculus
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AIM: To provide a detailed anatomical segmentation of the uncinate fasciculus (UF) and to identify its cortical and subcortical connections using complementary white matter dissection and diffusion-weighted imaging tractography techniques. MATERIAL and METHODS: Human cadaveric cerebral hemsipheres...


Radioanatomical Assessment of the Sphenoid Ridge in Chiari Type I Malformation
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AIM: To compare the sphenoid ridge (SR) morphology in patients with Chiari type I malformation (CIM) with healthy subjects. MATERIAL and METHODS: Three dimensional (3D) computed tomography scans of 49 (25 men / 24 women) CIM patients aged 45.84±18.04 years, and 52 (26 men / 26 women) healthy subje...


A Bibliometric Analysis of the Contributions of Turkish Female Authors to "Turkish Neurosurgery"
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AIM: To assess the contributions of Turkish female authors to the field of neurosurgery through ?Turkish Neurosurgery?, the only neurosurgery journal in Türkiye indexed by The Science Citation Index Expanded (SCIE). MATERIAL and METHODS: A bibliometric analysis was conducted on articles published ...


Factors Affecting the Development of Hydrocephalus in Patients with Spinal Neural Tube Defects
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AIM: To identify the factors that could prevent the formation of spina bifida, and to determine the causes of hydrocephalus. MATERIAL and METHODS: We retrospectively evaluated the data of 51 patients with neural tube defects (NTDs) who were surgically treated at Sanliurfa Training and Research Hos...


Correlation of Transfontanel Ultrasonography and Brain Magnetic Resonance Imaging Measurements in Neonates with Hydrocephalus
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AIM: To evaluate whether transfontanel ultrasonography could serve as a practical and less complex alternative to brain magnetic resonance imaging in infants with hydrocephalus. MATERIAL and METHODS: In this prospective study, 54 infants diagnosed with hydrocephalus underwent both transfontanel u...


Embryotoxic Effects of Sunset Yellow in Congenital Neural Tube Defect Formation in Early-Stage Chick Embryos: A Histopathological Study
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AIM: To investigate the embryotoxic effects of Sunset Yellow (SY) exposure on neural tube development in an experimental model of chicken embryos. MATERIAL and METHODS: Sixty fertilized special pathogen-free (SPF) Leghorn genus chick embryos were used. Three experimental groups were determined, c...


Incidence and Factors of Tethering After Sectioning the Filum Terminale
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AIM: To assess the incidence of retethering in patients who underwent surgery for tethered cord in our clinic. MATERIAL and METHODS: We included patients who underwent surgical intervention for tethered cord in our clinic between 2010 and 2020, and were subsequently diagnosed with retethering duri...


Assessment of the Prevalence of Paediatric Spondylolysis
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AIM: To determine the frequency of spondylolysis (SLi) in children examined due to trauma, which has not been reported before in Turkey, and to discuss the demographic features of these cases together with accompanying secondary pathologies. MATERIAL and METHODS: Between January 2013 and June 2023...


Endoscopic or Microscopic Discectomy: Which One Do Neurosurgeons Prefer for Their Own Lumbar Disc Surgery?
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AIM: To examine the factors influencing neurosurgeons? preferences between microscopic discectomy (MD) and endoscopic discectomy (ED) for the treatment of lumbar disc herniation (LDH) in Türkiye. MATERIAL and METHODS: A cross-sectional survey was administered to 229 active neurosurgeons in Türkiye...


Cervical Fusion Techniques Unmasked: Plating vs. Cage-Only
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AIM: To compare the effect of fusion with anterior plating and cage (PLATE) versus cage-only (CAGE-O) technique on postoperative cervical sagittal alignment parameters, clinical outcome, and complication profiles after two-level anterior cervical discectomy and fusion (ACDF). MATERIAL and METHODS...


Comparison of Preoperative and Postoperative Clinical and Electrophysiological Results of Patients with Carpal Tunnel Syndrome Presenting a Positive Scratch Collapse Test
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AIM: To examine the correlation between clinical outcomes and electrophysiological findings following open carpal tunnel release (CTR) surgery in patients with a positive scratch collapse (SC) test, and to the postoperative course of the SC test. MATERIAL and METHODS: The study included 29 patient...


The Prognostic Value of Serum ET-1, MCP-1, and Lactic Acid Levels in Patients with Ruptured Intracranial Aneurysm After Interventional Embolization
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AIM: To evaluate the prognostic value of serum endothelin-1 (ET-1), monocyte chemotactic protein-1 (MCP-1), and lactic acid (LA) levels in patients with ruptured intracranial aneurysm (IA) after interventional embolization. MATERIAL and METHODS: Patients with ruptured IA were divided into mild, mo...


Therapeutic Effects of tDCS on Calcium and Glutamate Excitotoxicity in a Cerebral Ischemia? Reperfusion Rat Model
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AIM: To investigate the therapeutic effects of transcranial direct current stimulation (tDCS) on calcium and glutamate excitotoxicity caused by ischemia?reperfusion (IR). MATERIAL and METHODS: The IR model was generated by transient middle cerebral artery occlusion. tDCS treatment was applied at ...


Investigation of the Effects of Dexpanthenol on Brain Tissue in Experimental Global Cerebral Ischemia-Reperfusion Injury
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AIM: To investigate the protective and therapeutic effects of dexpanthenol in experimental global cerebral ischemia-reperfusion injury. MATERIAL and METHODS: Thirty-two female Wistar-Albino rats were used, and the rats were divided into four groups (sham, sschaemia reperfusion [IR], IR+dexpantol ...


Assessing Dexmedetomidin's Efficacy in Traumatic Brain Injury Treatment Using a Rat Experimental Model
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AIM: To elucidate the effects of nasal and intraperitoneal dexmedetomidine (DexN and DexP, respectively) administration in an animal model, and to explore the underlying action mechanisms on the treatment of traumatic brain injury (TBI). MATERIAL and METHODS: A total of 31 Wistar albino rats serve...


Is C1 Asymmetric Laminectomy Safer? A Cadaver Study
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AIM: To investigate the difference in the length of C1 laminectomy between the right and left sides and to determine the importance of considering the dominant vertebral artery in reducing complication risks. MATERIAL and METHODS: Five caucasian male cadavers were studied. The distance of the C1 p...


Investigating the Role of Biomarkers Using Liquid Biopsy in the Diagnosis of Meningiomas
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AIM: To evaluate the diagnostic potential of c-MYC, FABP7, GATA4, and MAOB in meningioma patients by analyzing their expression in serum samples. MATERIAL and METHODS: The study included 20 patients who underwent surgical resection for intracranial meningiomas. Tumor and serum samples were collec...


Three-Dimensional Dissection of the Bed Nucleus of the Stria Terminalis and Its White Matter Connections: A Surgical and Neuropsychiatric Perspective
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AIM: To provide an in-depth anatomical description of the bed nucleus of the stria terminalis (BST) and its structural affiliations, with an emphasis on its surgical and neuromodulatory relevance. MATERIAL and METHODS: We conducted stepwise fiber dissections on 14 formalin-fixed human brains prepa...


Endoscopic Third Ventriculostomy plus Valveless Catheter in the Treatment of Low-Pressure Hydrocephalus
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AIM: To evaluate the outcomes in low-pressure hydrocephalus (LPH) following an endoscopic third ventriculostomy, and placement of a valveless ventriculoperitoneal or ventriculoatrial shunt catheter. MATERIAL and METHODS: This novel surgical technique was assessed in a prospective case series at a ...


The Impact of Hypertonic Dextrose on Dura Mater Regeneration and Fibroblast Activity Following Experimental Cerebrospinal Fluid Leakage
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AIM: To investigate the effects of 25% dextrose in a rat model of cerebrospinal fluid leakage. MATERIAL and METHODS: Forty Wistar rats were included in the study. The dura mater of the rats was opened, and 25% dextrose was applied topically at a dose of 0.1 ml. Rats were sacrificed at the end of t...


Retroclival Ecchordosis Physaliphora: Diagnosis, Management
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AIM: To discuss the diagnostic tests and management options of retroclival Ecchordosis physaliphora (EP). MATERIAL and METHODS: Four patients with a retroclival EP were assessed. Computerized tomography (CT) and magnetic resonance imaging (MRI) findings were examined thoroughly. Diffusion MRI char...


Advantages and Limitations of Zero-Profile Spacers in the Treatment of Cervical Spinal Cord Injury Without Fracture or Dislocation: A 5-Year Retrospective Analysis
[Abstract] [Similar Articles]

AIM: To evaluate the five-year outcomes of zero-profile spacers and plate-cage constructs in cervical spinal cord injury without fracture or dislocation (CSCIWFD). MATERIAL and METHODS: A retrospective review was conducted on patients undergoing anterior cervical discectomy and fusion (ACDF) for ...


Comparison of Microsurgical and Biportal Endoscopic Approach in Lumbar Lateral Recess Stenosis Surgery: Single Center Retrospective Analysis
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AIM: To compare the clinical outcomes of microsurgery and biportal endoscopic spinal surgery (BESS) in lateral recess stenosis. MATERIAL and METHODS: This study evaluated the outcomes of patients with lumbar lateral recess stenosis who underwent microsurgery or BESS between March 2021 and October ...


Evaluation of Early Sagittal Balance Parameters in Patients Undergoing Bilateral Decompression with a Unilateral Approach in Lumbar Spinal Stenosis Surgery
[Abstract] [Similar Articles]

AIM: To observe the impact of the bilateral decompression with a unilateral approach technique, which is an effective and safe method in the surgical treatment of lumbar spinal stenosis (LSS) on the biomechanics of the spine in the early postoperative period and observe changes in sagittal balance...


Pregabalin and Gabapentin's Roles in Nerve Regeneration: Multifaceted Analysis in an Experimental Model
[Abstract] [Similar Articles]

AIM: To compare the effects of pregabalin and gabapentin on the regeneration of rat nerves exposed to experimental axonotmesis by means of histomorphological, immunohistochemical, biochemical, electrophysiological, and clinical evaluations. MATERIAL and METHODS: Thirty-two female Sprague-Dawley ra...


Investigation of the Effects of Quercetin on Early Brain Injury and Vasospazm in an Experimental Model of Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

AIM: To investigate the therapeutic efficacy of quercetin in early brain injury (EBI) and vasospasm resulting from experimental subarachnoid hemorrhage (SAH). MATERIAL and METHODS: The rats were assigned into five groups, as follows; Group A: rats did not undergo SAH induction, Group B: rats unde...


Three Dimensional Geometrical Features of Intracranial Saccular Aneurysms at the Time of Rupture
[Abstract] [Similar Articles]

AIM: To explore the interplay between different geometric features of various types of aneurysms related to aneurysm rupture angiographically. MATERIAL and METHODS: Three dimensional (3D) digital subtraction angiography (DSA) studies from 180 patients with ruptured sidewall (SW) and sidewall with...


Efficacy of Decompression Surgery in Malignant Cerebral Edema After Endovascular Thromboembolectomy
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AIM: To evaluate the outcomes of decompression surgery in patients who developed malignant cerebral infarction after pharmacologic and endovascular thromboembolectomy treatment. MATERIAL and METHODS: The study included 57 patients who underwent decompressive surgery for acute ischemic stroke betw...


Surgical Management of Calcified Cephalohematoma in Infants
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AIM: To investigate the patients diagnosed with calcified cephalic hematoma who underwent surgery at our clinic, and to review the critical aspects of surgical management. MATERIAL and METHODS: This study retrospectively reviewed calcified cephalic hematoma patients who underwent surgery between ...


Evaluation of Inclusion Cysts and Granulation Tissue After Prenatal and Postnatal Myelomeningocele Repair
[Abstract] [Similar Articles]

AIM: To evaluate the long-term outcomes of nine patients who underwent myelomeningocele repair via fetoscopic surgery, open fetal surgery, and postnatal surgery. MATERIAL and METHODS: The presence of inclusion cysts and the thickness of granulation tissues at the surgical site were analyzed using...


Cranial Aperture of the Optic Canal in Chiari Malformation Type 2: A Morphometric Study on CT Images
[Abstract] [Similar Articles]

AIM: To identify morphological differences in the cranial aperture (CA) of the optic canal (OC) in patients with Chiari malformation type 2 (CMT2) by comparing them with healthy individuals. MATERIAL and METHODS: Computed tomography images were analyzed for 40 patients with CMT2 (16 females, 24 ma...


Evaluation of Prognostic Factors in Primary Central Nervous System Lymphomas: A Single-Center Study
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AIM: To evaluate the relationship between the most commonly used scoring systems, some disease parameters and prognosis in a patient group diagnosed with primary Central Nervous System Lymphoma (PCNSL). MATERIAL and METHODS: Clinical information was collected from patients diagnosed with PCNSL bet...


Xanthomatous Meningiomas: A Systematic Review and Case Report
[Abstract] [Similar Articles]

AIM: To present a systematic review and to report a case of xanthomatous meningioma, aiming to contribute valuable insights into this uncommon neoplasm. MATERIAL and METHODS: The guiding question focused on the epidemiological characteristics of xanthomatous meningiomas. Inclusion criteria encomp...


Microsatellite Instability in Glioblastoma: Is It Really Relevant in Tumor Prognosis?
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AIM: To evaluate the frequency and prognostic significance of microsatellite instability (MSI) in patients with glioblastoma (GBM), an immunohistochemical analysis of mismatch repair (MMR) proteins was performed. MATERIAL and METHODS: A total of 71 patients with GBM who underwent surgery between 2...


Preoperative Systemic Inflammatory Markers in Different Brain Pathologies: An Analysis of 140 Patients
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AIM: To analyze preoperative inflammatory markers including neutrophil, lymphocyte and platelet counts and neutrophil to lymphocyte (NLR) and platelet to lymphocyte (PLR) ratios in a group of patients with different brain pathologies and healthy controls. MATERIAL and METHODS: Above mentioned preo...


Evaluation of Post-operative Meningitis: Comparison of Meningitis Caused by Acinetobacter spp. and Other Possible Causes
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AIM: To analyse postoperative meningitis (POM) after craniotomy, and to compare the clinical characteristics, treatment outcomes and mortality rates of POM that were caused by Acinetobacter spp. or other possible causes. MATERIAL and METHODS: In this study, POM cases in our hospital between 2008 a...


Clinical Study of Ultrasound-Guided Methylene Blue Thoracic Paravertebral Nerve Block for the Treatment of Postherpetic Neuralgia
[Abstract] [Similar Articles]

AIM: To investigate the effect of ultrasound-guided methylene blue (MB) thoracic paravertebral nerve block (TPVB) on the treatment of postherpetic neuralgia (PHN). MATERIAL and METHODS: A total of 27 patients with PHN were treated with ultrasound-guided TPVB. The blocking drug used was an MB comp...


Evaluation of Empirical Antibiotic Treatment in Culture Negative Pyogenic Vertebral Osteomyelitis
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AIM: To investigate the efficacy of empirical antibiotic treatment in culture-negative pyogenic vertebral osteomyelitis (PVO) cases. MATERIAL and METHODS: The records of patients with culture-negative PVO who were treated at infectious diseases and neurosurgery outpatient clinics in the past four ...


Treatment of Cavernous Sinus Hemangiomas with Gamma Knife Radiosurgery as a Primary and Sole Therapy
[Abstract] [Similar Articles]

AIM: To evaluate the effectiveness of Gamma Knife radiosurgery (GKRS) as the primary and only therapy for the treatment of cavernous sinus hemangiomas (CSH) and to report the tumor volume dynamics, course of symptoms, and complications after stereotactic radiosurgery. MATERIAL and METHODS: A tota...


Endovascular Therapy in Posterior Fossa Brain Arteriovenous Malformations: A Clinical Study
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AIM: To assess posterior fossa brain arteriovenous malformation (PFbAVM) patients who received initial endovascular intervention to reduce the lesion size, as well as embolization for the obliteration of the lesions. MATERIAL and METHODS: This retrospective analysis included 16 patients (7 males a...


Added Value of Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Predicting Response to Somatostatin Analogs in Acromegaly Patients
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AIM: To investigate the added value of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) sequences in predicting somatostatin analog (SSA) responses in patients with acromegaly. MATERIAL and METHODS:This study included 55 active acromegaly patients with macroadenoma. Mean and maximum ...


Effects of Anesthesia Protocol on Perioperative Outcomes and Costs of Lumbar Microdiscectomies
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AIM: To compare the effects of spinal anesthesia (SA) and general anesthesia (GA) in lumbar microdiscectomy in terms of their costeffectiveness, and perioperative outcomes. MATERIAL and METHODS: We randomly allocated 100 consecutive patients who were scheduled to undergo elective lumbar microdisc...


The Effect of Phenyramidol on Neural Development in Early Chicken Embryo Model
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AIM: To investigate the effects of Phenyramidol (Phe) on neural development in an early chicken embryo model. MATERIAL and METHODS: Sixty fertile non-pathogenic Super Nick eggs were incubated for 24 hours (h) and divided into four groups of 15 eggs each. Phe was administrated through the sub-blast...


Depressed Skull Fractures Overlying Dural Venous Sinuses: Management Modalities and Review of Literature
[Abstract] [Similar Articles]

AIM: To characterize the sociodemographic, clinical and radiological findings of patients with depressed skull fractures overlying cranial dural sinuses that we have faced in our institute. In addition, to explore the indications and choices for the surgical and nonsurgical management of such case...


Neuroanatomical Aspects of the Temporo–Parieto– Occipital Junction and New Surgical Strategy to Preserve the Associated Tracts in Junctional Lesion Surgery: Fiber Separation Technique
[Abstract] [Similar Articles]

AIM: To describe the location of each white matter pathways around the temporo–parieto–occipital junction (TPOJ) and the dissections performed using focal fiber dissection and fiber separation techniques (FST). These areas play an important role in human language processing and high-level brai...


Morphometric and Radiomorphometric Study of the Correlation Between the Foramen Magnum Region and the Anterior and Posterolateral Approaches to Ventral Intradural Lesions
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AIM: To identify the range of dimensional morphometric variability correlated to the basilar and condylar part of the occipital bone, which may affect the choice of approach to ventral intradural foramen magnum (FM) lesions. MATERIAL and METHODS: In total, 25 dry skulls and 50 head computed tomogr...


Melatonin Modulates NMDA-Receptor 2B/Calpain-1/ Caspase-12 Pathways in Rat Brain After Long Time Exposure to GSM Radiation
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AIM: To investigate the potential protective effects of melatonin on the chronic radiation emitted by third generation mobile phones on the brain. MATERIAL and METHODS: A total of 24 male Wistar albino rats were divided into four equal groups. Throughout a 90-day experiment, no application was pe...


The Effects of Agomelatine on The Biochemical and Pathological Features of Cisplatin-Induced Peripheral Neuropathy: The First Experimental Study in Rats
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AIM: To evaluate the effects of agomelatine on the biochemical and pathological features of cisplatin-induced peripheral neuropathy. MATERIAL and METHODS: This study included a total of 30 male Wistar albino rats that weighed 285–300 grams and were divided into three groups: healthy controls (HC...


Intraoperative Neuromonitoring in Surgery of Cauda Equina and Conus Medullaris Tumors
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AIM: To demonstrate the value of special intraoperative neuromonitoring techniques for cauda equina and conus medullaris tumors (CECMT) by describing standard methods used at our center. MATERIAL and METHODS: Neurophysiological records were retrospectively reviewed for 16 patients (eight females a...


Microsurgery versus Medical Treatment for Neuropathic Pain Caused by Foraminal Extraforaminal Lumbar Disc Herniation: An Observational Study
[Abstract] [Similar Articles]

AIM: To investigate the incidence of neuropathic pain (NP) in patients with foraminal/extraforaminal lumbar disc herniation (FEFLDH), the prognosis of NP and the effect of microsurgery on patients treatment. MATERIAL and METHODS: Two patient groups with FEFLDH were investigated: the surgery group ...


Evaluating of the Outcomes of Median Nerve Decompression with a Mini Incision Proximal to the Distal Wrist Crease
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AIM: To evaluate the feasibility of the mini-open incision method in patients who underwent median nerve decompression in the carpal tunnel with a mini incision made proximal to the distal wrist crease. MATERIAL and METHODS: A total of 80 patients (84 hands) operated by a single surgeon with a min...


Protective Effect of Contralateral, Ipsilateral, and Bilateral Remote Ischemic Preconditioning on Spinal Cord Ischemia Reperfusion Injury in Rats
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AIM: To evaluate the effect of different remote ischemic preconditioning (RIPC) methods in spinal cord ischemia-reperfusion (IR) injury. MATERIAL and METHODS: A total of 36 rats were distributed to the 6 groups: sham surgery, control (only spinal cord IR), unilateral (hind limb RIPC before spinal...


Increased Expression of GRP78 Correlates with Adverse Outcome in Recurrent Glioblastoma Multiforme Patients
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AIM: To evaluate the over expression of Glucose-regulated protein 78 kda (GRP78) in recurrent glioblastoma multiforme (GBM) and explore its chemoresatance. MATERIAL and METHODS: Western blot analysis and real-time PCR were done to detect the expression of GRP78 in GBM tissues. RESULTS: It was det...


Functional Reorganization in the Primary Somatosensory Cortex of Rat Following Hind-Paw Amputation: A Study of Functional Imaging with 1.5 Tesla MRI
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AIM: To learn how rat primary somatosensory cortex (pSSC) responses to the loss of inputs from hind-paw, using fMRI of an inferior magnetic power (1.5 Tesla) with special designed high-powered rat coil. MATERIAL and METHODS: Ten adult male Sprague-Dawley rats were enrolled in this study. The rats ...


Marking Basilar Artery Using Neuronavigation During Endoscopic Third Ventriculostomy: A Clinical Study
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AIM: To evaluate the efficacy of using a neuronavigation system for demonstrating the relationship between the basilar artery (BA) and ventricular floor during endoscopic third ventriculostomy (ETV). MATERIAL and METHODS: Records of 28 patients (16 females and 12 males) diagnosed with obstructive ...


The Experience of the Derivo® Embolisation Device in Intracranial Aneurysms
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AIM: To investigate the safety and efficacy of Derivo® embolisation device (DED), a new-generation flow diverter designed to treat cerebrovascular aneurysms, and its long-term clinical outcomes. MATERIAL and METHODS: In total, 146 patients with 182 aneurysms were treated with DED. The mean age of...


Vocal Quality Assessment of Patients with Pituitary Adenomas Operated via Endoscopic and Microscopic Approaches
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AIM: To evaluate whether there is any difference in voice quality between patients who were operated via microscopic and endoscopic approaches for pituitary adenomas. MATERIAL and METHODS: The study group consisted of 59 patients and 30 healthy volunteers. They were all males and divided into thr...


Predictive Factors for Favorable Outcome from Subthalamic Nucleus Deep Brain Stimulation in Parkinson’s Disease
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AIM: To investigate predictive factors for a favorable outcome from subthalamic nucleus-deep brain stimulation (STN-DBS) in Parkinson’s disease (PD) and whether low serum vitamin B12 (vB12) levels can predict an unfavorable outcome. MATERIAL and METHODS: Thirty-nine patients with PD who underwen...


Nomograms for Predicting the Overall and Cancer-Specific Survival of Patients with High-Grade Glioma: A Surveillance, Epidemiology, and End Results Study
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AIM: To predict the overall survival (OS) and the cancer-specific survival (CSS) of patients with high-grade glioma (HGG) using nomograms and the surveillance, epidemiology, and end results (SEER) database (2000-2013). MATERIAL and METHODS: A total of 3706 patients with high-grade glioma were iden...


N-methyl-D-aspartate Receptor Antagonists may Ameliorate Spinal Cord Injury by Inhibiting Oxidative Stress: An Experimental Study in Rats
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AIM: To investigate the neuroprotective effect of a N-methyl-D-aspartate (NMDA) receptor antagonist (amantadine) in an experimental spinal cord injury (SCI) model. MATERIAL and METHODS: Thirty male Sprague–Dawley rats were divided into three groups: control (I), SCI (II), and SCI + amantadine (...


Effectiveness of Computer Assisted Training of Patients Undergoing Lumbar Disc Herniation Surgery
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AIM: To identify the effects of computer assisted training schemes provided to patients who have undergone surgical intervention for lumbar disc herniation on their level of knowledge, level of anxiety, problems experienced after discharge, and level of functional incapacity. MATERIAL and METHODS...


Anatomical Features of Neural Foramen at T12–L1 Level for Endoscopic Transforaminal Approach of Paramedian and Foraminal Disc Herniations: An Anatomical Study on Fresh Human Cadavers
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AIM: To explore the anatomic features of the neural foramen in particularly at the T12-L1 level in order to assess reveal the safety and efficiency of the endoscopic transforaminal approach for paramedian and foraminal disc herniations at this level. MATERIAL and METHODS: The study included 15 fre...


A Clinical Analysis of Microvascular Decompression Surgery with Sacrification of the Superior Petrosal Venous Complex for Trigeminal Neuralgia: A Single-Surgeon Experience
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AIM: To report the surgical outcomes in patients with trigeminal neuralgia (TN) who underwent microvascular decompression (MVD) with superior petrosal vein sacrification. MATERIAL and METHODS: Data from 63 patients, whose information was obtained from a group of 113 patients who underwent surgery...


The Correlation of Meralgia Paresthetica and Spinal Surgery in Prone Position
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AIM: To investigate the incidence, risk factors, and recovery of patients with meralgia paresthetica (MP) following posterior spine surgery. MATERIAL and METHODS: Patients who underwent posterior spine surgeries in prone position at the authors’ clinics were included in this study. Patients wit...


The Association between the Timing of Shunt Placement and Shunt Infection in Hydrocephalus Associated with Myelomeningocele
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AIM: To determine whether the timing of shunt placement affects shunt infection rate in hydrocephalus associated with myelomeningocele (MMC). MATERIAL and METHODS: The cases of 67 consecutive patients who underwent MMC repair and ventriculoperitoneal (VP) shunt placement between 2010 and 2017 wer...


Analysis of Subcutaneous Anterior Transposition versus in-situ Decompression of Ulnar Nerve with Force Transducer in Cadaver Specimen
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AIM: To evaluate the changes in the pressure values of the ulnar nerve after in-situ decompression and anterior subcutaneous transposition of the ulnar nerve. MATERIAL and METHODS: The ulnar nerve was released in the postcondylar groove. An ultrathin (100 lm) force transducer was embedded between...


MicroRNA-199a Upregulation Mediates Lumbar Intervertebral Disc Degeneration and is Associated with Clinical Grades of Degeneration
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AIM: To determine the expression profile of miRNA-199a-5p in intervertebral disc degeneration (IDD) and its correlation to the grade of IDD. MATERIAL and METHODS: This case-controlled study was conducted during a 6-month period from 2017 to 2018 in two university hospitals in Shiraz, Iran. We inc...


Endoscopic Surgery for Recurrent Disc Herniation After Microscopic or Endoscopic Lumbar Discectomy
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AIM: To determine the feasibility and efficacy of full endoscopic interlaminar discectomy (FEID) for recurrent disc herniation. MATERIAL and METHODS: This retrospective single-center study included 60 patients. Among them, 36 who previously had microdiscectomy underwent revisional FEID (MD group),...


Use of Muscle Graft Versus Fascia Flap as Interpositional Material in Prevention of Reossification in a Rat Model of Skull Bone Defect
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AIM: To investigate the utility of two different interpositional materials (muscle graft vs. fascia flap) for preventing the osseous reunion of skull bone defect including the coronal suture line in rats. MATERIAL and METHODS: A total of 32 male Sprague-Dawley rats were divided into 2 groups (n=16...


Long-Term Outcomes of Pediatric Meningioma Surgery: Single Center Experience with 23 Patients
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AIM:To evaluate the long-term outcomes and prognostic variables in a surgical cohort of pediatric meningiomas treated in a single institution. MATERIAL and METHODS: Medical records and follow-up notes of 23 pediatric patients aged 3) during the last follow-up assessment. Ten patients (43.5%) had ...


The Vasorelaxant and Neuroprotective Effects of Mildronate in A Rabbit Subarachnoid Hemorrhage Model
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AIM: To investigate the effects of an anti-ischemic agent, mildronate, on subarachnoid hemorrhage-induced vasospasm. MATERIAL and METHODS: Rabbits were randomly divided into four groups: control, subarachnoid hemorrhage (SAH), vehicle, and mildronate (n=8 animals per group). In the treatment group...


Clinicopathological Features and Microsurgical Management of Lesions Located in the Cavernous Sinus: Analysis of 66 Cases
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AIM: To investigate the clinicopathological features and related factors affecting microsurgical resection of lesions in the cavernous sinus. MATERIAL and METHODS: Clinical data of 66 patients undergoing microsurgery for lesions located in the cavernous sinus from January 2011 to December 2017 we...


MRI Results of Patients with Acute Isolyted Cranial Nerve Palsies
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AIM: To investigate the magnetic resonance imaging (MRI) results of patients complaining from diplopia with ocular nerve palsy. MATERIAL and METHODS: A routine ophthalmic examination was performed, a neurological consultation was requested, and cranial MRI was performed for all patients. The image...


Inhibition of the Invasion of Human Glioblastoma U87 Cell Line by Ruxolitinib: A Molecular Player of miR-17 and miR-20a Regulating JAK/STAT Pathway
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AIM: To determine the interaction between ruxolitinib, JAK/STAT signalling, and two angio-microRNAs (miRs) to expose potential target molecules in the inhibition of glioblastoma invasion. MATERIAL and METHODS: The invasion properties of glioblastoma were analyzed using a cancer cell spheroid invas...


Dynamic Stabilization of the Lumbar Spine using the Dynesys® System
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AIM: To present the clinical results in patients with minor instability with “Dynesys®” a soft spinal stabilization system. MATERIAL and METHODS: A total of 83 patients were operated upon and the Dynesys® system was applied. Indications for surgery included painful degenerative disc disease,...


Timing of Shunt Insertion in Children with Neural Tube Defects and Hydrocephalus: A Clinical Study
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AIM: To define the optimal time of shunt insertion in patients with neural tube defects and hydrocephalus. MATERIAL and METHODS: In total, 71 patients who underwent operation for neural tube defects and hydrocephalus were retrospectively evaluated between 2012 and 2018. The first group comprised 4...


A Novel Deep Learning Algorithm for the Automatic Detection of High-Grade Gliomas on T2-Weighted Magnetic Resonance Images: A Preliminary Machine Learning Study
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AIM: To propose a convolutional neural network (CNN) for the automatic detection of high-grade gliomas (HGGs) on T2-weighted magnetic resonance imaging (MRI) scans. MATERIAL and METHODS: A total of 3580 images obtained from 179 individuals were used for training and validation. After random rotat...


Computed Tomography-Based Morphometric Analysis of Thoracic Pedicles: An Analysis of 1512 Pedicles and Their Correlation with Sex, Age, Weight and Height
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AIM: To examine the morphological features of thoracic pedicles in a Turkish population. MATERIAL and METHODS: This retrospective study was performed with the patients who were underwent thoracic CT for any reason such as trauma or pulmonary disorder. Patient’s age, height, weight, and sex were ...


Less Use of the Bipolar Cautery can Prevent Postlaminectomy Epidural Fibrosis: An Experimental Study in Rats
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AIM: To investigate the role of bipolar electrocautery in the occurrence of epidural fibrosis following lumbar spine laminectomy in a rat model. MATERIAL and METHODS: Fourteen male Sprague–Dawley rats (age: 4–6 months, weight: 250–300 g) were randomly divided into two groups, a bipolar grou...


Clinical Study of Decompressive Craniectomy in Children
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AIM: To evaluate the clinical characteristics of children who recently underwent decompressive craniectomy (DC) due to elevated intracranial pressure (ICP) correlated to head trauma or other causes, such as ischemic insult. MATERIAL and METHODS: Twelve patients aged ≤17 years who underwent DC du...


The Efficacy and Safety of Microvascular Decompression for Hemifacial Spasm: A Retrospective Analysis of Surgical Outcomes and Complications
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AIM: To determine the efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS) by retrospectively reviewing our results. MATERIAL and METHODS: A total of 55 patients who underwent MVD in our clinic between 2003 and 2017 were retrospectively analyzed. Clinical outcome re...


Evaluation of Neuroprotective Effect of Sevoflurane in Acute Traumatic Brain Injury: An Experimental Study in Rats
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AIM: To examine the effect of sevoflurane, a halogenated anesthetic used in clinical applications, on oxidative stress and inflammation after an acute traumatic brain injury (TBI) in rats. MATERIAL and METHODS: Thirty male Sprague–Dawley rats were divided into three groups: control (Group 1), tr...


FSLLRY-NH2 Improves Neurological Outcome After Cardiac Arrest in Rats
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AIM: To evaluate the effect of FSLLRY-NH2, a protease-activated receptor 2 (PAR2) inhibitor, on neurocognitive impairment and hippocampal neuronal degeneration in the setting of asphyxial cardiac arrest (ACA)-induced global cerebral ischemia (GCI) in rats. MATERIAL and METHODS: A total of 43 Sprag...


The Impact of Intraoperative Monitoring on Extent of Resection and Long-Term Neurological Outcomes: A Series of 39 Intramedullary Ependimomas
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AIM: To analyze the impact of intraoperative neurophysiological monitoring (IONM) on the extent of removal and long-term neurological outcomes in a series of grade II ependymomas. MATERIAL and METHODS: We retrospectively reviewed 88 consecutive patients who underwent surgical resection of an intr...


Comparative Analysis of Using Bone Graft, Hydroxyapatite Coralline (Biocoral®) and Porous Polyethylene (Medpor®) Implants for Cranioplasty in a Rat Model of Cranial Bone Defect
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AIM: To compare the efficacy of bone graft, hydroxyapatite coralline (Biocoral®), and porous polyethylene (Medpor®) implants for cranioplasty in a rat model of cranial bone defects. MATERIAL and METHODS: Two parietal bone defects were created in each of 16 male Sprague–Dawley rats. One was rep...


Significance of the Cerebellopontine Cistern Cross-Sectional Area and Trigeminal Nerve Anatomy in Trigeminal Neuralgia: An Anatomical Study Using Magnetic Resonance Imaging
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AIM: To evaluate the relationship between trigeminal neuralgia (TN) and potential magnetic resonance imaging (MRI)-related measurements in patients with TN. MATERIAL and METHODS: Retrospective analysis of 104 patients with TN was performed. MRI studies of 98 healthy controls were included in the ...


Assessment of Spatiotemporal Gait Parameters in Patients with Lumbar Disc Herniation and Patients with Chronic Mechanical Low Back Pain
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AIM: To assess spatiotemporal gait parameters in patients with lumbar disc herniation (LDH) and chronic mechanical low back pain (CMLBP), and compare with healthy control group. MATERIAL and METHODS: A total of 70 patients was enrolled in this prospective, controlled cross-sectional study, of whic...


Microsurgical and Endovascular Treatment Outcomes in Pericallosal Artery Aneurysms: A Single Center Retrospective Analysis
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AIM: To summarize the clinical outcomes, follow-up results and to discuss the optimal therapeutic strategy for pericallosal artery aneurysms (PAAs). MATERIAL and METHODS: From January 2013 to May 2017, the charts of 49 patients with PAAs, representing 2.43% of 2,018 consecutive patients with intr...


Changes in Callosal Angle After Successful Endoscopic Third Ventriculostomy Procedure in Pediatric Patients
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AIM: To determine whether callosal angle (CA) measurement, a diagnostic and prognostic tool used for normal-pressure hydrocephalus in adults, is a reliable radiological parameter for evaluating endoscopic third ventriculostomy (ETV) outcomes in pediatric patients. MATERIAL and METHODS: Forty-seve...


Radiation-Induced Meningiomas: A Series of Four Consecutive Patients and a Review of Literature
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AIM: To assess the clinical outcomes of treatment for radiation-induced meningiomas. MATERIAL and METHODS: Medical records were retrospectively reviewed for all cranial meningioma cases that were diagnosed and/or underwent surgery at our hospital from 2009 to 2016. All radiation-associated meningi...


Effects of Zinc Oxide on mRNA Expression of Genes in Brain Tissue of Rats
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AIM: To investigate the expression of the DR4, DR5, OPG, DcR1, and DcR2 in rat brain tissue. MATERIAL and METHODS: Thirty rats were used in this study. The rats were divided into three groups as the control group (n=10), tumor group (n=10), and zincoxide (ZnO) nanoparticles (NP) treatment group (n...


Subarachnoid Hemorrhage and Sevoflurane
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AIM: To examine whether post-treatment sevoflurane is protective against early brain injury (EBI) after subarachnoid hemorrhage (SAH) and how this neuroprotective effect occurs at different concentrations and durations of administration in mice. Furthermore, we tested whether the neuroprotective e...


Clinical Research of Early Hyperbaric Oxygen Therapy on Patients with Hypertensive Cerebral Hemorrhage After Craniotomy
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AIM: To observe the effect of early hyperbaric oxygen (HBO) therapy on the improvement of consciousness and prognosis of patients with severe brain damages after craniocerebral craniotomy. MATERIAL and METHODS: Eighty-one patients who had cerebral hemorrhage and underwent clearance of hematoma and...


Results of Chordoma Patients Treated by Different Approaches in a Single Institution
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AIM: To discuss the optimal and recent treatment options based on clinical review of 16 chordoma patients. MATERIAL and METHODS: Data of the patients diagnosed and treated between 1999 and 2017 in Gazi University School of Medicine has been collected through patients’ files and the electronic da...


Effects of Different Therapeutic Radiation Doses on the Development of Neural Tube Defects in Chick Embryos and the Correlation with Bone Morphogenetic Protein 4 and 7 Expression Levels
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AIM: To investigate the effects of different therapeutic radiation doses on the prevalence of neural tube defects (NTDs) in chick embryos and bone morphogenetic protein (BMP) 4 and BMP7 expression levels. MATERIAL and METHODS: The chick embryos (n=143) were derived from fertile, specific pathogen-...


Endoscopic Training Model for Intranasal Transsphenoidal Hypophysis Surgery Using a Skull Model and Chicken Wings
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AIM: To evaluate the feasibility of an experimentally designed model for training on endoscopic intranasal transsphenoidal hypophysis surgery. MATERIAL and METHODS: In this experimental study, a surgical training model for endoscopic transsphenoidal hypophysis surgery was designed to simulate rea...


Statistical Shape Analyses of Patients with Scaphocephaly After Surgical Remodeling
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AIM: To investigate the differences in the head shapes of scaphocephaly patients during the pre- and postoperative phases. MATERIAL and METHODS: Cranium shape data were collected from the two-dimensional digital images. The generalised Procrustes analysis was used to obtain mean shapes in the pre-...


Comparison of Percutaneous Transforaminal Endoscopic Discectomy with and without Epidural Steroid Application in the Treatment of Lumbar Disc Herniation: A Minimum of 2 Years of Follow-Up
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AIM: To compare the efficacy of percutaneous transforaminal endoscopic discectomy with and without epidural steroid application in the treatment of lumbar disc herniation. MATERIAL and METHODS: A total of 101 patients who had indications for percutaneous transforaminal endoscopic discectomy were ...


Transforaminal Epidural Steroid Injection in the Treatment of Pain in Foraminal and Paramedian Lumbar Disc Herniations
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AIM: To compare the effect of fluoroscopically guided transforaminal epidural steroid injections on radicular pain in foraminal and paramedian lumbar disc herniations. MATERIAL and METHODS: This study included patients who did not benefit from previous medical treatments or are not suitable for s...


Prognostic Value of Craniovertebral Junction Diffusion Tensor Imaging in Patients with Chiari Type 1 Malformation
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AIM: To examine the spinal cord status by using diffusion tensor imagıng (DTI) and tractography preoperatively and postoperatively in patients with Chiari malformation type 1 (CM1) and compare the results with the data obtained from healthy people. MATERIAL and METHODS: Overall, 48 patients (33 p...


Tranexamic Acid Utilization in Craniosynostosis Surgery
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Lumbar Juxtafacet Cysts
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AIM: To evaluate the factors affecting the clinical and radiological findings of juxtafacet cyst patients. MATERIAL and METHODS: Between January 2011 and December 2018, eight patients diagnosed with juxtafacet cyst were reviewed, retrospectively. Patient demographics; signs and symptoms; and neuro...


Comparison of Immunogenetic Properties of Glial Tumors with Advanced Magnetic Resonance Imaging Findings
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AIM: To investigate the immunogenetic properties of glial tumors according to the World Health Organization 2016 glial tumor classification and develop an accurate diagnosis and treatment strategy by comparing preoperative advanced magnetic resonance (aMRI) technique findings of these results. MA...


Analyses of Copy Number Variations in Myxopapillary Ependymomas of Cauda Equina
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A Study of the Effects of Metformin, a Biguanide Derivative, on Annulus Fibrosus and Nucleus Pulposus Cells
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AIM: To investigate the effects of metformin, a drug used widely for the treatment of type 2 diabetes mellitus, on human primary cell cultures prepared from uninjured segment of disc material intervertebral disk tissues. MATERIAL and METHODS: Primary cell cultures were prepared using the tissues o...


Inflammatory Events in Patients with Sagittal Imbalance through Platelet-Associated Inflammation
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AIM: To determine whether platelet-associated inflammation parameters (PAIP) could be useful for evaluating inflammation in sagittal imbalance (SI) by investigating its relationship with pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), lumbar lordosis (LL) and thoracic kyphosis (TK). M...


ABO and Rh Blood Groups and Risk of Myelomeningocele
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AIM: To investigate the relationship between the distribution of ABO or Rhesus (Rh) blood group antigens and the incidence of myelomeningocele. MATERIAL and METHODS: A retrospective data was reviewed for all myelomeningocele patients operated at a tertiary academic hospital between years 2014 and...


Comparison of Thalamus Volume on Magnetic Resonance and Cadaveric Section Images
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AIM: To measure and to compare the volume of thalamus using magnetic resonance imaging (MRI) and the anatomical sections. MATERIAL and METHODS: In this study, 13 brain specimens were used. First, the images were taken in 3 mm sections on MRI, the thickness of the thalamus was measured. Subsequentl...


Evaluation of the Efficacy of Sildenafil Citrate Following Severe Head Trauma in an Experimental Rat Model
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AIM: To investigate the acute effects of sildenafil citrate in an experimental model of severe head trauma, and to compare it with the efficacy of mannitol, which is an osmotically active agent frequently used in clinical treatment of traumatic brain injury (TBI). MATERIAL and METHODS: Twenty-eigh...


miR-24 Reduces Serum Lipid Levels and Inhibits Brain Tissue Cells Apoptosis of Rats with Cerebral Infarction
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AIM: To study miR-24 effects on cerebral infarction in rats. MATERIAL and METHODS: A rat middle cerebral artery occlusion model (MCAO) was constructed. Intracerebroventricular stereotactic injection of miR-24 agomir/antagomir was performed in the rat MCAO model. According to different experiences,...


Neuroprotective Efficiency of Cyclosporine After Traumatic Brain Injury in Rats
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AIM: To evaluate the possible neuroprotective effects of systemic administration of cyclosporine (Cyclosporin A) after traumatic brain injury in rats. MATERIAL and METHODS: The modified Feeney method was used as the trauma model in male Sprague Dawley rats. After the trauma, 20 mg/kg of cyclospor...


The Role of Cerebrospinal Fluid Biomarkers in the Diagnosis of Post-Neurosurgical Meningitis
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AIM: To measure cytokine and lactate levels in the cerebrospinal fluid (CSF) of patients with suspected post-neurosurgical meningitis. MATERIAL and METHODS: Interleukin (IL)-8,-12, and -13, interferon (IFN) gamma, and lactate concentrations were determined in the CSF of patients diagnosed with men...


A New Practical Intracerebral Hematoma Volume Calculation Method and Comparison to simple ABC/2
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Trends on Central Nervous System Cancers in Turkey
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AIM: To share the inferences about trends on central nervous system (CNS) cancers in Turkey with the whole health community. MATERIAL and METHODS: Turkish National Cancer Statistics, statistics of Turkey in GLOBOCAN 2018 and worldwide statistics country-by-country in GLOBOCAN 2018 was compared to ...


The Relationship Between the Pneumatization Patterns of the Frontal Sinus, Crista Galli and Nasal Septum: A Tomography Study
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Cranial Intraosseous Meningiomas: CT and MRI Findings
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AIM: To evaluate computed tomography (CT) and magnetic resonance imaging (MRI) findings of cranial intraosseous meningiomas (IOMs). MATERIAL and METHODS: This study included ten patients (six females and four males) with IOMs who underwent cranial CT and/ or MRI examinations during May 2009?June ...


Usage of a Bundle Application Process in Decreasing Ventriculoperitoneal Shunt Infections
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AIM: To determine the effect of using three concurrent measures (2% chlorhexidine gluconate +70% alcohol for skin cleaning, changing the dressing every 48 hours, and observing the operating room) for patients who had venriculoperitoneal shunt (VPS) implantations on the infection rate. MATERIAL an...


The Analysis of Safety and Effectiveness Using Allograft in the Treatment of Spinal Tuberculosis-A Multicenter Retrospective Study
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Endoscopic Surgery versus Minimal Puncture Drainage Surgery for Treatment of Supratentorial Intracerebral Hemorrhage
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Corpus Callosum Lipomas in Children
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Morphometric Analysis of Lumbar Arteries and Relationship with Intervertebral Discs: A study of Surgical Anatomy on Human Fresh Cadavers
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AIM: To examine the morphological structure of anterior lumbar spinal region. MATERIAL and METHODS: Fifteen fresh human cadavers were studied in our forensic medicine institution. Within the first 24 hours after death, cadavers were subject to a routine autopsy, by which the intestines were remove...


Effects of Tartrazine on Neural Tube Development in the Early Stage of Chicken Embryos
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AIM: To investigate the effects of tartrazine exposure on neural tube development, in early stage chicken embryos. MATERIAL and METHODS: A total of 120 fertilized specific pathogen-free chicken eggs were divided into 4 equal groups (groups 1?4). After 30 hours of incubation, the eggs, except for t...


Kyphoplasty in the Early Oncologic Diagnosis and Treatment of Vertebral Fractures: A Clinical Study
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Current Clinical Practice About Pediatric Midline Gliomas in the Scope of Molecular Era
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Challenges in the Clinical and Radiological Differential Diagnosis of Cerebrovascular Events and Malignant Primary Brain Tumors: Reports from a Retrospective Case Series
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AIM: To reveal difficulties in differential diagnosis of some cases of cerebrovascular events (CVEs) and malignant primary brain tumors (MBTs) even a multidiciplinary evaluation in grand rounds. MATERIAL and METHODS: This study retrospectively analyzed the patient archives from January 2017?Decemb...


Feasibility of Distal Mechanical Thrombectomy in M3, A3 and P3 Segments via a 0.013-inch Delivery System: Preliminary Experience
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AIM: To assess the safety and efficacy of distal thrombectomy (DT) using a Catch View mini (CVm) device via a microcatheter with a 0.013-inch inner diameter. MATERIAL and METHODS: Nine of 246 acute ischemic stroke patients who underwent mechanical thrombectomy developed distal emboli and were inc...


A Clinical Experience with Decompressive Craniectomy
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AIM: To investigate the patients who underwent decompressive craniectomy (DC) for trauma or cerebrovascular disease, and to determine the most suitable treatment protocol for those patients. MATERIAL and METHODS: Overall, 32 patients with trauma or cerebrovascular disease underwent DC. Clinical, r...


Interobserver Variability in Mitotic Count for Meningioma Grading: How Can We Reduce It?
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AIM: To evaluate the interobserver variability in determining the number of mitoses in 10 high-power field (HPF) and thus the tumor grade, and to investigate how to reduce grade discordance between the observers and the most useful method to identify the patients who would receive an additional tr...


Geometric Classification of Paraclinoid Aneurysms for Microcatheter Superselection in Coil Embolization
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The Effect of Indicators of Systemic Inflammatory Response on Survival in Glioblastoma Multiforme
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The Effect of Alpha Lipoic Acid on Cerebrospinal Fluid Biochemistry and Brain Edema After Experimental Traumatic Brain Injury
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AIM: To investigate the effect of alpha lipoic acid on cerebrospinal fluid (CSF) osmolarity and brain tissue water ratio in a rabbit model of traumatic brain injury. MATERIAL and METHODS: Using a previously established model of traumatic brain injury using liquid nitrogen, 36 New Zealand rabbits ...


Analysis of Research Productivity of Neurosurgical Residents in Turkey and Publication Rates of Theses
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AIM: To analyze the resident?s contribution toward research productivity and the publication rates of theses conducted in neurosurgery departments across Turkey. MATERIAL and METHODS: A retrospective bibliometric analysis was conducted using databases of Council of Higher Education Thesis Center ...


Vertebroplasty with Decompression for Epidural Extending Vertebral Hemangiomas: An Alternative Technique
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AIM: To document the effectiveness of an alternative surgical technique with concurrent vertebroplasty and decompression without instrumentation for patients with vertebral hemangioma presenting with neural compression symptoms. MATERIAL and METHODS: This study is a technical note and a retrospect...


Melatonin Attenuates White Matter Injury via Reducing Oligodendrocyte Apoptosis After Subarachnoid Hemorrhage in Mice
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AIM: To determine whether melatonin (MLT) mitigates white matter (WM) injury by attenuating NOD-like receptor family pyrin domain-containing 3 (NLRP3)-associated oligodendrocyte apoptosis after subarachnoid hemorrhage (SAH). MATERIAL and METHODS: SAH model C57BL/6J mice were created using an endov...


Usefulness of Dual Volume Reconstruction of Threedimensional Rotational Angiography in the Surgical Treatment of Spinal Vascular Malformations: Assessment of Image Similarity Between Angiography and Microscopy
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Neuroendoscopic Technique for Recurrent Chronic Subdural Hematoma with Small Craniotomy
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The Application of an Enhanced Recovery After Surgery to Spine Instrumentation
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Inpatient Outcomes of Surgical Treatment for Spinal Tuberculosis: 10-Year Results from the US National Inpatient Sample
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Magnesium Acetyl Taurate Prevents Tissue Damage and Deterioration of Prosocial Behavior Related with Vasopressin Levels in Traumatic Brain Injured Rats
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AIM: To investigate the effects of different magnesium forms on tissue damage, cognitive and emotional behavioural impairment after mild traumatic brain injury (TBI). MATERIAL and METHODS: Rats were divided into 5 groups (control, trauma, magnesium sulphate, magnesium citrate, magnesium acetyl ta...


Outcome Measurements for Pain Relief in Elderly Patients with Spinal Stenosis Undergoing Epidural Steroid Injection: Is Conservative Approach an Option?
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Percutaneous Spinal Cord Stimulation for Failed Back Surgery Syndrome: A Retrospective Study
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AIM: To evaluate the outcomes of percutaneous spinal cord stimulation (PSCS) in patients with failed back surgery syndrome (FBSS) in an academic tertiary care center. MATERIAL and METHODS: The hospital records of patients with FBSS who had undergone PSCS were retrospectively reviewed. A total of ...


Histopathological and Clinical Features as Prognostic Factors of Atypical Meningiomas
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AIM: To analyze the correlation of clinicopathologic prognostic parameters with atypical meningiomas (AMs) and recurrence development as well as progression-free survival (PFS). MATERIAL and METHODS: The neuropathology archive and hospital records of 75 patients with AM who underwent surgery in ou...


Effect of Antithrombotic Therapy on Development of Acute Subdural Hematoma After Burr Hole Drainage of Chronic Subdural Hematoma
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AIM: To evaluate the relationship between the time from cessation of anticoagulant/antiplatelet medication to surgery and risk of postoperative acute subdural hematoma (ASDH) after burr hole drainage of chronic subdural hematoma (CSDH). MATERIAL and METHODS: A retrospective study of patients who u...


Effects of Lumbar Fusion Instrumentation Removal in Patients Who Experienced Continued Pain After Lumbar Spinal Fusion Surgery for Lumbar Degenerative Disease
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AIM: To investigate the visual analogue scale (VAS) and Oswestry Disability Index (ODI) scores after the removal of the instrumentation system in patients who underwent lumbar instrumentation for lumbar degenerative disease (LDD). MATERIAL and METHODS: This study included 30 patients (19 female, 1...


Surgical Results of Brainstem Cavernous Malformation Haemorrhage
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Systematic Evaluation of Desmopressin Administered to Patients with Aneurysmal Subarachnoid Hemorrhage in the Light of the Literature
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AIM: To discuss the management of patients with the syndrome of inappropriate antidiuretic hormone secretion (SIADH) developing after subarachnoid hemorrhage, in a comparative manner in the light of the literature. MATERIAL and METHODS: Without country or language restrictions, articles with high ...


Activation of Signal Transducer and Activator of Transcription 3 Signaling Attenuates Neurogenesis in a Rat Model of Intracerebral Hemorrhage
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AIM: To investigate the effect of signal transducer and activator of transcription 3 (STAT3) signaling on neurogenesis following intracerebral hemorrhage (ICH). MATERIAL and METHODS: A rat model of ICH was induced via the stereotaxic injection of 100 ?L autologous blood into the right globus pall...


Radiological Imaging Findings of Craniofacial Fibrous Dysplasia
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AIM: To present the radiological findings of fibrous dysplasia (FD) patients who had computed tomography (CT) and/or magnetic resonance imaging (MRI) scans. MATERIAL and METHODS: This study included a total of 25 patients (17 female and 8 male) who were found to have FD based on CT examinations b...


Infections under Skin Flap After Cranioplasty and a Simple Effective Treatment
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Ellagic Acid Enhances Antitumor Efficacy of Temozolomide in an in vitro Glioblastoma Model
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AIM: To observe the effect of combining ellagic acid (EA), a natural phenol present in fruits and vegetables, and temozolomide (TMZ) on the proliferation and expression profile of C6 glioma cell line. MATERIAL and METHODS: Rat C6 glioma cells were treated with 100-?M EA combined with 100 ?M TMZ fo...


Analysis of Survival of Patients with Brain Metastases According to Prognostic Indexes and Treatment Strategies
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AIM: To retrospectively evaluate the overall survival (OS) of patients with brain metastases (BMs) who had been treated with whole brain radiotherapy (WBRT) and Gamma Knife (GK) according to prognostic factors and prognostic index scores. MATERIAL and METHODS: The study included 91 patients with B...


Quantitative Analysis of the Vascular and Neural Compartments of the Jugular Foramen in Dry Skulls
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AIM: To compare the right and left sides and the endo?exocranial orifices of the jugular foramen (JF) considering the vascular compartment (VC) and the neural compartment (NC). MATERIAL and METHODS: A total of 20 human dry skulls belonging to the inventory of Medical Faculty, Department of Anatomy...


Hemilaminectomy and Bilateral Decompression for Thoracic Spinal Stenosis
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The Effect of Distal Fusion Level on Functional and Radiographic Parameters in Degenerative Spine Following Long Posterior Instrumentation and Fusion
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AIM: To investigate the effect of distal fusion level on radiographic parameters and functional outcome in patients with degenerative spine disease who undergo long posterior fusion with instrumentation. MATERIAL and METHODS: This study included 78 adult patients aged>60 years who underwent long p...


Assesment of Functional Results for the Lesions Located in Eloquent Areas with Using Intraoperative Cortical-Subcortical Stimulation and Cortical Mapping
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AIM: To assess the classical and functional imaging features of patients with pathology located in the eloquent areas of the brain who were admitted to our centre between October 2012 and February 2018. We also studied intraoperative somatosensory evoked potential (SEP), motor evoked potentials (M...


Investigation of Relationship Between Hypoxic Process and Cancer Stem Cells in Meningioma
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AIM: To investigate the relationship between cancer stem cells (CD133 and CD44) and HIF1? expression in meningioma. MATERIAL and METHODS: In an immunohistochemistry experiment, three expert pathologists examined 100 meningioma slides stained for HIF1?, CD133, and CD44 antibodies. Statistical analy...


Investigation of the Possible Protective Effects of Ketamine and Dantrolene on the Hippocampal Apoptosis and Spatial Learning in Rats Exposed to Repeated Electroconvulsive Seizures as a Model of Status Epilepticus
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AIM: To evaluate the possible neuroprotective effects of ketamine and dantrolene on the hippocampal apoptosis and spatial learning in rats exposed to repeated electroconvulsive seizures (ECS) as a model of status epilepticus (SE). MATERIAL and METHODS: Twenty-four rats were assigned to 4 groups. 1...


Initial Experience and Analysis of Outcomes Using the Visualized Percutaneous Endoscopic Lumbar Discectomy Technique for the Treatment of Lumbar Disc Herniation
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Influence of Meteorological Conditions on the Incidence of Chronic Subdural Haematoma, Subarachnoid and Intracerebral Haemorrhages ? the "Bleeding Weather Hypothesis"
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Investigation of Neuroprotective and Therapeutic Effects of Hesperidin in Experimental Spinal Cord Injury
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AIM: To investigate the neuroprotective and therapeutic efficacy of hesperidin against secondary damage following traumatic spinal cord injury. MATERIAL and METHODS: A total of 32 male Wistar albino rats weighing 250?300 g were randomly divided into four groups (n=4): group I, control group; grou...


Experience of Fully Awake Craniotomy for Supratentorial Lesions: A Single Institution Study
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Functional Recovery After Wharton's Jelly-Derived Mesenchymal Stem Cell Administration in a Patient with Traumatic Brain Injury: A Pilot Study
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AIM: To introduce a traumatic brain injury (TBI) patient who underwent stem cell transplantation (SCT) in order to minimize the remaining injury deficiencies. MATERIAL and METHODS: This study included a 29 years old male who had TBI resulting from a vehicle accident which took place one and a hal...


Analysis of Clinical and Radiological Outcomes of Posterior Dynamic Stabilization for Direct Repair of Bilateral L5 Pars Interarticularis Defect: Dynamic Assessment of Pars Fusion
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AIM: To evaluate the satisfactory clinical and radiological outcomes of posterior dynamic stabilization for the direct repair of bilateral L5 pars interarticularis defects and pars fusion. MATERIAL and METHODS: This is a retrospective evaluation of postoperative follow-up results of 13 patients wi...


Retrospective Analysis of Survival in Patients with Brain Metastases from an Unknown Primary Tumor
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AIM: To evaluate the patients with brain metastases from unknown primary (BMUP) cancers, and to analyze the prognostic factors and survival rates. MATERIAL and METHODS: We conducted a retrospective study with 110 patients (mean age: 62.8 years [range 23?90], n=85- 77.3% male and n=25-22.7% female...


Augmented Reality Supported Cervical Transpedicular Fixation on 3D-Printed Vertebrae Model: An Experimental Education Study
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AIM: To investigate the use of Augmented Reality (AR) technology as it contributes to spinal surgery education with the free-hand technique, and might reduce the error ratio. MATERIAL and METHODS: Ten candidates, with anatomy education but no surgical experience, applied 36 pedicle screws with C2...


The Effect of the COVID-19 Pandemic on Functioning of Neurosurgery Clinics and the Anxiety Levels of Neurosurgeons in Turkey
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AIM: To reveal the impacts of the novel coronavirus 2019 (COVID-19) pandemic on the functioning of neurosurgery clinics and to determine the anxiety levels and attitudes of Turkish neurosurgeons towards their profession during the pandemic. MATERIAL and METHODS: The Beck anxiety inventory and a cl...


Effects of Nimodipine and Nigella sativa on Oxidative Stress and Apoptosis in Serum and Brain Tissue of Rats with Experimental Head Trauma
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AIM: To investigate whether Nimodipine (N) and Nigella sativa (NS) oil have protective, antioxidant effects in brain injury caused by experimental head trauma. MATERIAL and METHODS: Fifty albino Wistar rats were randomly divided into 5 groups that underwent experimental head trauma. Oxidative par...


Minimally Invasive Surgical Approach for Treatment of Chronic Subdural Hematoma, Outcome in 1079 Patients
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AIM: To present the authors? experience in treatment of chronic subdural hematoma (CSDH) by a minimally surgical percutaneous approach. MATERIAL and METHODS: We relate our experience of mini-invasive evacuation of chronic subdural hematoma. Between May 2006 and December 2017, 1079 patients have b...


Extracranial Metastasis of IDH-1 Wild Type Glioblastomas
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AIM: To identify the effects of different immunohistochemical features of glioblastomas with spinal metastases based on the metastatic spread and survival rate. MATERIAL and METHODS: A total of 214 patients who were diagnosed with and operated for brain tumor in our clinic between 2007 and 2018, ...


Flow Diverter Stents in the Treatment of Cerebral Aneurysms Less than 5 mm
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AIM: To evaluate the safety and efficacy of flow diverter (FD) stents in the treatment of intracranial aneurysms less than 5 mm. MATERIAL and METHODS: We treated 66 aneurysms in 43 patients with aneurysms less than 5 mm. Of the patients, 29 were females and 14 males (mean age: 50.2 years). Headach...


The Relationship Between Transpedicular Stabilization with Spinal Canal Type
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AIM: To analyze the spinal canal type and spinal structure of patients, to determine appropriate preoperative preparation and surgical procedures to prevent material malposition, which is the most common complication of thoracolumbar posterior transpedicular stabilization (TPTS) and is a determine...


Effect of Paracetamol in the Proliferation of Glioblastoma Cell Line: The Role of Apoptosis, COX-2 and Cyclin B Expressions
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AIM: To investigate the relationship between paracetamol and expression levels of cyclooxygenase-2, cyclin B, cell viability and apoptosis in glioblastoma cell line. MATERIAL and METHODS: The A172 glioblastoma cells were treated with different concentrations of paracetamol and phosphate buffer sa...


Differences in Electrophysiologic Values between Preoperative and Intraoperative Neurophysiologic Monitoring
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Self-Locking Stand-Alone Cage Used from Opposite Approach for the Treatment of Adjacent Segment Disease After an Anterior Cervical Corpectomy and Fusion
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AIM: To investigate the efficacy and safety of the self-locking stand-alone cage used from opposite approach for the treatment of adjacent segment disease (ASD) after an anterior cervical corpectomy and fusion (ACCF). MATERIAL and METHODS: In this study, we retrospectively analyzed the clinical da...


Effectiveness of Diffusion Tensor Imaging in Determining Cervical Spondylotic Myelopathy
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Endoscopic Untethering of Tight Filum Terminale: An Operative Technique
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D-serine and NMDA Receptor 1 Expression in Patients with Intractable Epilepsy
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Effect of Age and Body Mass Index on Surgical Treatment Outcomes in Patients with Carpal Tunnel Syndrome
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Effects of Deep Brain Stimulation of the Subthalamic Nucleus on the Postoperative Levodopa Response: One Year Follow Up
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Effect of Propolis on Neurological Recovery After Experimental Spinal Cord Injury
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AIM: To examine the effect of propolis on the healing process in terms of both electrophysiological and ultrastructural parameters in a rat model of experimental spinal cord injury. MATERIAL and METHODS: Thirty rats were divided into control, spinal cord trauma, and treated trauma groups with 10 r...


Accumulation of Mitochondrial DNA Microsatellite Instability in Malaysian Patients with Primary Central Nervous System Tumors
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AIM: To determine the mitochondrial microsatellite instability (mtMSI) status in a series of Malaysian patients with brain tumors. Furthermore, we analyzed whether the mtMSI status is associated with the clinicopathological features of the patients. MATERIAL and METHODS: Forty fresh frozen tumor t...


Exploring the Morphology of Anterior Interosseous Nerve and Relating It to Its Clinical Conditions
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AIM: To study topography and variability in the origin of anterior interosseous nerve; to identify the branching pattern of the anterior interosseous nerve supplying the flexor digitorum profundus, flexor pollicis longus, and pronator quadratus muscles. MATERIAL and METHODS: The present study incl...


Practical Performance of Hippocampal Tissue Resection in Rats in Pharmacomolecular Research
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AIM: To explain how to resect hippocampal tissue in rats used as live mammalian subjects for the resection of fresh cerebral tissue in laboratories. MATERIAL and METHODS: Adult male Wistar-Albino rats (n=50) were used for this purpose. RESULTS: The average bodyweight of the rats was 316.4 ± 11.71...


Comparison of Ultrasonography and Conventional Fluoroscopy Guided Caudal Epidural Injection in Chronic Low Back Pain
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AIM: To compare the efficacies of fluoroscopy- and ultrasound (US)-guided caudal epidural steroid injections (CESIs) in patients with chronic low back pain (LBP). MATERIAL and METHODS: This study included patients with chronic LBP who underwent US- (Group U; n = 90) or fluoroscopyguided (Group F;...


The Evolution of Publications in the Field of Scoliosis: A Detailed Investigation of Global Scientific Output Using Bibliometric Approaches
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AIM: To carry out an in-depth bibliometric analysis of scoliosis literature. MATERIAL and METHODS: This study used the Web of Science database to identify relevant articles for analysis. The literature search used the keyword ?scolio*? and focused on the period between 1980-2019. Bibliometric netw...


Effects of Quetiapine on Neural Tube Development in the Early Stage of Chicken Embryos
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AIM: To investigate the effects of quetiapine exposure on neural tube development in early stage chicken embryos. MATERIAL and METHODS: Eighty-four fertilised specific pathogen-free chicken eggs were divided into four equal groups (groups 1?4). Three experimental groups (groups 2, 3 and 4) and a s...


Unilateral Hemilaminectomy for the Excision of Intradural Extramedullary Spinal Tumors: A Beginner's Challenges
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AIM: To analyze retrospectively our experience of unilateral hemilaminectomy in intradural extramedullary (IDEM) tumors. MATERIAL and METHODS: This study included 28 patients with IDEM tumors who underwent unilateral hemilaminectomies during the period 2011?2016. The preoperative clinicoradiologic...


Hyperhomocysteinemia Independently Associated with Adult Moyamoya Disease: Hospital Based Study of 237 Patients
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AIM: To clarify the risk factors for adult moyamoya disease (MMD) in patients from South China. MATERIAL and METHODS: We prospectively studied adult patients who were diagnosed angiographically with MMD. The demographic profiles, medical history and clinical characteristics were compared between a...


Multi-Level Anterior Cervical Decompression in Multi-Level Cervical Spondylotic Myelopathy without Extending the Corpus Resection: A Cadaveric Study of a Novel Surgical Technique
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AIM: To perform three-level decompression with a single-level corpectomy by modifying the fusion with anterior cervical corpectomy (ACC-F) method on a cadaver. MATERIAL and METHODS: The anterior cervical region of four whole-head cadavers was dissected. The corpectomy was performed under a surgic...


Spine Surgery Database: Spine Disease Analytical Evaluation Module
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AIM: To demonstrate a custom spine disease analytical evaluation module that can instantly, accurately, and effectively analyze the widely accepted outcome measurements. MATERIAL and METHODS: The data input and analysis processes were evaluated on a timely basis to compare the traditional paper-b...


Chitosan Channels Stuffed with Mesenchyme Originated Stem/Progenitor Cells for Renovate Axonal Regeneration in Complete Spinal Cord Transection
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AIM: To examine the implantation of chitosan channels stuffed with mesenchyme-originated stem/progenitor cells (MSPCs) derived from adult rats in a spinal cord transection model. The level of axonal regeneration, the effect of chitosan channels on the survival of MSPCs, and the functional recovery...


Synthetic Bone Graft versus Autograft Obtained from the Spinous Process in Posterior Lumbar Interbody Fusion
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AIM: To compare the clinical and radiological results of using synthetic bone graft versus autograft obtained from the spinous process in posterior lumbar interbody fusion. MATERIAL and METHODS: This retrospective study included 102 patients with degenerative lumbar spondylolisthesis who underwen...


Cytotoxic Effect of Boron Application on Glioblastoma Cells
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AIM: To investigate the cytotoxic effects of boron application at different doses on U-87 MG glioblastoma cells. MATERIAL and METHODS: The T98G (ATCC® CRL-1690?) glioblastoma cell strain used in the study was acquired from the American Type Culture Collection (ATCC) (Manassas, USA). Boric acid sol...


Azathioprine as a Neuroprotective Agent in Experimental Traumatic Spinal Cord Injury
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AIM: To evaluate the protective effects of azathioprine, a macrophage-inhibiting agent, on secondary injury in spinal cord trauma. MATERIAL and METHODS: A total of 40 Wistar rats were randomly divided into 4 groups. All the animals had undergone T8-10 laminectomy. Except in group I (control), all ...


Seven Microaneurysms: Description of an Experimental Rodent Model for Neurovascular Training
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AIM: To demonstrate the microsurgical procedures, and to evaluate the feasibility of living models of experimental neurovascular training by developing new complex vascular exercises mimicking the most common intracranial aneurysms. MATERIAL and METHODS: The procedures were performed under a Zeiss...


Effect of Intravenous Tranexamic Acid on Intracerebral Brain Hemorrhage in Traumatic Brain Injury
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AIM: To determine the effect of Intravenous Tranexamic Acid (TXA) on traumatic intracerebral hemorrhage. MATERIAL and METHODS: A total of 94 cases of TBI with intracerebral hemorrhage, admitted to the emergency department who did not need surgical intervention based on a primary brain spiral compu...


Circulating Levels of Thrombospondin-1 and Thrombospondin-2 in Patients with Temporal Lobe Epilepsy Before and After Surgery
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AIM: To measure the serum levels of strong angiostatic and synaptogenetic molecules thrombospondin-1 (TSP-1) and thrombospondin-2 (TSP-2) in patients with temporal lobe epilepsy (TLE) before and after surgery. MATERIAL and METHODS: In this prospective study, 20 patients operated for TLE and 20 hea...


Targeting Cancer Cell Metabolism with Metformin, Dichloroacetate and Memantine in Glioblastoma (GBM)
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AIM: To investigate the effects of metformin, dichloroacetate (DCA), and memantine on T98G and U87-MG human glioblastoma (GBM) cells to target tumor cell metabolism in a multi-directional manner. MATERIAL and METHODS: IC50 levels for metformin, DCA, metformin+DCA and memantine were determined by M...


Fat and Fibrin Glue: Quo Vadis?
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AIM: To analyze the effectiveness of fat and fibrin glue to prevent postoperative cerebrospinal fluid (CSF) leak in pituitary surgery. MATERIAL and METHODS: Two hundred and eleven patients affected by pituitary adenoma entered this study. Patients that underwent a microscopic transsphenoidal appro...


Alpha-Tocopherol and Cyanocobalamin Combination Accelerates Peripheral Nerve Healing: An Experimental Animal Study
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AIM: To evaluate the functional and histopathological results of alpha-tocopherol (vitamin E) and vitamin B12 on an experimental rat model of peripheral nerve injury. MATERIAL and METHODS: This research included 32 Wistar Hannover rats. The sciatic nerves of the animals were crushed using an aneu...


Comparison of Histological and Angiographic Measurements of the Basilar Artery in an Experimental Rabbit Subarachnoid Hemorrhage Model
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AIM: To compare the histological and angiographic measurements of the basilar artery in an experimental rabbit subarachnoid hemorrhage model. MATERIAL and METHODS: The basilar artery was measured using both histological and angiographic methods in experimental subarachnoid hemorrhage (SAH) and va...


Angiographic Morphology of Anterior Communicating Artery Aneurysms and Their Association with Rupture Risk
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AIM: To estimate the rupture risk of anterior communicating artery (AComA) and AComA-related aneurysms according to their localization, angiographic architecture, and morphological features. MATERIAL and METHODS: In this study, 124 patients with AComA and AComA-related anterior system aneurysms we...


The Evaluation of Survivin and Bcl-2 Expression on the Medical Radiation Doses for Neural Tube Defect Development
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AIM: To investigate the effects of different radiation doses on the development of the neural tube defect in chick embryos using computed tomography (CT), and assess its correlation with survivin and Bcl-2 expressions. MATERIAL and METHODS: A total of 150 chicken eggs were used and grouped into fi...


Myelomeningocele and Kyphosis: Natural History of the Disease and the First Results of a New Surgical Technique
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AIM: To define the natural course of kyphosis, and to evaluate the efficiency of a new technique in surgical correction of kyphosis seen in myelomeningocele(MM) patients. MATERIAL and METHODS: We retrospectively reviewed our patients with MM. The rate of kyphosis, mean angle of progression and me...


Tissue Thiol Concentration in High-Grade Gliomas: Is There any Association Between IDH1 Mutation Presence and Tumoral Cellular Antioxidant Defense?
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AIM: To assess and compare the antioxidant capacities of high-grade gliomas (HGG) according to their grades and the presence of isocitrate dehydrogenase 1 (IDH1) mutation using tissue thiol level measurement. MATERIAL and METHODS: Tissue thiol concentrations were measured in 41 HGG samples and 21 ...


Effects of Benidipine Hydrochloride on Ischemia Reperfusion Injury of Rat Brain
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AIM: To evaluate the neuroprotective effects of benidipine hydrochloride on the cerebral cortex tissues in rats exposed to cerebral ischemia-reperfusion (I/R) injury. MATERIAL and METHODS: Twenty-four male Wistar albino rats were randomly divided into three groups, and administered benidipine hyd...


ICA Bifurcation Aneurysms: Clinical Features and Surgical Outcome in a Tertiary Referral Center in South India
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AIM: To study the clinical profile, imaging features, intra-operative findings, post-operative outcome at discharge and at 6 months in patients with internal carotid artery (ICA) bifurcation aneurysm. MATERIAL and METHODS: Present study is a retrospective analysis of data of patients who underwent...


Comparative Study of Three Minimally Invasive Surgical Approaches for the Treatment of L5/S1 Lumbar Intervertebral Disc Herniation
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AIM: To compare the efficacy and safety of minimally endoscopic discectomy (MED), percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) in the treatment of L5/S1 lumbar disc herniation (LDH). MATERIAL and METHODS: From May 2012 to Janu...


Evaluation of Blood Urea, Creatinine, and Glucose Levels as Biochemical Indicators of the Type and Severity of Traumatic Brain Injury
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AIM: To investigate the effects of trauma type and survival on biochemical parameters including blood urea, creatinine, and glucose levels on patients with traumatic brain injury (TBI). MATERIAL and METHODS: The medical records of 102 patients with TBIs who were admitted to the emergency departmen...


Posterior Wall Defect of Sacrum: An Anatomical Study of Sacral Spina Bifida
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AIM: To investigate the incidence, types, morphological and morphometric properties of spina bifida on dry sacral bones. MATERIAL and METHODS: 110 dry adult sacrums gathered from the bone collections of the Laboratory of the Anatomy Department of Dokuz Eylul University School of Medicine were exam...


Intrathecal and Intraventricular Administration of Antibiotics in Gram-Negative Nosocomial Meningitis in a Research Hospital in Turkey
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AIM: To evaluate the gram-negative nosocomial meningitis cases which were treated with intrathecal (IT) / intraventricular (IVT) antibiotics. MATERIAL and METHODS: Medical records were reviewed for IT/IVT antibiotherapy. Gram-negative nosocomial meningitis cases treated with IT/IVT antibiotherapy...


The Diagnostic Competence of Glial Fibrillary Acidic Protein in Mild Traumatic Brain Injury and Its Prognostic Value in Patient Recovery
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AIM: To show whether the glial fibrillary acidic protein (GFAP) levels are significantly higher in the serum of patients with mild traumatic brain injury or not. MATERIAL and METHODS: The level of serum GFAP was measured in 176 patients suffering from brain trauma. The ability of GFAP in predicti...


The Effect of Propolis-Gum Arabic as a Novel Nerve Guidance Channel on Regeneration of Sciatic Nerve in Male Rats
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AIM: To investigate the effect of Propolis-gum Arabic as a nerve guidance channel. MATERIAL and METHODS: Male rats (n=24) were randomly divided into sham surgery, autograft, and Propolis+gum Arabic groups with equal numbers. Under anesthesia, the sciatic nerve was removed, and the gap between the ...


Analysis of Mitochondrial DNA Control Region D-Loop in Gliomas: Result of 52 Patients
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AIM: To investigate the effect of mitochondrial DNA (mtDNA) variants mainly in D-loop on glioma biology. MATERIAL and METHODS: Sanger sequencing of D-loop (15971?16451 bp) for 52 glioma patients was performed and the variations were statistically analyzed for gender, WHO classification, morphologi...


Anti-Apoptotic and Anti-Oxidant Effects of Systemic Uridine Treatment in an Experimental Model of Sciatic Nerve Injury
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AIM: To investigate the anti-apoptotic and anti-oxidant effects of systemic uridine treatment in a rat model of sciatic nerve injury. MATERIAL and METHODS: Thirty-two adult male rats were equally randomized to Sham, Control, U100, and U500 groups. Sham rats received a sham operation by exposing th...


Comparison of Stent-Assisted Coiling for Unruptured Internal Carotid Artery Aneurysms Between LVIS or LVIS Jr. and Enterprise VRD: A Retrospective and Single-Center Analysis
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AIM: To compare the low-profile visualized intraluminal support (LVIS or LVIS Jr.) stent, which is a braided microstent, and Enterprise Vascular Reconstructive Device (VRD), which is fabricated using laser cutting technology, in the treatment of internal carotid artery aneurysms. MATERIAL and MET...


The Prevalence of Open and Closed Posterior Superior Iliac Spine
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AIM: To determine the prevalence of open and closed posterior superior iliac spine (PSIS) using lower abdominal computed tomography (CT) examinations. MATERIAL and METHODS: Eight hundred and fifty (M/F:464/386) adult patients who underwent lower abdominal CT between January 2018 and December 2018...


The Spectrum of Underlying Diseases in Children with Torticollis
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AIM: To investigate the underlying conditions in children with torticollis. MATERIAL and METHODS: Between May 2016 and December 2019, 24 patients (10 girls and 14 boys; mean age, 8 years) presenting with twisted neck, neck pain, weakness of extremities, imbalance, and gait disorder were evaluated ...


Circulating Levels of Thrombospondin-1 and Thrombospondin-2 in Patients with Common Brain Tumors
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AIM: To measure serum levels of thrombospondin-1 (TSP-1) and thrombospondin-2 (TSP-2) in patients with common brain tumors, namely high-grade glioma (HGG), low-grade glioma (LGG), and meningioma. MATERIAL and METHODS: For this prospective study, a total of 56 patients were operated on for supraten...


Relation Between ILAE Hippocampal Sclerosis Classification and Clinical Findings in Temporal Lobe Epilepsy
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AIM: To investigate the relationship between clinical features and prognosis of the hippocampal sclerosis (HS) cases and International League Against Epilepsy (ILAE) histopathology classification. MATERIAL and METHODS: A hundred patients with refractory epilepsy who were operated with the diagnosi...


Electromagnetic Waves from Mobile Phones may Affect Rat Brain During Development
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AIM: To investigate the effects of electromagnetic waves (EMWs) from mobile phones (MPs) on rat brains of rats by morphological and biochemical analysis. MATERIAL and METHODS: EMW was applied for two hours/day until birth in stand-by fetal and EMW fetal groups and postnatal 60th day in stand-by a...


Surgical Treatment of Temporal Lobe Epilepsy and Micro-Neuroanatomical Details of the Medial Temporal Region
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AIM: To evaluate the long-term efficacy of temporal lobe epilepsy (TLE) surgery, and to emphasize the factors affecting seizure outcomes such as surgical technique nuances and micro-neuroanatomical details in TLE cases. MATERIAL and METHODS: In this retrospective analysis, 238 patients who underwe...


Comparison of Radiological and Functional Changes After Multi-Level Laminoplasty Between Cervical Spondylotic Myelopathy and Ossification of the Posterior Longitudinal Ligament
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AIM: To compare the radiological and functional changes after multi-level laminoplasty between patients with cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL). MATERIAL and METHODS: This study included 75 patients consisted with 32 of CSM (group A...


Is It Necessary to Evaluate the Craniocervical Junction with Computed Tomoghraphy in Adolescent Spinal Deformities?
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AIM: To assess the craniocervical junction (CCJ) by using radiological measurements in patients with adolescent idiopathic scoliosis (AIS) and Scheuermann?s kyphosis (SK), and to compare those reults with healthy adolescent population. MATERIAL and METHODS: Patients were assigned to three groups. ...


Chemoresistance in Malignant Intracranial Tumors: Longer Survival with Negative MDR1 Expression
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AIM: To analyze the Glutathione S-transferase (GST)-P, GST-M, cytochrome p450 (CYP)1-A1, CYP1-B1, and multidrug resistance (MDR)-1 expressions in malignant intracranial tumor (ICT)s, and to elicit their role on patient survival. MATERIAL and METHODS: GST-P, GST-M, CYP1-A1, CYP1-B1, and MDR-1 expre...


Lamina Measurements with Computed Tomography for C2 Translaminar Screw Fixation in Pediatric and Adult Cases
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AIM: To measure C2-related morphometric parameters in a Turkish population. MATERIAL and METHODS: The computed tomography (CT) images of three groups (Group 1: paediatric cases aged 1-6 years, Group 2: age7-16 years, and Group 3: adult cases), who had cervical spine CT were used to measure some mo...


Illumination of The Relationship between Ureter and Intervertebral Disc by Computed Tomography
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AIM: To show the relationship of lumbar intervertebral discs with the ureters by using computerized tomography (CT). MATERIAL and METHODS: Eighty patients (male/female: 42/38) with a mean age of 45 years were included in this retrospective study. An imaginary line passing through the tangential to...


Evaluation of the Neuroprotective Role of Boric Acid in Preventing Traumatic Brain Injury-Mediated Oxidative Stress
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AIM: To investigate the possible neuroprotective effect of boric acid (BA) by examining the changes in catalase (CAT) activity and levels of CAT and malondialdehyde (MDA) in brain tissues from rats with closed head trauma. MATERIAL and METHODS: The study consisted of three groups: control, traumat...


Relationship Between Vasospasm and Serum Chromogranin A Levels in an Experimental Subarachnoid Hemorrhage Model
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AIM: To analyze Chromogranin A levels on vasospasm in an experimental subarachnoid heamorrhage (SAH) model. MATERIAL and METHODS: Sixteen Wistar Albino male rats were used in study. Two groups are formed; first was consisting of 8 rats that experimental SAH was performed on them, second group was ...


Evaluation of the Neurotoxicity of Strontium and Glycyrrhiza Glabra: First Report
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AIM: To investigate the neurotoxic effects of strontium (Sr) compounds and Glycyrrhiza glabra (licorice, G. glabra). MATERIAL and METHODS: In this study, we conducted neurotoxicity assays on the human cortical neuronal cell line HCN-2 (CRL- 10742) to determine the potential neurotoxic effects of S...


Surgical Outcomes of Subaxial Cervical Fractures in Patients with Ankylosing Spinal Disorder
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AIM: To evaluate the patient groups with ankylosing spinal disorder (ASD) in terms of patients? characteristics, applied surgical approaches, and the outcomes. MATERIAL and METHODS: Between 2008-2019, 50 ASD patients (35?80 years) were operated on subaxial cervical fracture. The mean follow-up ti...


Stereotactic Radiosurgery after Subtotal Resection of Critically-Located Grade I Meningioma: A Single-Center Experience and Review of Literature
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AIM: To analyze the results of stereotactic radiosurgery in 295 patients with residual Grade I meningiomas located at parasellar region, petroclival region, cerebellopontine angle and parasagittal region. MATERIAL and METHODS: A total of 295 patients with Grade 1 residual Meningiomas (197 women, 9...


A Comparison of the Surgical Outcomes of Laminoplasty and Laminectomy with Fusion in the Treatment of Multilevel Cervical Spondylotic Myelopathy: A Retrospective Cohort Study
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AIM: To compare the effectiveness of laminoplasty and laminectomy with fusion in the treatment of patients with cervical spondylotic myelopathy (CSM). MATERIAL and METHODS: This study retrospectively reviewed 52 patients diagnosed with CSM who underwent either laminoplasty (LP group) or laminecto...


A Novel Retractor for Reducing Operation Time and Radiation Exposure in Percutaneous Pedicle Screw Placement
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AIM: To design a novel hand-held retractor in order to reduce both operation time and radiation exposure in percutaneous pedicle screw placement. MATERIAL and METHODS: A total of 126 patients with single segment thoracolumbar vertebral fracture were surgically treated with percutaneous pedicle sc...


Clinical Results of Unilateral Dynamic Rod Application in the Short-Medium Period
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AIM: To evaluate the clinical results of patients who underwent unilateral dynamic rod stabilization after unilateral facet joint excision during spinal surgery. MATERIAL and METHODS: Twenty patients who were diagnosed with degenerative spinal disease or spinal tumor, who were operated on using a...


Comparison of Clinical and Molecular Wnt and SHH Subgroups in Medulloblastoma Tumor Cases
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AIM: To determine the Wnt and SHH subtypes at the molecular level, and to compare them clinically by examining the changes in CTNNB1, AXIN, PTCH1, SMO, SUFU, and GLI1 mRNA expression in the medulloblastoma of a Turkish population determined according to patient selection criteria. In this context,...


Diagnostic Role of Selective Spinal Nerve Block in Treatment of Lumbar Spine Diseases by Percutaneous Endoscopic Technique
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AIM: To assess the role of our modified selective spinal nerve block (SSNB) procedure to predict the results of the subsequent Percutaneous endoscopic transforaminal lumbar surgeries (PETLS). MATERIAL and METHODS: We retrospectively analyzed data of patients who underwent our modified SSNBs before...


Clinico-Surgical Outcomes of Giant Intracranial Epidermoids: Gross Total Resection vs Subtotal Resection Which is Better?
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AIM: To analyze the clinical and surgical outcomes following gross total resection (GTR) and planned subtotal resection (STR) of giant intracranial epidermoid tumors. MATERIAL and METHODS: In this retrospective cohort study, all patients who were diagnosed with and operated for giant intracranial...


Examining the Accuracy of Ultrasound-Guided Lumbar Transforaminal Injection Controlled by Fluoroscopic Imaging in Patients with Lumbar Radiculopathy: A Modified Technique
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AIM: To present a new sonographic approach for lumbar transforamianal injection and compared it with traditional fluoroscopicguided approach. MATERIAL and METHODS: This interventional clinical study was conducted on 30 patients with a history of radicular lowback pain and a recent MRI indicating ...


Association of MTHFR, MTRR and RAD54L Gene Variations with Meningioma and Correlation with Tumor's Histopathological Characteristics on Turkish Cohort
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AIM: To elucidate the association of the MTHFR, MTRR, and RAD54L gene variations with meningioma in Turkish cohort. MATERIAL and METHODS: DNAs were isolated from 87 retrospective meningioma samples. The MTHFR, MTRR, and RAD54L gene hotspot regions were amplified with specific primers via polymeras...


Pregabalin does not Cause Midline Closure Defect but is not as Innocent as It is Thought
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AIM: To investigate the effects of pregabalin on neural tube closure, and other potential effects on other organ systems in a chick embryo model. MATERIAL and METHODS: Fertilized chicken eggs were divided into groups, and different doses of pregabalin was administered. All embryos were harvested ...


VIM Line Technique for Determining the Ventral Intermediate Location
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AIM: To prove that VIM line technique created by using a mathematical model, can be used to identify the location of the ventral intermediate nucleus of the thalamus (VIM) MATERIAL and METHODS: Eleven patients with Parkinson?s disease (PD) were assessed. To determine the VIM location, 3-T magneti...


Improvement of Life After PVCR in Complete Paraplegic Patients with Posttraumatic Severe Kyphosis
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AIM: To determine the effect of posterior vertebral column resection (PVCR) in patients with paraplegia by using the American Spinal Injury Association (ASIA) score and Scoliosis Research Society (SRS)-22 questionnaire. MATERIAL and METHODS: Twelve patients with posttraumatic paraplegia and severe...


Statistical Shape Analyses of the Brainstem in Chiari Patients
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AIM: To ascertain whether the brain stem?s shape differs in patients with syrinx and without syrinx in cases with Chiari malformation Type I (CM-1), relative to healthy controls. MATERIAL and METHODS: Data on marked brainstem regions were obtained from 2D digital image files. Generalized Procruste...


Neurogenesis is Enhanced in Young Rats with Genetic Absence Epilepsy: An Immuno-electron Microscopic Study
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AIM: To investigate neurogenesis in both adult and 3-week-old genetic absence epilepsy rats from Strasbourg (GAERS) to determine if newly formed neurons within the dentate gyrus (DG) form synaptic contacts with GABAergic (gamma aminobutyric acid) and glutamatergic nerve terminals and compared to t...


Factors Affecting the Intensive Care Stay of Patients with Spinal Neural Tube Defects
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AIM: To evaluate the duration of hospitalization and the factors that increase this duration in cases treated in the neonatal intensive care unit with the diagnosis of a spinal neural tube defect (NTD). MATERIAL and METHODS: The demographic characteristics, NTD type and level, ventriculoperitoneal...


Predictors of Survival in Turkish Patients with Primary Glioblastoma
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AIM: An increasing number of biomarkers of primary glioblastoma (GBM) have recently been described. We aimed to investigate the biological and clinical factors that affect survival in Turkish patients with primary GBM. MATERIAL and METHODS: The clinical and demographic data of all patients with pr...


Anatomical Assessment of the Endoscopic Assisted Lateral Supraorbital Approach and Endoscopic Endonasal Transclival Approach to Basilar Apex Aneurysms
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AIM: To assess the feasibility of using an endoscopic-assisted lateral supraorbital (LSO) approach and an endoscopic endonasal transclival approach (EETA) for basilar apex (BAX) aneurysms. MATERIAL and METHODS: Ten cases with LSO approaches, with or without posterior clinoidectomy and endoscopic a...


Comparison of TachoComb and TissuDura in Terms of Adverse Effects and Complications in Duraplasty in Rats
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AIM: To compare two synthetic graft materials, TachoComb®, a fibrin sealant composed of collagen, fibrinogen, thrombin and aprotinin and TissuDura®, a collagen-based biomatrix. MATERIAL and METHODS: Thirty Sprague?Dawley rats were randomly divided into three groups with 10 animals in each group. ...


The Outcomes of Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus: 317 Pediatric and Adult Cases
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AIM: To evaluate the role of endoscopic third ventriculostomy (ETV) as a primary or secondary treatment for hydrocephalus and factors affecting ETV success. MATERIAL and METHODS: Pediatric and adult patients with symptomatic hydrocephalus treated with ETV during 11 years (2008?2019) in our clinic...


The Effect of Early Surgery on Electrocardiographic Changes in Patients with Subarachnoid Hemorrhage
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AIM: To investigate the effects of early surgery on electrocardiographic (ECG) parameters in patients with aneurysmal subarachnoid hemorrhage (SAH). We compared the parameters from ECGs performed preoperatively and on the 2nd and 8th days after surgery with those of normal individuals. MATERIAL a...


The Impact of Various Breast Sizes of Women on Vertebral Column and Spinopelvic Parameters
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AIM: To find out the anatomical changes in spine and pelvis, and the impact of various breast sizes of women on the quality of life. MATERIAL and METHODS: Sixty women with back pain volunteered to participate in this study. Their body mass index (BMI) was calculated. Clinical evaluation of the pai...


Does Foramen Magnum Morphometry Influence the Development of Chiari Malformation?
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AIM: To examine foramen magnum morphometry and shape of Chiari malformation in comparison with a control group, and to contribute to the literature on whether Chiari malformation affects foramen magnum morphometry. MATERIAL and METHODS: In this study, cranial magnetic resonance images of 71 people...


Balloon Test Occlusion of the Carotid Artery: Internal Validation of Predictive Results
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AIM: To develop a protocol of balloon test occlusion (BTO) to perform single-photon emission computed tomography (SPECT) only in cases that require it by using mean stump pressure (MSTP). MATERIAL and METHODS: BTO was performed in 52 consecutive patients (derivation group). Using the derivation gr...


Long Term Radiological and Clinical Outcome of Symptomatic Lumbar Intraspinal Synovial Cyst: A Retrospective 4-Year Study
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AIM: To examine the prevalence of symptomatic lumbar synovial facet cysts in lumbar spinal magnetic resonance imaging (MRI) of patients who admitted to neurosurgery clinic, retrospectively. Also, we aimed to report the clinic and radiologic outcome of patients with symptomatic spinal synovial cyst...


Advanced Magnetic Resonance Imaging Findings of Multinodular and Vacuolating Neuronal Tumor
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AIM: To present the magnetic resonance imaging (MRI) findings of a multinodular and vacuolating neuronal tumor (MVNT). MATERIAL and METHODS: The authors identified four patients with MVNT in the hospital between January 2015 and October 2019. Both the clinical and radiological data of the patients...


Role of Adamts-1 in Pleomorphic Xanthoastrocytoma Tumor Cells Progression
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AIM: To analyze the expression of ADAMTS-1, NF-?B, and STAT3 in human pleomorphic xanthoastrocytoma specimens, and their correlation with glioma advancement. MATERIAL and METHODS: Pleomorphic xanthoastrocytoma tumor cell lines were treated with low and high doses of cytokines at 24 and 48 hours (...


Characteristics and Surgical Outcomes of Pediatric Intracranial Aneurysms in Romania
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AIM: To analyze the demographic characteristics and surgical outcomes of the largest series of patients with pediatric aneurysms reported in Romania, in consideration of the primary factors that lead to good long-term outcomes. Given that all cases involved ruptured aneurysms, we also investigated...


Prevalence and Screening of Deep Vein Thrombosis in Patients with Osteoporotic Vertebral Fracture
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AIM: To determine the prevalence of a deep vein thrombosis (DVT) in osteoporotic vertebral fractures. MATERIAL and METHODS: Data were retrospectively collected from the medical records of 50 patients who were admitted to the Kameda Medical Center for osteoporotic vertebral fracture from 2019 to 20...


Transpedicular Lumbar Fusion in Patients without Improvement of Low Back Pain Following Implantation of Disc Prostheses
[Abstract] [Similar Articles]

AIM: To evaluate the option of lumbar transpedicular fixation at the index level in patients who did not achieve adequate pain relief after lumbar total disc replacement (TDR) without evidence of device failure. MATERIAL and METHODS: Four patients (mean age, 47 years) presented with persistent low...


Comparison of Thoracolumbar Interfascial Plane Block with the Application of Local Anesthesia in the Management of Postoperative Pain in Patients with Lumbar Disc Surgery
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AIM: To compare the effect of ultrasound-guided modified thoracolumbar interfascial plane (TLIP) block versus local anesthetic infiltration on the wound site for post-operative analgesia in patients undergoing lumbar disc surgery with spinal anesthesia. MATERIAL and METHODS: This prospective and o...


Retrospective Analysis of Intracranial Hemorrhages in the COVID-19 Pandemic
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AIM: To identify the characteristics of patients admitted to the emergency department with intracranial hemorrhages in the era of the COVID-19 pandemic. MATERIAL and METHODS: Seventy-eight patients with spontaneous intracranial bleeding who were admitted to emergency departments and treated in ne...


An Investigation of the Morphometry and Localization of the Foramen Ovale and Rotundum in Asymptomatic Individuals and Patients with Trigeminal Neuralgia
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AIM: To compare the morphometric characteristics of the foramen ovale (FO) and foramen rotundum (FR), and their localization in the middle cranial fossa on the head and neck computed tomography images of patients with trigeminal neuralgia (TN) and asymptomatic individuals. MATERIAL and METHODS: T...


The Effect of the Number of Open Vertebral Segments on the Prognosis of Newborns with Midline Closure Defect: A Single Surgeon, Single Center Experience
[Abstract] [Similar Articles]

AIM: To investigate the effect of the number of open vertebral segments on the prognosis of newborns with midline closure defects (MCD), and the optimal timing for ventriculoperitoneal shunt (VPS) placement in those with MCD accompanied by hydrocephalus. MATERIAL and METHODS: A total of 63 patient...


Biomechanical Comparison of Polymethylmethacrylate Augmentation Methods in Failed Pedicle Screw Revision
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AIM: To compare biomechanical results between different polymethylmethacrylate (PMMA) augmentation methods on failed lumbar pedicle screw models of animal vertebrae. MATERIAL and METHODS: Thirty lumbar vertebrae were harvested from six calves, and their bone mineral density was measured. 60 Polya...


Accuracy of Freehand Versus Modified Funnel Technique for Pedicle Screw Insertion in the Thoracic Spine
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AIM: To describe a new pedicle screw insertion technique, a modification of the funnel technique, and to compare this technique with conventional freehand screw insertion regarding their accuracy and complications in the thoracic spine. MATERIAL and METHODS: Three hundred forty-three patients who ...


Contribution of Countries to Main Neurosurgical Journals with Particular Emphasis on Turkey
[Abstract] [Similar Articles]

AIM: To quantitatively analyze the contribution of different countries to neurosurgical journals, with emphasis on Turkey. Further, we discuss the factors affecting research productivity and strategies for improvement. MATERIAL and METHODS: Neurosurgical journals were selected from the Journal Cit...


Using of the Synthetic Dural Graft as Described in Bogota Bag Technique to Decrease the Adhesions in Decompressive Craniectomy
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AIM: To create an alternative synthetic dural graft using a parenteral solution bag made of polyvinyl chloride/polypropylene (PVC/ PP). MATERIAL and METHODS: Twenty-two albino rats were divided into the Sham, DC and BAG groups. Except for the Sham group animals, the right parietal bone of the rat...


Comparison of Molecular Markers and Classical Histopathological Diagnostic Methods in Grade II and III Glial Tumors and Their Prognostic Outcomes
[Abstract] [Similar Articles]

AIM: To demonstrate the changes in Grade II and III glial tumors after WHO 2016 Brain Tumors Classification. MATERIAL and METHODS: The previous diagnoses and postoperative treatment of the 83 patients were recorded. We used real-time PCR (mutation assay) for the analysis of IDH1 and IDH2, while we...


Predictive Values of Serum Biochemical Markers and Apparent Diffusion Coefficient on Delayed Encephalopathy After Acute Carbon Monoxide Poisoning
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AIM: To explore the predictive values of serum biochemical markers and apparent diffusion coefficient (ADC) on delayed encephalopathy after acute carbon monoxide poisoning (DEACMP). MATERIAL and METHODS: Seventy-nine patients were divided into two groups based on the onset of DEACMP 60 days after ...


Comparative Analysis of the Therapeutic Efficiency and Radiographic Measurement Between the Transforaminal Approach and Interlaminar Approach in Percutaneous Endoscopic Discectomy
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AIM: To investigate and compare the therapeutic efficiency and radiographic measurement between the transforaminal approach and interlaminar approach in percutaneous endoscopic discectomy. MATERIAL and METHODS: From January 2017 to January 2018, 86 patients suffering from single lumbar disc hernia...


A New Indicator Predicting the Degree of Cord Shift After Posterior Decompression of Cervical Ossification of the Posterior Longitudinal Ligament Extended to the C2 Level and Its Clinical Usefulness
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AIM: To evaluate the usefulness of the rostral line (R-line) as a new index for determining the degree of C2 lamina decompression in the context of ossification of the posterior longitudinal ligament (OPLL) extending to the C2 level. MATERIAL and METHODS: The R-line was devised based on the mechan...


Prognostic Factors and Survival Prediction of Pediatric Glioblastomas: A Population-Based Study
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AIM: To identify the risk factors for pediatric glioblastomas (GBMs), and to develop an effective prediction model to estimate the survival rate for these patients. MATERIAL and METHODS: Pediatric patients with GBM were extracted from the Surveillance, Epidemiology, and End Results database. Kapl...


The Associations Between Preoperative Conventional MRI Features and Genetic Biomarkers Status in Newly Diagnosed GBMs: A Clinical Summary and Prognostic Analysis
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AIM: To analyze certain magnetic resonance imaging (MRI) features as well as six major genetic biomarkers, investigated their associations, and evaluated their prognostic roles in glioblastomas (GBMs). MATERIAL and METHODS: Strict criteria included newly diagnosed GBM with optimal treatments. Simp...


The Importance of Multiple Gene Analysis for Diagnosis and Differential Diagnosis in Charcot Marie Tooth Disease
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AIM: To investigate the genetic etiology of Charcot-Marie-Tooth (CMT) disease or hereditary motor and sensory neuropathy (HMSN). MATERIAL and METHODS: We herein examined 55 non-related patients with a suspicion of CMT phenotype or HMSN using a customized multigene panel based on the next-generatio...


Distribution and mRNA Expression of nAChRs in the Rat S1 and M1 Cortices After Electrical Stimulation of the Basal Forebrain
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AIM: To study the changes in the distribution of and the transcriptional levels associated with α4- and α7-subtype nicotinic acetylcholine receptors (nAChRs) in the primary somatosensory (S1) and motor (M1) cortices of rats after electrical stimulation of the basal forebrain (BF). MAT...


Effects of Cerebral Ischemia on Levels of Vascular Endothelial Growth Factor (VEGF) and Its Soluble Receptors: A Possible Link to Angiogenesis in Arteriovenous Malformations
[Abstract] [Similar Articles]

AIM: To investigate the levels of vascular endothelial growth factor (VEGF) in the brain, and its soluble forms, namely sVEGFR1 and sVEGFR2, levels in the plasma of rats after cerebral ischemia. MATERIAL and METHODS: Rats were divided into three groups as follows: Group 1: Sham-operated group, Gro...


Feasibility of Medial Pectoral Nerve to Musculocutaneous Nerve Transfer Using Medial Antebrachial Cutaneous Nerve of Forearm Graft: Histopathologic and Anatomical Evaluation
[Abstract] [Similar Articles]

AIM: To evaluate the compatibility of medial antebrachial cutaneous nerve of the forearm (MACN) with medial pectoral (MPN) and musculocutaneous (MCN) nerves for the anastomosis from anatomical and histopathologic aspects. MATERIAL and METHODS: Ten brachial plexus specimens from five cadavers were ...


Incidence of Neuropathic Pain in Patients with Thoracic Disc Pathologies Presenting with Chronic Upper Back Pain and Correlation of Herniation Grade with Pain Severity
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AIM: To determine the incidence of neuropathic pain (NP) in patients with thoracic disc herniation (TDH) and to determine whether there is any correlation between pain severity and herniation grade. MATERIAL and METHODS: A total of 110 patients diagnosed with TDH with chronic non-specific thoracic...


Kyphoplasty with Posterior Dynamic Stabilization in the Surgical Treatment of Unstable Thoracolumbar Osteoporotic Vertebral Compression Fractures
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AIM: To evaluate the role of posterior dynamic stabilization (PDS) with kyphoplasty (KP) in the surgical treatment of unstable osteoporotic compression fractures, which are common in the elderly population. MATERIAL and METHODS: This study included 25 patients with osteoporotic compression fractur...


Foramen Magnum Meningiomas: A Report of 10 Cases and Literature Review
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AIM: To present the findings and surgical results of foramen magnum meningioma surgeries performed by the authors. MATERIAL and METHODS: Ten patients operated between 2014 and 2019 were retrospectively analyzed in terms of age, gender, neurological examination, and postoperative status. The female...


The Preventive Effect of Systemic Honokiol and Systemic Pentoxifylline on Epidural Fibrosis
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AIM: To investigate the preventive effects of systemic honokiol and pentoxifylline treatments on epidural fibrosis (EF) in the experimental laminectomy model. MATERIAL and METHODS: Thirty-two rats were divided into four equal groups. Laminectomy was performed in all rats except for the control gr...


Our Clinical Algorithmic Approach for Meningomyelocele Defects Reconstruction with Fasciocutaneous Flaps
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AIM: To evaluate fasciocutaneous flaps used for reconstruction of meningomyelocele defects in our clinic and to suggest an algorithm for flap selection. MATERIAL and METHODS: A retrospective analysis of 45 patients with meningomyelocele, who underwent repair with fasciocutaneous flaps, was carrie...


Revision Anterior Cervical Discectomy and Fusion and Revision Cervical Arthroplasty Are Associated with Similar Outcomes: Real-World Analysis from a National Quality Registry
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AIM: To utilize a national surgical quality registry to compare 30-day quality outcomes between repeat anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA). MATERIAL and METHODS: The National Surgical Quality Improvement Project (NSQIP) Participant User Files (PUF) f...


Hydrogen Peroxide Skull Base Specimen Preparation: Singular View of Hidden Topographic Anatomy
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AIM: To present the technical principles of the hydrogen peroxide head preparation method, and to demonstrate the high quality of anatomical studies performed using these specimens, particularly for arachnoid exploration. MATERIAL and METHODS: Five cadaveric heads were set with a 10% formalin solu...


Does Gabapentin Affect Neural Tube Development? Experimental Study Using an Early Stage Chick Embryo Model
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AIM: To determine whether using gabapentin (GBP), especially in the first maternal trimester, would affect the neural tube development of embryos in an early stage chick embryo (ESCE) model. MATERIAL and METHODS: One hundred fertile specific pathogen-free (SPF) chick eggs were used to investigate ...


Efficiency of Distraction and Ligamentotaxis in Posterior Spinal Instrumentation of Thoracolumbar Retropulsed Fractures
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AIM: To compare the efficiency of distraction and ligamentotaxis in posterior spinal instrumentation of thoracolumbar retropulsed fractures according to the grade of spinal canal compression and fracture levels. MATERIAL and METHODS: This study retrospectively reviewed 56 patients diagnosed with t...


Medulloblastoma in Adults: Surgical Outcomes and Survival - A Single Center Analysis of 16 Patients
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AIM: To look into the clinicopathological characteristics, surgical outcomes, and survival rates of adult patients with medulloblastoma. MATERIAL and METHODS: Adult patients (age>17 years) who had surgery in our clinic with the diagnosis of cerebellar mass between 2009 and 2015 and whose pathologi...


Outcome of Primary Central Nervous System Lymphoma Treated with Combined Surgical Resection and High- Dose Methotrexate Chemotherapy: A Single-Institution Retrospective Study
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AIM: To evaluate the feasibility and long-term clinical results of combined surgical resection and high-dose methotrexate (HD-MTX) chemotherapy for primary central nervous system lymphoma (PCNSL) of the brain. MATERIAL and METHODS: Fifty-eight patients were diagnosed with PCNSL by histopathologica...


Treatment Outcome and Risk Factors Associated with Diffuse Axonal Injury in Patients with Moderate to Severe Head Injury
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AIM: To evaluate diffuse axonal injury (DAI) patients according to DAI stage to identify risk factors that may affect clinical outcome. MATERIAL and METHODS: A total of 992 traumatic brain injury (TBI) patients visited our hospital between 2011 and 2016. Thirtyseven patients diagnosed with DAI wer...


Utilizing Deep Convolutional Generative Adversarial Networks for Automatic Segmentation of Gliomas: An Artificial Intelligence Study
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AIM: To describe a deep convolutional generative adversarial networks (DCGAN) model which learns normal brain MRI from normal subjects than finds distortions such as a glioma from a test subject while performing a segmentation at the same time. MATERIAL and METHODS: MRIs of 300 healthy subjects we...


Morphometric Measurement of Lower Lumbar Intervertebral Foramina Based on Digital Three-Dimensional Simulation
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AIM: To investigate the morphology of the lower lumbar intervertebral foramina through using a digital three-dimensional (3D) simulation model to guide the endoscope through the intervertebral foramina. MATERIAL and METHODS: Individuals without disease affecting the lumbar vertebrae underwent comp...


Operating Room Educational Climate Scale for Surgical Specialty Residents: Scale Development and Validation
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AIM: To develop a scale in Turkish language for evaluating the surgical specialty residents? perceptions of educational climate in the operating room, with an emphasis on learning in the operating suite and planning the relevant change for improved and standardized training. MATERIAL and METHODS:...


Variations in the Foramen Transversarium of Cervical Spine and Their Surgical Importance: An Osteological Study in Dried Cervical Vertebrae of North Indian Origin
[Abstract] [Similar Articles]

AIM: To examine the variations in number, size, and shape of foramina transversaria (FTs) of cervical vertebrae, and to discuss their clinical importance. MATERIAL and METHODS: The FTs of 200 dry cervical vertebrae (C3?C7) from 40 spines were studied for the presence of variations in their number...


Assessment of Surgical Outcomes in Children and Adult Ischemic Moyamoya Disease and Its Relationship with the Pre-infarction Cerebral Perfusion Status
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AIM: To clarify perfusion differences, and to determine whether children and adults respond similarly to surgical prevention and how brain perfusion stages before surgery predict outcomes in ischaemic moyamoya disease (MMD) in children and adults. MATERIAL and METHODS: A total of 355 patients with...


Risk Factor Assessment and Outcomes of Intra Procedural Rupture of Intracranial Aneurysm During Endovascular Treatment: A Race Against Time
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AIM: To identify the risk factors for aneurysmal intra-procedural rupture (IPR) of intracranial aneurysms suring endovascular treatment, and to discuss its management and outcomes. MATERIAL and METHODS: A total of 106 patients with cerebral aneurysm who have undergone endovascular treatment (EVT) ...


Diffusion-Weighted Imaging of Brain Metastasis: Correlation of MRI Parameters with Histologic Type
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AIM: To compare the diffusion properties of brain metastases as imaging biomarkers in various types of tumours, to determine their histology and origin. MATERIAL and METHODS: Magnetic Resonance Imaging (MRI) and diffusion-weighted imaging (DWI) were used to retrospectively study the data of 143 p...


Effect of Antiplatelet Preparation Before Endovascular Thrombectomy for Cerebral Infarction on Procedural Thromboembolism
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AIM: To compare an antiplatelet-preparation group with a no-preparation group to evaluate the effect of the antiplatelet preparation on procedural thromboembolism during endovascular thrombectomy (EVT) with diffusion-weighted imaging (DWI), retrospectively. MATERIAL and METHODS: From January 2017 ...


Effects of Sevoflurane and Propofol Anesthesia on Cerebral Oxygenation in Patients Undergoing Carotid Endarterectomy
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AIM: To compare the effects of sevoflurane and propofol anesthesia on perioperative cerebral oxygenation in patients undergoing carotid endarterectomy (CEA) under general anesthesia by using near-infrared spectroscopy (NIRS) monitoring. MATERIAL and METHODS: Institutional approval was obtained, an...


Surgical Approach Algorithm in the Treatment of Lumbar and Thoracolumbar Pyogenic Spondylodiscitis
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AIM: To reveal the efficiency of our surgical approach algorithm in patients with thoracolumbar pyogenic spondylodiscitis based on the involvement of anatomical structure. MATERIAL and METHODS: Data of patients who underwent debridement or stabilization surgery for thoracolumbar pyogenic spondylo...


Evaluation of BMP-2, VEGF, and Vitamin D Receptor Levels in the Ligamentum Flavum of Patients with Lumbar Spinal Stenosis and Disc Herniation
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AIM: To histopathologically evaluate and compare bone morphogenetic protein (BMP)-2, vascular endothelial growth factor (VEGF), and vitamin D receptor (VDR) levels in the ligamentum flavum (LF) of patients with lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH). MATERIAL and METHODS: S...


Vagus Nerve Stimulation in Intractable Epilepsy
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AIM: To investigate and compare the efficacy and safety of vagus nerve stimulation (VNS) therapy in different types of epilepsy. MATERIAL and METHODS: Patients, who were implanted with VNS between the years 2005 and 2020, were retrospectively included in the study. Age, gender, age at seizure onse...


Observational Retrospective Cohort Two Centred Study on External Ventricular Drain-Related Infections in US and Turkey
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AIM: To compare external ventricular drain-related infection (EVD-RI) rates of two Academic Medical Centers in Turkey and the US in order to determine the key factors. MATERIAL and METHODS: We performed an observational retrospective cohort study to compare the EVD-RI rates between two hospitals ...


Application of Responsive Neurostimulation as both a Diagnostic Tool for Seizure Localization and a Supplementary Tool for Surgical Management in Patients with Multiple Epileptogenic Foci: A Case Series
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AIM: To present a series of medically refractory focal epilepsy patients with multiple or eloquent epileptogenic zones (EZs) in whom a responsive neurostimulation (RNS) system was used as a complementary modality to surgical resection. RNS was also used as a diagnostic tool to monitor long-term ep...


Cervical Venous Vascular Anatomy for Ventriculoatrial Shunt Applications: Anatomical Study and Surgical Approach Recommendation
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AIM: To develop an approach for atrial application of ventriculoatrial (VA) shunts after revealing the venous anatomy with facial and cervical anatomical dissections. MATERIAL and METHODS: Five cephalic cadavers were used in the study. Facial and cervical regions of the cephalic cadavers were exa...


Morphometric Measurements of Safety Zones and Orientation Angles for Freehand Placement of Revision Screws in Atlas Lateral Mass
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AIM: To demonstrate the possibility of revision screw placement to the atlas, as well as define the safety zones and orientation angles. MATERIAL and METHODS: This retrospective study analysed the records of four patients who were operated for AAI earlier. Because they needed revision of Atlas sc...


Clinical Features, Treatment and Outcome of Childhood Glial Tumors
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AIM: To evaluate the clinical features, treatment approaches, and outcomes of glial tumors in children. MATERIAL and METHODS: Files (2006 to 2020) of children diagnosed with glial tumors and followed-up were reviewed retrospectively. Information regarding demographic and clinical characteristics, ...


Surgical Treatment in Refractory Epilepsy: Seizure Outcome Results Based on Invasive EEG Monitorization
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AIM: To discuss seizure outcomes of patients with invasive electroencephalography (EEG) monitorization (IEM) following their epilepsy surgery at our centre. MATERIAL and METHODS: Forty-seven patients suffering from refractory epilepsy and who were evaluated by invasive EEG were included in this r...


Facet Median Branch Radiofrequency Thermocoagulation Treatment at Different Temperatures and Durations in Patients with Lumbar Facet Syndrome: A Randomized Controlled Double-Blind Study
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AIM: To evaluate the effect of various temperatures and durations of radiofrequency thermocoagulation (RFT) for the treatment of low back pain that is caused by facet joints. MATERIAL and METHODS: This is a randomized controlled, double-blind study. Patients diagnosed with facet syndrome were ran...


Safety Analysis of Simultaneous Cranioplasty and Ventriculoperitoneal Shunt Placement
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AIM: To investigate the safety of combined cranioplasty (CP) and ventriculoperitoneal shunt (VPS) placement. Furthermore, we investigated whether the sequence of these procedures affects the postoperative complication rates associated with staged CP and VPS placement. MATERIAL and METHODS: We ret...


Pediatric Neuroblastoma with Brain Metastasis: The Prognostic Role of Surgery
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AIM: To analyze the prognostic factors and treatment outcomes of neuroblastoma patients with brain metastasis. MATERIAL and METHODS: The medical records of 7 patients with brain metastasis among 120 neuroblastoma patients treated with radiotherapy between June 2002 and December 2018 at our departm...


Functional Outcome After Primary Decompressive Craniectomy for Acute Subdural Hematoma in Severe Traumatic Brain Injury
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AIM: To evaluate the impact of primary decompressive craniectomy (DC) on the functional outcome in patients with post traumatic acute subdural hematoma (SDH). MATERIAL and METHODS: A retrospective cohort analysis of 92 patients with post traumatic acute SDH who underwent primary DC and evacuation...


Mortality Outcomes of Endovascular Treatment and Surgical Clipping in Patients with Cerebral Aneurysms: A Single-Center Study
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AIM: To compare endovascular and surgical treatment methods for cerebral aneurysms focusing on mortality. MATERIAL and METHODS: The study included 187 patients who had undergone aneurysm treatment. The patients were divided into four groups according to their treatment modality and subarachnoid he...


The Value of Immunohistochemical Methods and Preoperative Magnetic Resonance Imaging Findings in Diagnosis of IDH1 Mutant Glioblastomas
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AIM: To assess the presence of isocitrate dehydrogenase (IDH) 1 mutation in glioblastomas using real-time polymerase chain reaction (RT-PCR), which is the gold standard in the diagnosis of IDH1 mutation; by immunohistochemistry (IHC), which is available in most of the pathology laboratories; and b...


Asymmetric Cross Sectional Area Size of the Psoas Muscle Seems to be a Key Feature in Patients with L4-5 Lumbar Disc Herniations
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AIM: To determine the relationship between the occurrence of lumbar L4-5 disc herniation (LDH) and the size of psoas muscles. MATERIAL and METHODS: The cross-sectional areas (CSAs) of the psoas muscles were measured at the L4-5 disc level on axial MRI of patients with LDH who were admitted to the ...


The Posterior Inferior Cerebellar Artery (PICA): An Anatomical and Clinical Analysis
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AIM: To study the operative approaches for posterior inferior cerebellar artery (PICA) aneurysms or understanding the different pathologies that can affect this artery, and to present detailed knowledge of this artery?s anatomy. MATERIAL and METHODS: The present study analyzed the different variat...


Efficacy of Human Adipose-Derived Stem Cells in Spinal Fusion in a Rat Ovariectomy Osteoporosis Model
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AIM: To evaluate the efficacy of human adipose-derived stem cells (h-ADSCs) in spinal fusion in an osteoporotic rat model. MATERIAL and METHODS: Female Sprague-Dawley rats (n=40) underwent ovariectomy and were then randomly assigned into two groups: ovariectomy (OVX) (OVX + fusion) and h-ADSCs (OV...


An Assessment of the Effectiveness of Surgical Treatment Methods Used for Cervical Spondylosis
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AIM: To evaluate the preoperative and postoperative clinical and radiological findings of patients treated surgically for cervical spondylosis. MATERIAL and METHODS: The patients included in the study (n=32) were divided into three groups according to their preferred surgical approach. These surg...


Comparison of Different Endoscopic Techniques for the Treatment of Hydrocephalus in Children
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AIM: To present a series of hydrocephalus cases treated with different endoscopic techniques, and to compare their surgical outcomes. MATERIAL and METHODS: Sixty-one patients underwent endoscopic approach for treating hydrocephalus over a 5-year period. Forty-six patients were children. Three sur...


Intraventricular Hematoma Removal with Combined Drainage Techniques in Patients with High-Grade Subarachnoid Hemorrhage: A Surgical Technique
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AIM: To describe a surgical technique for removal of hematomas in the third ventricle in patients with high-grade aneurysmal subarachnoid hemorrhage (SAH) and report our intraoperative observations and surgical and clinical outcomes. MATERIAL and METHODS: Ninety-four patients with high-grade aneur...


A Retrospective Analysis of Intrathecal Catheter Tip Position in Plain Radiography: How Much Do We Agree?
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AIM: To assess interrater and intrarater reliability of postoperative plain radiographs, which are routinely performed to confirm the correct placement of the catheter tip after intrathecal drug delivery systems (IDDS) implantation. MATERIAL and METHODS: This was a retrospective analysis of plain ...


The Trans-Spinous Crosslink Increases the Pull-Out Strength of the Pedicle Screw Instrumentation
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AIM: To evaluate whether adding an extra anchoring point to the construct by passing the crosslink through a hole in the spinous process (trans-spinous crosslink technique), may prevent screw loosening by increasing the pull-out strength. MATERIAL and METHODS: Twenty-four fresh-frozen single lumba...


Thyroxine Accelerates Functional Recovery in a Rat Model of Sciatic Nerve Crush
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AIM: To see how thyroxine affects the sensory and motor function of a damaged sciatic nerve in male rats. MATERIAL and METHODS: Forty adult male Wistar rats were allocated to four groups, 10 individuals each. Then, crush injury was done on the right sciatic nerve in all the groups using a vessel c...


Fourth Ventricle Dimensions Increase in Chiari Malformation Type 1
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AIM: To investigate whether fourth ventricle dimensions and tentorial angulation differ in a healthy control population in our evaluation of patients with CM-1 malformation using MRI. MATERIAL and METHODS: The radiological and demographic data from 251 patients with CM-1 followed in our clinic bet...


Changes in Callosal Angle and Evans' Index After Placing a Lumboperitoneal Shunt in Patients with Idiopathic-Normal- Pressure Hydrocephalus
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AIM: To evaluate changes in the Evans? index (EI) and callosal angle (CA) in patients who underwent lumboperitoneal (LP) shunting for idiopathic normal pressure hydrocephalus (INPH) and whose symptoms improved post-operatively. MATERIAL and METHODS: We retrospectively analysed patients who were cl...


Endoscopic Endonasal Pituitary Hemi-Rotation Approach to the Upper Clivus: Anatomical Study and Clinical Report
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AIM: To report on the endoscopic endonasal pituitary hemi-rotation approach (EPHRA) in a preclinical setting and in a preliminary clinical experience. MATERIAL and METHODS: EPHRA was performed in five fresh-frozen head and neck specimens (a total of 10 sides) and in a selected case of a right-sid...


Management of Pregnancy-and Lactation-Related Osteoporosis: Case Series
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AIM: To share the experience regarding management and follow-up of patients with Pregnancy- and lactation-related osteoporosis (PLRO) who were effectively treated. MATERIAL and METHODS: This case series presented 10 patients diagnosed with PLRO and treated from January 2010 to December 2019. Visu...


Evaluation of the Usefulness of an Expandable Stent for Establishing Patency in Endoscopic Third Ventriculostomy: A Fresh Cadaveric Study
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AIM: To demonstrate the feasibility of stent application to the third ventricular floor during endoscopic third ventriculostomy (ETV). MATERIAL and METHODS: We performed the ETV procedure on four fresh cadavers not exposed to head trauma. The neuroendoscope was introduced into the third ventricle ...


Preliminary Study on Relationship Between Temozolomide Chemotherapy-Resistant Cells and Stem Cells in Gliomas
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AIM: To study the relationship between temozolomide (TMZ) chemotherapy-resistant cells and stem cells in gliomas. MATERIAL and METHODS: The U251 glioma cell line was exposed to TMZ to generate TMZ-resistant colonies (U251/TMZ cell line) using the pulse drug method. The TMZ sensitivity of U251/TMZ ...


Effect of Asymptomatic Postoperative Epidural Hematoma on Recovery Rate After Surgery for Myelopathy Caused by Thoracic Ossified Ligamentum Flavum
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AIM: To analyze the clinical characteristics of thoracic ossified ligamentum flavum (OLF) and clarify prognostic factors. MATERIAL and METHODS: We retrospectively collected clinical data from the medical records of 29 patients who underwent decompressive surgery for myelopathy caused by thoracic O...


Revisiting Intrathecal Dorsal Venous Patterns of the Spinal Cord at Thoracolumbar Level as Probable Factor for Post Lumbar Puncture Spinal Hematoma
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AIM: To evaluate the extrinsic dorsal venous pattern of spinal cord at the thoracolumbar level hypothesizing that any variant of these intrathecal venous pattern as probable factor for post lumbar pucture hemorrhagic complications. MATERIAL and METHODS: In a tertiary teaching institution, 25 adult...


Role of Sedative-Hypnotic Agents in Neurodegeneration: Effects of Midazolam and Thiopental on Apoptosis and Oxidative Stress Expression in Neonatal and Adult Rat Brains
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AIM: To investigate the effects of midazolam (MDZ) and thiopental on neonatal and adult rat brains. MATERIAL and METHODS: The study included adult and 7-day-old rats that were administered 9 mg/kg of MDZ, 60 mg/kg of thiopental, or both. The Bax, procaspase-3, and caspase-3 levels were assessed us...


Factors Affecting Seizure Outcomes After Surgery for Cavernoma Related Epilepsy
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AIM: To present one of the largest retrospective cavernoma related epilepsy (CRE) studies which include divergent supratentorial locations operated and followed up at least 2 years. We also investigated the factors affecting the seizure outcome. MATERIAL and METHODS: This study includes a total of...


The Factors Associated with Carpal Tunnel Syndrome Severity
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AIM: To evaluate the effects of factors, which are associated with carpal tunnel syndrome (CTS) prevalence, on disease severity. MATERIAL and METHODS: This retrospective study included 206 patients who were treated surgically for either moderate or severe CTS. Patients were grouped into moderate a...


Assessment of the Effect of Subthalamic Deep Brain Stimulation on Sleep Quality of Parkinson's Disease Patients
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AIM: To investigate the effects of subthalamic deep brain stimulation (STN DBS) therapy on sleep quality of Parkinson?s Disease (PD) patients and the relationship between sleep, motor symptoms, depression, and adverse effects of dopamine replacement therapies. MATERIAL and METHODS: A total of 26 ...


Development of the Geniculate Ganglion in Human Fetuses
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AIM: To present the quantitative development of the geniculate ganglion (GG) in foetal cadavers. MATERIAL and METHODS: This study focused on 60 temporal bones of 30 (15 female and 15 male) foetuses aged 18?30 weeks of gestation (mean age, 22.83 ± 3.49 weeks) to measure the length, width and area o...


Effects of Dexamethasone Exposure on Neural Crest Cells and Primary and Secondary Neurulation in Chick Embryos
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AIM: To evaluate the effects of dexamethasone (Dex) treatment on neural crest cells and primary and secondary neurulation in chick embryos. MATERIAL and METHODS: Sixty fertilized eggs with an average weight of 65 ± 2 g were incubated in 60%?70% humidity at 37.2°C ± 0.1°C. After 26 hours of incuba...


Investigation of the Potential Effects of Alpha-Lipoic Acid on Human Degenerated Intervertebral Disc Tissue Primary Cell Cultures
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AIM: To investigate the supplementation of alpha-lipoic acid (ALA) at the molecular level to determine its effect on primary cell cultures prepared from human intervertebral disc (IVD) tissue in an in vitro environment. MATERIAL and METHODS: Human primary cell cultures were prepared from IVD tissu...


Bioinformatic Analyses Determine the Importance of CXCL2 and CXCL8 in Atypical Meningioma Development and Reoccurrence
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AIM: To compare gene expression profiles between atypical meningiomas and normal meninges from the National Center of Biotechnology Information (NCBI) Gene Expression Omnibus (GEO) database to identify key genes and pathways. MATERIAL and METHODS: The microarray datasets GSE43290 and GSE16581 were...


Comparison of Preoperative and Postoperative Sexual Dysfunction in Male Patients with Lumbar Disc Herniation
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AIM: To compare preoperative and postoperative sexual dysfunction in male patients diagnosed with lumbar disc herniation (LDH). MATERIAL and METHODS: This study was conducted in a single group with a pretest?posttest design. The sample included 32 male patients with LDH admitted to the neurosurger...


Electrode Fixation with Bone Cement or Stimloc® in Deep Brain Stimulation Surgery: A Comparative Study
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AIM: To examine the postoperative outcomes of electrode fixation using bone cement and Stimloc® in patients with Parkinson?s disease (PD) who underwent subthalamic nucleus (STN) deep brain stimulation (DBS). MATERIAL and METHODS: Between 2016 and 2018, permanent electrode fixation was performed in...


An Early Warning System Using Machine Learning for the Detection of Intracranial Hematomas in the Emergency Trauma Setting
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AIM: To present an early warning system (EWS) that employs a supervised machine learning algorithm for the rapid detection of extra-axial hematomas (EAHs) in an emergency trauma setting. MATERIAL and METHODS: A total of 150 sets of cranial computed tomography (CT) scans were used in this study wit...


Turkish Version, Validity and Reliability of the Lumbar Spine Instability Questionnaire
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AIM: To reveal the reliability and validity of the Turkish Lumbar Spine Instability Questionnaire for evaluating patients with lumbar instability and low back pain. MATERIAL and METHODS: A total of 100 patients with low back pain participated in the study. Test-retest and internal consistency ana...


Complications Following Surgery for Adult Scheuermann's Kyphosis: A 2-Year Follow-Up in 22 Patients
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AIM: To determine the rate of postoperative complications following surgery for Scheuermann?s kyphosis (SK) and ascertain whether restoration to an ideal Roussouly spine type reduced the incidence of postoperative proximal junctional kyphosis (PJK). MATERIAL and METHODS: We retrospectively screene...


Comparison of Effects of Extubation in Prone and Supine Positions in Patients Operated for Lumbar Disc Herniation
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AIM: To observe the effects of prone position extubation on respiratory side effects and hemodynamic parameters in patients who underwent lumbar spinal surgery. MATERIAL and METHODS: This prospective observational study included 60 patients extubated in either the prone (n=30) or supine (n=30) po...


Early Cerebral Blood Flow Changes, Cerebrovascular Reactivity and Cortical Spreading Depolarizations in Experimental Mild Traumatic Brain Injury Model
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AIM: To investigate the spatiotemporal dynamics of early cerebral blood flow (CBF) changes, cerebrovascular reactivity (CVR), and vascular responses to cortical spreading depolarization (CSD) in an experimental mild traumatic brain injury (mTBI) model with laser speckle contrast imaging (LSCI) tec...


Analysis of the Prognosis of High-Grade gliomas in the View of New Immunohistochemistry Markers and 2016 WHO Classification
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AIM: To evaluate isocitrate dehydrogenase (IDH) mutation status and Ki67 percentages of tumors that were treated in our institution to determine whether these markers affected the initial diagnosis and survival rates. MATERIAL and METHODS: High-grade glioma patients, who were operated in our depar...


Effect of Lesioning the Ventral Tegmental Area on Food Intake, Water Intake, Body Weight and Alcohol Consumption in Wistar Albino Rats
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AIM: To study the effect of lesion of the ventral tegmental area (VTA) on food intake, water intake, alcohol consumption, and alcohol preference in the post-lesion period. MATERIAL and METHODS: A group of 38 young adult healthy male Wistar albino rats was included in this experiment. The groups o...


Critical Assessment of Various Neurosurgery Training Programs of Pakistan
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AIM: To assess the real challenges faced by neurosurgery residents in developing countries with limited resources and massive workload. MATERIAL and METHODS: This is a cross-sectional study based on the questionnaire filled by the neurosurgery trainees in Pakistan directed at their training, stre...


A Bibliometric Analysis of the Most-Cited Articles on Craniospinal Epidural Hematoma
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AIM: To analyze the most-cited articles on cranial and spinal epidural hematomas (EDHs). MATERIAL and METHODS: A title-specific search was performed on the Scopus database using the term ?epidural hematoma? in June 2020, with no publication date restrictions. The top 100 most-cited articles were c...


Can Intracranial Vertebral Artery Hypoplasia be an Etiopathogenetic Factor for Barré-Lièou Syndrome Other than Arcuate Foramen? A Retrospective Clinical Study and Review of Literature
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AIM: To investigate the co-occurrence of the arcuate foramen (AF) variation of atlas and intracranial vertebral artery (V4) hypoplasia and, therefore, to understand the pathophysiology of Barré-Lièou syndrome (BLS). The AF localizes on the vertebral artery (VA) sulcus posterior to the atlas and ha...


Surgical-Related and Hardware-Related Adverse Effects of Deep Brain Stimulation: A Retrospective Single-Center Analysis
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AIM: To review both the surgical-related, and hardware-related adverse effects of deep brain stimulation (DBS) in a single center over the last five years. MATERIAL and METHODS: All patients who underwent DBS electrode implantation at the Akdeniz University Hospital during the last five years par...


The Protective Role of Hippophae rhamnoides L. on Rat Brain and Liver Tissues Exposed to Cold Plus Immobilization Stress Model
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AIM: To investigate the protective role of Hippophae rhamnoides L. (Sea buckthorn, SBT) in cold plus immobilization stress-induced oxidative and nitrosative stress in rats. MATERIAL and METHODS: Thirty-two Wistar albino rats were randomly divided into four groups: control (i.p. physiological salin...


Medulloblastoma: Clinicopathological Correlates of SHH, WNT, and Non-WNT/SHH Molecular Subgroups Analysis and Prognostic Significance: Mono-Institutional Series
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AIM: To reevaluate the medulloblastoma cases according to histomorphological and molecular features, and to investigate the relationship between the prognostic factors of the new WHO classification by applying Beta-catenin, YAP1, GAP1, p53, and INI1 antibodies immunohistochemically. MATERIAL and ...


The Endoscopic Trans-Sinusoidal Trans-Pterygopalatine Route to the Foramen Rotundum Approach in Trigeminal Neuralgia Treatment
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AIM: To describe a new, minimally invasive, and safe access to foramen rotundum via the endoscopic endonasal trans-sinusoidal route for trigeminal nerve blockage. MATERIAL and METHODS: We studied 5 fresh cadavers bilaterally, and 10 pterygopalatine fossae and maxillary nerves using the endoscopic...


The Trans-Superior Articular Process Approach Utilizing Visual Trephine: A More Time-Saving and Effective Percutaneous Endoscopic Transforaminal Lumbar Discectomy for Migrated Lumbar Disc Herniation
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AIM: To introduce, and to evaluate the efficacy of the trans-superior articular process (trans-SAP) approach utilizing visual trephine in percutaneous endoscopic transforaminal lumbar discectomy (PETLD) for migrated lumbar disc herniation. MATERIAL and METHODS: This study included 98 patients, 50 ...


Stereological Study on the Effect of Carnosine on of Purkinje Cells in the Cerebellum of Rats Exposed to 900 MHz Electromagnetic Field
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AIM: To evaluate the impact of carnosine on Purkinje neurons in rats exposed to a 900 Mhz electromagnetic field. MATERIAL and METHODS: This study evaluated 24 rats divided into the following three different groups: a control group, a group exposed to the electromagnetic field, and a group that was...


Posterior Cervical Discectomy via Keyhole Foraminotomy: A Case Series Comparing Microdiscectomy with Endoscope-Assisted Discectomy
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AIM: To report the clinical outcomes of microdiscectomy (MD) and endoscope assisted discectomy (EAD) techniques via the posterior approach in patients with cervical disc herniations (CDHs). MATERIAL and METHODS: The data were obtained from retrospective review of the patient?s charts and the lates...


What is the Effect of Pedicle Screw Reinsertion Through the Same Trajectory on Pullout Strength?
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AIM: To investigate the pullout strength of a pedicle screw reinserted through the same trajectory MATERIAL and METHODS: Fifty freshly frozen lamb L4 vertebrae were divided into the following five groups: Group 1, inserted with a 5-mm pedicle screw; Group 2, inserted with a 5-mm pedicle screw foll...


Frequency of Hypoplasia of the Vertebral Body at L5, and Its Relationship with Degeneration in Patients with Low Back Pain
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AIM: To explain the association between vertebral body hypoplasia and degenerative changes in the discovertebral complex and facet joints, and to assess the incidence of hypoplasia of the vertebral body at the L5 level. MATERIAL and METHODS: A retrospective analysis was made of 3,100 patients aged...


Management of Spinal Lymphomas: Spinal Instability Assessment Using the Spinal Instability Neoplastic Score and a Proposed Treatment Algorithm
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AIM: To propose a treatment algorithm, and to assess spinal instability in patients diagnosed with spinal lymphoma. MATERIAL and METHODS: Demographics, symptoms, tumor level and location, and presence of spinal instability were reviewed in 22 patients with spinal lymphomas. Each patient's neurolog...


Anocutaneous Reflex Revisited: How Valuable Is Its Determination in Children with Spina Bifida? A Descriptive Study in A Cohort of 217 Patients
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AIM: To determine the clinical value of anocutaneous reflex (AR) in children with neurogenic bladder due to spina bifida (SB). MATERIAL and METHODS: Patients who were diagnosed with SB were prospectively evaluated; moreover, AR and bulbocavernous reflex were examined. Patients were divided into th...


Clinical Analysis of the Effects of Cranial Suture Reconstruction and Frontal Frame Retraction in the Operation of Premature Closure of the Sagittal Suture in Infants
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AIM: To compare and analyze the effects of cranial suture reconstruction and frontal frame retraction for surgical treatment of premature closure of the sagittal suture. MATERIAL and METHODS: Infants with premature closure of the sagittal suture were included in this study. All infants underwent ...


Exogenous Amylase Reverses Cerebral Ischemia Induced by Selective Intraarterial Injection of Degradable Starch Microspheres: An Angiographic and Histological Study in a Novel in Vivo Animal Model
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AIM: To validate a new particulate embolization method using degradable starch microspheres (DSM) and intraarterial exogenous amylase administration, which allow for regulated temporary cerebral arterial embolization without compromising tissue perfusion. MATERIAL and METHODS: Twenty-four male New...


Comparison of One-day Combined versus Staged Anterior and Posterior Cervical Decompression, Fixation, and Fusion
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AIM: To compare the perioperative outcomes between single-day combined or separate-day staged surgeries for cervical spinal stenosis. MATERIAL and METHODS: A retrospective cohort analysis was conducted on consecutive patients admitted at a single institution between July 2015 and April 2019, who ...


Is Favipiravir a Potential Therapeutic Agent in the Treatment of Intervertebral Disc Degeneration by Suppressing Autophagy and Apoptosis?
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AIM: To evaluate the effects of favipiravir (FVP) on cell viability and cytotoxicity in human degenerated primary intervertebral disc (IVD) tissue cell cultures. Furthermore, the protein expressions of hypoxia-inducible factor 1 alpha (HIF-1α), nuclear factor-kappa-b (NF-κB), and inter...


A Comparison of Subgaleal Active Drainage and Subdural Passive Drainage and an Analysis of Factors Affecting Chronic Subdural Hematoma Outcomes
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AIM: To analyze and to compare the factors that influence the recurrence of chronic subdural hematoma (CSDH) among patients treated with subdural non-suction-assisted passive drainage, subgaleal suction-assisted active drainage, and without drainage. MATERIAL and METHODS: We retrospectively evalua...


Endovascular Stroke Therapy Focused on Direct Clot Aspiration Using the SOFIA<sup>TM</sup> Catheter for Acute Ischemic Stroke
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AIM: To report our experience of mechanical thrombectomy using the SOFIATM catheter, in terms of its effectivenessicacy and safety. MATERIAL and METHODS: Acute ischemic stroke patients with large vessel occlusions who underwent mechanical thrombectomy, with the SOFIATM aspiration catheter as the f...


Decision Making via 3D Computed Tomography in the Surgical Treatment of Cubital Tunnel Syndrome: Surgical Technique and Results
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AIM: To investigate the importance of elbow 3D computed tomography in surgical planning when deciding on the treatment surgical treatment method of the ulnar nerve entrapment in the cubital tunnel. MATERIAL and METHODS: In this study, 21 patients with cubital tunnel syndrome in our clinic were inc...


Secukinumab Ameliorates Oxidative Damage Induced by Cerebral Ischemia-Reperfusion in Rats
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AIM: To investigate the histological and biochemical neuroprotective effects of secukinumab (SEC) on cerebral ischemia-reperfusion (IR) injury in Sprague-Dawley male rats. MATERIAL and METHODS: A total of 28 Sprague-Dawley male rats were randomly and equally divided into the following four groups...


Clinical Analysis of the Effects of Frontal Bone Reconstruction and Cranial Suture Reconstruction in the Operation of Simple Premature Closure of Frontal Suture in Infants
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AIM: To compare, and to analyze the effects of cranial suture reconstruction and frontal bone reconstruction in the operation of premature closure of the sagittal suture in infants. MATERIAL and METHODS: A total of 35 infants with simple premature closure of frontal suture were divided into the ex...


Comparison of Lateral Interbody Fusion and Posterior Interbody Fusion for Discogenic Low Back Pain
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AIM: To compare lateral (direct [DLIF] or oblique [OLIF]) and posterior (posterior [PLIF] or transforaminal [TLIF]) lumbar interbody fusion results in patients with the same indication of discogenic low back pain. MATERIAL and METHODS: We enrolled 46 patients who underwent single-level DLIF/OLIF o...


Is Standalone Posterior Cervical Pedicle Screw Fixation Sufficient to Correct Cervical Postlaminectomy Kyphosis?
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AIM: To evaluate the clinical processes of patients with cervical postlaminectomy kyphosis (PLK) who underwent standalone posterior pedicle screw fixation surgery. MATERIAL and METHODS: The results of 21 patients with cervical PLK treated using the pedicle screw method between 2015 and 2018 were ...


Effects of Subthalamic Nucleus Deep Brain Stimulation Surgery on Voice and Formant Frequencies of Vowels in Turkish
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AIM: To investigate the effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) on acoustic characteristics of voice production in Turkish patients with Parkinson's disease (PD). MATERIAL and METHODS: This study recruited 20 patients diagnosed with PD. Voice samples were recorded ...


Evaluation of Serum Interleukin-1&#946; (IL-1&#946;) Levels in Patients with Intracranial Aneurysms Compared to a Control Group
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AIM: To examine the screening value of the serum level of interleukin-1β (IL-1β) in aneurysmal subarachnoid hemorrhage (SAH), and to evaluate its association with the severity of initial bleeding. MATERIAL and METHODS: This case-control study was performed in Namazi Hospital, affiliated ...


Novel Silicone Rubber and Polyvinyl Alcohol (PVA) Compound as Nucleus Pulposus Replacement in Intervertebral Disc Herniation Surgery
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AIM: To identify a novel material with biomechanical properties identical to the nucleus pulposus in the lumbar vertebrae of goats for use in intervertebral disc herniation surgery. MATERIAL and METHODS: In this laboratory-based experimental study, the silicone rubber material test group consisted...


Antiangiogenic Molecules Suppressed Meningioma-Induced Neovascularization: A Corneal Angiogenesis Study
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AIM: To investigate the angiogenic effects of bevacizumab and imatinib on different meningioma tissue grades. MATERIAL and METHODS: In this study, in silico analysis of angiogenesis-related gene expression was carried out using previously reported datasets. Messenger ribonucleic acid expressions o...


Can The Fracture Line of Type II Odontoid Fractures Come to A Neutral Position After Anterior Odontoid Screw Fixation without a Manipulation?
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AIM: To examine whether there was an improvement in the displaced fracture line in the follow-up, in which Anterior odontoid screw fixation (AOSF) was performed without manipulation and to determine the "displacement angle range" in which AOSF was possible. MATERIAL and METHODS: A total of 11 pati...


An Investigation into the Correlation of Scalp Electrophysiological Findings with Preoperative Clinical and Imaging Findings in Patients with Focal Cortical Dysplasia
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AIM: To evaluate the patients who had epilepsy surgery and pathologically proven focal cortical dysplasia (FCD) in order to further classify and discuss electroencephalography (EEG) findings in different pathological subtypes. MATERIAL and METHODS: This study included 19 refractory epilepsy patien...


Is It Possible to Get Better Results in Bone Fusion in Laminoplasty Surgery for Lumbar Stenosis? A Novel Autologous Bone Graft Insertion Technique
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AIM: To define a novel autologous bone graft insertion technique, and to evaluate its effects on bone fusion in patients with lumbar stenosis who underwent laminoplasty. MATERIAL and METHODS: Fifty-six patients and 142 vertebrae that underwent autologous bone graft insertion technique between 200...


How to Secure CSF External Drainage to the Skin: Hints from an International Survey and the Current Literature
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AIM: To investigate the current practice of neurosurgeons and their perception of complications related to the securement of external drainage (ED) to the skin. MATERIAL and METHODS: We created a 24-points English language questionnaire on Google Forms covering the five main domains of care. The ...


Can Dynamic Susceptibility Contrast Perfusion Imaging be Utilized to Detect Isocitrate Dehydrogenase Gene Mutation in Gliomas?
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AIM: To explore the ability of dynamic susceptibility contrast perfusion imaging (DSC-PI) to detect isocitrate dehydrogenase (IDH) gene mutation in gliomas. MATERIAL and METHODS: Preoperative DSC-PI data on histopathologically proven gliomas obtained between January 2015 and December 2019 were re...


The Effects of Rehabilitation Following Anterior Cervical Microdiscectomy and Fusion Surgery
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AIM: To determine the effects of physical therapy and exercise programs that was performed after anterior cervical discectomy and fusion (ACDF) surgery on patient?s pain treatment, a retrospective study was designed. MATERIAL and METHODS: Of the 127 patients without neurological deficit who underw...


The Comparison of Autologous Bone, Methyl-Methacrylate, Porous Polyethylene, and Titanium Mesh in Cranioplasty
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AIM: To discuss four different materials that are frequently used in cranioplasty, and to reveal their advantages and disadvantages. MATERIAL and METHODS: We retrospectively reviewed 85 of our cranioplasty surgeries between 2016 and 2019. Reconstruction surgeries were excluded from our study due t...


Safety and Efficacy of a New Moldable and Compression Resistant Matrix Carrier with Recombinant Human Bone Morphogenetic Protein-2 in the Rabbit Bone Defect Model
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AIM: To conduct an animal experimental study to evaluate the safety and efficacy of the compression-resistant matrix (CRM) carrier for recombinant human bone morphogenetic protein-2 (rhBMP-2) in osteogenesis. MATERIAL and METHODS: New moldable CRM carrier, and with rhBMP-2 (new CRM carrier with rh...


Serum miRNA-582-5p and miRNA-363 as Potential Non-Invasive Biomarkers for Glioblastoma Multiforme
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AIM: To determine expression levels of miRNA-582-5p and miRNA-363 in serum of patients with Glioblastoma Multiforme and assess their biomarker potential. MATERIAL and METHODS: The study population consisted of 71 subjects including 35 patients and 36 healthy controls. Realtime polymerase chain re...


A Novel Low Recurrence Surgical Approach for Medulloblastoma Excision: A Study of 58 Cases
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AIM: To describe a novel surgical approach to decrease the complication and recurrence rates of medulloblastomas. MATERIAL and METHODS: A retrospective review was performed. The novel technique was performed under similar conditions for all patients. The technique involved early intra-operative id...


Reconstruction of Large Meningomyelocele Defects with Bipedicled Fasciocutaneous Flaps: Technical and Clinical Points
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AIM: To evaluate the bilateral vertical bipedicled procedure for the closure of large meningomyelocele defects and to emphasise some technical and clinical considerations. MATERIAL and METHODS: This procedure was used to close large meningomyelocele defects in ten patients (six males and four fem...


Suppression of Aquaporin-4 by Antisense Oligonucleotides Reduces Brain Edema in Experimental Traumatic Brain Injury
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AIM: To investigate the suppression of aquaporin-4 (AQP4) synthesis through intracerebroventricular (i.c.v.) injection of antisense oligonucleotide after focal cortical contusion injury in mice. MATERIAL and METHODS: This study used 12-week-old female Swiss albino mice (weight, 20-25 g) to create ...


The Effects of Necrostatin-1 on Cerebral Vasospasm- Induced Subarachnoid Hemorrhage
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AIM: To investigate the effects of necrostatin-1 (NEC-1) on subarachnoid hemorrhage (SAH)-induced vasospasm in a rat model. MATERIAL and METHODS: A total of 59 male Wistar albino rats were randomly divided into six groups: control (group 1), sham (group 2), decapitation one hour after SAH (group 3...


Foraminal Stenosis as a Cause of Postdiscectomy Syndrome
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AIM: To reveal the relation between postdiscectomy syndrome and foraminal stenosis due to height loss of disc level in patients operated for one-sided L5-S1 disc herniation. MATERIAL and METHODS: In this study, 100 operated patients due to L5-S1 one-sided disc herniation were included. Mean age w...


Uridine Treatment Improves Nerve Regeneration and Functional Recovery in a Rat Model of Sciatic Nerve Injury
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AIM: To investigate the regenerative potential and long-term functional effects of uridine treatment in a rat model of sciatic nerve injury. MATERIAL and METHODS: Male Sprague-Dawley rats were randomized to receive sham surgery plus saline (Sham group), right sciatic nerve transection and primary...


Morphometric Examinations of Internal Carotid Arteries of Patients with Hypertension and Patients with Type 2 Diabetes Mellitus: A Radio Anatomic Study Based on Computed Tomography Angiography Findings
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AIM: To examine the relationship between the morphologic features of the internal carotid artery (ICA) and symptoms affecting cerebral blood circulation including type 2 diabetes mellitus (T2DM) and hypertension (HT). MATERIAL and METHODS: In this study, retrospective morphometric analysis of ICA ...


Is Balloon Kyphoplasty Effective for Bone Remodeling of AO-Type A3-4 Fractures at the Thoracolumbar Junction?
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AIM: To evaluate the parameters that affect bone retropulsion and restoration in patients with thoracolumbar junction (TLJ) vertebral compression fractures (VCF) without neurological deficits who underwent balloon kyphoplasty (BKP). MATERIAL and METHODS: Thirty-one of Frankel E and Arbeitsgemeinsc...


The Morphology and Morphometry of the Human Interthalamic Adhesion Using Cadaveric Brains and Magnetic Resonance Images and Their Clinical Significance
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AIM: To determine the prevalence, location, and dimensions of interthalamic adhesions (ITAs) in Indian brains. MATERIAL and METHODS: We examined 100 human brains [50 cadaveric and 50 magnetic resonance (MR) images] in the midsagittal plane for the presence or absence of ITAs, their location in the...


Frame-Based Stereotactic Biopsy - A Single Neurosurgeon Experience of 604 Diagnostic Procedures and Literature Review
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AIM: To evaluate the surgical experience of the senior neurosurgeon to define the lesion, radiology, and technique-related factors that affect the diagnostic yield and complications, along with the literature review. MATERIAL and METHODS: Documents were examined for consecutively performed frame-b...


Expression and Role of CXCL13 and MiR-186-5p in the Trigeminal Ganglion of a Rat Model of Trigeminal Neuralgia
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AIM: To reveal the roles of CXCL13 and miR-186-5p in a rat model (adult male Sprague-Dawley rats, 7?8 weeks old, 180?200 g) of trigeminal neuralgia (TN) established via chronic constriction injury of the infraorbital nerve (ION-CCI). MATERIAL and METHODS: The results of behavioural tests and the e...


Impact of Adjuvant Radiotherapy on Recurrence of Surgically Treated Atypical Meningiomas and Retrospective Analysis of Prognostic Factors
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AIM: To investigate the recurrence rate of atypical meningiomas after surgery (with or without adjuvant radiotherapy), and to determine which factors were related with recurrence. MATERIAL and METHODS: Data obtained from 83 patients who underwent surgery and histopathologically diagnosed with aty...


Medical Liability in Neurosurgery: Greek Courts Decisions Analysis
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AIM: To assess the current situation in Greece regarding medical liability in neurosurgery, the involvement of anaesthetists in court decisions, the impact of court cases and decisions, the time taken to reach a final decision, and the relationship between these issues and judicial results. MATER...


Surgical Treatment of Spinal Arachnoid Cysts: Cyst Excision or Fenestration?
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AIM: To examine a series of surgically treated spinal arachnoid cysts in light of the literature. MATERIAL and METHODS: This was a retrospective study of patients treated in the Istanbul Umraniye Training and Research Hospital Neurosurgery Clinic. A total of 18 patients with spinal arachnoid cysts...


Normal Pressure Hydrocephalus Overshadowed by Traumatic and Degenerative Spinal Diseases: A New Assessment Proposal
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AIM: To evaluate normal pressure hydrocephalus (NPH) patients who admitted to clinic with a walking disability, depressed mood, cognitive dysfunction, and compromised quality of life in order to create a system for minimizing misdiagnosis, and inaccurate treatment of NPH at the first instance. MA...


The Effect of Early Myelotomy on Glutamate Concentrations in Spinal Cord Injury Rat Model
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AIM: To evaluate the effect of early myelotomy on glutamate concentrations in injured spinal cord tissue with a weight drop spinal cord injury rat model. MATERIAL and METHODS: The rats were assigned randomly to one of four groups, as follows: in group I, rats underwent laminectomy; group II, myel...


Modified Ondra's Formula to Predict Post-Op SVA after Lumbar PSO: A Preliminary Report Verified by Simulated Post-op Images Via Surgimap Software
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AIM: To introduce a new mathematical formula to predict sagittal vertical axis (SVA) changes after lumbar pedicle subtraction osteotomy (PSO). MATERIAL and METHODS: This cross-sectional study included 43 patients. Lateral full spinal radiographs were exported from Picture Archiving and Communicat...


Innervation Patterns of the Psoas Major and Iliacus Muscles in Fetal Cadavers
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AIM: To investigate in detail the innervation patterns of the psoas major and iliacus muscles in fetal cadavers. MATERIAL and METHODS: The innervation patterns of 94 psoas major and 94 iliacus muscles belonging to 47 fetuses (28 males, 19 females) aged between the 18th-40th gestational weeks in th...


Post Traumatic Hydrocephalus in Indian Subpopulation: An Institutional Experience
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AIM: To identify subgroups of cases with ventriculomegaly who will benefit from the cerebrospinal fluid (CSF) diversion procedures, n patients with post-traumatic hydrocephalus (PTH), and to identify the risk factors for its development to minimize its occurrence. MATERIAL and METHODS: We analyzed...


Changes in Type II NRG-1 Expression during Regeneration Following Autologous Nerve Transplantation in Rats
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AIM: To investigate the changes in type II neuregulin-1 (NRG-1) during the regeneration process following autologous sciatic nerve transplantation in rats. MATERIAL and METHODS: In total, 40 healthy male Sprague-Dawley (SD) rats of clean grade with body weights between 250 g and 300 g were random...


Internal Validation of Two Models Developed for Prognostication of Patients with Isolated Traumatic Brain Injury
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AIM: To evaluate the efficiency of two models for prognostication of patients with isolated traumatic brain injury. MATERIAL and METHODS: The models developed with the data of the patients who applied within ten years were subjected to internal validation with the data of the patients who applied w...


Microsurgical Clipping of Complex Basilar Bifurcation Aneurysms through Different Approachs: Surgical Techniques and Results
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AIM: To explore the surgical approach, technique and clinical effect of treating basilar bifurcation aneurysms. MATERIAL and METHODS: The clinical data of basilar bifurcation aneurysms treated by neuro-microsurgery are retrospectively analyzed in from September 2013 to September 2018. The aneurysms...


LNC01296 Regulates Apoptosis Genes Birc2 and Bak1 by Targeting miRNA-29c and Participates in Neuroprotection During Cerebral Ischemia/Reperfusion Injury in Rats
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AIM: To explore the extent to which LNC01296 inhibits the miRNA-29c expansion genes Birc2 and Bak1 from causing damage induced by brain expansion and reimplantation. MATERIAL and METHODS: A total of 120 adult male experimental rats were divided to verify the effects of miRNA-29c and LNC01296 on b...


CBX8 Promotes Cell Proliferation and Metastasis and Leads to Radiotherapy Tolerance of Glioma Cells
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AIM: To illustrate the role of CBX8 -a protein involved in protein metabolism and chromatin regulation/acetylation- in glioma cells, especially in DNA damage repair pathways. MATERIAL and METHODS: Detect CBX8 expression in glioma cells and clinical samples by qPCR and Western blot. Overexpression ...


A Low-Cost Mobile Training Model for Biportal Endoscopic Spinal Surgery
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AIM: To design a practical, low-cost, and freely mobile training model for biportal endoscopic spine surgery to improve the surgeons? abilities in basic endoscopic skills, including triangulation, two-dimensional visualization, and one-handed control of the instruments. MATERIAL and METHODS: The tr...


Efficacy of Combined Dorsal Root Ganglion Pulsed Radiofrequency and Cervical Epidural Steroid Injection on Radicular Neck Pain
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AIM: To evaluate the efficacy and safety of combined transforaminal anterior epidural steroid injection (TAESI) and dorsal root ganglion pulsed radiofrequency (DRG-PRF) therapy on the radicular neck pain. MATERIAL and METHODS: The results of 84 patients with cervical radicular pain who underwent c...


Pediatric Cerebral Cavernous Malformation: A Single-Centered Experience of 23 Cases
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AIM: To describe, and to evaluate the clinical and radiological characteristics of pediatric cavernous malformations (CMs) and the surgical approaches and their outcomes in a single center. MATERIAL and METHODS: We retrospectively reviewed pediatric patients with CMs that were treated in our cente...


Investigation of Possible Reasons of Failed Treatment of Conservative Thoracolumbar Osteoporotic Vertebral Fractures
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AIM: To investigate the possible reasons of failed conservative treatment of osteoporotic thoracolumbar vertebral compression fractures (VCFs). Sagittal balance impairment may weaken union by increasing the load on the fracture line. Most osteoporotic vertebral fractures occur in the thoracolumbar...


Proteomics Reveals the Effect of Low-Intensity Focused Ultrasound on Spasticity After Spinal Cord Injury
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AIM: To explore the efficacy and possible mechanisms of Low-intensity focused ultrasound (LIFU) in alleviating spasticity caused by Spinal cord injury (SCI). MATERIAL and METHODS: We selected male Sprague?Dawley rats as subjects and performed transverse injuries on the T9 vertebra of their spinal...


Silent Pulmonary Thromboembolism in Patients Undergoing Craniotomy for Brain Tumor
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Effect of Topical Administration of Tranexamic Acid on Intraoperative and Postoperative Blood Loss during Posterior Cervical Laminectomy and Fusion Surgery: A Retrospective Study
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Surgical Outcome of Young and Adult Patients with Temporal Lobe Epilepsy Related to Hippocampal Sclerosis in Modern Era
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Preoperatively, Which Parameter Allows Us to Predict the C5 Palsy After Cervical Open-Door Laminoplasty?
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Does Thoracic Kyphosis Have any Importance in Selective Versus Nonselective Fusion Preference in Patients with Lenke Type 5C Adolescent Idiopathic Scoliosis?
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Comparison of Electrophysiological and Radiological Subthalamic Nucleus Length and Volume
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Maternal Serum and Fetal Cord Blood Concentrations of Thiol/ Disulfide and Ischemia-Modified Albumin as Predictors of Neural Tube Defects
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A Morphometric Evaluation Together with Computed Tomography Examination of Chiari Type 1 Cases with Craniovertebral Junction Anomaly
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Importance of Physiotherapy after Lumbar Microdiscectomy
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The Effect of the Vertebral Artery Stenosis on the Basilar Artery Tortuosity
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The Matrix Metalloproteinase Inhibitor Batimastat Reduces Epidural Fibrosis After Laminectomy in Rats
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Frequency and Type of Ponticulus Posticus and Lateralis in a Chinese Population: A CT-Based Analysis of 4047 Cases
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A New Concept for Primary Reconstruction of Skull Defects with 3D-Molded PEEK Patch Assisted by Navigation Based on Animal Study
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A Comparison of Clinical and Radiological Outcomes Between Target 360 Nano and Microplex Hypersoft 3D Used as Finishing Coil
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Extreme Lateral Lumbar Interbody Fusion Surgery with a Robot-Assisted System in a Swine Model
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Evaluating the Effectiveness of Minimally Invasive Surgery Using External Ventricular Drainage Systems in Draining Chronic Subdural Hematomas
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Repetitive Transcranial Magnetic Stimulation Reduces Neuronal Loss and Neuroinflammation in Parkinson?s Disease Through the miR-195a-5p/CREB Axis
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Tentorial Venous Sinuses: A Cadaveric Study
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Calvarial Tumors: A Retrospective Analysis and Clinical Experience
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Statistical Shape Analyses of Pediatric Patients with Scoliosis After Surgical Correction
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The Healing Effect of Digoxin on Peripheral Nerve Damage and Its Relation to IL-17/IL-10
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AGR2 Gene Expression in Glioblastoma: A Novel Molecular Potential Target for Diagnosis and Treatment
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Endoscopic Endonasal Approach Limitations and Evolutions for Tuberculum Sellae Meningiomas: Data from Single-Center Experience of Sixty Patients
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Clinical Efficacy of Intraventricular rt-PA (Actilyse<sup>®</sup>) in the Outcome of Patients with Spontaneous Intraventricular Hemorrhage
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Sella Volume and Posterior Fossa Morphometric Measurements in Chiari Type 1
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Effect of Adiponectin on Acute Experimental Cerebral Ischemia/Reperfusion Injury
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Topographical Anatomy of the Superficial Temporal Artery
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Risk Factors and Surgical Treatment Options for Intracranial Infections
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Contribution of Multilevel Transformainal Lumbar Interbody Fusion Surgery to Restoration of Lumbar Lordosis in Patients with Degenerative Spine: Comparison of Long and Short Level Fusion
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Unilateral Dynamic Stabilization in Recurrent Lumbar Disc Herniation
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Development and Validation of Nomogram-Based Prediction of Chronic Subdural Hematoma Recurrence after Initial Burr-Hole Surgery
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Clinically Relevant Morphometry of Sacral Hiatus and Morphology of Sacrum
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Antioxidant and Neuroprotective Effects of L-arginine Administration After Traumatic Brain Injury and Hemorrhagic Shock in Rats
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Simultaneous Closure of Bilateral Cranial Defects Using Custom-Made 3D Titanium Implants: A Single Institution Series
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Caregivers' Impression About the Effect of Subthalamic Nucleus Deep Brain Stimulation in the Treatment of Parkinson's Disease
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Transpedicular Corpectomy and Anterior Column Reconstruction for the Treatment of Traumatic Thoracolumbar Fractures
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Management of Mirror Middle Cerebral Artery Aneurysms: Surgical Results and Morphological Parameters
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Use of Chicken Embryos as an Angiogenesis Model for Central Nervous System Malignant Tumor Research
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The Role of miR-26a, miR-29a and miR-448-3p in the Development of Cerebral Aneurysm
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Success Rate of Repeat Endoscopic Third Ventriculostomy Procedure According to the Ventriculostomy Orifice Closure Patterns: A Single Institutional Series of 74 Patients
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Effects of Topically Applied Contractubex® on Epidural Fibrosis and Axonal Regeneration in Injured Rat Sciatic Nerve
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Epidemiological Comparison between Two Decades of Pediatric Head Injury Hospitalization in Turkey in 2000-2010 and 2011-2020
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Balance Control and Plantar Pressure Distribution in Hyperkyphotic Adolescent and Young Adults
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Meningiomas of the Cerebellopontine Angle: Tips and Pearls for Safe Surgical Resection
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Impact of Post-Master PhD Degree on Publication Productivity in Neurosurgery
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Sagittal Spinal Deformity in Patients with Idiopathic Normal Pressure Hydrocephalus
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The Evaluation of Low-Profile Surpass Evolve<sup>TM</sup> Flow Diverter for Endovascular Treatment of Distal Cerebral Artery Aneurysms: A Single-Center Experience
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Experience of Non-Hodgkin's Lymphoma in the Central Nervous System Presented as Neurological Deficit from 2017-2021 in a Medical Center in Mexico City
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Evaluation of the Relationship Between Preoperative and Postoperative Platelet Values and Amount of Blood Transfusion in Cases with Craniosinocytosis
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A Comprehensive Computed Tomographic Analysis of Pneumatization Pattern of Sphenoid Sinus and Their Association with Protrusion/Dehiscence of Vital Neurovascular Structure in a Pakistani Subgroup
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Optimal Timing and Outcome of Transforaminal Epidural Steroid Injection for the Management of Radicular Pain due to Extruded Lumbar Disc Herniation
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Definition of an Effective Site for Greater and Third Occipital Nerve Block in the Nuchal Region: A Fetal Cadaver Study
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Retrospective Analysis of Paraspinal Muscle-Splitting Microscopic-Assisted Discectomy Versus Percutaneous Endoscopic Lumbar Discectomy for the Treatment of Far-Lateral Lumbar Disc Herniation
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Impact of Diabetic Hyperglycemia on Clinical Outcomes in Patients with Diabetes Mellitus Following Traumatic Brain Injury
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Establishment of a Scale for Predicting Early Hematoma Enlargement of Spontaneous Intracerebral Hemorrhage Based on Non-Contrast CT Signs
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Continuous SGB Inhibits Occurrence and Maintenance of Mechanical Hyperalgesia via Reducing Inflammatory Cytokines in Striatum and PAG of PD Nociception Rat Models
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Experimental Investigation of the Secondary Changes in Imaging After Lumbar Disc Nucleoplasty in Rabbits
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Oblique, Unilateral, or Bilateral Rods Configurations for Single-Level Interbody Fusion and Posterior Spinal Fixation: A Finite Element Study
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Effectiveness of Derivo<sup>®</sup> Flow Diverter Device in the Endovascular Treatment of Cerebrovascular Aneurysms
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Flow Diversion Therapy of Remnant and Recurrent Intracranial Aneurysms Treated Surgically
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Prospective Analysis of Cerebral Edema Admission and Clinical Outcome in Ruptured Intracranial Aneurysm
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The Effect of Cerebral Oxygen Saturation Changes on Early Postoperative Neuropsychological Function in Patients Undergoing Cranial Surgery
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Early Postoperative Adjuvant Radiotherapy Versus Active Monitoring After Gross Total Resection for Atypical Meningiomas: Factors Associated with Early Recurrence
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Comparison of Long-Term Follow-Up Outcomes Between Minimally Invasive and Open Surgery for Single-Level Lumbar Fusion
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Posterior Transdural Discectomy for Thoracic Disc Herniation
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Association Between the Clivus Slope and Patient-Reported Japanese Orthopaedic Association (PRO-JOA) Scores in Patients with Basilar Invagination: A Retrospective Study
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Comparative Analysis Between Machine Learning Algorithms and Conventional Regression in Predicting the Prognosis of Patients with Basilar Invagination: A Retrospective Cohort Study
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Assessing the Usefulness of Motor-Evoked Potential Changes in Disc Height Determination in Patients with Degenerative Disc Diseases Treated with Interbody Fusion
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Development and Validation of a Nomogram for Predicting Seizure Outcomes After Epilepsy Surgery for Children with Focal Cortical Dysplasia
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Long-Term Efficacy of Gamma Knife Radiosurgery on Pain Control in Trigeminal Neuralgia
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Use of a Single Standard Skull Model for Preparation of PMMA-Based Cranioplasty Flap: A Novel Low-Cost Technique
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Aura Intervention for Temporal Lobe Epilepsy: A Prospective, Randomized, Controlled Clinical Trial Protocol
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GOLPH3 Promotes Vasculogenic Mimicry via the Epithelial Mesenchymal Transition in Glioblastoma Cells
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Clinical Analysis of the Effects of Cranial Suture Reconstruction and Frontal Frame Band Transfer in the Operation of Premature Closure of Coronal Suture in Infants
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Prognostic Significance of Translocator Protein in Brain Tissue Following Traumatic Brain Injury
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Comparative Analysis of Clipping and Endovascular Therapy Outcomes in the Treatment of Ruptured Distal Anterior Cerebral Artery Aneurysms
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AIM: To compare the outcomes of distal anterior cerebral artery (DACA) aneurysm treatment using endovascular therapy (EVT) and surgical clipping, and to assess their risk factors. MATERIAL and METHODS: We retrospectively sampled and analyzed 31 patients treated for ruptured Distal anterior cerebra...


Investigation of the Anticancer Effect of S-Allyl-L Cysteine on the C6 Rat Glioma Cell Line in vitro in 2D- and 3D-Cell Culture Models
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AIM: To investigate the antiproliferative and apoptotic effects of S-allyl cysteine (SAC) on C6 glioblastoma cells using two- and three-dimensional (2D and 3D) cell culture systems. MATERIAL and METHODS: Three groups of rat glioma cell line C6 were prepared: 2D-Control, 2D-SAC, 3D-CMC-Control, and...


Histopathologic and Spectrometric Evaluation of Bony Components of Synostotic Suture and Parietal Bone in Children with Sagittal Synostosis
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AIM: To understand the characterization of the ossification process both in the synostotic suture, and the adjacent parietal bone. MATERIAL and METHODS: The surgical procedure for the 28 patients diagnosed with sagittal synostosis consisted of removing the synostotic bone as a whole, if possible, ...


Knocking Down lncRNA HOXA-AS2 Mitigates the Progression of Epilepsy via Regulation of the miR-372-3p/STAT3 Axis
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AIM: To explore the potential activity of HOXA cluster antisense RNA 2 (HOXA-AS2), a long non-coding RNA (lncRNA), in epilepsy progression, as well as the mechanisms behind its activity. MATERIAL and METHODS: Kainic acid (KA) was used to treat rat astroglial CTX-TNA2 cells to establish a cellular ...


Evaluation of Willis Polygon Morphometry with Cranial Tomographic Angiography
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AIM: To examine the morphometric properties of the vessels forming the Willis polygon (WP) in patients with type 2 diabetes mellitus (T2DM) and hypertension (HT) and compare them with healthy individuals. MATERIAL and METHODS: Cranial Tomography Angiography (CTA) of 168 individuals were analyzed r...


Tissue Expressions of Regulatory Enzymes of the Krebs Cycle in Low- and High-grade Gliomas
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AIM: To compare tissue levels of the regulatory enzymes related to the Krebs cycle between low, and high-grade supratentorial gliomas. MATERIAL and METHODS: Forty patients who underwent surgery for supratentorial gliomas (19 with low-grade and 21 with high-grade gliomas) were evaluated. The regul...


Can TRIF/TICAM-1 Dependent Pathway be Target Pathway in Lumbar Intervertebral Disc Degeneration?
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AIM: To elucidate the role of the TIR-domain-containing adaptor-inducing interferon-? (TRIF) dependent pathway in intervertebral disc degeneration (IVD). MATERIAL and METHODS: A total of adult male patients with low back pain (LBP) (+/- radicular pain) were further evaluated by magnetic resonance...


Investigation of Demyelination and Remyelination Processes of the Compressed Optic Chiasm: An Experimental Model
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AIM: To demonstrated demyelination and remyelination of the optic nerve histologically by electron microscopy in an experimental model similar to the compression of pituitary adenomas on the optic chiasm. MATERIAL and METHODS: The rats were fixed to a stereotaxic device under deep anesthesia, and ...


Diabetes Mellitus-Mediated MALAT1 Expression Induces Glioblastoma Aggressiveness
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AIM: To describe the role of metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) in glioblastoma (GB) progression in patients concurrently diagnosed with diabetes mellitus (DM). MATERIAL and METHODS: Formalin-fixed paraffin-embedded (FFPE) tumor samples of 47 patients diagnosed with GB...


Results of Intraoperative Sodium Fluorescein Video Angiography and Its Repeated Use in a Series of Brain Aneurysm Surgeries
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AIM: To present the properities of intraoperative sodium fluorescein video angiography (NaF-V) use in intracranial aneurysm surgery and to discuss the limitations of repeated NaF-V administration. MATERIAL and METHODS: The clinical findings and imaging results during and after surgery for patients...


The Extreme Anterior Interhemispheric Transcallosal Approach for Pure Aqueduct Tumors: An Anatomical Study
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AIM: To show the normal anatomy of the cerebral aqueduct, and the feasibility of the extreme anterior interhemispheric transcallosal approach to remove tumors within the aqueduct. MATERIAL and METHODS: This human cadaveric brain research was composed of ten formalin-fixed human brains and one inj...


Could Fluorescein Staining in Low-Grade Glial Tumors Guide for Peroperative Differentiation of Pathological Types?
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AIM: To define whether characteristics of fluorescein staining help to distinguish low grade gliomas intraoperatively. MATERIAL and METHODS: We studied 46 patients with supratentorial newly diagnosed noncontrast-enhancing LGGs removed by fluorescence guidance under the YELLOW 560 nm filter. Patien...


Oxidative Stress and Biochemical Alterations in Patients with Head and Multiple Organ Traumas
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AIM: To evaluate paraoxonase (PON), total antioxidant status (TAS), total oxidant status (TOS), high-density lipoproteins (HDL), CRP, AST, ALT, GGT, ALP levels in patients with head and multiple organ traumas. MATERIAL and METHODS: The study included 29 male patients undergoing treatment for head ...


Endoscopic Anatomical Study of the Glabellar Keyhole Approach
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AIM: To observe the exposure range of a neuroendoscope through the glabellar approach and measure the anatomical parameters to provide a basis for clinical application. MATERIAL and METHODS: A total of 10 adult cadaveric heads fixed with formalin were dissected by stratified local anatomy and sim...


The Assessment of Clinical Outcomes and Prognostic Factors in Glioblastoma Patients
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AIM: To assess the outcomes of glioblastoma patients treated in our clinic over the last 10 years using a multimodality approach and cutting-edge techniques. MATERIAL and METHODS: In our study, we included 169 glioblastoma patients who were admitted to our clinic between 2009 and 2019 and receive...


Unusual Locations of Gangliogliomas: Intraventricular and Posterior Fossa
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AIM: To report a series of patients diagnosed with gangliogliomas (GG) in unusual locations; and to review the clinical and imaging features as well as surgical treatment and outcomes. MATERIAL and METHODS: A series of consecutive patients who underwent surgery for GGs at unusual locations, such a...


Percutaneous Pain Procedures in Patients Who Underwent Lumbar Disc Herniation Surgery: Is It an Important Tool in the Management of Post-Surgical Ongoing Pain?
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AIM: To evaluate the efficacy of percutaneous pain interventions in patients who previously underwent lumbar disc herniation surgery. MATERIAL and METHODS: We retrospectively analyzed 48 patients with persistent / recurring complaints who underwent lumbar disc surgery (LDS) and were treated with ...


Surgical Management of Brain Tumors in Infants Under One Year of Age
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AIM: To comprehensively analyze clinical presentation, diagnosis, and management approaches of brain tumors in infants under one year of age. MATERIAL and METHODS: We conducted a retrospective analysis of clinical data retrieved from medical records of infants who underwent surgical treatment for...


Microstructure and Reasonable Management of the Arachnoid Associated with the Infrafloccular Approach for Microvascular Decompression of the Facial Nerve
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AIM: To understand the arachnoid microstructure during infrafloccular approach for facial nerve microvascular decompression (MVD). MATERIAL and METHODS: This study recruited 55 patients with hemifacial spasm who underwent MVD. Retrospective analyses of the MVD surgical videos were performed to re...


Endoport-assisted Neuroendoscopic Techniques Used in the Resection of Intraventricular Lesions
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AIM: To investigate the safety and efficacy of endoport-assisted endoscopic techniques for removing intraventricular lesions. MATERIAL and METHODS: Data of patients with intraventricular lesions who were surgically treated by endoport-assisted endoscopic resection between January 2018 and February...


Development and Validation of a Nomogram for Predicting Overall Survival in Pediatric Patients with Atypical Teratoid/Rhabdoid Tumors
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AIM: To construct a reliable prediction model for pediatric atypical teratoid/rhabdoid tumor (ATRT) patients. MATERIAL and METHODS: Population-based data of patients diagnosed with intracranial ATRT were extracted from the National Cancer Institute?s Surveillance, Epidemiology, and End Results dat...


Effect of Pathogenesis-Based Individualized Thrombectomy on Treatment Result and Prognosis of Acute Intracranial Large-Artery Occlusion Patients
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AIM: To explore the effect of pathogenesis-based individualised thrombectomy on the clinical results and prognoses of acute intracranial large-artery occlusion. MATERIAL and METHODS: A total of 151 patients were included in this prospective study and divided into the control group (stent thrombec...


Knockdown of the Long Noncoding RNA CRNDE Ameliorates Apoptosis and Inflammation in Ischemia-Reperfusion-Induced Brain Injury via the mir-489-3p/FOXO3 Pathway
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AIM: To examine the role and mechanism of colorectal tumor differential expression (CRNDE) in brain injury induced by ischemicreperfusion. MATERIAL and METHODS: Sh-SY5Y cells were cultured, and oxygen and glucose deprivation/reperfusion (OGD/R) injury tests were performed. The effects on SH-SY5Y c...


Endoscopic Third Ventriculostomy vs. Ventriculoperitoneal Shunt for Obstructive Hydrocephalus: A Meta-Analysis of Randomized Controlled Trials
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AIM: To conduct a meta-analysis for investigating the safety and efficacy of endoscopic third ventriculostomy (ETV) and extracranial shunting for patients with obstructive hydrocephalus. MATERIAL and METHODS: Randomized controlled trials (RCTs) of ETV and ventriculoperitoneal shunting (VPS) for ob...


Embolization of Cavernous Sinus Dural Arteriovenous Fistula with Liquid Materials Under Transarterial Balloon Protection
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AIM: To analyze the clinical and angiographic outcomes of interventional embolization under transarterial balloon protection technique in patients with cavernous sinus dural arteriovenous fistulas. MATERIAL and METHODS: In a single-center cohort of 30 patients undergoing cavernous sinus dural arte...


Investigation of Neuroprotective Effect of Shilajit Extract in Experimental Head Trauma Model Created in Rats
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AIM: To investigate the neuroprotective effect of shilajit extract in experimental head trauma. MATERIAL and METHODS: Three groups of 33 Sprague Dawley Albino strain male rats were included in the study. Group 1 (n=11): trauma but not treated. Group 2 (n=11): trauma and treated with 0.5 mL / rat s...


JNK Inhibition Modulates the Cytoskeleton, Hypoxia, and Neurogenesis on the Protein Level in Glioblastoma Cells and Astrocytes: An Immunofluorescence Study
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AIM: To evaluate the effects of c-Jun N-terminal kinase (JNK) inhibition and signal blocking on hypoxia (hypoxia-inducible factor 1-alpha (HIF-1α)), differentiation and neurogenesis (bone morphogenetic protein (BMP4)), and the cytoskeleton (F-actin) in glioblastoma multiforme cells (GBMCs). ...


Identification of Radiological and Clinical Factors that Increase the Risk of Chronic Subdural Hematoma Recurrence
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AIM: To determine risk factors predicting chronic subdural hematoma (CSH) recurrence is a common type of intracranial hemorrhage in elderly patients. Despite improved medical diagnosis and treatment, the reoperation rate remains high. MATERIAL and METHODS: A retrospective review of 291 CSH patient...


Comparison of the Efficacy of an Anchored Cage with Unidirectional and Bidirectional Screw Fixation in Single-Level Cervical Discectomy and Fusion Surgery
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AIM: To compare, and to analyze the clinical and radiological signs between bidirectional and unidirectional screw fixation in single level cervical discectomy and fusion surgery. MATERIAL and METHODS: We retrospectively reviewed the data collected from 90 patients and divided them into the upper ...


Role of the MyD88 Dependent Pathway in Degenerative Disc Disease
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AIM: To define the substantial role of the TLR4 signaling pathway in the MyD88-dependent pathway, and to evaluate the results of TLR4 activation in nucleus pulposus cells. Moreover, we aim to associate this pathway with intervertebral disc degeneration and magnetic resonance imaging (MRI) findings...


Effects of Zinc Oxide Nanoparticles on Neural Tube Development in Early Chicken Embryos
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AIM: To investigate the effect of zinc oxide nanoparticles (ZnO-NPs) on neural tube development in early chicken embryos. MATERIAL and METHODS: Fifty pathogen-free fertilized eggs were initially incubated for thirty hours. The eggs were divided into 5 groups. In the control group (C) the egg?s ape...


Cerebrolysin Amelioration of Spinal Cord Ischemia/ Reperfusion Injury in Rabbit Model
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AIM: To investigate the effects of cerebrolysin on inflammation, oxidative stress, apoptosis, and neurologic recovery in the setting of an experimental rabbit model of spinal cord ischemia/reperfusion injury (SCIRI). MATERIAL and METHODS: Rabbits were randomly divided into five groups: control, is...


Anti-Inflammatory, Antioxidant and Neuroprotective Effects of Niacin on Mild Traumatic Brain Injury in Rats
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AIM: To study the effects of niacin, a water-soluble vitamin, on inflammation, oxidative stress and apoptotic processes observed after mild traumatic brain injury (TBI). MATERIAL and METHODS: A total of 25 Wistar albino male rats were randomly divided into control (n=9), TBI + Placebo group (n=9)...


Comparison of Surgical Techniques for Intracranial Arachnoid Cysts: A Volumetric Analysis
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AIM: To compare the volumetric changes of intracranial arachnoid cysts (IACs) in different surgical techniques. MATERIAL and METHODS: Sixty-six patients who underwent IAC surgery in our department between 2010 and 2020 were studied retrospectively. Based on the surgical technique, clinical and vol...


Impact of Obesity on Anterior Cervical Discectomy and Fusion (ACDF): Postoperative Morbidity and Mortality
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AIM: To investigate the impact of obesity on postoperative morbidity and mortality in patients who underwent anterior cervical discectomy and fusion (ACDF). MATERIAL and METHODS: The American College of Surgeons? National Surgical Quality Improvement Project (NSQIP) files from 2006 to 2019 were q...


Surgery of Cranial Deformity Following Ventricular Shunting: A Multicenter Study
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AIM: To review the cases of craniosynostosis secondary to ventricular shunting procedure. MATERIAL and METHODS: We retrospectively evaluated the medical records of all pediatric patients with hydrocephalus who were treated with ventriculoperitoneal shunt procedure between the years 2017 and 2021 a...


Evaluation of Cerebrovascular Events Followed in Pediatric Intensive Care Unit
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AIM: To evaluate the effect of intensive care follow-up and treatment methods on the prognosis of 28 patients admitted to the pediatric intensive care unit (PICU) due to stroke. MATERIAL and METHODS: The data of patients aged between 28 days and 18 years followed up between 2011 and 2021 were rec...


Silent Micro-Infarct in Carotid Artery Stenting: Who Has it and Why?
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AIM: To compare the postprocedural cerebral diffusion-weighted imaging (DWI) findings in cases of carotid stenosis (CS)-related carotid plaques in terms of plaque morphology, degree of stenosis, and the use of a distal protection filter. Moreover, we used DWI to assess the asymptomatic cerebral em...


Surgery in Intracerebral Arteriovenous Malformations: The Role of Preoperative Embolization
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AIM: To examine the outcomes of microsurgery only versus combined microsurgery and embolization in treating cerebral arteriovenous malformations (AVM). MATERIAL and METHODS: A total of 62 patients (34 male and 28 female) with Spetzler?Martin grade 3 (n=44) and grade 4 (n=18) AVMs were examined. T...


Determination of PDK1, SLC2A1, EGFR, PTEN, CD276 Gene Expression Levels and IDH1 Gene R132H Polymorphism in Brain Tumor Tissues
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AIM: To determine IDH1 R132H codon and the mRNA levels of PDK1, SLC2A1, EGFR, PTEN, and CD276 genes in brain tumors. MATERIAL and METHODS: This study included 15 brain tumor tissues [pituitary adenoma (1), pilocytic astrocytoma (1), mixed meningioma (2), mesothelial meningioma (2), atypical mening...


COVID-19 Impact on Intraparenchymal Hemorrhage and Surgical Outcomes: A Comprehensive Analysis
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AIM: To investigate the possible association between COVID-19 infection and intraparenchymal hemorrhage (IPH) by examining changes in the preoperative and postoperative periods, mortality, and the impact of COVID-19 on IPH survival times. MATERIAL and METHODS: This cross-sectional retrospective an...


The Impact of Contrast Spread Patterns to Clinical Outcomes of Cervical Interlaminar Epidural Steroid Injection: An Observational Study
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AIM: To investigate the relationship between epidural contrast spread patterns, and the treatment success of cervical interlaminar epidural steroid injection (CIESI) for cervical radicular pain. MATERIAL and METHODS: A total of 76 patients aged between 20 and 60 years who had neck and unilateral u...


Osteoplastic Pterional Craniotomy: Success Rate of Surgery in Patient Aspect
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AIM: To evaluate the effect of osteoplastic pterional craniotomy on temporal hollowing and its sequelae. MATERIAL and METHODS: A total of 97 patients who underwent pterional craniotomy for an aneurysm were analyzed retrospectively. Of these 97 patients, 63 underwent surgery via the conventional pt...


The Synergistic Effect of Theranekron and Cisplatin on the Neuroblastoma (SH-SY5Y) Cell Line
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AIM: To assess the combined antitumor potential of theranekron (Trn) and cisplatin in neuroblastoma (NB), a pediatric tumor characterized by high prevalence and mortality rates. The investigation involved examining the interaction between theranekron (10-100 ?M) and cisplatin (40 ?M) within this c...


Retrospective Analysis of Paediatric Glial Tumours that Required Modern Molecular Techniques
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AIM: To determine if previous histological grading systems were sufficient or unreliable with a limited repository of modern techniques. MATERIAL and METHODS: The pathology reports of pediatric neurosurgery patients between 2019-2022 were accessed. Data on patients that needed unattainable further...


Comparative Analysis of IDH Wild-Type Multifocal and Unifocal Glioblastomas: Prognostic Factors and Survival Outcomes in Focus
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AIM: To compare the overall survival (OS), progression-free survival (PFS), and the impact of prognostic markers in unifocal and multifocal IDH wild-type glioblastomas (GBMs). MATERIAL and METHODS: This retrospective single-institutional study involved 177 GBM patients diagnosed between 2015 and ...


Preventive Surgery for Asymptomatic Spinal Lipomas in Children
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AIM: To explore the clinical effect and significance of preventive surgery for asymptomatic spinal lipomas in children. MATERIAL and METHODS: We retrospectively analysed the clinical data of 168 patients with asymptomatic spinal lipoma from April 2001 to June 2019, Shanghai Department of Neurosurg...


Comparative Analysis of the Risk Factors Influencing Recovery of Function from Oculomotor Nerve Palsy in Unruptured and Ruptured Posterior Communicating Artery Aneurysms
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AIM: To assess the risk factors and simultaneously compared the benefits of procedures (clipping vs. coiling) in the recovery of function from oculomotor nerve palsy (OMNP) between cases with unruptured and ruptured posterior communicating artery (PCOM) aneurysms. MATERIAL and METHODS: Among the ...


Clinical Study of Dexmedetomidine in Combination with Butorphanol for the Treatment of Traumatic Brain Injury (TBI)
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AIM: To explore whether the combination of dexmedetomidine (Dex) and butorphanol (But) could benefit patients with traumatic brain injury (TBI). MATERIAL and METHODS: A total of 208 TBI patients admitted from February 2018 to January 2020 were randomly divided into four groups as follows: control...


Changes in Serum LncRNA MEG3/miR-181b and UCH-L1 Levels in Patients with Moderate and Severe Intracerebral Hemorrhage
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AIM: To study on the association of lnc-MEG3/miR-181b and UCH-L1 in the progression of cerebral hemorrhage. Further facilitation the development of novel strategies that use their potential as a therapeutic targets. MATERIAL and METHODS: In this study, we studied the lncRNA MEG3 and miR?181b expre...


Cerebral Blood Perfusion is Improved Regionally After Shunt Surgery in the High-Pressure Hydrocephalic Brain
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AIM: To show the abnormal cerebral hemodynamics, in high-pressure hydrocephalic patients, could be restored by shunt surgery, and the tympanic membrane temperature (TMT) could be used to non-invasively monitor this recovery process. MATERIAL and METHODS: One-hundred-and-four patients, with high-pr...


A Nomogram Model for Predicting Prognosis of Patients with Medulloblastoma
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AIM: To identify the prognostic factors associated with cancer-specific survival in medulloblastoma (MB), and to use them for establishing a nomogram model to predict cancer-specific survival. MATERIAL and METHODS: In total, 268 patients with MB were included; they were rigorously respectively scr...


Changes in the Lumbosacral Angle after Spinal Cord Untethering in 23 Children with Tethered Cord Syndrome
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AIM: To analyze changes in the lumbosacral angle in children with tethered cord syndrome before and after spinal cord untethering surgery, and to determine the clinical value of such changes at the last follow-up. MATERIAL and METHODS: We retrospectively analyzed 23 children over 5 years old who w...


A Novel Method to Improve the Accuracy and Stability of the 3D Guide Template Technique Applied in Upper Cervical Spine Surgery
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AIM: To evaluate the safety and accuracy of C1 and C2 pedicle screw placement using a three-dimensional (3D)-printed double template and compare them with those of the conventional method in a clinical study. MATERIAL and METHODS: DICOM format data from 60 cases with C1?C2 instability were obtaine...


Intraventricular Shunt Catheter Placement of Adult Normal Pressure Hydrocephalus Using an AxiEMTM Electromagnetic Neuronavigation System: A Single-Center Experience
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AIM: To prove the superiority of the electromagnetic (EM) neuronavigation technique to increase the accuracy of intraventicular shunt catheter placement, and to reduce accompanying complications. MATERIAL and METHODS: A total of 21 patients with hydrocephalus [age range (years): 53?84] were studie...


Multiple Pathway-Dephosphorylated ASK-1 Confers Temozolomide-Resistance to Human Glioma Cells
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AIM: To elucidate the function of ASK-1 and the role of its modulators in the induction of Temozolamide (TMZ) resistance in glioma and the underlying mechanism. MATERIAL and METHODS: ASK-1 phosphorylation, the IC50 of TMZ, cell viability, and apoptosis were assessed in the U87 and U251 glioma cel...


Percutaneous Vertebroplasty with the Polymethyl Methacrylate - Gelatin Sponge Complex in the Treatment of Patients with Osteoporotic Vertebral Compression Fractures Accompanied by Superior Endplate Injurie
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AIM: To explore the clinical efficacy of percutaneous vertebroplasty (PVP) combined with the polymethyl methacrylate-gelatin sponge (PMMA-GS) complex in the treatment of patients with osteoporotic vertebral compression fractures (OVCFs) accompanied by superior endplate injuries MATERIAL and METHO...


Comparison of the Outcome of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Treated by Clipping and by Endovascular Therapy Performed by a Dual Trained Vascular Neurosurgeon: An Institutional Experience
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AIM: To compare the outcome of ruptured wide-necked anterior communicating artery (AcomA) aneurysms treated by clipping or endovascular therapy (EVT) by a dual trained neurovascular neurosurgeon. MATERIAL and METHODS: Among 130 patients with ruptured AcomA aneurysms with neck size of ?4 mm treated...


An Investigation into the Relationship of SUR-1TRPM4 Receptor with Peritumoral Edema in High-Grade Glial Tumors
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AIM: To investigate the presence of Sur1-Trpm4 receptors in high-grade glial tumors, and their relationship with edema volumes in preoperative magnetic resonance imaging (MRI) sequences. MATERIAL and METHODS: MRI sections were extracted from T1-weighted (T1W) and T2-weighted (T2W) sequences and fl...


Endoscopy-Assisted Craniosynostosis Surgery Versus Cranial Vault Remodeling for Non-Syndromic Craniosynostosis: Experience of a Single Center
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AIM: To evaluate and compare open cranial vault remodeling (OCVR) and endoscopy-assisted craniosynostosis surgery (EACS) in patients with non-syndromic craniosynostosis and to develop an algorithm to determine the most appropriate surgery for each patient. MATERIAL and METHODS: Eighty-five childr...


Quality of Life Assessment in Patients with Surgically Treated Parasagittal Meningiomas
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AIM: To assess quality of life (QoL) in patients with parasagittal meningiomas (PSM), and to identify the risk factors for different levels of QoL. MATERIAL and METHODS: Patients were contacted and interviewed via telephone. A total of 136 patients with PSM underwent surgery at our institution be...


Identification of Reference Genes in Chordoma Cells Allows Cross-Comparison of Expression Studies Across Subtypes
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AIM: To present the best housekeeping genes including clival/sacral based chordoma, and the nucleus pulposus cells. MATERIAL and METHODS: We investigated 13 candidate reference genes in public chordoma array transcriptome datasets, validated these genes by using RT-PCR, and evaluated their stabili...


Stereotactic Frame-Based Electrode Insertion: The Accuracy of Increasingly Oblique Insertion Angles
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AIM: To investigate the relationship between planned drill approach angle and angular deviation of the stereotactically placed intracranial electrode tips. MATERIAL and METHODS: Stereotactic electrode implantation was performed in 13 patients with drug resistant epilepsy. A total of 136 electrode...


Adherence to Traumatic Brain Injury Guidelines in Turkey: A National Survey Study
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AIM: To discuss adherence to guidelines for the management of traumatic brain injury (TBI) in Türkiye and physicians? attitudes toward standardized, evidence-based medical practice. MATERIAL and METHODS: Survey questions were uploaded on the website www.surveymonkey.com and sent to the participant...


Magnetic Resonance Angiographic Study of the Anatomical Variations of the Anterior Communicating Artery Complex in a Turkish Population
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AIM: To provide a definition of arterial anomalies in the anterior communicating artery complex (ACoAC), determine their prevalence and investigate their relationship with aneurysms. MATERIAL and METHODS: The three-dimensional time-of-flight magnetic resonance angiography images of 1,857 adult pat...


Dexamethasone Addition Impairs the Therapeutic Effects of Nimodipine for Subarachnoid Hemorrhage: An Experimental Animal Study
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AIM: To evaluate the effects of the combination of nimodipine and dexamethasone in subarachnoid hemorrhage (SAH). MATERIAL and METHODS: In this study, 35 female adult Wistar Albino rats were randomly assigned to four groups: Sham (n=8), SAH with no treatment (n=9), SAH with nimodipine (n=9, oral g...


Mechanical Thrombectomy for Acute Cardiogenic Internal Carotid Artery Occlusion with Cross-Flow through the Communicating Artery
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AIM: To report mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with cross-flow through the communicating artery (?with? group), and to compare it with ICA or middle cerebral artery occlusion without cross-flow (?without? group). MATERIAL and METHODS: This study included 10...


Survival Outcome and Prognostic Factors of Primary Spinal Cord Lymphoma
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AIM: To identify the predictive factors associated with the survival of patients with a diagnosis of primary spinal cord lymphoma (PSCL). MATERIAL and METHODS: The Surveillance, Epidemiology, and End Results (SEER) database was used in this study, which involved 254 patients with PSCL. Data on th...


LncRNA FOXD3-AS1 Contributes to Glioblastoma Progression Via Sponging miR-3918 to Upregulate CCND1
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AIM: To elucidate the pro-tumorigenic role of IncRNA FOXD3-AS1 in glioblastoma. MATERIAL and METHODS: The expression of miR-3918, FOXD3-AS1, and CCND1 was measured in glioblastoma cells and tissues using reverse transcriptase quantitative PCR (RT-qPCR). The effect of FOXD3-AS1 silencing on the pro...


Quantitative Anatomic Analysis and Clinical Application of Lumbar Spinous Process Split Laminotomy
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AIM: To investigate the feasibility and safety of lumbar spinous process split laminotomy by quantitative anatomic analysis. MATERIAL and METHODS: Nine fresh adult human cadaveric specimens (including 45 lumbar segments) were divided into 3 groups randomly. The simulated operations and anatomic mea...


Novel Indices for Lumbar Discectomy: Systemic Immune Inflammation Index, Systemic Inflammatory Response Index, Multi Inflammatory Index, and Prognostic Nutrition Index
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AIM: To evaluate systemic immune inflammation index (SII), systemic inflammatory response index (SIRI), multi-inflammatory index (MII), and prognostic nutrition index (PNI), and to compare them with the previously reported inflammation-related hematologic index in lumbar discectomy (LD). MATERIAL a...


Evaluation of Percutaneous Unilateral Kyphoplasty Results in Osteoporotic Vertebral Compression Fractures Using Individual 3D Printed Guide Template Support
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AIM: To compare the clinical and radiological outcomes of unilateral percutaneous kyphoplasty (PKP) surgeries performed using 3D printing technology in patients with osteoporotic compression fractures to conventional unilateral PKP surgeries. MATERIAL and METHODS: Patients with acute painful singl...


Is The Modular Dynamic System as Effective as Classical Dynamic Systems in Long Segment Dynamic Thoracolumbar Stabilization?
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AIM: To evaluate the outcomes of dynamic stabilization in the multilevel degenerative spondylotic spine, and to compare the two dynamic systems (Dynesys® and Orthrus®) to reveal the increasing role of dynamic systems in the management of the degenerative spine. MATERIAL and METHODS: A total of 74...


The Effects of Regulating Increased Blood Glucose Levels on Plasma Endothelin-1 Levels After Severe Head Trauma in Rats
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AIM: To examine the effects of regulating increased blood glucose levels on plasma ET-1 levels after severe head trauma in rats. MATERIAL and METHODS: Traumatic diffuse brain injury-induced rats were followed for 7 days and were randomly divided into two groups of 36 rats. Pre- and posttraumatic bl...


Middle Cerebral Artery Ischemic Complications After Flow Diverter Deployment from Internal Carotid Artery Extending into M1 Segment
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AIM: To gain a better understanding of ischemia risk related to in-stent stenosis (ISS) or in-stent thrombosis (IST) of the middle cerebral artery (MCA) and lenticulostriate arteries after flow-diverting devices (FDD) deployment from the internal carotid artery (ICA) to proximal middle cerebral ar...


Risk Factors Associated with Cage Retropulsion After Lumbar Interbody Fusion
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AIM: To identify the cage retropulsion (CR)-associated risk factors following lumbar interbody fusion (LIF). MATERIAL and METHODS: Clinical data of patients who underwent LIF between January 2014 and December 2018 at three medical centers were retrospectively analyzed. Patients were divided into C...


Intraventricular Hemorrhage and Related Hydrocephalus Patients Demographics in a University Hospital NICU: Single-Center Data
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AIM: To analyze the demographic and clinical data of preterm or low birth weight newborns with periventricular hemorrhage. MATERIAL and METHODS: This retrospective study analyzed patients admitted to the neonatal intensive care unit of a Bahcesehir University School of Medicine-Affiliated Hospital ...


Risk Factors for Specific Postoperative Ischemic Complications in Patients with Moyamoya Disease: A Single-Center Retrospective Study
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AIM: To evaluate and compare postoperative ischemic complications to determine the risk factors for ischemic complications following revascularization surgery for Moyamoya disease (MMD). MATERIAL and METHODS: This single-center retrospective study included 266 procedures between 2016 and 2021. Thre...


Low-Level miR-199 Contribute to Neuropathic Low Back Pain via TRPV1 by Regulating the Production of Pro-Inflammatory Cytokines on Macrophage
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AIM: To explore the post-translational regulation of TRPV1, which plays an important role in neuropathic low back pain (NLBP). MATERIAL and METHODS: qPCR was used to examine the gene mRNA levels. Western blot was used to examine the protein level. NLBP rat model was established for confirming what ...


Comparative Analysis of Ultrasound-Assisted Precise Localization vs. Traditional Open Incision in Situ Decompression for the Treatment of Cubital Tunnel Syndrome
[Abstract] [Similar Articles]

AIM: To retrospectively analyze and compare ultrasound-assisted localization in situ with the traditional, open incision method for treating cubital tunnel syndrome (CuTS). MATERIAL and METHODS: We retrospectively analyzed 51 patients treated between 2018 and 2022 and categorized them according t...


Effects of Focal Cerebellar Injury on Fracture Healing and Oxidative Stress in Rat Model: An Experimental Animal Study
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AIM: To examine the effect of cerebellar damage on the process of fracture healing. MATERIAL and METHODS: A total of forty-two male rats were selected at random and subsequently allocated into three distinct groups. The experimentals were divided into two subgroups within each group, with the inte...


Analysis of Neurosurgical Injuries and The Lessons Learned After the Catastrophic Double Earthquakes in Turkey
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AIM: To identify the patterns and types of neuorosurgical injuries sustained by victims of the double earthquakes affected ten cities with a population of 15 million in southern and central Türkiye. MATERIAL and METHODS: In this descriptive observational study, we retrospectively analyzed the medic...


Effect of Resection and Surgical Experience on Survival in Patients with Craniopharyngiomas: Endoscopic Transsphenoidal Surgery in Series of 31 Cases
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AIM: To share the surgical outcomes of 31 patients who underwent endoscopic endonasal transsphenoidal surgery (EETS) at a single center. MATERIAL and METHODS: This retrospective analysis of 31 craniopharyngioma cases (2013?2022) with a minimum 6-month follow-up included demographic data, preoperati...


Effects of Transcranial Direct Current Stimulation on Motor and Cognitive Dysfunction in an Experimental Traumatic Brain Injury Model
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AIM: To investigate the therapeutic and neuroprotective effects of transcranial direct current stimulation (tDCS) application on the traumatic brain injury (TBI)-induced glutamate and calcium excitotoxicity and loss of motor and cognitive functions. MATERIAL and METHODS: Forty rats were equally div...


Resection or Biopsy: The Efficacy of Different Surgical Approaches for Primary Central Nervous System Lymphoma
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AIM: To analyze the efficacy of surgical resection versus brain biopsy combined with postoperative chemotherapy for primary central nervous system lymphoma (PCNSL) and to discuss a clinically standardized treatment protocol. MATERIAL and METHODS: Patients with a pathological diagnosis of PCNSL and...


Comparison Clinical Outcomes of Posterior Short Segment Transpedicular Fixation with or without Injured Vertebra Fixation in Thoracolumbar Burst Fracture: A Retrospective Study
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AIM: To evaluate and compare clinical outcomes between the posterior short-segment pedicle fixation with injured vertebra fixation (PSPFI) and fixation without injured vertebra fixation (PSPF) for thoracolumbar burst fracture (TLBF). MATERIAL and METHODS: In this retrospective study, a total of 78...


Retrospective Evaluation of Patients with Spontaneous Intracerebral Hematomas
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AIM: To investigate the relationship among the modified Rankin scores of patients who had intracerebral hematomas at discharge, demographic characteristics of the patients, and the characteristics of the hematoma. MATERIAL and METHODS: In this study, patients diagnosed with intracerebral hematoma ...


Percutaneous Ventriculoatrial Shunting as a Salvage Method in the Pediatric Hydrocephalus Patients with Peritoneal Problems
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AIM: To evaluate the efficacy of percutaneous ventriculoatrial shunting as a salvage method for pediatric patients with abdominal complications. MATERIAL and METHODS: Data obtained from 9 patients with ventriculoperitoneal shunt dysfunctions owing to abdominal complications, who underwent ventric...


Microvascular Decompression for Hemifacial Spasm without the Use of Neuromonitoring and Fix Retraction: A Single-Center Experience
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AIM: To evaluate outcome of patients with hemifacial spasm surgically treated by microvascular decompression without the use of neuromonitoring and fix retraction. MATERIAL and METHODS: Of the 78 patients with hemifacial spasm operated by the senior author of this study between 2016 and 2020, 60 ...


The Effect of Halofuginone Use on Epidural Fibrosis After Spinal Surgery: An Animal Experiment
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AIM: To investigate the effectiveness of local halofuginone application for spinal epidural fibrosis (EF) after lumbar laminectomy in rats. MATERIAL and METHODS: Forty rats were equally divided into four groups (Groups I?IV; 10 rats in each group), and lumbar laminectomy was performed under gener...


Pediatric Diffuse Leptomeningeal Glioneuronal Tumors: Diagnosis, Follow-up, and Treatment Options
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AIM: To highlight the diagnosis, follow-up, and treatment options for diffuse leptomeningeal glioneuronal tumor (DLGNT) by examining pediatric patients diagnosed with DLGNT by molecular pathological evaluation and next generation sequencing at our center. MATERIAL and METHODS: In this retrospecti...


Non-Detection of HCMV Total Genomic DNA in Human Glioma Cells Genome
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AIM: To demonstrate if the human cytomegalovirus (HCMV) genome, that is involved in the pathogenesis of gliomas, is part of the genomic DNA of glioma cells or not. MATERIAL and METHODS: The study included U87MG glioblastoma cell culture and tumor samples from glioma patients. The genomic DNA of t...


Naples Prognostic Score Predicts 6-Month Outcomes in Patients with Severe Traumatic Brain Injury: A Single-Center Retrospective Study
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AIM: To examine how Naples prognostic score (NPS) relates to 6-month outcomes in patients with severe traumatic brain injury (STBI). MATERIAL and METHODS: We retrospectively analyzed the clinical data of 94 patients with STBI between September 2018 and September 2021. Galizia?s method was used to...


Comparison Between Intraoperative Target Area Cement-Enhanced Percutaneous Vertebroplasty and Conventional Percutaneous Vertebroplasty for Osteoporotic Thoracolumbar Non-Total Vertebral Fractures
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AIM: To compare the efficacy and feasibility of target area cement-enhanced percutaneous vertebroplasty (PVP) and conventional PVP in osteoporotic thoracolumbar non-total vertebral fractures. MATERIAL and METHODS: Retrospective analysis of one hundred and two patients treated in our hospital from ...


The Effect of Slime Factor in the Treatment of Spinal Implant Infections
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AIM: To investigate the effect of the biofilm-forming ability of the bacteria on treatment in rats by using biofilm-forming and nonbiofilm- forming strains of Staphylococcus aureus (S. aureus). MATERIAL and METHODS: Forty rats were divided into four equal groups as Group 1A, 1B, 2A, and 2B. All ra...


Health-Related Quality of Life of Patients with Postural Kyphosis Compared to Spinal Deformities in Adolescence: A Cross-Sectional Study
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AIM: To evaluate the quality of life of patients with postural kyphosis (PK) compared with those adolescent idiopathic scoliosis (AIS) and Scheuermann Kyphosis (SK). MATERIAL and METHODS: Health-related quality of life (HRQoL) of adolescents with PK who were admitted to our clinic between January...


Comparison of the Use of Peripheral Nerve Stimulator and Quincke Needle for Lumbar Transforaminal Epidural Steroid Injections
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AIM: To compare the procedural features of transforaminal epidural steroid injection (TFESI) performed using two different needles (Stimuplex® and Quincke) in terms of procedure time, exposed radiation dose and adverse effects and complications, thus providing preliminary data to aid needle select...


Common Vertebral Fracture Level After the 2023 Turkey Earthquake: Thoracolumbar Junction - Due to Hyper-Flexed and Fixed Posture - at Triangle of Life Areas
[Abstract] [Similar Articles]

AIM: To assess the frequency of thoracolumbar junction (TLJ) fractures (T10-L2) in survivors of the 2023 East Turkey earthquake. MATERIAL and METHODS: This single-center retrospective stdy evaluated 10 earthquake survivors, who were trapped under the rubble and rescued alive by rescue teams, and w...


Aneurysms Located beyond the Origin of the Major Branches in the Posterior Circulation
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AIM: To evaluate the clinical and radiological features, treatment modalities, and outcomes of unusual aneurysms located beyond the origin of the major branches in the posterior circulation, and to introduce changes in the recent treatment trends due to rapid innovations in endovascular technology...


Institutional Experience of Post-Traumatic Posterior Fossa Extra Dural Hematoma: A Prospective Longitudinal Study
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AIM: To analyze clinical and imaging characteristics of post-traumatic posterior fossa extradural hematoma (PFEDH). MATERIAL and METHODS: Between 2018 and 2022, 51 patients were admitted to our tertiary care trauma center with a diagnosis of PFEDH. The management decision was tailored by an indivi...


Using Proximal Hooks as a Soft-Landing Strategy to Prevent Proximal Junctional Kyphosis in the Surgical Treatment of Scheuermann's Kyphosis
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AIM: To evaluate the occurrence of proximal junctional kyphosis (PJK) as well as both the clinical and radiologic outcomes of patients who underwent surgery for Scheuermann?s Kyphosis (SK) using either exclusively pedicle screws or a combination of proximal hooks and pedicle screws constructs. MA...


The Impact of the Placement of the L5 Vertebra in Relation to the Intercrest Line on the Level of Disc Herniation
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AIM: To determine whether there is a correlation between a deeply seated L5 vertebra in relation to the intercrest line (ICL) and the level of degeneration of lumbar discs. MATERIAL and METHODS: The study included 152 patients who underwent surgery for lumbar disc herniation. After analyzing the ...


Latency of Spread: An Important Clinical Indicator Reflecting the Complexity Level of Offending Vessels in Patients with Typical Hemifacial Spasm
[Abstract] [Similar Articles]

AIM: To investigate whether the latency of spread could reflect the complexity level of intraoperative offending vessels in patients with typical hemifacial spasm. MATERIAL and METHODS: A total of 96 patients with typical hemifacial spasm who underwent microvascular decompression (MVD) in our dep...


The Interval Between External Ventricular Drain (EVD) Implantation and Time to Mobilization in Patients at the Neurosurgery ICU
[Abstract] [Similar Articles]

AIM: To describe the time between external ventricular drain (EVD) implantation and mobilization in neurosurgery intensive care unit (ICU) patients with EVDs. Due to increased intracranial pressure, neurosurgery patients with external ventricular drain (EVD) who are admitted to the ICU frequently ...


Role of Histogram Features on Arterial Spin Labeling Perfusion Magnetic Resonance Imaging in Identifying Isocitrate Dehydrogenase Genotypes and Glioma Malignancies
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AIM: To explore the use of histogram features on noninvasive arterial spin labeling (ASL) perfusion magnetic resonance imaging (MRI) in differentiating isocitrate dehydrogenase mutant-type (IDH-mut) from isocitrate dehydrogenase wild-type (IDH-wt) gliomas, and lower-grade gliomas (LGGs) from gliob...


Evaluating the Readability, Quality, and Reliability of Online Patient Education Materials on Spinal Cord Stimulation
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AIM: To obtain health-related information internet usage is rapidly increasing. However, there are concerns about the comprehensibility and reliability of internet-accessed health-related information. The aim of this research was to investigate the reliability, quality, and readability of patient ...


Factors Affecting Resorption Following Cranioplasty with an Autologous Bone Graft
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AIM: To evaluate the relationship between the surgical techniques, the waiting time for surgery, postoperative distance between the graft-bone margin and the percentage of bone resorption, we analyzed patients who underwent cranioplasty. Cranioplasty is a necessary surgery to preserve brain tissue...


Predictors of Outcome in Aneurysmal Subarachnoid Hemorrhage: A Tertiary Center Experience
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AIM: To determine the risk factors affecting the mortality rate and outcomes of patients with subarachnoid hemorrhage (SAH). MATERIAL and METHODS: The records of patients who underwent aneurysm treatment and intensive care unit (ICU) followup in our hospital between 2013-2021 were reviewed retrosp...


Surgical Technique for Draining a Concomitant Supra-and Infratentorial Epidural Hematomas
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AIM: To assess clinical and radiological characteristics of simultaneous acute supra- and infratentorial epidural hematomas. MATERIAL and METHODS: We retrospectively reviewed the clinical and radiological data of 18 patients with a concomitant acute supra- and infratentorial epidural hematoma, who...


Risk Factors for Intracranial Aneurysm Rupture: A Clinical Case Series and Systematic Review of the Literature
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AIM: To evaluate the patients who underwent surgery for an anterior communicating artery (AcomA) aneurysm at our institution. We analyzed our case series and systematically reviewed the literature to identify factors that could predict the rupture of an intracranial aneurysm in patients with AcomA...


A Morphometric Study of Cadavers for the Anterior Approach to the Lower Lumbar Spine
[Abstract] [Similar Articles]

AIM: To explore the relationship between the retroperitoneal vasculature and anterior surface of the lower spine, and to establish values for aiding in prediction of the pertinence of anterior approach at the L4-L5 and L5-S1 intervertebral discs. MATERIAL and METHODS: The study included 13 fresh h...


Investigation of the Status of Immune Checkpoint Molecules in Meningiomas by Immunohistochemistry
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AIM: To investigate the status of immune checkpoint molecules (CTLA-4 and TIM-3) in meningiomas and thus contribute to the development of new personalized treatment strategies. MATERIAL and METHODS: We utilized 402 cases of meningioma for this study. New blocks were prepared using the tissue micr...


Paraoxonase 1 Activity and Phenotype Distribution in Lumbar Disc Herniation Patients
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AIM: To compare the Paraoxonase 1 (PON1) activity and phenotype distribution between lumbar disc herniation (LDH) patients and healthy individuals. MATERIAL and METHODS: This research included 40 LDH patients and 42 healthy individuals. Spectrophotometric assays were performed to determine the se...


Comparison of Single Lumbar Transforaminal Epidural Steroid Injections for Treatment of Early and Late Recurrent Lumbar Disc Herniation
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AIM: To compare the results of fluoroscopically guided transforaminal epidural steroid injection (TESI) for pain reduction in ipsilateral early recurrent lumbar disc herniation (RLDH) with ipsilateral late RLDH. MATERIAL and METHODS: A total of 738 patients complaining of radicular pain due to ips...


Computed Tomography-Based Occipital Condyle Morphometric Analysis in the Turkish Population: A Trajectory Analysis for Optimal Screw Selection
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AIM: To provide a comprehensive analysis for accurate screw size selection and insertion angle during surgical procedures. MATERIAL and METHODS: In this retrospective study, a total of 120 patients participated, resulting in the analysis of 240 occipital condyles using coronal, sagittal, and axial...


The Impact of Subthalamic Deep Brain Stimulation on Apathy in Parkinson?s Disease Patients
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AIM: To investigate the impact of subthalamic deep brain stimulation (STN DBS) on apathy and the possible relationship between apathy, depression, and levodopa equivalent dosage (LED) in Parkinson?s Disease (PD) patients. MATERIAL and METHODS: A total of 26 patients have been evaluated via the Uni...


Is It Meaningful and Necessary to Avoid the Seventh Cervical Vertebra in Long Level Cervical Fusion?
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AIM: To compare the clinical and radiological results of patients who underwent multilevel posterior cervical fusion (PCF) with different end levels (C6 or C7). MATERIAL and METHODS: We collected radiographs and clinical results of all subjects who underwent 3 level or more PCF for degenerative d...


Full-Endoscopic Lumbar Discectomy: Tips & Tricks for New Users Based on a Retrospective Observational Study of the First 100 Patients
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AIM: To report our institutional experience with full-endoscopic lumbar discectomy (FELD) and analyzed the pertinent literature. MATERIAL and METHODS: We retrospectively enrolled 100 patients who had undergone full-endoscopic discectomy for lumbar disc herniation using either an interlaminar (IL) ...


Effect of Size and Location of Unruptured Intracranial Aneurysms on Self-Reported Headache
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AIM: To describe the relationship between aneurysm size and location with the prevalence of headache at diagnosis and three- and six-month follow-up in a sample of patients with UIA. MATERIAL and METHODS: In this cohort study, patients were diagnosed with UIAs by digital subtraction angiography (D...


Treatment Strategy of Unruptured Intracranial Aneurysms in Octogenarian Patients: A Single-Institution Experience
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AIM: To share our clinical insights into octogenarian patients with unruptured intracranial aneurysms (UIAs) and evaluate the treatment strategies for this demographic. MATERIAL and METHODS: A retrospective analysis was conducted on data from 134 patients with a follow-up exceeding 6 months, all ...


Evaluating the Predictive Value of a Coagulation-Related Gene Model in Glioma
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AIM: To evaluate coagulation related gene model as a biomarker for predicting prognosis of gliomas. MATERIAL and METHODS: The mRNA expression and clinical data of glioma were downloaded from the TCGA and CGGA databases. Coagulation-related genes were downloaded from the KEGG database. The expressi...


Unlocking the Battle-Clipping vs. Endovascular Therapy for Shunt-Dependent Hydrocephalus After Aneurysm Rupture: An In-Depth Institutional Analysis
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AIM: To compare microsurgical clipping and endovascular therapy (EVT) for the management of shunt-dependent hydrocephalus (SDH) in patients with subarachnoid hemorrhage (SAH) and hydrocephalus. MATERIAL and METHODS: This retrospective study was conducted from July 2018 to December 2022 and include...


MENINGIOMAS WITH CYST FORMATION
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Surface Strain and Stress Analysis of the Mid-Cervical Vertebrae Bony Compartments: A Biomechanical Pilot Study
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OBJECTIVE: This study provides preliminary information on stress distribution over the cervical spine in static physiologic loading conditions with the strain-gage technique. Limited numbers of in vitro studies have been conducted to investigate strain and stress patterns on the bony structure of...


Evaluation of Forty-Five Atypical and Malignant Meningioma Cases: Over the 12-Years Follow-Up Period
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OBJECTIVE: We investigated atypical and malignant meningiomas based on the Modified World Health Organization (WHO) histological criteria of malignance. METHOD: We present 45 surgical cases ( 26 atypical and 19 malignant) of total 504 meningiomas operated in Social Security Ankara Education and R...


Ruptured Aneurysm Associated with Persistent Primitive Trigeminal Artery: Report of a Case With Three Dimensional CT Angiographic Evaluation
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We report an extremely rare case of ruptured saccular aneurysm at the junction of the hypoplastic basilar and the persistent primitive trigeminal artery (PPTA). Three-dimensional computed tomography (3D-CT) angiography can delineate the aneurysm of the right persistent primitive trigeminal artery...


Microsurgery of Intracranial Arteriovenous
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OBJECTIVE: To assess the importance of microsurgery in 46 consecutive patients with intracranial arteriovenous malformations (AVMs). METHODS: Forty-six patients underwent microsurgical removal of their AVMs in our clinic from 1992 to 2003. There were 26 males and 20 females. Thirty-two patients (...


Proton Magnetic Resonance Spectroscopy of the Hippocampus After Severe Traumatic Brain Injury
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OBJECTIVE: Atrophic changes in the hippocampus that maybe seen during the late stage of traumatic brain injury (TBI) has been found to be highly related to the cognitive function. Previous studies detected by MR morphometric analysis have described atrophic changes in the hippocampus in patients,...


Correlation of Psychological Assessment Using SCL-90-R Scale With Surgical Outcome
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OBJECTIVE: To investigate the relationship between psychosomatic disorders and surgical outcome using the Symptom Check List-90-Revised (SCL-90-R) scale. METHOD: A cross-sectional study was performed to assess the impact of preoperative psychological factors on surgical outcome by using the Sympt...


Outcome Measurement After Lumbar Disc Surgery
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OBJECTIVE: Quality of life is becoming more important within the concept of health care. Although clinical outcome still plays a big role in outcome measurement, patients' perceptions and understanding of their own health is being considered as significant. There are many measurement tools used f...


The Contribution of Turkish Neurosurgeons to Spine Surgery Literature
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OBJECTIVE: To determine the number of articles originating in Turkey and published in international spine-related journals, to compare the number of spine-related publications of different disciplines, and to compare Turkey's spine-related publications with those of other countries. MATERIAL AND...


Latest Developments in Gamma Knife Radiosurgery: Gamma Knife Model C and Gamma Plan 4C
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Awide application field, high precision and low complication and high success rates make Gamma Knife radiosurgery a standard treatment modality in neurosurgery. During Gamma Knife radiosurgery, 201 cobalt 60 sources are arranged in a hemispheric shape in such a manner that all the gamma rays are ...


Biomechanical Analysis of A Turkish-Made Posterior Spinal Instrumentation System<br> Part I. Evaluation of Pedcile Screw Pullout Strength
[Abstract] [Similar Articles]

OBJECTIVE: To determine the pullout strength of a Turkish-made pedicle screw (Tıpsan Posterior Instrumentation System, Tıpsan Tıbbi Aletler, İzmir, Turkey) compared to another well-known system (VSP System, DePuy AcroMed, Raynham, MA, USA). METHODS: A series of pedicle screw axial pullout tests w...


Biomechanical Analysis of A Turkish-Made Posterior Spinal Instrumentation System<br> Part II. Evaluation of the Stability And Strength Provided By the Transpedicular Screw Fixation Device
[Abstract] [Similar Articles]

OBJECTIVE: To determine the construct stability and strength provided by a Turkishmade transpedicular fixation device (TIPSAN Posterior Instrumentation System, Tıpsan Tıbbi Aletler, İzmir, Turkey) compared to another well known system (Moss-Miami System, DePuy AcroMed, Raynham, MA, USA) in lumbar...


Multicentric Gliomas: Still Remains a Controversial Issue<br>Report of three cases and literature review
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Multicentric gliomas are uncommon lesions of the central nervous system (CNS) with an unprecise rate of occurrence that diffusely infiltrate large portions of the brain. Glioblastoma multiforme is the most agressive form of gliomas and often has a distinct neuroimaging pattern with poor prognosis...


Selection of the Surgical Approach for Stabilization of Subaxial Cervical Spinal Injuries
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OBJECTIVE: The objective of this study was to investigate the effects of our surgical treatment method selection criteria for unstable cervical spinal injuries on the clinical outcomes. METHODS: Forty-seven consecutive patients with traumatic subaxial cervical spine instability were included in t...


The Morphological Aspects of Lumbar Plexus and Roots An Anatomical Study
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OBJECTIVE: Although there are many reports on the anatomy of the lumbar plexus and knowledge of the morphological aspects of this plexus is of practical importance during the surgical and anaesthetical interventions, the thickness and length of the lumbar nerves and roots have not been studied in...


Surgical Importance of Neurovascular Relationships of Paranasal Sinus Region
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OBJECTIVE: Damage to the optic nerve and internal carotid artery is a serious complication of transsphenoidal surgery. The relationships of the sphenoid sinuses to the carotid artery and optic nerve were studied on computerized tomography and their clinical importance was discussed. METHODS: 45 ...


Histopathology, Invasion, Migration and Tumorigenicity in the C6 Rat Glioma Model
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Glial tumors are the largest group of central nervous system tumors and glioblastoma multiforme is the most common form. Glioblastomas are anaplastic forms of gliomas. Their high incidence and malignity have led researchers to work hard to better understand and treat these tumors. It is now know...


Inhibitory Effect of Trapidil on Human Malignant Glial Cell Proliferation via Interruption of Autocrine Growth Stimulation
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Two human malignant glial cell lines, U-251 and NMCG-I were used in this study. NMCG-I cell lines were been established from an astrocytoma, grade III by our clinic. Glial cells secrete platelet-derived growth factor (PDGF) - like molecules that stimulate their own growth in an autocrine manner. ...


The Anatomical, Radiological and Surgical Correlation of Arterial Variations and Anomalies in the Anterior and Posterior Intracranial Circulation
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OBJECTIVE: The variations and anomalies of intracranial arteries may affect the treatment strategy and patients' outcome during neurosurgical and interventional neuroradiological procedures. METHODS: The construction of intracranial arteries was evaluated on cerebral angiograms in patients admit...


The Importance of Proliferative Activity and Angiogenesis in Meningioma and Glioma
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OBJECTIVE: The aim of this study was to investigate the usefulness of a mean vascular density (MVD) and proliferative activity labeling index (LI) in gliomas and meningiomas as biological markers in histological grading. MATERIALS AND METHODS: Our study included 18 cases of glioma and 36 cases of...


Comparison of Conservative and Surgical Treatment Results in Lumbar Spinal Stenosis
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OBJECTIVE: The aim of this study was to compare the results of physical therapy combined with drug treatment and surgical intervention in patients with lumbar spinal stenosis. METHOD: Patients with lumbar spinal stenosis who were diagnosed clinically and with magnetic resonance imaging were incl...


The Choice of Operative Technique in the Treatment of Anterior Plagiocephaly: Clinical Experience
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OBJECTIVE: Synostotic plagiocephaly involving the coronal suture has been a matter of surgical debate and interest for pediatric neurosurgeons. In this report, the authors analyze the results of an operative series of anterior synostotic plagiocephaly. They also emphasize their experience on pati...


The Surgical Treatment of Spinal Cord Ependymomas
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OBJECTIVE: To determine the treatment modalities of spinal ependymomas. METHOD: We report 33 patients with spinal cord ependymomas who had been operated on at the Department of Neurosurgery of Ankara University School of Medicine between 1990 and 2002. RESULTS: The mean age of the patients was 4...


The Association of A1 Segment Hypoplasia/Aplasia with Anterior Communicating Artery Aneurysms: A Radiological Study
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OBJECTIVE: To determine the incidence of A1 segment hypoplasia/aplasia in a Turkish population and to discuss its importance in etiology of anterior communicating artery aneurysms (AComAA). METHODS: Cerebral diagnostic digital subtraction angiography (DSA) data from our institution between 2002 ...


The Use of Methylprednisolone, Vitamin E and Their Combination in Acute Spinal Cord Injury: An Experimental Study
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OBJECTIVE: The effects of methyprednisolone (MP) and Vitamin E (Vit E) combination treatment was investigated in an experimental spinal cord injury model in rats. METHOD: Thirty-one rats were randomly divided into the five following groups: control group, MP group, Vit E group, MP+Vit E group a...


Suitability of Collagen Matrix as a Dural Graft in the Repair of Experimental Posterior Fossa Dura Mater Defects
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OBJECTIVE: To investigate the suitability of collagen matrix as a dural graft in the repair of experimental posterior fossa dura mater defects. METHODS: Thirty New Zealand white rabbits were deployed in the study and randomly divided into two groups. In both groups, a 1 cm_ piece of dura mater wa...


Morphometric Analysis of The C2 Body and the Odontoid Process
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OBJECTIVE: Many surgical procedures are performed to decompress or to stabilise anterior C2. The aim of this study was to analyze the C2 body and the odontoid process (OP) in 80 dry C2 vertebrae from the Turkish population. MATERIAL AND METHODS: 15 parameters were measured using a Vernier caliper...


Treatment of Chronic Subdural Hematoma by Twist Drill Craniostomy With Irrigation
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OBJECTIVE: To investigate the competence and the results of the treatment in which ‘Twist drill craniostomy and spontaneous hematoma efflux' is used in chronic subdural hematoma. METHOD: A prospective analysis of bedside percutaneous subdural tapping and spontaneous hematoma efflux after t...


Cytochrome Oxidase Activity and ATP Levels in High-Grade Gliomas and Meningiomas
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OBJECTIVE: Malignant brain tumors have a diminished respiratory rate coupled with increased aerobic glycolysis when compared to low-grade brain tumors. However, there are a limited number of studies that compare the cytochrome oxidase activity and adenosine three-phosphate production in low and h...


Morphometric Anatomy of the Atlas and Axis Vertebrae
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OBJECTIVE: In this study, forty dried specimens of atlas and axis vertebrae were examined using direct anatomical measurements. METHODS: Various dimensions of the atlas and the axis vertebrae were quantitatively measured, with special emphasis on their relationship with the vertebral artery fora...


Atypical Teratoid/Rhabdoid Tumors
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Central nervous system atypical teratoid/rhabdoid tumor (AT/RT) of infancy and childhood is a unique histological entity with an extremely aggressive natural history. In spite of multiple treatment regimens consisting of maximal surgical resection, radiation therapy, and multiagent aggressive che...


Odontoid Fractures
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OBJECTIVE: Odontoid fractures make up 10-15% of all cervical fractures. Odontoid process fracture and ligament injury can end up with antero- and posterolisthesis at C1-2 complex, subluxation and spinal cord compression. METHODS: In this study, 12 cases with odontoid fractures treated at our dep...


Investigation with the Oxidative Stress Theory (The Free Radical Theory) of Aging Neurobiology in the Experimental Spinal Cord Trauma Model: A Biochemical Study
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OBJECTIVE: Aging, expressing postmaturational changes, is a process that contains a decline in the organism's simultaneous and harmonic response, adaptation potential, and resistance ability to external and negative events (stressors and stimuli). The free radical theory of aging puts forward tha...


Posterior Fossa Approach: Microneurosurgical Training Model in Cadaveric Sheep
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We designed a microneurosurgical training model for residents in neurosurgery to practice the basic steps of the posterior fossa approach. The training material consisted of a fresh cadaveric sheep cranium. A four-step approach was designed to open the cisterna magna, access the fourth ventricle,...


Spinal Trauma at the Pediatric Age
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Spinal trauma is relatively rare in pediatric patients. The anatomy and biomechanics of the growing spine produce failure patterns different from those in adults. Spinal injury in the pediatric trauma patient is a significant concern as the prevention of further neurologic damage and deformity an...


Polyetheretherketone (Peek) Cages For Cervical Interbody Replacement: Clinical Experience
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OBJECTIVE: This study evaluates the efficiency of interbody polyetheretherketone (PEEK) cage implantation in 85 consecutive cases treated for discogenic cervical disorders with radiculopathy or myelopathy. METHODS: Between the years 2002-2005, 85 patients were treated with cervical interbody fus...


The Changes of the Sectional Surface Area Of The Median Nerve Compartment In Hands With Symptomatic Carpal Tunnel Syndrome And Normal Hands
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OBJECTIVE: The aim of this study was to describe subjective and objective criteria for ultrasonographic diagnosis of the carpal tunnel syndrome (CTS). METHODS: The study population consisted of 165 hands of 114 cases with idiopathic CTS while the remaining 291 hands were asymptomatic. All hands ...


Primary Intradural Conus and Cauda Equina Tumors: Long-time Outcome With 14 Years Follow- up
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OBJECTIVE: This clinical study evaluated mixed tumor pathologies in the lumbar dural sac. Currently, there are few published clinical studies with longterm follow-up in the literature. METHODS: This is a retrospective review of the clinical presentation, diagnosis and management of 24 patients w...


Hypoglossal-Facial Nerve Anastomosis for Facial Nerve Palsy Following Surgery for Vestibular Schwannoma: Retrospective Analysis of 13 Patients
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OBJECTIVE: Hypoglossal-facial nerve anastomosis for the purpose of reanimating the muscles of facial expression is a well known procedure with variable published results. In this retrospective clinical study, we aimed to evaluate the results of our series of patients who underwent hypoglossal-fac...


A Medicolegal Approach to the Intraoperative Large Vessel Injury of Herniated Lumbar Discs
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OBJECTIVE: The objective of the present study is to display the significance of early intervention in large vessel injury associated with surgery of herniated lumbar disc and demonstrate how the complications of vessel injuries are evaluated by medical experts. METHODS: Our study was based on a ...


Do the Spinal Pathologies that Accompany Lumbar Disc Disease Affect Surgical Prognosis?
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OBJECTIVE: To the best of our knowledge, a clinical study of lumbar disc pathologies associated with other spinal pathologies has never been published before. We determined clinical, radiological, surgical data, and long term results for cauda equina and conus medullaris syndromes (CCES) due to p...


Cranio-orbitozygomatic Approach and Its Orbitopterional Modification: Microsurgical Anatomy and Surgical Technique
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OBJECTIVE: The cranio-orbitozygomatic (COZ) approach improves the surgical exposure by providing the shortest possible route to the lesion. We discussed the microsurgical anatomy of the region and described the steps for a safe COZ approach. METHODS: The COZ approach and its modifications were p...


RAT SCIATIC NERVE REGENERATION USING A COLLAGEN BIOIMPLANT
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A collagen mafrix (COL) gel was used to fill a 3 mm gap resulting from transection of rat sciatic nerve. The nerve was initially stabilized with a split polyethylene tubing in order to remove elastic tension at the nerve repair site. The contralateral sciatic nerve was identically prepared but the g...


ELECTRON MICROSCOPIC OBSERVATIONS OF THE EFFECTS OF DEXAMETHASONE AND MANNITOL IN THE HYPOXIC-ISCHEMIC RAT BRAIN (PART· I)
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In a modified LEVINE preparation, the effects of mannitol dexamethasone alone and in combination in hypoxic-ischemic brain insults were studied by electron microscopy in which dexamethasone appeared to be more effective than mannitol or its combination with mannitol in reducing ischemic swelling and...


POST-TRAUMATIC EPILEPSY AND EEG ABNORMALITY IN DEPRESSED FRACTURES
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Post-traumatic epilepsy (PTE) is the most important problem in patients who are able to return to a normal life after head injuries. Depressed fractures are commonly accepted as risk factors increasing development of PTE. In this study PTE was found in 9 % of 122 patients with depressed fractures an...


A RARE FUNGAL BRAIN ABSCESS CAUSED BY CLADOSPORIUM TRICHOIDES. A REVIEW OF THE LITERATURE
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Cladosporium trichoides is a rarely seen fungal infection of the central nervous system. Since spores are found in nature, the portal entry is still obscure. It has a strong neurotropism which has been proved in experimental studies. In a modified LEVINE preparation, the effects of mannitol. In the ...


TUBERCULOMAS OF THE CRANIOSPINAL AXIS
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Seventeen neuraxis tuberculoma cases diagnosed and treated at Hacettepe University Medical Central between 1965 and 1988 were reviewed. Thirteen of these patients were explored surgically and all except two who died received anti-tuberculous chemotherapy in the postoperative period. In four patients...


BRAIN STEM GLIOMAS
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Sixty-two patients with brain stem glioma are presented and analyzed. The most common presentation was cranial nerve palsy with cerebellar and pyramidal tract involvement. Fourty-four patients received radiation therapy. In eleven cases a histological diagnosis was made at operation. 14 cases died d...


AN INDEX FOR VENTRICULAR CATHETER LENGTH
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While placing a ventricular catheter, the optimum length may be difficult to determine when intra-operative ultrasound is not available or some time has passed between the CT of diagnosis and the operation. An index based on the head circumference of the individual is described. Our method was also ...


TREATMENT OF LATERAL CERVICAL DISK HERNIATIONS AND STENOTIC SPINAL CANAL CAUSING MYELOPATHY-USING A MODIFIED CLOWARD'S TECHNIQUE IN 335 CASES
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Between April 1961 and April 1988. the senior author operated upon 299 patients for treatment of lateral cervical disc herniations and upon 36 patients for stenotic cervical spinal canal causing myelopathy employing a modified Cloward's technique in the Buffalo Metropolitan area. Autogeneous bone gr...


NEUROOTOLOGICAL FINDINGS IN PATIENTS WITH ACOUSTIC NEURINOMAS
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The early diagnosis of acoustic neurinomas and their localisation is very important. As neuro otological tests may help in this respect. neuro otological findings of twenty patients with histologically proven acoustic neurinoma were analysed retrospectively. The importance of neuro otological examin...


ADULT RESPIRATORY DISTRESS SYNDROME DUE TO CENTRAL NERVOUS SYSTEM LESIONS
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We present two patients without primary cardiopulmonary disease, who developed adult respiratory distress syndrome in response to lesions of the central nervous system. Clinical and laboratory investigations are described in detail and pertinent literature is reviewed.


THE USE OF MUSCLE FASCIA FOR MICROVASCULAR INTERPOSITIONAL GRAFTS
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In this study, muscle fascia removed from over the biceps femoris muscle was used as microvascular interpositional graft material in 67 rats. The faces of the cleaned fascia were rolled in order to form the luminal surface of the graft and were sutured in the from of a tube in different diameters an...


THE EFFECTS OF SELENIUM AND ALPHA-TOCOPHEROL ON THE FREE RADICALS IN AN EXPERIMENTAL MODEL OF ACUTE SPINAL CORD INJURY
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Ischemia-induced lipid peroxidation is one of the most important factors producing tissue damage in spinal cord injury. In this study a standard spinal cord injury model in rats was used and the effects of chronic administration of Selenium (3 ppm/lt water orally) before and alpha-tocopherol managem...


SLEEP EEG IN THE DIAGNOSIS OF EPILEPSY
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In this study sleep EEG recordings of 20 epileptic patients with different types of seizures have been evaluated. Sleep EEG recordings were found to be helpful in detecting epileptic discharges of the patients whose waking EEGs failed to demonstrate specific abnormalities. Also, we had the occasion ...


DOES HEAD INJURY ALTER CEREBROSPINAL FLUID PHENYTOIN LEVEL? A Clinicopharmacological study
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Forty craniocerebral trauma patients who were hospitalized for observation or surgical intervention were administered phenytoin for anticonvulsant prophylaxis. Blood and cerebrospinal fluid samples were taken on the eighth day of medication and pheytoin levels were determined with the aim of searchi...


DOLICHOECTASIA OF THE CEREBRAL ARTERIES WITH SYSTEMIC VASCULAR ABNORMALITIES: CASE REPORT
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An unusual case of cerebral arterial dolichoectasia with systemic vascu1ar abnormalities is reported. The diagnostic and clinical aspects of this entity are discussed.


"CLIVUS" THROUGH THE EYES OF THE TRANSORAL SURGEON
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The Surgical treatment of lesions of the ventral lesions of the (craniovertebral) junction is considered challenging, and until a few years ago these lesions were routinely managed by a conventional posterior approach despite the more rational and technically simpler alternative approach through the...


CEREBRALBLOOD FLOW FOLLOWING UNILATERAL CAROTID
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The effects of unilateral carotid occlusion for one hour on cerebral blood flow were investigated in normotensive and hypotensive anaesthetized rabbits. Cerebral blood flow was found to be 29.2+2.44 ml/100g/min. in the normotensive control group. 17.55+3.52 ml/100g/min. in the normotensive occlusio...


INTRAORBITAL PATHOLOGIES
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Forty-eight patients with intraorbital pathologies treated surgically and the literature are reviewed. Fifty percent of the patients (28 male and 20 female) were between one and 20 years old. 26 cases had right and 22 left exophthalmus. 23 cases had 2nd. 3rd. 5th. and 6th nerve palsies. In 15 cases...


MICROVASCULAR DECOMPRESSION FOR TREATMENT OF HEMIFACIAL SPASM Operative techniques and results in 40 patients
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The clinical and operative findings are reviewed in 40 patients with hemifacial spasm. Vascular cross-compression of the facial nerve adjacent to the brain stem was noted in 39 patients. In 38 the abnormality was usually by an arterial loop. In one patient. osseus contact was discovered and drilled ...


NEURO-OPHTHALMOLOGICAL FINDINGS İN CRANIOPHARYNGIOMAS
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Visual disturbances are common in patients with craniopharyngioma (CP). Thirty-five patients (17 adults and 18 children) with craniopharyngioma were examined neuro-ophthalmologically. Their visual acuity, visual fields, pupilla and fundoscopic examinations were evaluated in respect to intra-operativ...


"ATLAS AND AXIS" THROUGH THE EYES OF THE TRANSORAL SURGEON
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Patients with anterior pathology in the atlanto-axial region who present as neurological emergencies require urgent brain-stem decompression. Anterior decompression remains the only alternative to progressive tetraplegia and a fatal outcome. In this study, the anatomical. embryological ad surgical p...


BRAINSTEM AUDITORY EVOKED POTENTIALS WITH PONTOCEREBELLAR ANGLE TUMORS
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Brainstem auditory evoked potentials (BAEP) were obtained from 13 patients with pontocerebellar angle (PCA) tumors whose pathological diagnosis was as follows: 7 acoustic neurinoma, 3 meningioma, 1 neurinoma, 1 brainstem epidermoid tumor, 1 arteriovenous malformation. Notable abnormalities were obse...


CEREBRAL VASOSPASM AND RESOLUTioN WITH NICARDIPINE IN RABBITS
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The effects of Nicardipine. a Ca+ + channel blocker, on vasoconstriction of rabbit basilar artery in two different conditions, one with a dot contacting the wall of the artery and the other without, were investigated in this study. The Initial diameters of the basilar arteries were measured in all g...


EFFECTS OF PARA SAGITTAL CARBON DIOXIDE LASER APPLICATION ON ERYTHROCYTE DEFORMABILITY
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In this study we investigated the influence of laser energy on the rheological properties of blood passing through the superior sagittal sinus. Twenty-two guinea-pigs were used. In the control group craniectomies were done and only the superior sagittal sinuses were exposed. This procedure had no si...


EXPERIMENTAL ANAEROBIC BRAIN ABSCESS WITH INOCULATION OF BACTEROIDES FRAGILIS: THE EFFECTS OF METRONIDAZOLE AND DEXAMETHASONE
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Despite advances in diagnosis and treatment, a brain abscess caused by anaerobic micro-organisms still poses a major clinical problem. An experimental model of anaerobic brain abscess in rat was developed to determine the effects of metronidazole and dexamethasone on the abscess thus formed. Rats we...


SECRETORY MENINGIOMA A CONVENTIONAL HISTOCHEMICAL STUDY OF SIX CASES
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Six meningiomas with abundant hyaline inclusions (pseudopsammoma bodies) were studied in means of a panel of conventional histochemistry. In all six cases, the inclusions were PAS-positive, diastase resistant and stained picrophilic (yellow-bright orange) with van Gieson. Negative staining was obtai...


AN ASYMPTOMATIC FRACTURE OF THE SELLA TURCICA Case report by
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We report the case of patient with fracture of sella turcica. The patient did not developed neurologic, vascular and endocrinologic complications.


DISSECTING ANEURYSM OF THE INTRACRANIAL VERTEBRAL ARTERY
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A case with a dissecting aneurysm of the intracranial vertebral artery is presented. The patient mainly presenting with lower nerve palsies, was treated by proximal ligation of the right vertebral artery. Cumulation of experience and a better understanding of the therapeutic modality of this patholo...


ECTOPIC THYROID TISSUE CAUSING CORD COMPRESSION
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A-7 year-old girl who was admitted to Dr. Sami Ulus Children's Hospital was diagnosed as cord compression at Thoracic 6-7 level. Pathological examination of the removed material revealed thyroid tissue, Aspiration material from the thyroid nodule was also benign. The mass causing cord compression wa...


EFFECT OF DEFEROXAMINE ON BLOOD-BRAIN BARRIER DISTURBANCES FOLLOWING SUBARACHNOID HAEMORRAGE IN CATS
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Disruption of the blood brain barrier plays a significant role in the pathophysiology of subarachnoid haemorrhage. Experimental studies concerning subarachnoid haemorrhage suggested the primary role of free radicals and subsequently lipid peroxidation in the pathogenesis of vasospasm. In this experi...


LYSIS OF INTRACRANIAL HAEMATOMAS WITH TISSUE PLASMINOGEN ACTIVATOR IN A CAT MODEL
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In an attempt to investigate the effect of tissue plasminogen activator in the resolution of intracerebral haematoma an experimental model of intracerebral haematoma was designed in the cat. A total of 24 adult cats were studied. Intracerebral hematomas were provoked by stereotaxically injecting 0.2...


VISUAL EVOKED POTENTIALS IN EVALUATION AND MANAGEMENT OF PITUITARY ADENOMAS
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As a routine part of the evaluation of patients with pituitary tumour, pattern reversal visual evoked potentials (PRVEP) were recorded in 100 patients with computerized tomographically documented pituitary tumour. VEP tests were correlated with examinations of visual scuity. visual field and compute...


EFFECTS OF DEFEROXAMINE OF LIPID PEROXIDATION IN FOCAL CEREBRAL ISCHAEMIA AND REPERFUSION (PART II)
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In a reversible middle cerebral artery occlusion model in rats, the possible efficacy of deferoxamine on radical level and infarct size was investigated. Deferoxamine was injected intravenously immediately after the occlusion at a doses of 100 mg/kg. It significantly lowered lipid peroxidation in t...


PITUITARY FUNCTION IN PATIENTS WITH PRIMARY EMPTY SELLA SYNDROME
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Sixteen patients with the primary empty sella syndrome were analyzed in regard to clinical findings, x-ray features and dynamic endocrine testing. One patient had no endocrine disturbance, three had a panhypopituitarism and one had diabetes insipidus. Hyperprolactinaemia, the most common endocrine d...


INTERLEUKIN-2 AND TUMOUR NECROSIS FACTOR VALUES IN INTRACRANIAL TUMOURS
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Tumour Necrosis Factor (TNF) and Interleukin-2 (IL-2) values were determined in 44 intracranial tumour patients pre-and postoperatively and compared with the values in 20 healthy persons and 14 with Behçet's disease, who were used as the control group. There was no significant difference in IL-2 va...


RESULTS OF HAEMODILUTION THERAPY IN PATIENTS WITH ACUTE ISCHAEMIC STROKE
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In this study, 21 patients between the ages of 40 and 75 (mean age 61) who were within the first 48 hours of acute ischaemic stroke were included. Isovolaemic haemodilution with Dextran 40 (rheomacrodeks) was applied, the mean Htc value was 43 +-4.8 (38-55) before treatment. After five days of haemo...


ISCHAEMIA REPERFUSION ENDOTHELIAL INJURY IN THE RABBIT BRAIN
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The distal internal carotid artery (DICA), middle cerebral artery (MCA) and Azygous anterior cerebral artery (AzACA) were isolated via the transorbital approach in anaesthetized rabbits. Cerebral blood flow (CBF) was measured using radiolabelled microspheres before, during and 15 minutes after one h...


LIPID PEROXIDATION IN FOCAL CEREBRAL ISCHAEMIA AND REPERFUSION (PART I)
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In this study, a rat model of reversible focal cerebral ischaemia is standardized and the involvement of oxygen radicals in focal cerebral ischaemia and reperfusion injury is investigated. Ischaemia at the frontoparietal cortex and lateral segment of the caudate putamen was achieved in all animals...


MAGNETIC RESONANCE IMAGING OF FORAMINAL AND EXTRAFORAMINAL LUMBAR DISC HERNIATIONS
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During period of 4 months, (November 1991-February 1992) lumbar magnetic resonance (MR) examinations were performed on 418 patients, 220 were found to have lumbar disc herniation, 19 (8.63 %) of which were diagnosed as having lateral disc herniation; 17 disc herniation extending into the neural fora...


MAGNETIC RESONANCE IMAGING OF THE CRANIAL NERVES
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During the first three months of 1992, 80 patients were examined with magnetic resonance (MR) for various intracranial pathologies other than. We investigated prospectively the possibility of visualization of the cranial nerves with routine MR studies of the head, and the most appopriate routine MR ...


PIAL ARTERIOLAR RESPONSE TO ACETYLCHOLINE IN GLOBAL CEREBRAL ISCHAEMIA/REPERFUSION IN CATS
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The effects of 10 global cerebral ischaemia on cortical arteriolar responses to Acetylcholine (ACh) application was examined in anaesthetized cats by closed cranial window technique. The physiological response of the pial arterioles to topical ACh (10-7 M) was endothelium- dependent vasodilation. Fo...


THE COURSE OF THE PROPRIOCEPTIVE AFFERENTS FROM EXTRINSIC EYE MUSCLES
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There are varying opinions among authors regarding the peripheral course of the afferent fibres from the extraocular muscles. Previous studies have shown that some fibres arising from the oculomotor nerve enter the ophthalmic branch of the trigeminal nerve. However their function is not identified. ...


THE EFFECT OF LIDOCAIN ON CEREBRAL BIOELECTRİC ACTIVITY AND ULTRASTRUCTURE IN FOCAL ISCHAEMIA
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In this study. we evaluated whether Lidocain would reduce ischaemic brain damage and restore bioelectric activity in cats subjected to permanent unilateral occlusion of the middle cerebral artery. In the Lidocain treated group there was a statistically significant improvement in the latendes and am...


TC-99m-HMPAO SPECT in PARTIAL EPILEPSY; Interictal study in Thirty-Three Patients
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Tc-99m HMPAO SPECT brain imaging was performed interictally in thirty three patients with partial seizures. Identification of areas of low perfusion was by visual inspection in all patients and additionally in 16 patients quantitative values were obtained. SPECT results were compared with the EEG an...


THE VALUE OF DERMATOMAL SOMATOSENSORY-EVOKED POTENTIAL IN EVALUATION OF HERNIATED LUMBAR DISC
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In this study 33 patients with Herniated Lumbar Disc (HLD) were investigated. Dermatomal Somatosensory Evoked Potential (SEP) values were compared with needle Electromyography (EMG), myelography and operative findings. According to the operative findings the patients were divided into two groups: 1)...


LASER - ASSISTED MICROSURGICAL ANASTOMOSIS OF CAROTID ARTERY IN THE RAT USING Nd-YAG LASER
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End-to-end anastomosis in the A. Carotis communis of rats (average diameter 0.8-1.0mm) was achieved using Nd-YAG laser. Morphological and histological findings of laser anastomosis and suture anastomosis specimens were compared by the LAMA technique. The rats were examined 1 day, 1 month and 2 month...


Effects of Calcium Channel Blocker, Nicardipine, On Intracranial and Cerebral Perfusion Pressure in Experimental Intracerebral Haemorrhage
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Caldum channel blockers have an important role in the therapy of arterial hypertension and cerebral vasospasm. two phenomena which can be associated with intracerebral haematoma and increased intracranial pressure. The purpose of this study was to investigate the effec ts of Nicardipine on intracran...


Epilepsy Due To idiopathic Subeartical Calcification; Treatment by Lesionectomy
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Two young male patients with increasing fequency of seizures unresponsive to anti-epileptic drugs are reported. The focal electroencephalographic findings and the lesions revealed by magnetic resonance and x-ray computed tomographic images were compatible with the clinical features of the seizures. ...


Historyand Development of Neurosurgery in Anatolia (Part Two)
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In the part II of this article highlights of the events related with the development of neurosurgery are given following settlement of the Turks in Anatolia from the 11th century to the present day. The current states of training, and international relations is reviewed and anticipated problems for ...


Nd Yag Laser - Induced Lipid Peroxidation And Efficacy of Alfa &#8211; Taeaferol
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In this study, Nd: YAG laser induced lipid peroxidation in spinal cord and the efficacy of alfa-tocoferol on this process were investigated. The study was performed on 36 adult guinea pigs divided into three groups. The first group was the control group and only laminectomy was performed. In the sec...


Nucleolar Organizer Regians in Meningeal Tumors
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Tissue markers of cellular proliferation have been recently utilized as prognostic indicators in brain tumors. Nucleolar organizer regions (NORs) are loops of deoxyribonudeic add (DNA) that transcribe to ribosomal ribonudeic acid (RNA) by RNA polymerase 1. Using a silver staining technique, nucleola...


Temporary Subdural-Peritoneal Shunts in The Treatment of Paediatric Subdural Coneetions
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Subdural collections are frequently seen during infancy but there is no agreement on their management . The results of 58 consecutive patients in which a subdural-peritoneal shunt was inserted for the treatment of subdural collection are presented. Subdural collection was diagnosed with computed tom...


The Effect Of Amlodipine On Chronic Vasospasm In Rats
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The effect of a new long-acting calcium antagonist, Amlodipine, on experimental vasospasm was tested using arat femoral artery vasospasm model and morphometry. Twenty-four rats were divided into 3 groups. In group I, the femoral arteries were removed after cardiac perfusion. In groups 2 and 3, the r...


HISTORY AND DEVELOPMENT OF NEUROSURGERY IN ANATOLIA (PART ONE)
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The history and development of neurosurgery in Anatolia is about 60 centuries old. Several trephined skulls have been found in numerous excavations in different sites. One of these skulls (800 years BC.) presents a free flap craniotomy performed with an excellent surgical technique. Among many physi...


AMELIORATION OF SPATIAL LEARNING AND MEMORY IMPAIRMENT BY FOETAL CHOLINERGIC NEURONAL GRAFTS IN RATS WITH LESIONS OF THE NUCLEUS BASALIS MAGNOCELLULARIS
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The acethylcholinergic afferents of the neocortex from subcortical areas participate in learning and memory. Autopsy studies in cases of Alzheimer's disease have shown that most of the neurons of the nucleus basalis magnocellularis are atrophic or decreased in number. In this study, the nucleus basa...


SURGICAL ANATOMY OF THE PUTAMEN
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An anatomico-topographical study of the putamen was performed on the cerebral hemisphere of 25 adults. The mean diameters of the putamen were: 44 rom anterioposterior, 41 vertical and 8.5 rom horizontal. A 30x20 rom cortical area in the insula middle third was projected precisely on the external sur...


THE VALUE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS AND TREATMENT OF SPINAL DISORDERS
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In this study, we examined the MRI scans of eight patients with divers spinal neurosurgical problems. The evaluatins of pre-operative imaging correlated predsely with the operative findings in all of our cases. Finally, the superiority of the MRI over CT and CT-myelography and its advantages in the ...


INTRAERANIAL MENINGIAMA AND CEREBRAL INFARETIAN
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The ischaemic phenomenon can be seen in patients with meningioma. In this study, six patients, all with cerebral infaretion and intracranial meningioma are reported. Although there are several possibilities, the mechanism of the assodation remains undear.


THE EFFECT OF DEFIBROTIDE ON CEREBRAL VASOSPASM FOLLOWING SUBARACHNOID HAEMORRHAGE: A LIGHT AND ELECTROMICROSCOPIC STUDY IN A 3-WAY SUBARACHNOID HAEMORRHAGE IN CATS
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Cerebral arterial vasospasm is the major complication of subarachnoid haemorrhage. This process of unclear aetiology causes significant increases in the morbidity and mortality of patients with subarachnoid haemorrhage. In this study all physiopathological characteristics of subarachnoid haemorrhage...


THE EFFECTS OF NIMODIPINE, MANNITOL AND THEIR COMBINATION ON EXPERIMENTAL CEREBRAL ISCHAEMIA
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Recent studies suggest that Nimodipine. a potent calcium-channel antagonist that causes significant cerebrovascular dilatation, may improve neurological outcome after acute experimental permanent focal cerebral ischaemia in animals when given before or immediately after occlusion of the middle cereb...


CORTICAL LOCALIZATION AND MONITORING DURING EXCISION OF FRONTOPARIETAL TUMOURS
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Cortical sensory potentials were evoked intraoperatively under general anaesthesia by median nerve stimulation in 13 out of 14 patients with frontoparietal tumour. In 13 patients, the central sulcus could be identified by phasereversal of cortical somatosensory evoked potential (CSEP) across the cen...


INTRAVENTRICULAR MORPHINE THERAPY IN CANCER PAIN
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The authors study the effectiveness and complications of intraventricular morhphine therapy in the treatment of preterminal cancer pain and compare it with other central and systematic administarions of morphine. In this series of 35 patients, intraventricular morphine therapy was used when complic...


THE EFFECT AND MECHANISM OF HYALURONİDASE ACTION IN EXPERIMENTAL BRAIN ABSCESS
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Brain abscess formation was studied experimentally in rats to determine the effect and the mechanism of hyaluronidase action in the treatment of brain abscess by applying different combinations of hyaluronidase, Myeobaeterium bovis (BCG), ascorbic acid and antibiotic sensitive to the inoculated bact...


INTRATUMORAL ADJUVANT CHEMOTHERAPY WITH DOXORUBICINE IN GLIOBLASTOMA MULTIFORME AND ANAPLASTIC ASTROCYTOMA
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Intratumoral local chemotherapy was applied as adjuvant treatment to 20 patient with recurrent types of anaplastic astrocytoma (AGH) and glioblastoma multiforme (GBM). A multiport catheter was implanted into the tumour and a portable ommaya reservoir was placed under the scalp over the open cranioto...


INVESTIGATION OF SERUM AND TISSUE LIPID PEROXIDATION AND SERUM ASCORBIC ACID, AND IRON LEVELS IN HUMAN BRAIN TUMOUR
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The present study aimed the biochemical relationships between human brain tumours and serum lipid peroxide, ascorbic acid and total iron levels. Tissue lipid peroxide levels in tumour tissue itself and in the surrounding tissue were also measured. Serum lipid peroxide levels were found to be signifi...


APPROACH TO THE LATERAL CLIVUS AND MID-AND-LOWER BASILAR ARTERY VIA PETROUS APEX RESECTION - A CADAVER STUDY-
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Eight operations were done on four formalinfixed cadavers to assess the technical feasibility of an approach which provide remove more than half of the clivus via extradural drilling out of the petrous apex. This approach also provides exposure of the mid and lower parts of the basilar artery, its b...


EFFECTS OF ENDOTHELİN ON EXPERİMENTAL INTRACEREBROVENTRICULAR HAEMATOMA
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The effects of endothelin administered intravenously and intracerebroventricularly (i.c.v.) into the haematoma on arterial pressure, heart rate, other physiological parameters and intracerebroventricular haematoma were studied in the conscious rat. Control and intravenous (i.v.) endothelin-treated a...


THE EFFECT OF DEFIBROTIDE ON REENDOTHELIALISATION IN MICROARTERIAL ANASTOMOSIS
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Endothelial injury during microaterial anastomosis typically results in mural thrombus formation. However, endothelial cells produce various substances which suppress thrombus formation and maintain normal vascular wall architecture by pereventing muscular proliferation. Therefore, in order to reduc...


A COMPARISON OF MICROVASCULAR ANASTOMOSES WITH THE TECHIQUES OF C02 LASER AND CLASSICAL SUTURE
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In this study end-to-end anastomoses were made in the left carotid arteries of 90 adult rats, in 45 of which the classical suture technique was used and in the remaining 45 the C02 laser technique. Anastomoses made with C02 laser and classical suture techniques were compared in the 1st, the 3rd, and...


BLOOD-BRAIN BARRIER ALTERATIONS FOLIOWING INTRACEREBRAL GRAFTING: SOLID AND CELL SUSPENSIONS OF FETAL CENTRAL NERVOUS SYSTEM TISSUE
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The time course of angiogenesis and the status of the BBB within solid and cell suspension grafts of fetal CNS tissue following intracerebral transplantation is studied. Adult rats (n=40) received fetal forebrain tissue as either solid or cell suspension grafts to their corpus callosun bilaterally. ...


DERMATOMALLY STIMULATED SOMATOSENSORY EVOKED POTENTIALS IN LUMBAR DISC HERNIATION
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Diagnostic potential of dermatomally stimulated somatosensory evoked potentials (DSSEP) in radiculopathy due to lumbar disc herniation is investigated. Normative data were estimated by statistical analysis of the values obtained by bilateral stimulation of the L4, L5 and S1 dermatomes of 28 healthy ...


THE EFFECT OF THYROTROPIN RELEASING HORMONE (TRH) ON THE EXPERIMENTAL CARBON DIOXIDE LASER BRAIN LESION: ULTRASTRUCTURAL AND BIOCHEMİCAL STUDY
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Although the main advantage of the CO2 laser lies in the possibility of a less traumatic effect on the surrounding tissue, its use in neurosurgery still necessitates a thorough and detailed evaluation of the effect on surrounding normal central nervous system (CNS) tissue. Therefore this study was u...


THE ULTRASTRUCTURAL EFFECT OF BILIRUBIN AND OTHER PLASMA FACTORS ON THE BASILAR ARTERY IN DOGS
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Vasospasm is the most important factor affecting morbidity and mortality in patients with subarachnoid haemorrhage. Many studies have been done and many factors found to affect vasospasm. The aim of this study is to clarify the factors by observing the ultrastructural effects of plasma and bilirubin...


FUNDUS DIRECTION AND VASCULAR ANOMA1IES ASSOCIATED WITH ANTERIOR COMMUNICATING ARTERY ANEURYSMS
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In 52 cases with 54 aneurysms of the anterior communicating artery (ACoA), the configurations of the ACoA complex and the aneurysm as observed during surgery were defined and the ability of pre-operative angiography to show the direction of fundus projection and the presence of anomalies was investi...


PUBLICATIONS FROM TURKEY IN EUROPEAN & AMERICAN NEUROSURGICAL JOURNALS-A REVIEW OF THE FACTS
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We analysed the number, type and year of international publications originating from neurosurgical department; in Turkey between the years 1980 and 1990 using online databases in order to be able to compare the figures with the performance of other European neurosurgical societies. We then analysed ...


3-D CT ANGIOGRAPHY FOR DIAGNOSIS AND SPECIFICATION OF CEREBRAL ANEURYSMS
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Three-dimensional Computed Tomography (3-D CT) was performed in 21 patients for characterization of 29 aneurysms of various sizes and locations, and determining the relationship between the vascular and bony structures. These findings are compared with results ofaxial CT. digital subtraction angiogr...


STEREOTAXIS IN THE MANAGEMENT OF MASS LESIONS OF THE THIRD VENTRICULAR REGION
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The impact of stereotactic techniques on the management of mass lesions of the third ventricular region is reviewed in a consecutive series of 82 patients treated over three years using primarily stereotactic techniques. The lesions were in the ventricular cavity in 8 cases, thalamic in 26 cases, se...


THE EFFECTS OF HAIR ON INFECTION IN CRANIOTOMY
[Abstract] [Similar Articles]

142 patients who were operated on Department of Neurosurgery during a 21 month period without removal of hair were examined prospectively with regard to the effects of hair on wound sites, Craniotomy was carried out on 124 patients and shunt procedures on 18 patients. No infection was detected in ou...


CARPAL TUNNEL CROSS SECTIONAL AREA MEASUREMENT IN CARPAL TUNNEL SYNDROME
[Abstract] [Similar Articles]

Carpal tunnel cross sectional area and carpal tunnel area/wrist area ratios of 23 subjects including 8 bilateral, 9 unilateral carpal tunnel syndrome patients and 6 control patients were examined. Carpal tunnel areas of the patients were found to be 1.7–1.6 cm2 and the control group 1.9–...


MALIGNANT MENINGIOMAS A CLINICAL REVIEW
[Abstract] [Similar Articles]

Among 98 surgically-treated intracranial meningiomas, 12 (% 12.2) patients with atypical and anaplastic meningiomas are reviewed. All were operated between 1983-1994. Out of 12 patients, 7 (58%) had malignant meningioma and 5 (42%) showed atypical features histopathologically. Tumours in eight patie...


TISSUE EXPANDER APPLICATIONS IN GIANT MENINGOMYELOCELE CASES
[Abstract] [Similar Articles]

A rectangular tissue of (10X5X5cm) 250 cc expander was applied to 8 patients of ages ranging between 0 and 6 months with meningomyelocele of diameteres of 10 cm or more. The expanded myocutaenous flap is an effective method for giant meningomyelocele treatment because of tension-free suturing, suita...


EFFECTS OF A CALCIUM CHANNEL-BLOCKING AGENT, NIMODIPINE, ON INJURED-SPINAL CORD NA+-K+- ATPASE ACTIVITY
[Abstract] [Similar Articles]

Five minutes before spinal cord injury, an 0.02 mg/kg dose of nimedipine was started via a femoral catheter and continued for 96 hours after injury. Pre-and post-injury and post-infusion mean arterial blood pressure (MABP) recordings were obtained. The levels of injured cord sodium-potassium-adenosi...


NON-OPERATIVE MANAGEMENT OF EXTRADURAL HAEMATOMAS
[Abstract] [Similar Articles]

A series of 57 patients with acute extradural haematoma (EDH) treated conservatively is reported. The main parameters for conservative management were close clinical supervision. repeated computerized tomography (CT) follow-up and asymptomatic or minimal neurological deficit. The criteria for the de...


THE EFFECT OF FETAL DOPAMINERGIC GRAFTS ON THE DISTANT NEURAL TISSUES
[Abstract] [Similar Articles]

Fetal substantia nigra grafts (obtained from l5-17-day old-foetuses) were transplanted into cavities overlying the caudate nucleus of rats following destruction of the nigrostriatal dopaminergic pathways by intraventricular injection of the 6-Hydroxydopamine (6-0HDA). We investigated the effect of f...


THE ROLE OF HYPERTENSION ON THE FORMATIAN OF CEREBRAL SACCULAR ANEURYSMS: AN EXPERIMENTAL STUDY IN RATS
[Abstract] [Similar Articles]

The function of experimentally induced hypertension in the formation of saccular aneurysms in rats was the subject of this study. In four group of rats, the left common carotid artery and the posterior branch of both renal arteries was ligated in the first and third group, and only left common carot...


MICROSCOPIC AND MOLECULAR STUDY OF ELASTIN AND CALLAGEN IN HUMAN INTERVERTEBRAL DISC
[Abstract] [Similar Articles]

This study was carried out to analyze, biochemically and histologically, the collagen and elastin components of human intervertebral disc material obtained at operations performed in cases of lumbar intervertebral disc herniation, and to compare these data with those obtained on "ligamentum flavum" ...


SURGICAL MANAGEMENT OF INTRACEREBRAL HEMORRHAGE
[Abstract] [Similar Articles]

Management of spontaneous intracerebral haemorrhage is one of those fields where the discussion is still on. Questions of to operate or not to operate, timing and type of surgery does not have clear answers yet. Open craniotomy, burr-hole draining with or without thrombolytic agent administration ar...


THE PROTECTIVE EFFECT OF ALLOPURINOL ON NEURAL TISSUE ON REGIONAL CEREBRAL ISCHAEMIA: AN EXPERIMENTAL STUDY ON RATS
[Abstract] [Similar Articles]

In this experimental study the neuroprotective effect of XO inhibitor allopurinol on focal cerebral ischaemia created by permanent middle cerebral artery (MCAO) occlusion has been investigated. In the study made on 43 white rats, the size of the cerebral tissue injury caused by MCAO after allopurino...


TRANSSYLVIAN AND TRANSINSULAR APPROACH
[Abstract] [Similar Articles]

The author describes two new microsurgical approaches to the insular cortex and putamen. With this new method we can revascularize the intraparenchymal territory of the lenticulostriate arteries.


FLOW CYTOMETRIC AND HISTOPATHOLOGICAL CORRELATION OF CYSTIC MENINGIOMAS: ANALYSIS OF THREE CASES
[Abstract] [Similar Articles]

Cystic meningiomas are rare forms of meningiomas which are generally known as solid and benign tumours. Preoperative misdiagnosis of such a tumour will affect the surgical management and difficulties in histopathological diagnosis will affect the prognosis. Flow cytometric studies have more advant...


THE USE OF PCNA IMMUNOHISTOCHEMISTRY IN THE EVAIUATION OF CHOROID PLEXUS TUMOURS
[Abstract] [Similar Articles]

In diagnostic neuropathology, the histological distinctions between normal choroid plexus, typical and atypical choroid plexus papilloma and choroid plexus carcinoma may cause difficulties. Immunohistochemistry was applied for proliferating cell nuclear antigen on 7 samples of normal choroid plexus,...


AN EXPERIMENTAL SACCULAR ANEURYSM MODEL AND ITS PATHOLOGICAL EVALUATION
[Abstract] [Similar Articles]

An experimental saccular aneurysm model was made at the bifurcation of the common carotid artery in rats. Thirty albino rats were used. We histologically examined induced aneurysms in common carotid bifurcation of rats in the first, seventh and fourteenth day postoperatively and discussed the result...


EXTRADURAL HAEMATOMA: ANALYSIS OF 190 CASES
[Abstract] [Similar Articles]

Traumatic extradural haematomas (EDHs) comprise 1 to 3% of all head trauma admissions. The availability of computed tomography has increased the diagnosis of extradural haematomas. From January 1,1986 to December 31, 1994, 4,553 patients with head injury were admitted to the Department of Neurosurge...


POSTTRAUMATIC UNILATERAL DIFFUSE CEREBRAL SWELLING
[Abstract] [Similar Articles]

A series of 41 patients with posttraumatic unilateral diffuse cerebral swelling was studied in order to assess clinical, radiological and operative findings, to determine the incidence and outcome, and to seek features that might identify patients at high risk of unilateral cerebral swelling and a p...


PRIMARY NON-HODGKIN BRAIN LYMPHOMAS. A RETROSPECTIVE CLINICOPATHOLOGICAL STUDY OF 18 PATIENTS
[Abstract] [Similar Articles]

Eighteen patients with primary non-Hodgkin brain lymphomas without a history of any acquired or congenital immunodeficiency syndrome or organ trasplantation were reviewed retrospectively. Cases were selected from 2633 primary intracranial malignancies encountered between the years of 1987 and 1995. ...


THE INTRACRANIAL COURSE OF THE ABDUCENS NERVE
[Abstract] [Similar Articles]

Because of its long intracranial course, the abducens nerve can easily be injured due to the internal carotid artery aneurysm, Gradenigo's syndrome or surgical trauma. Therefore the intracranial course of this nerve is important. In this study, we used 42 dry skul1s, 8 fixed and 4 fresh cadavres. We...


PRIMARY INTRACRANIAL GERM-CELL TUMORS
[Abstract] [Similar Articles]

Twelve cases of primary intracranial germ- cell tumors including eleven germinomas and one yolk sac tumor out of 2633 primary intracranial tumors are studied. They were evaluated according to their clinical data based on the medical records including the patients age and sex, location of the tumor, ...


SURGICAL TREATMENT OF SELLAR REGION NEOPLASMS
[Abstract] [Similar Articles]

The result of surgical therapy of sellar region neoplasms in 107 patients treated between 1986-1995 is reviewed. In this series there were 89 pituitary adenomas, 8 meningiomas, 9 craniopharyngiomas, and one mucocele. Transcranial, transphenoidal, and combined transcranial-transsphenoidal approaches ...


THE ROLE OF LYSOPHOSPHATIDIC ACID IN RADIATION INJURY: PILOT STUDY
[Abstract] [Similar Articles]

Lysophosphatidic acid is the simplest phospholipid known. It is produced by platelets, endothelial cells, leukocytes, some cancer cells, astrocytes, and injured fibroblasts. Lysophosphatidic acid is thought to play a role in platelet aggregation and fibrosis. Since in radiation injury, platelet aggr...


THE ROLE OF TRANSCRANIAL DOPPLER IN THE CONFIRMATION OF BRAIN DEATH
[Abstract] [Similar Articles]

We investigated the value of transcranial Doppler (TCD) examinations of intracranial arteries as a diagnostic test for the confirmation of brain death. Twenty nine patients with intracranial hypertension who subsequently developed brain death according to clinical criteria were evaluated by TCD ultr...


TRANSSTERNAL TRANSCLAVICULAR APPROACH TO THE CERVICOTHORACIC JUNCTION
[Abstract] [Similar Articles]

The surgical management of the pathologies at the cervicothoracic junction is hindered by various structures. Standart approaches to the cervical or thoracic spine provide inadequate exposure. We used a method which involves elevation of the medial comer of the manubrium,the stemodavicular joint and...


ICP MONITORING IN PATIENTS WITH SEVERE HEAD INJURY
[Abstract] [Similar Articles]

This study includes 40 consecutive cases of penetrating and non-penetrating head injury with an admission Glasgow Coma Scale score of 8 or less treated in our department between 1993 and 1996. The patients were divided into two groups. Group 1 cases were treated without ICP monitoring and analysed r...


A NEW SPINAL STABILIZATION SYSTEM: INTERCORPORAL FIXATION DEVICE FOR THORACOLUMBAR STABILIZATION
[Abstract] [Similar Articles]

Anterior intercorporal fixation, different from the currently used techniques, was tested as a new stabilization system first in human cadaver and then was applied to a patient. Our device is a two directional screw system applied with anterolateral approach to the superior and inferior corpus end p...


ANATOMO-RADIOLOGICAL COMPARISON OF THE CLOWARD'S TECHNIQUE AND MEDIAL FACETECTOMY
[Abstract] [Similar Articles]

An evaluation of the advantages and limitations of both the anterior and posterior approaches was made in isolated cadaveric specimens of the cervical spine. During anterior decompressions, the Cloward drill with a diameter of 14 mm was used, and the vertebral borders of the interspace was dissected...


INFLUENCE OF VITAMIN E ON ELECTRON MICROSCOPIC FINDINGS CAUSED BY PHARMACOLOGICALLY INDUCED EPILEPSY
[Abstract] [Similar Articles]

Our previous study showed that epileptic seizures induced by DL-methionine DL-sulfoximine administration to rats could be prevented and Tl relaxation time shortened as a sign of avoiding the brain edema fluid by prior administration of an antioxidant vitamin E. This present study also consisted of t...


SPREADING OF VENTRICULO-PERITONEAL SHUNT COMPLICATIONS OVER TIME: AN ANALYSIS OF 210 PATIENTS AND 388 PROCEDURES COVERING A PERIOD OF SEVEN YEARS
[Abstract] [Similar Articles]

In this article we analyzed 210 children who were underwent shunt operation between the years 1988-1995. The causes of shunt failure in this group of patients and the spreading of these complications over time are evaluated. Shunt revisions were required in 80 of 210 patients and a total of 178 revi...


SURGICAL MANAGEMENT OF HYDROSYRINGOMYELIA RELATED WITH CHIARI I MALF ORMATION
[Abstract] [Similar Articles]

A retrospective study was conducted on 48 consecutive patients with hydrosyringomyelia. Forty seven of them had Chiari I malformation and one had stenosis of foramen magnum. The most common symptom was numbness in arms and the most common physical finding was dissociated sensory loss. The patients w...


EFFECTS OF NMDA RECEPTOR ANTAGONISTS MK-801 AND CPPENE ON EXPERIMENTAL SPINAL CORD INJURY
[Abstract] [Similar Articles]

N -methyl- D-aspartate (NMDA) receptor-mediated events have been implicated in the pathophysiology of spinal cord injury. This study examines the effects of two NMDA receptor antagonists, CPPene (3-(2-carboxypiperazin-4-yl)1-propenyl-l-phosphonic acid) and MK-801 (dizocilpine maleate) after 50 gm-cm...


EVALUATION OF CEREBRAL BLOOD FLOW VELOCITY WITH TRANSCRANIAL DOPPLER ULTRASOUND IN CENTRAL NERVOUS SYSTEM INFECTIONS
[Abstract] [Similar Articles]

We examined the frequency and clinical relevance of intracranial artery stenoses in patients with central nervous system (CNS) infections in whom the occurrence of stroke has angiographically been reported to be associated with stenoses or occlusions of the cerebral arteries. Thirty-eight patients w...


IS LUMBAR SPINAL RESERVE CAPACITY ON CT-MYELOGRAPHY SIGNIFICANT?
[Abstract] [Similar Articles]

A statistical comparison is made between neurological conditions and areas of lower lumbar spinal structures, as ascertained by CT-myelography, in patients with lumbar complaints. CT-myelography was taken of 38 patients with low back pain and/or radicular pain complaints, most of whom were suffering...


STEREOTACTICALLY-GUIDED CRANIOTOMY FOR A CAVERNOUS HEMANGIOMA: TECLINICAL NOTE
[Abstract] [Similar Articles]

Stereotaxy-guided surgery offers significant advantages in the treatment of lesions that cannot be localised reliably because of their smaIl size and/or lack of evident landmarks. A stereotactical1y-guided craniotomy and microsurgical resection technique was described for excision of a cavernous hem...


SURGICAL TECHNIQUES FOR FAR LATERAL LUMBAR DISC HEMIATIONS
[Abstract] [Similar Articles]

For extra-foraminal localization, the surgical technique of lumbar far lateral disc herniations are distinct from those situated medial to the facet joint. In this study the extra-foraminal space was approached by a posterior route by means of median or paramedian incisions and a posteralateral rout...


THE COURSE OF THE OPHTMALMIC NERVE BOTH IN THE CAVERNOUS SINUS AND ORBIT
[Abstract] [Similar Articles]

Anatomy of the ophthalmic nerve should be well known in order to perform safe surgical intervention to the Parkinson's triangle, the orbit, and for the causes leading to the superior orbital fissure syndrome. Thirty ophthalmic nerves rising from the trigeminal ganglion and course in the cavernous si...


THE FACTORS REQUIRED FOR V-P SHUNTING IN CHILDREN WITH POSTERIOR FOSSA TUMORS
[Abstract] [Similar Articles]

The factors for recommending postoperative VP shunt insertion in twenty-eight pediatric patients, previously operated on for posterior fossa tumor, without V-P shunt preoperatively are investigated in this study. Age, sex, the preoperative duration for high intra-cranial pressure (lCP) signs, the pr...


THE FACTORS REQUIRED FOR V-P SHUNTING IN CHILDREN WITH POSTERIOR FOSSA TUMORS
[Abstract] [Similar Articles]

The factors for recommending postoperative VP shunt insertion in twenty-eight pediatric patients, previously operated on for posterior fossa tumor, without V-P shunt preoperatively are investigated in this study. Age, sex, the preoperative duration for high intra-cranial pressure (lCP) signs, the pr...


THE RELIABILITY OF HYPERDENSE FILLINGS ON INFUSION COMPUTERIZED TOMOGRAPHY OF PATIENTS WITH INTRACRANIAL ANEURYSMS
[Abstract] [Similar Articles]

Computerized tomography is highly reliable in the diagnosis of subarachnoid haemorrhage, especially during the first week. When contrast material is administered, it is also possible to demonstrate an aneurysm. In this retrospective study, we looked for any relationship between hyperdense fillings o...


CRANIOCEREBRAL GUNSHOT WOUNDS: ANALYSIS OF 288 CASES, A CLINICAL REVIEW
[Abstract] [Similar Articles]

This paper is a retrospective analysis of 288 craniocerebral gunshot wounds treated over a 5-year period. Twenty-one in-hospital deaths occurred, most as a direct result of brain injury. The level of central nervous system (CNS) damage was the most valuable prognostic factor in these cases. The pres...


ANTERIOR OR POSTERIOR INSTRUMENTATION IN THE TREATMENT OF UNSTABLE THORACOLUMBAR FRACTURES: A RETROSPECTIVE ANALYSIS OF 30 CASES
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Surgical procedures designed to decompress and stabilize unstable trauma-related thoracolumbar fractures are primarily anterior or posterior operative approaches combined with anterior or posterior instrumentation. Our goal is to identify patients that are likely to benefit from either fixation syst...


USE OF SINGLE VERTEBRAL BODY SCREW-PLATE FIXATION SYSTEMS IN THE TREATMENT OF VENTRALLY LOCATED LESIONS OF THE MIDDLE OR LOWER THORACIC SPINE
[Abstract] [Similar Articles]

Most current anterior stabilization systems involve the placement of two screws in each vertebra, and connecting these using a rod or plate. In this study, we present findings from patients who were treated with single vertebral body screw (SVBS) - rod or - plate systems. Our aim was to determine wh...


VENOUS MR ANGIORGAPHY AND MR IMAGING IN THE DIAGNOSIS AND FOLLOW-UP OF DURAL SINUS THROMBOSIS
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The purpose of this study was to determine the value of venous magnetic resonance angiography (Venous MRA) as the sole procedure for diagnosing and following up dural sinus thrombosis (DST). We also reviewed the etiology, clinical features, and therapeutic aspects of this neurological emergency. Ten...


ULTRASTRUCTURAL EFFECTS OF TWO DIFFERENT PREPARATION TECHNIQUES IN VASOCONSTRICTION STUDIES ON THE RABBIT BASILAR ARTERY
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When commenting on morphological findings in cerebral vasoconstriction studies, caution is required in two areas, namely the mechanical stresses involved in experimental manipulations, and preparation techniques. Since simultaneous radiological studies are sometimes compared with the results of morp...


LIPID PEROXIDATION AND ANTIOXIDANT STATUS IN YOUNG AND AGED RATS: EFFECTS AF HEAD INJURY
[Abstract] [Similar Articles]

The effects of head injury on lipid peroxidation and the antioxidant defense system were investigated in aged and young rats. The animals were divided into 4 groups of 10. A mild head trauma was applied to 10 young rats (3 months of age) in group II and to 10 aged rats (24 months of age) in group IV...


THE EFFECT OF DIAZEPAM ON THE DEVELOPMENT OF NEURAL TUBE DEFECTS IN EARLY CHICK EMBRYOS
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This study reveals the effects of diazepam on the development of neural tube defects in the chick based on light microscopy and histopathological study. Thirty fertile Hubbard Broil eggs were divided into two equal groups. Group 1 embryos (n:15) at stage 8 (the four-somite stage) of development were...


EFFECT OF BETA-ENDORPHIN ON PAIN THRESHOLD IN HYPOPHYSECTOMIZED RATS
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Beta-endorphin (B-EP) is a 31 amino acid polypeptide secreted by the pituitary, brain, and various other tissues. It has potent opiate-like activity, can produce analgesia, and may play a physiological role in adapting the immune system to stress by affecting lymphocyte and complement binding activi...


MIDDLE CEREBRAL ARTERY OCCLUSION OF RATS: PATHOLOGICAL AND NEUROLOGICAL EVALUATION OF THE MODEL
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Eighty seven Sprague-Dawley rats were used to study the anatomy of the horizontal segment of middle cerebral artery (MCA) and infarction after occlusion of this vessel. We investigated the size and location of the lesion produced, and found a correlation between infarct size and neurological deficit...


PREVENTIVE EFFECT OF TICLOPIDINE ON POSTOPERATIVE THROMBUS FORMATION AFTER EXPERIMENTAL MICROSURGICAL CAROTID ENDARTERECTOMY IN RATS
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The purpose of this study was to investigate the preventive effect of Ticlopidine on thrombus formation after surgical arterial injury. The model of microsurgical carotid endarterectomy was performed on the common carotid arteries in rats. Twenty rats were equally divided into two groups: a control ...


PAIN CONTROL FOLLOWING LUMBAR LAMINECTOMY: COMPARISON OF EPIDURAL MORPHINE AND MORPHINE PLUS BUPIVACAINE
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A comparison of the effects of epidural morphine and epidural morphine + bupivacaine on postoperative pain following lumbar laminectomy and discectomy. Thirty American Society of Anesthesiolgists (ASA) I patients undergoing lumbar laminectomy and discectomy were randomly assigned to two groups (n = ...


PROGNOSTIE PARAMETERS IN ASTROEYTOMA: P53 AND C-ERB B-2 IMMUNOREAETIVITY, PCNA, AND AGNOR COUNT
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Most adult primary brain tumors are gliomas. These tumors are progressive, tend to recur after treatment, and are usually fatal. Some studies on the behavior of astrocytomas with similar histological features have looked at over expression of p53 and c-erbB-2 and the immunoreactivity associated with...


THE EFFECTS OF SEVOFLURANE AND ISOFLURANE ON INTRACRANIAL PRESSURE FOLLOWING DIFFUSE BRAIN INJURY IN RATS
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Twenty-four adult Wistar rats weighting 220-290 g were anesthetized with an intraperitoneal injection of 30 mg/kg sodium thiopental and a tracheostomy was performed. Following diffuse impact-acceleration brain injury (BI), animals were paralyzed and mechanically ventilated with %30 O2 in N2O. The ra...


EFFEETS OF PEREUTANEOUS INTRADISEAL LASER NUELEOTOMY IN A CADAVERIE SHEEP MODEL
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Enthusiastic reports about percutaneous intradiscal laser nucleotomy have been encouraging to neurosurgeons treating patients with intervertebral disc herniation. Since high energy is transmitted to deep tissue and the procedure is not able to be visualized unless done endoscopically, we designed th...


THE SURGICAL ANATOMY OF SIX VARIATIONS OF THE EXTREME LATERAL APPROACH
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The extreme lateral transcondylar approach (ELA) is used to access lesions that are located or extend superior to the middle elivus, inferior to the upper cervical spine, and lateral to the foramina jugulare. Different combinations of drilling of several bone structures, including the occipital cond...


DUMBBELL NEUROBLASTOMAS
[Abstract] [Similar Articles]

Included in this study were 56 children with primary extracranial Neuroblastomas (NB) (n=44) and Ganglioneuroblastomas (GNB) (n=12) who were admitted and treated at two institutions between January 1982 and March 1997. Thirteen of the 56 patients had epidural spinal canal invasion and spinal cord co...


EVALUATION OF CLINICAL RESULTS IN 40 PATIENTS WITH BASAL SKULL FRACTURE
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Fractures of the basis cranii are usually the result of extension of a vault fracture. The most important complications associated with these fractures are cerebrospinal fluid (CSF) fistula, related infection, and pneumocephalus with fistula. CSF fistula involves the leakage of fluid from the subara...


Results with Expanded Endonasal Resection of Skull Base Meningiomas Technical Nuances and Approach Selection Based on an Early Experience
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AIM: Reconstruction technique advances have created renewed enthusiasm for the expanded endonasal approach (EEA). However, as with any new technique, early experiences inevitably lead to more selective use of these techniques. We reviewed our experience of the expanded endonasal endoscopic approac...


Evaluation of Aggressive Behavior and Invasive Features of Pituitary Adenomas Using Radiological, Surgical, Clinical and Histopathological Markers
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AIM: Total surgical resection of pituitary macroadenomas is difficult due to the location of the adenoma and the propensity to invade surrounding tissues. The purpose of this study was to evaluate the risk factors for invasive and aggressive pituitary macroadenomas using radiological, hormonal, cl...


The Effect of Matrix Metalloproteinase-3 on the Prognosis and Biological Behaviour of Meningiomas
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AIM: To analyse the effect of MMP-3 (Matrix Metalloproteinase Enzyme-3)-one of the extracellular matrix proteins- on the prognosis and biological behaviour of meningiomas. MATERIAL and METHODS: 79 cases of meningioma that were operated in our clinic between 2005 and 2010 were retrospectively anal...


Intratumoral Ethyl Alcohol Injection for Devascularization of Hypervascular Intracranial Tumors
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AIM: Hypervascular intracranial tumors may cause serious bleeding in surgery. Though pre-operative endovascular embolization of tumor is a widely accepted method, sometimes despite embolization, an effective and safer intraoperative hemostatic technique is needed to prevent or at least decrease th...


Management of Calvarial Tumors: A Retrospective Analysis and Literature Review
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AIM: Tumors of various organs that metastasize to bone do not neglect calvarium as a target. The aim of this study was to characterize the calvarial tumors. MATERIAL and METHODS: We retrospectively reviewed 45 consecutive patients operated for calvarial masses from January 2002 till May 2012 at o...


The Results of the Surgical Treatment of Spontaneous Rhinorrhea via Craniotomy and the Contribution of CT Cisternography to the Detection of Exact Leakage Side of CSF
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AIM: To share the results of conventional surgery in rhinorrhea and the contribution of computerized tomography (CT) cisternography to determination of the site of cerebrospinal fluid (CSF) leak. MATERIAL and METHODS: Twelve cases treated for spontaneous rhinorrhea were included in this study. All...


Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarct
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AIM: Decompressive hemicraniectomy for a malignant middle cerebral artery infarct can be a life-saving surgical treatment. We aimed to investigate the surgical treatment results in cases that underwent decompressive hemicraniectomy for a malignant middle cerebral artery infarct in this study. MAT...


Embolization with Gamma Knife Radiosurgery of Giant Intracranial Arteriovenous Malformations
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AIM: Giant arteriovenous malformations (i.e., those greater than 6 cm maximum diameter or volume > 33 cc) are difficult to treat and often carry higher treatment morbidity and mortality rates. In our study, we reviewed the angiographic results and clinical outcomes for 11 patients with giant arter...


The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research
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AIM: To compare the beneficial effects of cisternal blood clot evacuation with or without microsurgical fenestration of the lamina terminalis (LT) on symptomatic vasospasm during the course of aneurysmal subarachnoid hemorrhage. MATERIAL and METHODS: This was a clinical, retrospective study that i...


Glasgow Coma Scale Versus Full Outline of UnResponsiveness Scale for Prediction of Outcomes in Patients with Traumatic Brain Injury in the Intensive Care Unit
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AIM: Glasgow Coma Scale (GCS) is the most applied tool for classifying intensity of coma and predicting patient outcomes with traumatic brain injuries. The present study was conducted with the aim of comparing two criteria of Full Outline of UnResponsiveness (FOUR) scale and GCS in predicting prog...


The Comparison Between Surgical Procedure and Conservative Treatment in the Management of Traumatic Subdural Effusion
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AIM: Traumatic subdural effusion (TSE) occurs following traumatic brain injury and may be treated by either conservative methods or surgical procedure commonly according to the patients’ clinical information. We aimed to compare the effective rate of effusion removal and the standardized mor...


Use of Levetiracetam in Prophylaxis of Early Post-Traumatic Seizures
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AIM: Traumatic brain injury is one of the leading causes of mortality and morbidity worldwide. The role of prophylactic anti-epileptic drugs has been established. Phenytoin used traditionally for this purpose carries a burden of adverse reactions and cumbersome need of monitoring and maintaining l...


Analysis of the Expressions of TrkB and GLT-1 in Brain Tissues on a Rat Pentylenetetrazol Kindling Model of Chronic Epilepsy
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AIM: Tyrosine kinase receptor-B (TrkB), a high-affinity receptor for brain-derived neurotrophic factor (BDNF), functions via specific binding with the BDNF. Although studies have shown that BDNF promotes the expression of glutamate transporter-1 (GLT-1) in the glial cells during neurodegeneration,...


The Surgical Value of Neurocysticercosis: Analyzing 10 Patients in 5 Years
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AIM: To investigate the indications and clinical value of the surgical therapy of neurocysticercosis (NCC). MATERIAL and METHODS: We retrospectively reviewed all 10 patients with NCC treated surgically from January 2009 to January 2014 in our institute. The NCC types included parenchymal cysticerc...


New Dynamic Plate System Combined with Titanium Mesh Cage and Bone Graft in the Treatment of Cervical Spondylosis
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AIM: Dynamic plates have been popularized to promote cervical spine fusion. There are no studies comparing the effectiveness and complications between traditional static plates and new dynamic plates (Vectra-T, Synthes, Switzerland). MATERIAL and METHODS: From June 2009 to October 2012, 70 patient...


Occipital Condyle-C1 Complex Screw for Fixation of Basilar Invagination Patients with Atlas Assimilation
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AIM: To investigate whether C1-occipital condyle complex (CC complex) screws can be safely and rapidly placed without guidance in basilar invagination patients with atlas assimilation. MATERIAL and METHODS: The occipital-cervical (OC) junction was fixed posteriorly in 8 basilar invagination patien...


Ventilation Mode and Epidural Bleeding in Microdiscectomy: Comparison of Two Ventilation Techniques
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AIM: Two different ventilation protocols during general anesthesia have been compared regarding their effects on amount of epidural bleeding during lumbar microdiscectomy in the prone position. Previous studies have not not revealed a relationship between ventilation mode and epidural bleeding in ...


Preoperative Visualization of Cranial Nerves in Skull Base Tumor Surgery Using Diffusion Tensor Imaging Technology
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AIM: To visualize cranial nerves (CNs) using diffusion tensor imaging (DTI) with special parameters. This study also involved the evaluation of preoperative estimates and intraoperative confirmation of the relationship between nerves and tumor by verifying the accuracy of visualization. MATERIAL ...


14-3-3zeta Positive Cells Show More Tumorigenic Characters in Human Glioblastoma
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AIM: Expression of 14-3-3zeta is upregulated in many cancer types and plays an important role in tumorigenesis. Our previous studies have shown that 14-3-3zeta has a positive expression and is associated with a poor prognosis in patients with glioblastoma. In this study, we investigated whether 14...


The Impact of the Stage and Tumor Size on Rare Brain Metastasis of Cervical Cancer
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AIM: To investigate the clinical features, prognostic factors and survival times of cervical cancer patients with brain metastasis. MATERIAL and METHODS: We retrospectively reviewed the medical records of 820 patients with cervical cancer. Data were analyzed using SPSS version 12.0 statistical sof...


Outcome Assessment After Surgical Treatment of Tuberculum Sellae Meningiomas- A Preliminary Report
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AIM: To evaluate the endocrinological and ophthalmological results of the tuberculum sellae meningioma surgery. MATRRIAL and METHODS: A total of 18 patients diagnosed with tuberculum sellae meningioma received surgical treatment at Neurosurgery Clinic at Military Medical Institute in Warsaw from J...


Cognitive Function After Carotid Endarterectomy: Early Decline and Later Recovery
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AIM: To prospectively study neurocognitive performance following carotid endarterectomy (CEA) in various follow-up periods, taking into account the potential confounding factors. MATERIAL and METHODS: Thirty-six patients with carotid artery stenosis received CEA (group A). Thirty-one patients unde...


Prognostic Factors in Patients who Underwent Aneurysmal Clipping due to Spontaneous Subarachnoid Hemorrhage
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AIM: Despite technical and medical advances, aneurysmal subarachnoid hemorrhages (SAH) continue to be a challenging pathology, associated with high rates of morbidity and mortality. In this regard, a definition is required of the various prognostic indicators of an SAH. The aim of the present retr...


Endovascular Treatment for Aneurysmal Subarachnoid Hemorrhage with Neurogenic Pulmonary Edema in the Acute Stage
[Abstract] [Similar Articles]

AIM: Severe neurogenic pulmonary edema (NPE) can occur in a variety of brain insults, including subarachnoid hemorrhage (SAH), and severe case of NPE can cause devastating consequences. But the literature on the treatment strategy about aneurysmal SAH with NPE is very scant. We present that SAH pa...


Hydrogen does not Exert Neuroprotective Effects or Improve Functional Outcomes in Rats After Intracerebral Hemorrhage
[Abstract] [Similar Articles]

AIM: Increasing evidence suggests that reactive oxygen species damage the blood-brain barrier and increase brain edema after intracerebral hemorrhage (ICH). Recently, strong clinical and experimental evidence has shown that hydrogen has potent protective cellular effects in various diseases. Howev...


The Effect of Ozone Therapy on Experimental Vasospasm in the Rat Femoral Artery
[Abstract] [Similar Articles]

AIM: Oxidation products following subarachnoid hemorrhage (SAH) are among the causative substances of cerebral vasospasm and poor outcome. Ozone (O3) is a gas that contains three atoms of oxygen with a cyclic structure. It has been suggested that application of low-dose ozone has an antioxidant ef...


Biocompatibility of Plastic Clip in Neurocranium - Experimental Study on Dogs
[Abstract] [Similar Articles]

AIM: A potential advantage of the use of the plastic clips in neurosurgery is their property of causing fewer artifacts than titanium clips as assessed by computed tomography and magnetic resonance scans. The biocompatibility of plastic clips was demonstrated in the peritoneal cavity, but their be...


Endoscopic Evacuation of Subdural Collections
[Abstract] [Similar Articles]

AIM: Intraoperative use of the endoscope is a hot topic in neurosurgery and it gives broader visualization of critical and hardlyreached areas. Endoscope-assisted surgical approach to chronic subdural haematoma (SDH) is a minimally invasive technique and may give an expansion to the regular method...


Effectiveness of GFAP in Determining Neuronal Damage in Rats with Induced Head Trauma
[Abstract] [Similar Articles]

AIM: To determine whether the serum level of glial fibrillary acidic protein (GFAP), an important indicator of neuron damage, correlates with the extent of tissue damage in the rat with induced head trauma and to obtain data in order to avoid unnecessary cranial computed tomography analyses. MATE...


Evaluation of 126 Consecutive Stereotactic Procedures: Brain Biopsy, Diagnostic Yield, Accuracy, Non-Diagnostic Results, Complications and Follow-up
[Abstract] [Similar Articles]

AIM: A retrospective analysis of 126 consecutive computed tomography (CT)-guided, frame-based stereotactic procedures in 121 patients is presented to evaluate the diagnostic yield, accuracy, complications, management of non-diagnostic cases and followup. MATERIAL and METHODS: The medical records o...


Final Electrode Position in Subthalamic Nucleus Deep Brain Stimulation Surgery: A Comparison of Indirect and Direct Targeting Methods
[Abstract] [Similar Articles]

AIM: High frequency stimulation of the subthalamic nucleus (STN) is nowadays a widely performed surgery for patients with Parkinson’s disease (PD). The field has witnessed a shift from indirect targeting to direct targeting. The question arises whether this change has influenced the final el...


Surgical Management of Sacrococcygeal Region Giant Tumors by Use of Balloon Occlusion Abdominal Aorta
[Abstract] [Similar Articles]

AIM: Sacrococcygeal region giant tumors are a challenge for neurosurgeons. The purpose of this paper was to retrospectively analyze the clinical records of sacrococcygeal region giant tumors treated surgically by balloon occlusion of the abdominal aorta. MaterIal and Methods: A total of 130 patien...


Temperament and Character Profile in Failed Back Surgery Syndrome: A Cross-Sectional Clinical Study
[Abstract] [Similar Articles]

AIM: Some psychometric properties may predict the development of failed back surgery syndrome (FBSS). The aim of this study was to determine the pain, disability, and depression severity in patients diagnosed with FBSS, and to determine the temperament and character subgroups in comparison with co...


Dural Tear: A Feared Complication of Lumbar Discectomy
[Abstract] [Similar Articles]

AIM: To show causes of dural tear in isolated lumbar disc surgery, and to investigate the risk factors. MaterIal and Methods: We retrospectively reviewed 1159 cases (532 females and 627 males) involving patients who underwent a surgery for the treatment of lumbar disc herniation between 2006 and 2...


Intrathecal Administration of Flavopiridol Promotes Regeneration in Experimental Model of Spinal Cord Injury
[Abstract] [Similar Articles]

AIm: Spinal cord injury (SCI) is a serious condition of the central nervous system and it affects the quality of life and even hampers the day-to-day activity of the patient. In the current study, we investigated the efficacy of intrathecal administration of flavopiridol in an experimental animal ...


Comparison of Etanercept, Etomidate and Erythropoietin and Their Combinations in Experimentally-Induced Spinal Cord Injury
[Abstract] [Similar Articles]

AIM: The aim of this study was to compare the preventive effects of Etanercept, Etomidate, Erythropoietin and their combination in experimentally induced spinal cord trauma by clinical, histopathological, electrophysiological parameters and biochemical examination. MaterIal and Methods: 85 health...


Local Tissue Electrical Resistances in Transpedicular Screw Application in the Thoracolumbar Region
[Abstract] [Similar Articles]

AIM: To determine local tissue electrical resistance differences generated during a screw pass from the pedicle to another tissue rather than determining all individual electrical tissue resistance values. MaterIal and Methods: We attempted to measure electrical resistance values of regional tissu...


Histomorphometric and Ultrastructural Evaluation of Long-Term Alpha Lipoic Acid and Vitamin B12 Use After Experimental Sciatic Nerve Injury in Rats
[Abstract] [Similar Articles]

AIM: To analyze the therapeutic effects of long-term alpha lipoic acid (A-LA) and vitamin B12 use via histomorphometric methods and electron microscopy in the transected sciatic nerves of rats. MATERIAL and METHODS: Forty rats were randomized into five groups (n=8/group). In group I, 1 cm segment ...


Surgical Outcome of Endoscopic Endonasal Surgery for Non-Functional Pituitary Adenoma by a Team of Neurosurgeons and Otolaryngologists
[Abstract] [Similar Articles]

AIM: This study aimed to assess the efficacy of endoscopic endonasal surgery, conducted by a team of neurosurgeons and otolaryngologists. MATERIAL and METHODS: We studied 40 patients who were undergoing surgery for primary non-functional pituitary adenomas with Knosp grades 1 to 3, at Keio Univer...


Is Positive Staining of Non-Functioning Pituitary Adenomas for Luteinizing Hormone Associated with a Poor Prognosis?
[Abstract] [Similar Articles]

AIM: The aim of this study was to assess the relationships among immunohistochemical staining patterns and prognostic factors in patients with non-functioning pituitary adenoma (NFPA). MATERIAL and METHODS: The study included 103 patients who had undergone pituitary surgery for NFPAs. The prognost...


Prognostic Impact of Histologic Subtype in Non-Small Cell Lung Cancer Patients Treated with Gamma Knife Radiosurgery: Retrospective Analysis of 104 Patients
[Abstract] [Similar Articles]

AIM: In this study, factors affecting survival, local failure, distant brain failure, whole brain failure and whole-brain radiation therapy (WBRT) free survival according to histological subtypes were investigated in patients with brain metastases from non-small cell lung cancer (NSCLC). MATERIAL...


Surgical Technique for Aneurysms at the A3 Segment of Anterior Cerebral Artery Via Anterior Interhemispheric Keyhole Approach
[Abstract] [Similar Articles]

AIM: Traditional craniotomies for treatment of the aneurysms at the A3 segment of anterior cerebral artery (A3As), such as frontal approach and interhemispheric approach, require pre-hairline incision and relatively long incision, extensive bone flap, inevitable supraorbital nerve injury, opening ...


Anatomic Evaluation of the Ophthalmic Artery in Optic Canal Decompression: A Cadaver Study of 20 Optic Canals
[Abstract] [Similar Articles]

AIM: A relationship was shown in this study between the optic canal and the ophthalmic artery by cadaver study. It is intended that the anatomical and histological values which we obtained can be used as a guide in surgery MATERIAL and METHODS: A surgical anatomical evaluation was made of twenty o...


The Surgical Outcome of Traumatic Extraaxial Hematomas Causing Brain Herniation
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AIM: The aim of this study was to assess the surgical outcome and the prognostic importance of clinical and radiological data of patients operated emergently for an extraaxial hematoma causing brain herniation. MATERIAL and METHODS: This retrospective study comprised 108 adult patients who were op...


Chronic Subdural Hematoma Preceded by High-Impact Trauma: Does the Intensity of Trauma Influence the Pathogenesis of Traumatic Chronic Subdural Hematoma?
[Abstract] [Similar Articles]

AIM: The purpose of this study was to investigate whether the intensity of trauma influences the pathogenesis of traumatic chronic subdural hematoma (CSDH). MATERIAL and METHODS: Thirty-one patients treated surgically for traumatic CSDH were divided into high-impact and lowimpact groups according...


A Prospective Comparative Study of Twist Drill Craniostomy Versus Burr Hole Craniostomy in Patients with Chronic Subdural Hematoma
[Abstract] [Similar Articles]

AIM: This study aims to compare clinical outcomes in patients with chronic subdural hematoma (CSDH) following twist drill craniostomy (TDC) or burr hole craniostomy (BHC). MATERIAL and METHODS: A prospective cohort study was conducted in the patients who suffered from symptomatic CSDH and receive...


Protective Effects of Intralipid and Caffeic Acid Phenyl Esther (CAPE) on Neurotoxicity Induced by Ethanol in Rats
[Abstract] [Similar Articles]

AIM: Ethanol causes oxidative degradation of the mitochondrial genome in the brain. This effect could contribute to the development of brain injury in some alcoholic patients. We investigated the protective effect of caffeic acid phenyl esther (CAPE) and intralipid (IL) on oxidative stress and neu...


The Comparison of Hemilaminectomy and Laminoplasty Procedures in the Surgical Treatment of Cervical Spondylotic Myelopathy
[Abstract] [Similar Articles]

AIM: To compare cervical hemilaminectomy with cervical laminoplasty to determine the prognostic significance of both methods in cervical spondylotic myelopathy (CSM). This study is first in the literature to compare the hemilaminectomy and laminoplasty procedures MATERIAL and METHODS: A total of ...


Posterior Epidural Migration of a Sequestered Lumbar Intervertebral Disc Fragment
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AIM: Posterior epidural migration of a sequestered lumbar intervertebral disc fragment (PEMSLIDF) is an extremely rare condition published so far only as case reports or small case series (ranging between 2 to 8 cases). Diagnosing this condition is often challenging and the diagnosis is usually ma...


Surgical Strategies for Spondylodiscitis due to Lumbar Disc Surgery
[Abstract] [Similar Articles]

AIM: Despite different surgical treatment protocols at different centers for spondylodiscitis due to lumbar surgery, there is no consensus on its surgical indications. In this study, we aimed to clarify the steps to be followed in the management and treatment of postoperative spondylodiscitis. MA...


Cultural Adaptation of the Extended Aberdeen Spine Pain Scale: A Turkish Version Study
[Abstract] [Similar Articles]

AIM: To evaluate the validity and reliability of Turkish version of Extended Aberdeen Spine Pain Scale (EASP). MATERIAL and METHODS: After cultural adaptation, the questionnaire was administered to 120 patients. Test-retest reliability, internal consistency, construct and criterion validity and re...


Actigraphic Analysis of Patients with Cervical Disc Herniation
[Abstract] [Similar Articles]

AIM: To analyze the relationship between the severity of pain and sleep disorder using wrist actigraphy in patients with cervical disc herniation (CDH). MATERIAL and METHODS: Fifty patients with the diagnosis of CDH underwent subjective tests and actigraphic analysis in preoperative period, and a...


The Effect of Ankaferd Blood Stopper? on Epidural Fibrosis After Laminectomy in Rats: An Experimental Study
[Abstract] [Similar Articles]

AIM: Lumbar epidural fibrosis is increasingly recognized as a cause of persistent back pain. The aim of this study was to examine the effect Ankaferd Blood Stopper on epidural fibrosis following laminectomy in rat models. MATERIAL and METHODS: Twenty Sprague-Dawley male rats were randomly allocate...


Prevention of Epidural Fibrosis Using Ranibizumab in a Postlaminectomy Rat Model
[Abstract] [Similar Articles]

AIM: One of the most significant reasons for persistent low back pain experienced after spinal surgery is epidural fibrosis seen after laminectomy procedures. This study shows the effects of Ranibizumab on spinal epidural fibrosis in the laminectomy area by blocking the effect of vascular endothel...


The Axon Protective Effects of Syringic Acid on Ischemia/Reperfusion Injury in a Rat Sciatic Nerve Model
[Abstract] [Similar Articles]

AIM: In the relevant literature, there is no experimental study that investigated the axon protective effects of syringic acid- a polyphenol compound- with an anti-oxidant capacity on ischemia/reperfusion injury. MATERIAL and METHODS: The rats were randomly divided into four groups: Control group ...


CT-Guided High-Level Percutaneous Cervical Cordotomy for Intractable Cancer Pain
[Abstract] [Similar Articles]

AIM: To evaluate the safety and effectiveness of computed tomography-guided high-level percutaneous selective cervical cordotomy (CT-guided HPSCC). MATERIAL and METHODS: CT-guided percutaneous procedures were performed in fifty-nine patients between the years 2004- 2013 for cancer pain. Forty-eig...


The Management of Blood Loss in Non-Syndromic Craniosynostosis Patients Undergoing Barrel Stave Osteotomy
[Abstract] [Similar Articles]

AIM: Barrel stave osteotomy is a widely used procedure in neurosurgery for the majority of craniosynostosis patients. Both in the intraoperative and postoperative periods, there is inevitable leakage type bleeding from the bones undergoing osteotomy. A number of studies have been performed in orde...


Publication Rates of Presentations at Annual Scientific Meetings of the Turkish Neurosurgical Society
[Abstract] [Similar Articles]

AIM: National and international society meetings are suitable mediums at which diverse research topics from basic, clinical and translational sciences can be presented to an audience of peers. In this study, our purpose was to evaluate publication rates of presentations in the last recent four yea...


Chemotherapy for Adults with Malignant Glioma: A Systematic Review and Network Meta-Analysis
[Abstract] [Similar Articles]

AIM: Malignant glioma is the most common primary brain tumor in adults and the survival rate has remained very low. Thus, determining the optimal treatment for patients can be challenging. To compare the efficacy of common therapies, we performed network meta-analysis to estimate the efficacy and ...


Late Postoperative Rhinological Complications After Microscopic Transnasal Hypophysectomy
[Abstract] [Similar Articles]

AIM: Major complications of microscopic transnasal hypophyseal surgery (MTHS), such as cerebrospinal fluid rhinorrhea, carotid injury, and optic nerve injury, are very rare. However, late rhinological complications can be ignored because they are a minor cause of morbidity compared with major comp...


Traumatic Acute Subdural Hematomas: Analysis of Outcomes and Predictive Factors at a Single Center
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AIM: In the present study, we evaluated the association of the Glasgow Coma Scale (GCS) score and amount of blood loss with mortality in patients presenting with traumatic acute subdural hematoma (ASDH). MATERIAL and METHODS:This retrospective study was performed on 99 patients who were operated f...


Paradoxical Herniation after Unilateral Decompressive Craniectomy: A Retrospective Analysis of Clinical Characteristics and Effectiveness of Therapeutic Measures
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AIM: We aimed to investigate the importance of early diagnosis and proper management of paradoxical herniation based on the data of 13 patients who had 14 occurrences of paradoxical herniation. MATERIAL and METHODS: The characteristics and the effectiveness of treatments of 13 patients with parado...


Management of Failed Cranioplasty
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AIM: Failed cranioplasty attempts may lead to numerous complications in a broad spectrum including cosmetic problems, infection, neurological deterioration and even death. Selection of the most appropriate surgical technique for second and further surgical attempts for these patients still remains...


Normal Pressure Pseudotumor Cerebri: A Series of Six Patients
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AIM: Pseudotumor cerebri (PTC) is a condition characterized by symptoms and signs of increased intracranial pressure (ICP) with no intracranial mass or hydrocephalus, and with normal cerebrospinal fluid (CSF) composition. A variant of PTC known as "Normal Pressure Pseudotumor Cerebri" has the same...


Endoscopic Optic Nerve Decompression Through Supraorbital Keyhole Extradural Approach: A Cadaveric Study
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AIM: Many approaches for optic nerve decompression have their own advantages and disadvantages. The aim of this study was to perform endoscopic decompression of optic nerve through the supraorbital keyhole and evaluate its feasibility. MATERIAL and METHODS: Ten adult cadaveric heads were studied u...


Long-term Surgical Outcomes of Spinal Schwannomas: Retrospective Analysis of 49 Consecutive Cases
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AIM: Spinal schwannomas (SS) represent the most common intradural extramedullary lesions, accounting for approximately 24% of all nerve sheath tumors in adults. Schwannomas have infrequent, but existent possibility of malignancy. In this study, long-term outcomes of 49 consecutive SS have been pre...


Management of Tethered Cord Syndrome in Adults: Experience of 23 Cases
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AIM: Tethered cord syndrome (TCS) is rarely diagnosed in adults. It is a complex clinicopathological entity that remains poorly understood. In this study, clinical outcomes of 23 consecutive congenital TCSs diagnosed in adults have been evaluated to establish a standard approach to treat congenita...


Spine Tango in Turkish: Development of a Local Registry System
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AIM: Successfully established registry systems, rather than personal efforts to collect data, are required to record, analyze, compare and secure patient related data. Unfortunately, our country does not have such patient registry systems for spinal pathologies and surgeries at this time. In order...


The Usefulness of Employing an Electronic Traction Table to Determine Flexibility in Adolescent Idiopathic Scoliosis
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AIM: The aim of the study was to develop new equipment for the assessment of the flexibility of the spine with different forces. This new system should provide a different perspective to adolescent idiopathic scoliosis (AIS) for the selection of fusion levels and surgical success. MATERIAL and ME...


Biomechanical Changes in Disc Pressure and Facet Strain after Lumbar Spinal Arthroplasty with Charité<sup>TM</sup> in the Human Cadaveric Spine under Physiologic Compressive Follower Preload
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AIM: Arthroplasty maintains the biomechanical features of a healthy disc, decreases the adjacent segment disease rate, and decreases the accelerated degeneration rate of the neighboring discs in traditional fusion procedures. However, there are only a few reports on adjacent disc pressure (DP) and...


Effect of Asiatic Acid on the Treatment of Spinal Cord Injury: An Experimental Study in Rats
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AIM: Spinal cord injury (SCI) is a devastating condition of the central nervous system. There is no proven therapeutic agent for the treatment of this complex disorder. Asiatic acid (AA) has been used as an anti-inflammatory and anti-oxidant agent in Eastern countries for many years. The aim of th...


Effects of 4% Icodextrin on Experimental Spinal Epidural Fibrosis
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AIM: The aim of this experimental study was to investigate whether spinal epidural 4% glucose polymer solution is effective in the prevention of postoperative fibrosis. MATERIAL and METHODS: Twenty eight adult Wistar albino rats were randomly divided into two equal groups, including treatment and...


Supratentorial Parenchymal Ependymomas in Children: Experience with 14 Patients at a Single Institute
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AIM: To study the clinical features, imaging findings, treatment methods and results, and prognosis of supratentorial parenchymal ependymomas in children. MATERIAL and METHODS: Fourteen children with supratentorial parenchymal ependymomas were treated by the senior author at Tiantan Hospital betw...


Is the Knowledge Pertaining to Adult Glioblastomas Enough for Pediatric Cases? Prognostic Factors in Childhood
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AIM: Pediatric glioblastoma (GBM) is still a topic obscurity. The aim of this study was to explore clinical, radiological and pathological features, and prognostic factors affecting the outcomes. MATERIAL and METHODS: We retrospectively reviewed our database for prognostic factors for 42 consecuti...


The Outcomes of 150 Consecutive Patients with Digital Nerve Injuries Treated in a Single Center
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AIM: The surgical management of injured digital nerves is a common part of hand trauma surgery. Despite improvements in the surgical techniques and suture material, the final outcomes of peripheral nerve repair can still be disappointing. This study investigates the outcomes following the surgical...


Unilateral Subthalamic Nucleus Stimulation in the Treatment of Asymmetric Parkinson"s Disease with Early Motor Complications
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AIM: The aim of this study was to assess the results of unilateral subthalamic nucleus (STN) stimulation for the treatment of Parkinson"s disease (PD) with marked asymmetry of parkinsonian motor symptoms and early motor complications. MATERIAL and METHODS: The clinical series consisted of 32 conse...


Gamma Knife Radiosurgery for Arteriovenous Malformations: Clinical Series of 199 Patients
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AIM: Cerebral arteriovenous malformations (AVM) are pathological connections between arteries and veins without capillaries. Stereotactic radiosurgery (RS) is a proven and accepted treatment method for cerebral AVMs. Our objective was to analyze the factors influencing the clinical outcome in pati...


Parieto-Occipital Interhemispheric Precuneal Approach to the Lesions of the Atrium: Experience with 66 patients
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AIM: The atrium (trigone) is the most common site for intraventricular lesions. The parieto-occipital interhemispheric precuneal approach (POIPA) is one of the particular ways to reach these lesions. The aim of this study was to draw specific attention to the surgical difficulties of these lesions...


Unilateral Vestibular Schwannomas in Childhood without Evidence of Neurofibromatosis: Experience of 10 Patients at a Single Institute
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AIM: We investigated the clinical presentation and management issues of unilateral vestibular schwannomas in childhood without evidence of neurofibromatosis. MATERIAL AND METHODS: Ten pediatric patients with unilateral vestibular schwannoma and no evidence of neurofibromatosis were treated by the...


The Role of OsiriX Based Virtual Endoscopy in Planning Endoscopic Transsphenoidal Surgery for Pituitary Adenoma
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AIM: Virtual endoscopy (VE) is the navigation of a 3D model reconstructed from radiological image data. The aim of this paper is to evaluate the role and accuracy of the virtual endoscopy realized using commercially available software, OsiriX, as a method of planning of surgical interventions. MA...


The Impact of Initial Systemic Inflammatory Response After Aneurysmal Subarachnoid Hemorrhage
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AIM: To assess the association between inflammatory response and early brain injury (EBI), and the association between inflammatory response and the following pneumonia after aneurysmal subarachnoid hemorrhage (SAH). MATERIAL and METHODS: Eighty-nine patients with spontaneous SAH and 12 patients...


Factors that Affect Postoperative Hydrocephalus Development in Aneurysmal Subarachnoid Hemorrhage: A Clinical Study
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AIM: Factors affecting the development of postoperative hydrocephalus patients who underwent surgery after aneurysmal subarachnoid hemorrhage were retrospectively assessed. MATERIAL and METHODS: 201 cases, who underwent aneurysm surgery in our clinic after subarachnoid hemorrhage between 2008 and...


Endovascular Treatment of Wide Necked Ruptured Saccular Aneurysms with Flow-Diverter Stent
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AIM: Flow diverter (FD) stents have been used in the treatment of unruptured intracranial aneurysms. There are a few studies that report the use of these devices in ruptured blister-like aneurysms. We present 5 consecutive patients, who had ruptured intracranial wide necked or side branch close to...


The Relationship of Hematoma Growth to Red Blood Cell Distribution Width in Patients with Hypertensive Intracerebral Hemorrhage
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AIM: Hypertension is a primary risk factor for intracerebral hemorrhage (ICH) and is thought to be responsible for about 55% of all ICH cases. Thus, the primary goal of the study was to examine whether the status of vascular rheological factors upon admission to the hospital was associated with hy...


The Effect of Hydrogen Sulphide on Experimental Cerebral Vasospasm
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AIM: Cerebral vasospasm is the primary cause of morbidity and mortality after subarachnoid hemorrhage (SAH). Hydrogen Sulfide (H2S), a gaseous neurotransmitter, is produced in many tissues including the central nervous system (CNS). The vasodilatatory effect of H2S has been shown in the CNS; howev...


Minimally Invasive Approach in Bilateral Chronic Subdural Hematomas: Surgical Selection and Outcome in 74 Cases
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AIM: To investigate the effect of minimally invasive approaches on the outcome of bilateral chronic subdural hematoma. MATERIAL and METHODS: A retrospective analysis was performed in 74 hospitalized bilateral chronic subdural hematoma patients from January 2010 to January 2013 in Northern Jiangsu ...


Imaging Features of Neurocysticercosis: Analysis of 57 Consecutive Patients
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AIM: To investigate the imaging features of neurocysticercosis and to provide valuable information about the diagnosis and treatment for clinicians. MATERIAL and METHODS: The data of 71 consecutive cases of neurocysticercosis, diagnosed by computed tomography (CT) and magnetic resonance imaging (...


Computerized Tomography-Guided Stereotactic Biopsy of Intracranial Lesions: Report of 500 Consecutive Cases
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AIM: Computed tomography (CT)-guided stereotactic brain biopsy has been performed in our clinic since March 1998. In this prospective study, we examined the patient data undergoing stereotactic biopsy and the results of biopsies in 500 consecutive patients. MATERIAL and METHODS: Between the dates...


Paragangliomas of the Spine
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AIM: Paragangliomas of the spine are rare tumors. Clinical presentations and courses of spinal paragangliomas are varied, and there are no standard principles of treatment to date. The purpose of this study was to explore the diagnosis, treatment and prognosis of spinal paragangliomas. MATERIAL a...


Can the Interspinous Device, SPIRE<sup>TM</sup>, be an Alternative Fixation Modality in Posterior Lumbar Fusion Instead of Pedicle Screw?
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AIM: Although conventional posterior lumbar interbody fusion (PLIF) using pedicle screws provides successful outcomes, pedicle screw related complications are sometimes noted. SPIRE? was invented as an interspinous fixation device (ISD) to replace pedicle screw. The aim of this study is to evaluat...


Clinical and Radiological Characteristics of Ossification of the Posterior Longitudinal Ligament of the Cervical Spine in Patients without Myelopathy: Results of a 1-year Pilot Study
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AIM: We analyzed the demographics, clinical and radiological characteristics of non-myelopathic cervical ossification of the posterior longitudinal ligament (OPLL) patients. MATERIAL and METHODS: This study included 115 patients with cervical OPLL but without myelopathy. Demographic features of a...


Caudal Epidural Steroid Injections in Postlaminectomy Patients: Comparison of Ultrasonography and Fluoroscopy
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AIM: To compare the results of ultrasound and fluoroscopy guided caudal epidural steroid injections in postlaminectomy patients. MATERIAL and METHODS: Thirty postlaminectomy patients were randomly divided into two groups, Group I (n=15) received ultrasound-guided and Group II (n=15) received fluor...


A Rehabilitation Protocol for Patients with Lumbar Degenerative Disc Disease Treated with Posterior Transpedicular Dynamic Stabilization
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AIM: To evaluate the efficacy of the rehabilitation protocol on patients with lumbar degenerative disc disease after posterior transpedicular dynamic stabilization (PTDS) surgery. MATERIAL and METHODS: Patients (n=50) with single level lumbar degenerative disc disease were recruited for this study...


Multimodal Intraoperative Neurophysiological Monitoring in Spinal Cord Surgery
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AIM: Intraoperative neurophysiological monitoring (IONM) monitors the functional integrity of critical neural structures by electrophysiological methods during surgery. Multimodality combines different neurophysiological methods to maximize diagnostic efficacy and provide a safety margin to improv...


Postlaminectomy Bone and Scar Formations in Presence of Ankaferd Blood Stopper and Bitter Melon (Momordica Charantia): An Experimental Study
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AIM: A quantitative model of postlaminectomy was designed in rats. The effects of Momordica Charantia (MC) and Ankaferd blood stopper (ABS) on the bone and scar formation after laminectomy were concurrently evaluated. MATERIAL and METHODS: Eighteen adult Wistar albino rats underwent lumbar laminec...


Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome
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AIM: To investigate the effectiveness of local steroid injection and surgical decompression in the treatment of patients with severe carpal tunnel syndrome (CTS) and also to compare short-term outcomes using clinical and electrophysiological criteria. MATERIAL and METHODS: The patients diagnosed a...


The Effect of Cerebrospinal Fluid in Collagen Guide Channel on Sciatic Nerve Regeneration in Rats
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AIM: The aim of this study was to evaluate the effect of cerebrospinal fluid (CSF) in nerve regeneration across the collagen guide channel in comparison with autograft. MATERIAL AND METHODS: Forty adult male rats (250-300 g) were randomized into (1) collagen channel+CSF, (2) collagen channel+norm...


Surgical Timing for Aneurysmal Subarachnoid Hemorrhage: A Meta-Analysis and Systematic Review
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AIM: Despite great advances in treatment of aneurysmal subarachnoid hemorrhage (aSAH), yet, a consensus as to the most optimal timing of surgery has not been reached. In order to identify the most suitable time of surgery for aSAH, the authors conducted a meta-analysis and systematic review. MATE...


Neuronavigation-Assisted Aspiration and Electro-Acupuncture for Hypertensive Putaminal Hemorrhage: A Suitable Technique on Hemiplegia Rehabilitation
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AIM: To identify whether neuronavigation-assisted aspiration (NA) combined with electro-acupuncture (EA) provides better motor recovery in events of hypertensive putaminal hematoma (HPH) sized 30 to 50 ml. This study aims to examine whether neuronavigation-assisted aspiration and electro-acupunctu...


Vagal Ischemia Induced Lung Immune Component Infarct Following Subarachnoid Hemorrhage: An Experimental Study
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AIM: Neurogenic pulmonary edema (NPE) is the most serious complication of subarachnoid hemorrhage (SAH). As vagal nerves have vital roles in lung functions, vagal ischemia may have a causative role in the pathogenesis of NPE. We examined whether there was a relationship between vagal complex ische...


Association Between Brain Venous Drainage, Cerebral Aneurysm Formation and Aneurysm Rupture
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AIM: The brain venous drainage dominance is generally divided into three groups; right or left dominance and co-dominance. There is no study in the literature examining the link between brain venous drainage and aneurysm formation or rupture. Our aim was to evaluate the association between venous ...


Neuroprotective Effects of Chronic Fenofibrate Treatment via Modulating the Immunoreactivity of Cleaved Caspase-3 in Stroke Induced by Transient Middle Cerebral Artery Occlusion Rat Model
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AIM: Current stroke therapies include lipid-lowering drugs, which reduce inflammation and serve to stabilize the atherosclerotic plaque to demonstrate better outcome and neuroprotection. Peroxisome proliferator activated receptors (PPAR) ? regulates lipid homeostasis and is a target of fibrates, w...


Predictors of Track Test Performance in Drivers with Stroke
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AIM: To identify in-house assessment criteria to predict outcomes of driving tests in patients with stroke who wish to resume driving. MATERIAL and METHODS: A total of 181 patients with stroke who attended Fukui General Hospital (as outpatients or inpatients) between 2003 and 2015 and who had no o...


Is Chronic Curcumin Supplementation Neuroprotective Against Ischemia for Antioxidant Activity, Neurological Deficit, or Neuronal Apoptosis in an Experimental Stroke Model?
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AIM: To investigate the neuroprotective effect of chronic curcumin supplementation on the rat forebrain prior to ischemia and reperfusion. MATERIAL and METHODS: Forebrain ischemia was induced by bilateral common carotid artery occlusion for 1/2 hour, followed by reperfusion for 72 hours. Older ra...


Transcortical Removal of Third Ventricular Colloid Cysts: Comparison of Conventional, Guided Microsurgical and Endoscopic Approaches and Review of the Literature
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AIM: To compare the clinical results of different transcortical approaches for the removal of third ventricular colloid cysts (CC). MATERIAL and METHODS: Records of 41 colloid cyst patients who underwent transcortical conventional microsurgical, microsurgical with the aid of stereotactically guide...


Adult Brainstem Gliomas: Retrospective Analysis of 51 Patients
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Surgical Strategies and Functional Outcome of Intramedullary Cervicomedullary Ependymoma
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Calvarial Reconstruction of Small-Size Skull Defects Performing "8 Cranioplasty" in Children: Surgical Experience, Clinical Results and Treatment Algorithm
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Children with Metopic Ridge
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AIM: The premature closure of the metopic suture results in metopic synostosis, also known as trigonocephaly. However, there is a group of children who have only a frontal metopic ridge, obvious with inspection and fingertip palpation, without the clinical features of trigonocephaly. This study ai...


Platelet Indices in the Diagnosis of Ventriculoperitoneal Shunt Infection in Children
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Effects of Atorvastatin on Experimental Spinal Cord Ischemia-Reperfusion Injury in Rabbits
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Morphometric Analysis of Lumbar Disc Space in the Turkish Population and Safe Discectomy Distance in Lumbar Disc Surgery
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Comparison of the Rigid Rod System with Modular Plate with the Finite Element Analysis in Short-Segment Posterior Stabilization in the Lower Lumbar Region
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Lumbosacral Conjoined Root Anomaly: Anatomical Considerations of Exiting Angles and Root Thickness
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Patient Selection and Efficacy of Intradiscal Electrothermal Therapy with Respect to the Dallas Discogram Score
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Preventing Sciatic Nerve Injury due to Intramuscular Injection: Ten-Year Single-Center Experience and Literature Review
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The Effect of Memantine on Functional Recovery of the Sciatic Nerve Crush Injury in Rats
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Nerve Tissue Prefabrication Inside the Rat Femoral Bone: Does It Work?
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The Correlation Between 1p/19q Codeletion, IDH1 Mutation, p53 Overexpression and Their Prognostic Roles in 41 Turkish Anaplastic Oligodendroglioma Patients
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Polymorphisms in the Matrix Metalloproteinase-9 Promoters and Susceptibility to Glial Tumors in Turkey
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Optimizing the Extent of Resection and Minimizing the Morbidity in Insular High-Grade Glioma Surgery by High-Field Intraoperative MRI Guidance
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Pterional and Unifrontal Approaches for the Microsurgical Resection of Olfactory Groove Meningiomas: Experience with 61 Consecutive Patients
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Induction of Human Glioma Tumor in Sprague-Dawley Rats with Intact Immune System
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Distal Anterior Cerebral Artery (Pericallosal Artery) Aneurysms: Report of 19 Cases and Literature Review
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Clinical Course of Non-Traumatic Non-Aneurysmal Subarachnoid Hemorrhage: A Single Institution Experience over 10 Years and Review of the Contemporary Literature
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Does Right-Sided Language Lateralization on BOLD-fMRI Affect Postoperative Language Outcome for AVM Patients?
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The Effect of Intravenous L-Carnitine on the Vasospasm Process in the Experimental Subarachnoid Hemorrhage Model
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Fleece-Bound Tissue Sealing in Microvascular Decompression
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Third Ventricle Floor Variations and Abnormalities in Myelomeningocele-Associated Hydrocephalus: Our Experience with 455 Endoscopic Third Ventriculostomy Procedures
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Does Surgery for Adult Spinal Deformity Affect the Cognitive Abilities in Patients over 50 Years of Age?
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Clinical Outcomes of Patients over 75 Years of Age with Degenerative Spondylolisthesis Following Bilateral Decompression via Unilateral Approach
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En Bloc Cervical Laminoplasty While Preserving the Posterior Structure with Arcocristectomy in Cervical Spondylotic Myelopathy
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Comparison of Electrophysiological Outcomes of Tethered Cord Syndrome and Spinal Intradural Tumors: A Retrospective Clinical Study
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Low Back Pain and Internet: Infopollution
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The Effects of Polymorphisms of Death Pathway Genes and Mitochondrial Pathway Genes in Intervertebral Disc Degeneration
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Vascular Variations Associated with Intracranial Aneurysms
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Tapered Flow Diverters in the Treatment of Intracranial Aneurysms
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Efficacy of Early Rehabilitation After Surgical Repair of Acute Aneurysmal Subarachnoid Hemorrhage: Outcomes After Verticalization on Days 2-5 Versus Day 12 Post-Bleeding
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Predictive Role of External Carotid Artery Vasospasm on Cerebral Ischemia After Subarachnoid Hemorrhage: Experimental Study
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Comparison of the Effects and Mechanism of the Curcumin with Different Drugs in Experimental Vasospasm After Subarachnoid Hemorrhage
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The Effects of Stereotactic Cerebroventricular Administration of Albumin, Mannitol, Hypertonic Sodium Chloride, Glycerin and Dextran in Rats with Experimental Brain Edema
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Resveratrol Treatment Prevents Hippocampal Neurodegeneration in a Rodent Model of Traumatic Brain Injury
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Television Tip Overs and Head Traumas in Childhood: Results of 36 Children from a Reference Center in Central Anatolia, Turkey
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Impact of Magnetic Field on Pressures of Programmable Cerebrospinal Fluid Shunts: An Experimental Study
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Effects of Ozone on Spinal Cord Recovery via the Wnt/ &Beta;-Catenin Pathway Following Spinal Cord Injury in Rats
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Neuroprotective Effects of Pregabalin Against Spinal Cord Ischemia-Reperfusion Injury in Rats
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Effects of Topical Cova<sup>TM</sup>, Tisseel<sup>®</sup> and Adcon<sup>®</sup>Gel Application on the Development of Spinal Peridural Fibrosis: An Experimental Study in Rats
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Topical Application of Cyclosporine Reduces Epineurial Fibrosis: Gross Post- Surgical, Histopathological and Ultrastructural Analysis in a Rat Sciatic Nerve Model
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Comparison of Stabilization and Fusion Methods with Xenograft Plate Screws After Anterior Lumbar Corpectomy in Dogs
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Turkish Contribution to Journal of Neurosurgery and Acta Neurochirurgica
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Retrospective Analysis of 449 Intracranial Meningioma Patients Operated Between 2007 and 2013 at a Single Institute
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The Effect of Ascorbic Acid over the Etoposide- and Temozolomide-Mediated Cytotoxicity in Glioblastoma Cell Culture: A Molecular Study
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The Clinical Predictors of Shunt-Dependent Hydrocephalus Following Aneurysmal Subarachnoid Hemorrhage
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One-Stage Endovascular Embolization for Multiple Intracranial Aneurysms
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Uncovering the Forgotten Effect of Superior Cervical Ganglia on Pupil Diameter in Subarachnoid Hemorrhage: An Experimental Study
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Training in Micro-Vascular Anastomosis Using Rat Femoral Vessels: Comparison of Immediate and Delayed Patency Rates
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Efficacy of Lumboperitoneal Shunting in Patients with Normal Pressure Hydrocephalus
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Are Herniated Cerebellar Tonsils the Main Culprit of Chiari Malformation Type I Symptoms? The Brainstem Compression Hypothesis seems to be Re-Elucidated and Revised
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Endovascular Management of Iatrogenic Vascular Injury in the Craniocervical Region
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Evaluation of Short-Term Neurological Outcomes in Children with Brain Abscesses
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Long-Term Therapeutic Effect of Microvascular Decompression for Trigeminal Neuralgia: Kaplan-Meier Analysis in a Consecutive Series of 425 Patients
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Is the Thoracolumbar Injury Classification and Severity Score (TLICS) Superior to the AO Thoracolumbar Injury Classification System for Guiding the Surgical Management of Unstable Thoracolumbar Burst Fractures without Neurological Deficit?
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AIM: To determine whether the Thoracolumbar Injury Classification and Severity Score (TLICS) and the Arbeitsgemeinschaft für Osteosynthesefragen (AO) Spine Thoracolumbar Injury Classification System have any superiority to each other regarding the reliability of their recommendations in the surgic...


Effects of Discontinuance of Preoperative Anti-Platelet Medication in Multi-Level Thoracolumbar Spine Surgery
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The Effect of Quetiapine on Treatment of Experimental Acute Spinal Cord Injury
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Effect of Etanercept on the Formation of Epidural Fibrosis in an Experimental Model
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Effect of Creatine on Rat Sciatic Nerve Injury: A Comparative Ultrastructural Study
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AIM: Creatine is an endogenous molecule synthesized in the liver, kidney and pancreas from glycine and arginine and is important for mitochondrial metabolism. It is widely used as a supplement for improving muscle mass and function for many years. As it is expected to prevent apoptosis and diminis...


Early Endoscopic Ventricular Irrigation for the Treatment of Neonatal Posthemorrhagic Hydrocephalus: A Feasible Treatment Option or Not? A Multicenter Study
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Parenchymal Pressure Inconsistency in Different Brain Areas After Kaolin Injection into the Subarachnoid Space of Neonatal Rats
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Chordoma: Immunohistochemical Analysis of Brachury
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Differential Expression of microRNAs in Medulloblastoma and the Potential Functional Consequences
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Awake Craniotomy Procedure: Its Effects on Neurological Morbidity and Recommendations
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Endoscopic Endonasal Cerebrospinal Fluid Leak Repair on the Ventral Midline Skull Base: A Single Neurosurgical Center Experience
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Multimodal Intraoperative Neurophysiological Monitoring in Neurosurgical Oncology
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AIM: Neurosurgical oncology that is performed for lesions located in critical areas like the sensorimotor area has additional risk because it may cause serious neurological deficiencies. Some intraoperative neuromonitoring (IONM) modalities can effectively help the surgeons to maximize resections ...


Effects of Arginine Vasopressin and V1 Receptor Antagonist on Cerebral Vasospasm Secondary to Subarachnoid Hemorrhage: An Experimental Study
[Abstract] [Similar Articles]

AIM: To examine morphological, radiological and biochemical effects of arginine vasopressin (AV) and V1 receptor antagonist on cerebral vasospasm (CVS) after subarachnoid hemorrhage (SAH) in rabbits. MATERIAL and METHODS: Forty male New Zealand white rabbits were randomly divided into four groups ...


Eagle Syndrome Presenting with Neurological Symptoms
[Abstract] [Similar Articles]

AIM: Eagle syndrome is a rare entity that causes recurrent throat pain, neck pain, dysphagia, or facial pain due to an elongated styloid process or calcified stylohyoid ligament. Clinical findings related to lower cranial nerve compression have also been reported. In some cases, it is reported tha...


Factors Related to the Development of Shunt-Dependent Hydrocephalus Following Subarachnoid Hemorrhage in the Elderly
[Abstract] [Similar Articles]

AIM: Surgical procedures for aneurysmal subarachnoid hemorrhage (SAH) are increasing among the elderly as the population ages. Chronic shunt-dependent hydrocephalus is a recognized complication of SAH. The aim of this study was to identify predictive factors for the development of shunt-dependent ...


The Cervical Arteries: An Anatomical Study with Application to Avoid the Nerve Root and Spinal Cord Blood Supply
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AIM: Injury to the vascular supply to the cervical spinal cord can lead to the anterior spinal artery syndrome, which is often associated with transforaminal corticosteroid injections to the cervical foramina. The purpose of this cadaveric study was to examine the morphology of the cervical arteri...


2-Methoxyestradiol Inhibits Intracerebral Hemorrhage- Induced Angiogenesis in Rats
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AIM: Angiogenesis occurs after intracerebral hemorrhage (ICH). Hypoxia-inducible factor-1α (HIF-1?) is a critical regulator of angiogenesis. However, its role in the central nervous system remains controversial. 2-Methoxyestradiol (2ME2), a natural metabolite of estrogen, is known to inhibit ...


A Comparison Between the Effectiveness of Full Outline of Unresponsiveness and Glasgow Coma Score at Neurosurgical Intensive Care Unit Patients
[Abstract] [Similar Articles]

AIM: To evaluate the effectiveness and the use of Glasgow Coma Score (GCS) and Full Outline of Unresponsiveness (FOUR) score by nurses in the follow-up and evaluation of patients admitted to the neurosurgical intensive care unit for cranial surgery or head trauma. MATERIAL and METHODS: The study ...


The Role of Cine Flow Magnetic Resonance Imaging in Patients with Chiari 0 Malformation
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AIM: To define the role of phase-contrast cine magnetic resonance imaging (MRI) in deciding the therapeutic strategy and underlying pathophysiology resulting in syrinx formation in patients with Chiari type 0 malformation. MATERIAL and METHODS: Seven patients who were admitted to our clinic with t...


Open-door Laminoplasty with Preservation of Muscle Attachments of C2 and C7 for Cervical Spondylotic Myelopathy: Retrospective Study
[Abstract] [Similar Articles]

AIM: Some restriction and complications, such as progression of kyphosis, incidence of axial neck pain and decrease of postoperative cervical range of motion are concern. We designed this retrospective clinical study to evaluate the effect of laminoplasty by preserving the muscle attachments of C2...


Intraoperative Results and Postoperative Clinical Outcomes of Lumbar Microdiscectomy in Patients who Previously Received a Transforaminal Anterior Epidural Steroid Injection for Lumbar Radiculopathy
[Abstract] [Similar Articles]

AIM: To describe the intra- and postoperative results of patients who received a transforaminal anterior epidural steroid injection (TAESI) prior to lumbar microdiscectomy. MATERIAL and METHODS: Sixty-four patients who did not improve after minimally invasive techniques (MIT) for lumbar radiculop...


Morphometric Characteristics of C1-C2 Vertebrae to Perform Anterior Transarticular Crossing Screw Fixation
[Abstract] [Similar Articles]

AIM: In unique clinical situations where C1-C2 posterior fixation is not available or has previously failed, an anterior transarticular screw (ATAS) may be a viable alternative. However, there are no previous reports that investigate possible screw angles, screw entry points, and screw length base...


The Effect of Time-to-Surgery on Outcome in Patients with Neurological Deficits Caused by Spinal Tuberculosis
[Abstract] [Similar Articles]

AIM: To compare and analyze the influence of the duration of neurological symptoms and degree of neurological deficits on the postoperative neurological recovery of patients with neurological deficits caused by spinal tuberculosis (TB). MATERIAL and METHODS: We retrospectively reviewed the data of...


Risk Factors and Compression and Kyphosis Rates after 1 Year in Patients with AO type A Thoracic, Thoracolumbar, and Lumbar Fractures Treated Conservatively
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AIM: Conservative treatment is a frequently used treatment modality for traumatic thoracolumbar fractures. However, not many studies evaluating radiological and clinical results of conservative treatment are found. The aim of this study was to determine the risk factors, and compression and kyphos...


Comparison of the Effects of Curcumin, Tramadol and Surgical Treatments on Neuropathic Pain Induced by Chronic Constriction Injury in Rats
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AIM: Nerve entrapment syndromes are the most common causes of neuropathic pain. Surgical decompression is the preferred method of treatment. The aim of this study was to compare the efficacy of curcumin, tramadol and chronic constriction release treatment (CCR), individually or together, in a rat ...


Learning Curve in Anatomo-Electrophysiological Correlations in Subthalamic Nucleus Stimulation
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AIM: Advances in neuroradiological planning techniques in deep brain stimulation have put the need for intraoperative electrophysiological monitoring into doubt. Moreover intraoperative monitoring prolongs surgical time and there is potential association between the use of microelectrodes and incr...


Does Shunt Selection Affect the Rate of Early Shunt Complications in Neonatal Myelomeningocele-Associated Hydrocephalus? A Multi-Center Study
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AIM: To evaluate the effect of shunt selection on the rate of shunt revision due to early shunt complications in neonatal myelomeningocele-associated hydrocephalus. MATERIAL and METHODS: The data of 157 neonatal myelomeningocele cases in three pediatric neurosurgery centers (Ankara University, Ko...


Motor Evoked Potentials and Bispectral Index-Guided Anaesthesia in Image-Guided Mini-Invasive Neurosurgery of Supratentorial Tumors Nearby the Cortico-Spinal Tract
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AIM: To describe and evaluate the anaesthesiological regimen used in neurophysiologically monitored image-guided mini-invasive neurosurgery. MATERIAL and METHODS: Twenty-four patients underwent elective surgery under general anaesthesia that was administered through Target Controlled Infusion (TC...


Visualization of Superficial Cerebral Lesions Using a Smartphone Application
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AIM: Accurate localizations of cerebral lesions ensure good surgical outcomes and minimize intraoperative complications. Currently, microscope-integrated neuronavigation systems compensate these requirements. Since these units are expensive and large, the need to create more practical and portable...


Clinical Application of Scalp Markers and Three-Dimensional Sliced Computed Tomography Reconstructions of the Skull Transverse-Sigmoid Sinus Groove in the Retrosigmoid Approach
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AIM: To explore the clinical value of bone flap creation and the sinus protection in the approach of retrosigmoid keyhole craniotomy with the guidance of three-dimensional (3D) sliced computed tomography (CT) reconstruction of the skull transverse sinus and sigmoid sinus groove. MATERIAL and METH...


Comparison of Sleep Quality and Sleepiness in Patients Operated for Pituitary Adenoma and in Healthy Individuals
[Abstract] [Similar Articles]

AIM: To investigate whether sleep quality and sleepiness of patients who undergo surgery for pituitary adenomas differ from healthy individuals. MATERIAL and METHODS: Forty-four patients who were operated for pituitary adenomas and 44 healthy individuals, 88 subjects in total, were evaluated by a...


Treatment of Spontaneous Subarachnoid Hemorrhage and Self-Reported Neuropsychological Performance at 6 Months - Results of a Prospective Clinical Pilot Study on Good-Grade Patients
[Abstract] [Similar Articles]

AIM: Limited focus has been placed on neuropsychological patient profiles after spontaneous subarachnoid hemorrhage (sSAH). We conducted a prospective controlled study in good-grade sSAH patients to evaluate the time course of treatment-specific differences in cognitive processing after sSAH. MAT...


Antiepileptic Drugs for Patients with Intracerebral Hemorrhage: A Meta-Analysis
[Abstract] [Similar Articles]

AIM: Whether an antiepileptic drug (AED) should be prescribed for intracerebral hemorrhage (ICH) patients is a matter in dispute, and recent studies have come up with different or even opposite views. A meta-analysis on this issue has not been performed. The goal of this meta-analysis was to study...


Outcome of Microsurgical Revascularization in Patients with Moyamoya Disease: First Report from the Iranian Population
[Abstract] [Similar Articles]

AIM: To report the outcome of microsurgical revascularization in patients with Moyamoya Disease (MMD) in Southern Iran. MATERIAL and METHODS: This cross-sectional study was conducted in Southern Iran during a 7-year period from 2009 to 2016. All the patients with Moyamoya Disease (confirmed with d...


Management of Chronic Subdural Hematoma in Patients with Intractable Thrombocytopenia
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AIM: Currently, the platelet count threshold for platelet transfusion, that is commonly used prior to surgical evacuation of chronic subdural hematoma (CSDH), is 100,000 per microliter. This study was done to show the outcome of the surgical evacuation of CSDH in patients with intractable thromboc...


Evaluation of Cortical Brain Parenchyma by Diffusion and Perfusion MRI Before and After Chronic Subdural Hematoma Surgery
[Abstract] [Similar Articles]

AIM: To evaluate microcirculatory changes in neighboring parenchyma as a result of pressure due to chronic subdural hematoma (CSDH) in early and late periods after hematoma drainage. MATERIAL and METHODS: The subject group consisted of 25 patients who underwent CSDH drainage. Brain diffusion and ...


Effectiveness of Traumatic Brain Injury Management Guideline Introduction in Hungary
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AIM: To describe the impact of the Traumatic Brain Injury management guideline introduction in Hungary. MATERIAL and METHODS: Hospital discharge records (HDR) including age, gender, codes of interventions applied, ICD codes of diagnosed disorders of patients admitted between 01/01/2004 and 31/12/2...


Efficacy and Safety of Using N-Butyl Cyanoacrylate in Cranial Fixation Following Trauma and Other Pathologies
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AIM: Skull bone fixation following different cranial surgeries is essential and should be rigid, simple and cheap. We describe our technique of cranial fixation using the adhesive cyanoacrylates. MATERIAL and METHODS: At the end of cranial and intracranial surgeries the craniotomy flap and bone pi...


Can Hypo/Hypernatremic Conditions be a Factor for Na Ion Channel Kinetics: Model Study
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AIM: Dysnatremic cases are frequently faced in clinical practice. Its macroscopic effects and consequences are well known, but microscopic effects are not well defined. The aim of this study was to reveal the effects of dysnatremia at the cellular level. MATERIAL and METHODS: By using an action po...


Safety of Lateral Interbody Fusion Surgery without Intraoperative Monitoring
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AIM: Oblique lateral interbody fusion (OLIF) is a minimally invasive surgical method that can provide an access to the lumbar spine without direct dissection of psoas muscle and the need for intraoperative neuromonitoring (IOM) is questionable. The aim of this study was to examine and document the...


The Correlation of SCL-90-R Anxiety, Depression, Somatization Subscale Scores with Chronic Low Back Pain
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AIM: To investigate the correlation of the Symptom Checklist-90-R (SCL-90-R) anxiety, depression, and somatization subscale scores with chronic low back pain (LBP). MATERIAL and METHODS: Seventy-five patients who were admitted with the complaint of chronic LBP (patient group) and 75 healthy perso...


One-stage Posterior Approach in the Treatment of Consecutive Multi-segment Thoracic Tuberculosis with Kyphosis
[Abstract] [Similar Articles]

AIM: To evaluate the clinical efficacy of the one-stage posterior approach in treating consecutive multiple-segment thoracic tuberculosis with kyphosis. MATERIAL and METHODS: A retrospective study was performed. The data of 22 patients with consecutive multi-level thoracic tuberculosis and kyphos...


Genetic Dimension of Intervertebral Disc Degeneration: Polymorphism of Matrix Metalloproteinase 1 and 3 in the North Iranian Population
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AIM: The etiology of intervertebral disc degeneration is still vague and both genetic and environmental factors are assumed as the main causes. One of the proposed genetic factors is the polymorphism of matrix metalloproteinases (MMPs) genes. The aim of this study was to explore the relationship b...


Minimally Invasive Transforaminal Lumbar Interbody Fusion with Percutaneous Bilateral Pedicle Screw Fixation for Lumbosacral Spine Degenerative Diseases. A Retrospective Database of 40 Consecutive Cases and Literature Review
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AIM: To report our results about minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) with bilateral pedicle screw fixation, in patients with degenerative lumbosacral spine disease. To describe the indications, surgical technique and results of a consecutive series of 40 patients wh...


A Modified Jaslow-Transforaminal Lumbar Interbody Fusion for the Treatment of Isthmic Spondylolisthesis
[Abstract] [Similar Articles]

AIM: To describe a modified Jaslow-transforaminal lumbar interbody fusion (TLIF) technique for the treatment of single-level, isthmic spondylolisthesis (IS). MATERIAL and METHODS: Between April 2011 and September 2012, 32 patients with IS undergoing a modified Jaslow-TLIF were retrospectively rev...


Iatrogenic Vascular Injuries Due to Spinal Surgeries: Endovascular Perspective
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AIM: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeri...


Sciatic Nerve Injuries from Gluteal Intramuscular Injection According to Records of the High Health Council
[Abstract] [Similar Articles]

AIM: To analyze the cases discussed at the High Health Council (HHC) and to determine the solutions for problems related to gluteal intramuscular injection (IMI) applications. MATERIAL and METHODS: In a 10-year period, the cases of IMI-related sciatic nerve injury (SNI) referred for an opinion fro...


Proconvulsant Effect of Papaverine on Penicillin-Induced Epileptiform Activity in Rats
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AIM: Papaverine is a vasodilator agent that is an opium alkaloid. It exhibits its effects by inhibiting the phosphodiesterase enzyme. Papaverine administration is widely used to avoid symptomatic vasospasm after subarachnoid hemorrhage. We aimed, in this research, to study the effects of papaverin...


Perioperative Technical Complications in Deep Brain Stimulation Surgeries
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AIM: Deep brain stimulation (DBS) surgeries are multi-faceted and the various steps are interconnected. Since its first implementation, the method of DBS surgery has undergone changes. We have encountered several expected and also non-expected perioperative technical complications in the past seve...


The Role of the Telovelar Approach in Fourth Ventricular Surgery: A New Perspective
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AIM: To evaluate the efficiency of the telovelar approach for fourth ventricular lesions through identifying and preserving neurovascular structures. MATERIAL and METHODS: A total of 40 patients with fourth ventricular tumors were treated via the telovelar approach between 2005 and 2014. RESULTS...


Study on miRNAs" Expression for the Invasion of Pituitary Adenomas
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AIM: To explore the possible invasive effect of four microRNAs (miRNAs) in invasive pituitary adenomas. MATERIAL and METHODS: Based on our previous studies, several in silico algorithms, and relative literature, 30 Han Chinese patients with invasive pituitary adenomas and 30 with non-invasive pitu...


Targeting GRP78 as a Basis for Enhanced Glioma Cells Killing by Anti-TfR Antibody
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AIM: Studies have illustrated that chemotherapeutic drugs induce endoplasmic reticulum (ER) stress in glioblastoma cells. In our previous studies, it is clear that anti-transferrin receptor (anti-TfR) monoclonal antibody (mAB) 7579 enhanced anti-tumor effects of chemotherapeutic drugs on human gli...


Safety and Efficacy of Ventriculostomy Procedures under Dual Antiplatelet Therapy in Patients Treated with Stent Assisted Coiling in Subarachnoid Hemorrhage
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AIM: Stent assisted coiling (SAC) is an alternative in the treatment of ruptured aneurysms. Stenting requires the use of dual antiplatelet agents. Hydrocephalus is a complication of subarachnoid hemorrhage (SAH) and may require ventriculostomy. Antiplatelet treatment carries a risk of hemorrhage i...


Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with Mid- and Long-Term Results
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AIM: We report our experience with flow diverter devices in the treatment of intracranial aneurysms arising from the anterior circulation with mid- and long-term follow-up. MATERIAL and METHODS: Seventy-eight aneurysms in 61 patients (range 25-81 years, 13 male, 48 female) were treated with flow ...


Evaluation of Morphologic and Morphometric Characteristic of Foramen Transversarium on 3-Dimensional Multidetector Computed Tomography Angiography
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AIM: To investigate the size and variations of the foramen transversarium (TF). In addition, to study the anatomical variations of the vertebral artery entering the transverse foramen of the cervical vertebrae. MATERIAL and METHODS: The images of 141 (90 males, 51 females) patients aged 18-79 year...


Comparison of TOF MRA, Contrast-Enhanced MRA and Subtracted CTA from CTP in Residue Evaluation of Treated Intracranial Aneurysms
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AIM: To compare effectiveness of contrast-enhanced magnetic resonance angiography (CE-MRA), 3D-Time-of-flight magnetic resonance angiography (3D-TOF-MRA) and subtracted computed tomography angiography from computed tomography perfusion (sub-CTA) in residue evaluation of intracranial aneurysms trea...


Assessment of the MRI and Behavioral Test Results in a Focal Cerebral Ischemia-Reperfusion Model in the Rat after Separate and Combined Use of Mouse-Derived Neural Progenitor Cells, Human-Derived Neural Progenitor Cells and Atorvastatin
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AIM: To assess the efficacy of Neural progenitor cell (NPC) transplantation in ischemic stroke, and to investigate whether atorvastatin enhances therapeutic potency of NPC after stroke. MATERIAL and METHODS: The focal cerebral ischemia-reperfusion model was performed by transient occlusion of midd...


Posttraumatic Cerebral Infarction After Decompressive Craniectomy for Traumatic Brain Injury: Incidence, Risk Factors and Outcome
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AIM: To investigate the incidence, timing, risk factors of posttraumatic cerebral infarction (PTCI) and its influence on mortality in patients with moderate to severe traumatic brain injury (TBI). MATERIAL and METHODS: After reviewing the medical records and radiographs over a 6-year period, 173 p...


The Causes of Postoperative Meningitis: The Comparison of Gram-Negative and Gram-Positive Pathogens
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AIM: To determine the microbiological etiology in critically ill neurosurgical patients with nosocomial meningitis (NM) and to show the impact of Gram-negative rods and the differences between patient characteristics and the clinical and prognostic measures in Gram-negative and Gram-positive menin...


Case-Control Study of Risk Factors for Surgical Site Infection After Three-column Osteotomy for Spine Deformity
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AIM: To investigate risk factors for surgical site infection (SSI) after three-column osteotomy (3CO) for spinal deformity. MATERIAL and METHODS: The American College of Surgeons National Surgical Quality Improvement Program database (2012? 2014) was reviewed. We included adult patients who underw...


Clinical Outcomes of Posterior C1 and C2 Screw-Rod Fixation for Atlantoaxial Instability
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AIM: To share our experiences and to contribute to the literature by making a retrospective analysis of the patients we operated with a screw-rod system for atlantoaxial instability in our clinic. MATERIAL and METHODS: Archive files of adult patients, who were operated for posterior C1-C2 stabiliz...


Clinical Comparison Between Patients Operated for Unilateral Radiculopathy via a Contralateral (Facet-Sparing) and Ipsilateral Side Approach
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AIM: To compare clinical outcomes of the patients operated from the contralateral or ipsilateral side for unilateral radiculopathy in spinal stenosis. MATERIAL and METHODS: This was a retrospective study. Twenty patients were listed as Group 1 (Contralateral) with unilateral radiculopathy and spi...


Surgical Strategies for Thoracic Myelopathy due to Ossification of Ligamentum Flavum: A Technical Note Based on Radiological Type
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AIM: Ossification of the ligamentum flavum (OLF) is a primary cause of thoracic myelopathy. A relatively safe surgical technique based on radiological type is described for OLF-induced thoracic myelopathy. MATERIAL and METHODS: Forty patients with thoracic myelopathy caused by OLF were studied ret...


Effects of Intrathecal Caffeic Acid Phenethyl Ester (CAPE) on IL-6 and TNF-&alpha; Levels and Local Inflammatory Responses in Spinal Cord Injuries
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AIM: To investigate the effects of intrathecal caffeic acid phenethyl ester (CAPE) on tissue and serum interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-?) levels following spinal cord injury (SCI) as well as its effects on edema and microhemorrhage. MATERIAL and METHODS: Forty rats were d...


Which is Better: Stainless Steel or Titanium Alloy?
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AIM: To investigate immunologic reactions after implantation of stainless steel (SS) alloy and titanium (Ti) alloy in a rat model. Macrophage and cytokine responses have been reported after in vivo and in vitro application of different biomaterials. MATERIAL and METHODS: Wistar albino rats were us...


Nerve Grafting versus Common Infraclavicular Intraplexal Nerve Transfer in Elbow Flexion Restoration
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AIM: To compare the results of nerve grafting versus common infraclavicular intraplexal nerve transfer in elbow flexion restoration. MATERIAL and METHODS: The study included 39 patients with upper brachial plexus palsy who were operated using common intraplexal nerve transfer (Oberlin procedure) a...


Study of Transected Sciatic Nerve Repair by Biodegradable Membrane and Betamethasone in Adult Albino Wistar Rats
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AIM: One of the major injuries of the nervous system is that of peripheral nerves. Although peripheral nerves show some capacity of regeneration after injury, the extent of regeneration is not remarkable. The present study aimed to evaluate the regeneration of the transected sciatic nerve by biode...


Effect of Systemic Application of Bone Marrow-Derived Mesenchymal Stem Cells on Healing of Peripheral Nerve Injury in an Experimental Sciatic Nerve Injury Model
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AIM: To investigate the effects of systemic application of bone marrow-derived mesenchymal stem cells in a compression model of peripheral nerve injury. MATERIAL and METHODS: Twenty-four male Wistar albino rats were randomly divided into 3 equal groups (n=8): Control (C), injury (I), and stem cel...


Difficulties of Distal Catheter Insertion of Ventriculoatrial Shunting in Infants and Little Children
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AIM: Ventriculoatrial (VA) shunting is a well-described cerebrospinal fluid diversion method for the treatment of hydrocephalus. However, it may be very challenging in infants and little children because of atrial catheter placement difficulties. This study aimed to create an algorithm to solve pr...


The Effects of Proanthocyanidin on Vasospasm After Experimental Subarachnoidal Hemorrhage in Rats
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AIM: Delayed ischemic neurological deficit (DIND) and cerebral vasospasm (CV) remain the most common and debilitating neurological complications following aneurysmal subarachnoidal hemorrhage (SAH). Many reports demonstrate the importance of proanthocyanidins (PR) on the vascular system, including...


Evaluation of Apparent Diffusion Coefficients in the Cerebellar Tonsils and Bulbus in Chiari Type I Malformations: Comparison Before and After Surgery
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AIM: To evaluate the preoperative and postoperative 6th month mean apparent diffusion coefficient (ADC) values of the cerebellar tonsils and bulbus in patients with Chiari Malformation Type I (CMI), and to compare the results with healthy controls. MATERIAL and METHODS: We included 15 patients wit...


Feasibility of Interlaminar Lumbar Discectomy through Percutaneous Transforaminal Endoscopy and Blunt Perforation of the Ligamentum Flavum
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AIM: To determine the efficacy, safety, and clinical value of a novel surgical procedure involving the blunt perforation of the ligamentum flavum (LF) during endoscopic interlaminar lumbar discectomy. MATERIAL and METHODS: This was a prospective study of 50 patients (25 males, 17-51 years of age) ...


Use and Modifications of Cervical and Upper Thoracic Laminar Screws in Posterior Stabilization
[Abstract] [Similar Articles]

AIM: To evaluate the results of patients who underwent axial, subaxial and upper thoracic laminar screw fixation for posterior stabilization. MATERIAL and METHODS: The patients who underwent laminar screws at the cervical and upper thoracic levels in our clinic in a 5-year period were evaluated r...


Comparison of Unilateral versus Bilateral Pedicle Screw Fixation in Transforaminal Lumbar Interbody Fusion for Single Level Lumbar Degenerative Diseases and Review of Literature
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AIM: To examine the clinical and radiological follow-ups and results of the patients undergoing fusion procedure by unilateral versus bilateral pedicle screw fixation (PSF) along with transforaminal lumbar interbody fusion (TLIF). MATERIAL and METHODS: Fifty-four patients were included in the stud...


Effects of Alpha Lipoic Acid on Motor Function and Antioxidant Enzyme Activity of Nerve Tissue After Sciatic Nerve Crush Injury in Rats
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AIM: To evaluate the protective, and if found to be effective, the therapeutic effects of Alpha lipoic acid (ALA) on functional and biochemical parameters in an experimental model of crush peripheral nerve injury in rats. MATERIAL and METHODS: Twenty-eight Sprague-Dawley rats were divided into fou...


Burr-Hole Craniostomy Irrigation with and without Drainage During the Surgical Treatment of Chronic Subdural Haematoma: A Retrospective Study of 87 Cases
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AIM: To evaluate the surgical treatment of chronic subdural haematomas (CSDH), we compared two surgical treatments of CSDH; burr-hole craniostomy irrigation with and without drainage. MATERIAL and METHODS: We retrospectively studied patients with chronic subdural haematomas admitted to our hospita...


Complications of 2-Level Dynamic Stabilization: A Correlative Clinical and Radiological Analysis at Two-Year Follow-up on 103 Patients
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AIM: To investigate the postoperative complications, such as screw loosening, screw breakage and adjacent segment disease (ASD), in patients who underwent surgery with 2-level dynamic stabilization systems. MATERIAL and METHODS: Postoperative complications, clinical improvements and radiological p...


Intracranial Epidermoid Lesions: Our Experience of 38 Cases
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AIM: To describe a case series evaluating the clinical presentation and outcome following surgery in patients diagnosed with these lesions. MATERIAL and METHODS: A retrospective study conducted over a 4-year period. RESULTS: A total 38 patients who underwent surgery for intracranial epidermoid le...


Morphometric Study of the Human Brainstem and Its Neurovascular Relations
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AIM: To provide a concise description of the external configuration, its internal correspondence and the neurovascular relations of the brainstem with morphometric data that can be useful in surgical planning. MATERIAL and METHODS: The study was conducted on formalin fixed brainstem specimens, whi...


Chronic Subdural Hematoma Associated with Arachnoid Cyst of the Middle Fossa: Surgical Treatment and Mid-Term Results in Fifteen Patients
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AIM: To report neurological and radiological features, surgical management, and mid-term outcomes of patients with chronic subdural hematoma (CSDH) associated with ipsilateral arachnoid cyst (AC) of the middle fossa. MATERIAL and METHODS: A total of 453 patients with CSDH were treated at our clini...


Anatomical Variations of Brachial Plexus in Fetal Cadavers
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AIM: To demonstrate the anatomical variations of the infantile brachial plexus. MATERIAL and METHODS: A total of 20 plexus brachialis from 11 fetal cadavers were dissected and examined microscopically. The branching patterns and variations were evaluated. The width of the nerves was assessed at th...


The Role of Triangular Vertebral Canal Shape in Surgical Management of Patients with Lumbar Spinal Stenosis: A Cross-Sectional Study
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AIM: To assess the role of triangular vertebral canal shape (VCS) in pain severity, pain-related findings, and postoperative satisfaction in patients with lumbar spinal stenosis (LSS) who had undergone decompressive surgery. MATERIAL and METHODS: This cross-sectional study conducted at a single ce...


There is No Remarkable Difference Between Pedicle Screw and Hybrid Construct in the Correction of Lenke Type-1 Curves
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AIM: To compare the deformity correction success of segmental pedicle screw and hybrid instrumentation for the treatment of Lenke type-1 adolescent idiopathic scoliosis (AIS) curves. MATERIAL and METHODS: Surgically treated Lenke type-1 scoliosis patients were retrospectively evaluated and data of...


Simulated Effects of Perianeurysmal Bone on a Cerebral Aneurysm: A Case Study
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AIM: To use computational models to explore the influence of contact with perianeurysmal bone on an intracranial aneurysm. MATERIAL and METHODS: A middle cerebral artery aneurysm in contact with an anterior clinoid process was selected. Two anatomic models were constructed from computed tomography...


Should Macular Lesions Accompanying Spinal Dysraphism be Excised? Analysis of Macular Lesions Accompanying Spinal Dysraphism
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AIM: To characterize the macular lesions associated with spinal dysraphism and to determine the outcomes of cases in which macular lesions are not excised. MATERIAL and METHODS: The patient cohort comprised 17 patients with spinal dysraphism who were treated at Mersin University Hospital from 200...


The Effect of Rosmarinus Officinalis and Chemotherapeutic Etoposide on Glioblastoma (U87 MG) Cell Culture
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AIM: To investigate whether high dose toxicities of etoposide can be overcome when used in combination with a natural compound named Rosmarinus Officinalis for glioblastoma (GBM). MATERIAL and METHODS: The impact of Rosmarinus Officinalis in combination with etoposide on GBM U87 MG cells and Mouse...


Neuroprotective Effects of Oleocanthal, a Compound in Virgin Olive Oil, in a Rat Model of Traumatic Brain Injury
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AIM: To evaluate the neuroprotective effects of deocanthal OC in a rat model of traumatic brain injury (TBI). MATERIAL and METHODS: Twenty-six adult male, Wistar albino rats were used. The rats were divided into 4 groups. Group 1 was the sham group (n=5). Group 2 was the trauma group (n=5) where r...


Usefulness and Radiological Evaluation of Accuracy of the Innovative "Smart" Hand Technique for Pedicle Screw Placement: An Anatomical Study
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AIM: To use a smartphone application (app) during pedicle screw placement navigation and examine the accuracy of this application on an anatomical dry vertebrae model. MATERIAL and METHODS: Seventy-six dry vertebrae were used for this study, and pedicle entry points and projections of pedicle scr...


Computed Tomographic Localization of the Central Sulcus: A Morphometric Study in Adult Patients
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AIM: To accurately describe the relations between the anatomical landmarks of the cranial convexity and the main cortical structures. MATERIAL and METHODS: A retrospective cross-sectional, observational study was performed. Computed tomography scans of 71 adult patients with no pathological imagin...


Analysis of the Factors Affecting Surgical Site Infection and Bone Flap Resorption after Cranioplasty with Autologous Cryopreserved Bone: The Importance of Temporalis Muscle Preservation
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AIM: To investigate the outcomes and associated complications after delayed cranioplasty using autologous, cryopreserved bone. MATERIAL and METHODS: This retrospective study included 57 consecutive patients treated with cranioplasty with autologous cryopreserved bone for various conditions causing...


Effects of Resveratrol on Inflammation and Apoptosis After Experimental Spinal Cord Injury
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AIM: To determine the effects of resveratrol on inflammation and apoptosis after experimental spinal cord injury (SCI). MATERIAL and METHODS: Eighteen Sprague-Dawley rats were randomly divided into three groups. All groups underwent thoracic laminectomy. The first group received no other intervent...


Modified Frailty Index and Body Mass Index as Predictors of Adverse Surgical Outcomes in Degenerative Spinal Disease
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AIM: To reveal the potential relationships and interactive effects between frailty and body weight and adverse surgical outcomes for degenerative spinal disease. MATERIAL and METHODS: Patients who underwent open surgery for degenerative spinal disease in our hospital were included. Data on the pa...


Is Implant Washing and Wound Irrigation with Rifampicin Effective for Preventing Surgical Site Infections in Lumbar Instrumentation?
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AIM: To determine whether the washing of implants and autogenous bone grafts with rifampicin, and the irrigation of the surgical field using diluted rifampicin, have any significant effect on the prevention of spinal implant infections. MATERIAL and METHODS: A total of 166 consecutive lumbar steno...


Expression of Nestin, CD133 and Sox2 in Meningiomas
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AIM: To investigate the expression of cancer stem cell markers in meningiomas. MATERIAL and METHODS: CD133, Nestin and Sox2 expression levels in 35 paraffin-embedded meningioma tissue samples were assessed using immunohistochemistry. RESULTS: In this study, five cases were atypical (WHO Grade II)...


Comparison of Sinonasal Complications of Microscopic and Endoscopic Approaches for Transsphenoidal Hypophyseal Surgery: Prospective Study
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AIM: To compare sinonasal complications after microscopic and endoscopic approaches for pituitary adenomas. MATERIAL and METHODS: At our clinic, sinonasal complications occurred in 31 patients who underwent microscopic transsphenoidal surgery between 2007 and 2014 and in 32 patients who underwent ...


Percutaneous Endoscopic Interlaminar Discectomy for L5-S1 Adolescent Lumbar Disc Herniation
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AIM: L5/S1 Adolescent lumbar disc herniation (ALDH) is usually ignored for its low incidence. Recently, percutaneous endoscopic procedures have been widely used. To investigate the surgical techniques and clinical outcomes of percutaneous endoscopic interlaminar discectomy (PEID) in the treatment ...


Management of Hardware Related Infections after DBS Surgery: A Cost Analysis
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AIM: To investigate the costs of treating the infection with antibiotics only with the risk of surgery when unsuccessful versus immediate removal followed by re-implantation in patients with deep brain stimulation (DBS) hardware infection. MATERIAL and METHODS: We calculated the costs of the diffe...


A Technical Guide for Fiber Tract Dissection of the Internal Capsule
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AIM: Dissection of white fibers is important in identifying detailed neuroanatomical relationships. With tractrography it is possible to transport and apply this knowledge in a practical way to treat many diseases involving the white matter. MATERIAL and METHODS: The Klingler method, subsequently d...


New Entity of Skull Lesions due to Birth Trauma: Kanat (Wing) Fractures
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AIM: To discuss a special type of skull lesion detected after delivery. We reviewed our experience on scalp swelling in term neonates to further investigate the relationship between cranial injuries and labor process. MATERIAL and METHODS: A total of 55 newborns with scalp swellings were assessed ...


Co-Innervation of Triceps Brachii Muscle with Variant Branch of Ulnar Nerve
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AIM: To evaluate the existence of nerve innervation of the triceps brachii muscle via the ulnar nerve and its clinical importance in terms of nerve transfer or susceptibility to iatrogenic injuries during surgical procedures. MATERIAL and METHODS: Thirty-five skeletally mature upper extremities of...


Evaluation of Bevacizumab for the Treatment of Epidural Fibrosis by Immunohistochemical Staining for CD105 and Osteopontin
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AIM: To evaluate bevacizumab for epidural fibrosis (EF) treatment in an experimental rat model using histopathology as well as immunohistochemical staining for CD105 and osteopontin (OPN). MATERIAL and METHODS: Sixteen Wistar Albino rats underwent either laminectomy alone to induce EF (group I, co...


The Predictor Role of the Aqueduct Cerebrospinal Fluid Flow on Endoscopic Third Ventriculostomy: Explication on Assumption Physical Model
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AIM: To evaluate the cerebrospinal fluid (CSF) flow dynamics in the aqueductus sylvii of patients with obstructive hydrocephalus who underwent endoscopic third ventriculostomy (ETV) and to predict ventriculostomy patency via aqueduct flow measurements. MATERIAL and METHODS:Twenty-four patients wit...


Assessing Aneurysm Obliteration and Neck Remnants in 225 Clipped Aneurysms Using Indocyanine Green Video Angiography, Micro-Doppler Ultrasonography and Postoperative Digital Subtraction Angiography
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AIM: To present our experience of 225 clipped aneurysms in 196 patients to compare indocyanine green video angiography (ICGVA), micro-Doppler ultrasonography (MDUSG), and postoperative digital subtraction angiography (DSA) in terms of determining aneurysm obliteration, neck remnants, and parent ar...


Simpson Grade 2 Resection and Tumor Recurrence in Ventrally Located Spinal Meningiomas
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AIM: To evaluate postoperative clinical outcome and recurrence rates in cases with ventrally located spinal meningiomas who underwent Simpson grade 2 resection. MATERIAL and METHODS: We evaluated eight cases (six females and two males; age, 28?86 years; mean age, 60 years) with ventrally located ...


Benign-appearing Intraspinal Malignant Peripheral Nerve Sheath Tumors: Treatments and Outcomes of 14 Consecutive Patients
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AIM: To investigate the clinical characteristics and prognostic factors that may influence outcomes of patients undergoing benignappearing intraspinal malignant peripheral nerve sheath tumors (MPNSTs). MATERIAL and METHODS: This study included a total of 14 consecutive patients who were diagnosed ...


A Novel Candidate Molecule in the Pathological Grading of Gliomas: ELABELA
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AIM: To investigate the possible role of ELABELA (ELA) in the histopathological grading of gliomas. MATERIAL and METHODS: We retrospectively assessed pathological specimens of patients who underwent surgery for intracranial space-occupying lesions. Only primary glioma specimens were included in th...


The C2-Pars Interarticularis Screw as an Alternative in Atlanto-Axial Stabilization. A Biomechanical Comparison of Established Techniques
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AIM: To compare four different atlantoaxial stabilization techniques. MATERIAL and METHODS: Eight human cervical spines (segments C0-C3) were tested in flexion/extension, lateral bending and axial rotation. Range of Motion (ROM) at a 1.5 Nm load was recorded. After native testing, the Harms (HARMS...


Investigating the Levels of Soluble Extracellular Domain of HER2 Protein in the Sera of Meningioma Patients
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AIM: Bearing in mind the association of breast cancer and meningioma, the present study aimed to investigate the levels of the soluble extracellular domain of HER2 protein in meningioma cases and control group. Besides, in the present research, its associations with pathological features and progn...


Gamma Knife Radiosurgery for Hemorrhagic Brainstem Cavernomas
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AIM: To assess treatment results of gamma knife radiosurgery (GKRS) for hemorrhagic brainstem cavernous malformations (BSCMs). MATERIAL and METHODS: A retrospective review of patients with hemorrhagic BSCMs, who were treated at the Acıbadem Kozyatagi Hospital GKRS unit from May 2007 to October 201...


How to Reduce Stress on the Pedicle Screws in Thoracic Spine? Importance of Screw Trajectory: A Finite Element Analysis
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AIM: To investigate the biomechanical comparison of thoracic transpedicular screw trajectories on the sagittal plane. MATERIAL and METHODS: A three-dimensional, non-linear finite element analysis (FEA) model of T8 through T9 was used. Anatomic trajectory (AT) and Straightforward trajectory (ST) mo...


In Vitro Effects of Mesenchymal Stem Cells and Various Agents on Apoptosis of Glioblastoma Cells
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AIM: To investigate a new anti-tumor treatment method using stem cells transfected with specific genes and proteins that induce apoptosis in tumor cells. MATERIAL and METHODS: We used glioblastoma (GBM) cells and human adipose tissue-derived mesenchymal stem cells (ADMSCs) in this study. The AD-M...


Spinal Peripheral Primitive Neuroectodermal Tumors: A Radiological Analysis of Ten Cases
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AIM: To summarize the imaging features of spinal peripheral primitive neuroectodermal tumor (spPNET) patients. MATERIAL and METHODS: The computed tomography and magnetic resonance imaging features of 10 spPNET patients, four men and six women, were retrospectively analyzed, and their clinicopathol...


Are Specific Gene Expressions of Extracellular Matrix and Nucleus Pulposus Affected by Primary Cell Cultures Prepared from Intact or Degenerative Intervertebral Disc Tissues?
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AIM: To determine the gene expression patterns of nucleus pulposus (NP) in cell cultures obtained from degenerated or intact tissues. MATERIAL and METHODS: Whereas 12 of the cases were diagnosed with lumbar disc herniation and had undergone lumbar microdiscectomy, 12 cases had undergone traumatic...


Biomechanical Problems Related to the Pedicle Screw System
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AIM: To assess biomechanical problems related to pedicle screw (PS) systems. MATERIAL and METHODS: Functional spinal units (L3-4) of deer were evaluated using a 6-axis material testing machine. For the specimen models, we prepared an intact model, a damaged model, a PS model, and a crosslink model...


Endoscopic Management of Intraventricular Neurocysticercosis
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AIM: To evaluate the technique and outcome of endoscopic management of intraventricular neurocysticercosis (NCC). MATERIAL and METHODS: We retrospectively analysed the records of 30 consecutive patients of intraventricular (intra-third and fourth ventricle) NCC who underwent endoscopic management....


In Vitro Activity of Linezolid, Daptomycin and N-acetylcysteine Agents on Staphylococcus Aureus Biofilms in the Ventriculoperitoneal Shunt Model
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AIM: To examine the effects of N-acetylcysteine (NAC) alone and in combination with linezolid (LIN) and daptomycin (DAPT) on methicillin-sensitive Staphylococcus aureus (MSSA) biofilm formation. MATERIAL and METHODS: Twelve groups (each containing six molds) of standard ventriculoperitoneal shunts...


The Preventative Effect of &alpha;-Tocopherol on Spinal Epidural Fibrosis After Laminectomy in a Rat Model
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AIM: To assess the efficacy of α-tocopherol as a topical antifibrotic agent on epidural fibrosis in lumbar laminectomy procedures. MATERIAL and METHODS: A total of 32 adult rats were assigned into four groups, with eight rats in each group. Standard laminectomy was performed in every rat. In...


Change of Sagittal Spinopelvic Parameters after Selective and Non-Selective Fusion in Lenke Type 1 Adolescent Idiopathic Scoliosis Patients
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AIM: To compare the postoperative changes of both sagittal spinal and spinopelvic parameters in patients with Lenke Type 1 adolescent idiopathic scoliosis (AIS) who underwent selective and non-selective fusion surgery. MATERIAL and METHODS: We conducted a retrospective study among 53 Lenke Type 1 ...


Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects
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AIM: To compare the complications and surgical outcomes between bilateral rotation flaps and dorsal intercostal artery perforator (DICAP) flaps in the soft tissue reconstruction of myelomeningocele defects. MATERIAL and METHODS: Between January 2005 and February 2017, we studied 47 patients who un...


Percutaneous Vertebroplasty for the Treatment of Osteoporotic Thoracolumbar Fractures with Posterior Body Involved in Elderly Patients
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AIM: To present the results of vertebroplasty for treating thoracolumbar burst fractures without neurological deficit. MATERIAL and METHODS: Twelve patients (aged ≥65 years) with thoracolumbar fractures but without neurological deficits underwent vertebroplasty. In all fracture cases, the anter...


The Effects of Minocycline on the Hippocampus in Lithium- Pilocarpine Induced Status Epilepticus in Rat: Relations with Microglial/Astrocytic Activation and Serum S100B Level
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AIM: To investigate possible correlations between serum S100B levels and microglial/astrocytic activation in status epilepticus (SE) in lithium-pilocarpine-exposed rat hippocampi and whether serum S100B levels linearly reflect neuroinflammation. Additionally, to assess the effects of minocycline (...


Does the Anti-Migraine Drug Rizatriptan Affect Early Neural Tube Development in Chick Embryos?
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AIM: To investigate the impact of rizatriptan on neural tube development using early chick embryos as a model organism. MATERIAL and METHODS: A total of 36 pathogen-free Leghorn chicken eggs were selected and categorized in three groups: sham, therapeutic, and supra-therapeutic. After 24 hours, th...


Effect of Axonal Length on Direct Neuromuscular Neurotization: An Experimental Study
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AIM: To compare the effect of long and short axonal lengths on neuromuscular neurotization (NMN). MATERIAL and METHODS: In this study, 18 male Wistar rats were divided into two groups. In each group, the peroneal nerve and soleus muscle were dissected. In Group1, the muscle was neurotized after th...


A Novel Modular Dynamic Stabilization System for the Treatment of Degenerative Spinal Pathologies
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AIM: To show the preliminary clinical results of the Orthrus modular dynamic stabilization system that is a new instrumentation system intended for degenerative diseases of the lumbar spine. MATERIAL and METHODS: The system utilizes two different types of screws that can be used in conjunction wit...


Turkish Board of Neurological Surgery
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AIM: To provide information on the process and the results of the Turkish Board of Neurological Surgery and increase the relevant awareness. MATERIAL and METHODS: The number of applications to the written and oral board exams organized by the Turkish Neurosurgical Society Proficiency Board since ...


The Clinical Usefulness of Preoperative Imaging Studies to Select Pathologic Level in Cervical Spondylotic Myelopathy: Comparative Analysis of Three-Position MRI and Post-Myelographic CT
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AIM: To compare the accuracy of determining pathologic segment between three-position MRI (3P-MRI) and post-myelographic CT (PMCT) in cervical spondylotic myelopathy (CSM) by assessing the degree of inter-observer and intra-observer agreement. MATERIAL and METHODS: We retrospectively reviewed 3P-M...


The Geometry of the Circle of Willis Anatomical Variants as a Potential Cerebrovascular Risk Factor
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AIM: To correlate the anatomical variants of the circle of Willis with their effects on the hemodynamic and geometrical parameters responsible for the pathogenesis of neurological diseases. MATERIAL and METHODS: The circle of Willis and the proximal segments of the main arteries were dissected and...


Association of rs2228570 Polymorphism of Vitamin D Receptor Gene with Lumbar Degenerative Disc Disease
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AIM: To investigate the association between the vitamin D receptor (VDR) gene rs2228570 FokI polymorphism and the development of lumbar degenerative disc disease (LDDD) in the Turkish population. MATERIAL and METHODS: This was a prospective case-control study that included 45 patients with LDDD an...


Is Temporary Proximal Artery Clipping in Arteriovenous Malformation Surgery Safe?
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AIM: To describe the authors' experiences with surgical excision of cerebral arteriovenous malformations (AVMs) using temporary proximal artery clipping to reduce intraoperative bleeding and excision time. MATERIAL and METHODS: Temporary proximal artery clipping was employed by the authors dur...


Effect of Surgery on the Long-Term Functional Outcome of Moyamoya Disease: A Meta-Analysis
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AIM: To summarize and calculate the accurate rate of good outcome and the prognosis, using a uniform definition of good outcome, evaluating the long-term effect of surgery. MATERIAL and METHODS: Through searching the relevant databases, we included eligible studies measuring outcomes with the mod...


Delivering Growth Factors through a Polymeric Scaffold to Cell Cultures Containing both Nucleus Pulposus and Annulus Fibrosus
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AIM: To design a novel, polyvinyl alcohol (PVA)-based polymeric scaffold that permits the controlled release of insulin-like growth factor 1 (IGF-1)/bone morphogenetic protein (BMP)-2 following intervertebral disc administration. MATERIAL and METHODS: The drug delivery system was composed of two d...


The Influence of Unilateral Subthalamic Deep Brain Stimulation on the Quality of Life of Patients with Parkinson's Disease
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AIM: To assess the health-related quality of life (HRQoL) with the Parkinson's Disease Questionnaire 39 (PDQ-39) after unilateral subthalamic deep brain stimulation (STN DBS) and to identify correlations between the changes in UPDRS (Unified Parkinson's Disease Rating Scale) scores and sep...


The Effects of Microdecompression on Patients with Lumbar Degenerative Spinal Stenosis with or without Degenerative Spondylolisthesis
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AIM: To investigate the mid-term efficacy of bilateral decompression with a unilateral approach (BDUA) on symptoms and quality of life of in patients with lumbar spinal stenosis (LSS), with low grade (with percentage slip 60 years) and adult (


Vagal Nerve Stimulation has Robust Effects on Neuropsychiatric Assessment in Resistant Epilepsy: A Clinical Series with Clinical Experiences
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AIM: To evaluate the resistant epileptic patients who had vagal nerve stimulation (VNS) devices implanted over five years, and to evaluate the neuropsychological aspects of VNS. MATERIAL and METHODS: Patients with pharmacoresistant epilepsy (PRE) were followed from 2012 to 2017. Totally seven pat...


Radiological and Surgical Anatomy of Ventral C1-C2 Complex
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AIM: To evaluate anatomical data of the bony structures during exploration of the C1-C2 complex. MATERIAL and METHODS: This study included six formalin-fixed cadaveric head and neck specimens. Radiological images and anatomical measurements included: C1-C2 distance, bony distance between C1 anterio...


Comparison of Dural Splitting and Duraplasty in Patients with Chiari Type I Malformation: Relationship between Tonsillo-Dural Distance and Syrinx Cavity
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AIM: To compare the clinical and radiological results of dural splitting and duraplasty in patients with Chiari Type I Malformation. MATERIAL and METHODS: This study includes 113 adult patients with Chiari Type I malformation treated between 2009 and 2013. The patients were divided into two groups...


The Use of Intraoperative Ultrasonography in Intradural Spinal Tumor Surgery
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AIM: To review our experience gained from the use of intraoperative ultrasonography (IOUSG) in intradural spinal tumor surgery. MATERIAL and METHODS: IOUSG was used during surgery of 69 intradural spinal tumors, operated on between 2012 and 2016. A 5-8 MHz probe of IOUSG was used, before and after...


Accuracy of Frozen-Section Diagnosis of Brain Tumors: An 11-Year Experience from a Tertiary Care Center
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AIM: To analyze the frozen section (FS) diagnostic accuracy in correlation with the final diagnosis of brain tumors. MATERIAL and METHODS: This retrospective study comprised all brain tumor cases with FS diagnosis and permanent section diagnosis in Jordan University Hospital from July 1, 2007 to D...


Can Quercetin be an Option for Treatment of Spinal Cord Injury? An Experimental Study
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AIM: To determine the neuroprotective functions of quercetin and compare them with methylprednisolone in an experimental spinal cord injury model in rats. MATERIAL and METHODS: Thirty male, Wistar rats were assigned to five experimental groups: sham (n=6), trauma (n=6), methylprednisolone (n=6), ...


The Relationship Between Vasoactive-Inotropic Score and Mortality in Adult Patients with Traumatic Brain Injury
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AIM: To assess the feasibility of the vasoactive-inotropic score (VIS) in determining the amount of vasoactive support and its relationship with the mortality rate and characteristics of the patients with traumatic brain injury (TBI). MATERIAL and METHODS: This study was conducted with a retrospec...


The Role of Bone Scintigraphy in Determining Spinal Fusion after Spinal Stabilisation Surgery
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AIM: To evaluate the usefulness of bone scintigraphy in spinal fusion surgery. MATERIAL and METHODS: This retrospective study included 21 patients who had undergone previous anterior or posterior spinal fusion procedures, or both. Implant failure, fusion failure and adjacent segment disease were t...


Pregabalin Administration Induces Alterations in Neural Tube Development During Early Embryonic Stages
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AIM: To evaluate the effect of pregabalin on neural tube development using early chick embryos. MATERIAL and METHODS: Experiments were conducted on specific pathogen-free Leghorn chick embryos, which were equally divided into control and pregabalin-treated (therapeutic dose: 600 mg; supratherapeut...


Shunt Tapping Versus Lumbar Puncture for Evaluating Cerebrospinal Fluid Infections in a Pediatric Population
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AIM: To compare the results of lumbar puncture (LP) and shunt tapping in pediatric patients with suspected ventriculoperitoneal shunt infection. MATERIAL and METHODS: Medical records of pediatric patients with suspected shunt infections were retrospectively analyzed. All patients had cerebrospina...


Comparison of the Effect of Single Lumbar Transforaminal Epidural Steroid Injections for the Treatment of L4-5 and L5-S1 Paramedian Disc Herniation
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AIM: To compare the outcomes of fluoroscopically guided transforaminal epidural steroid injections between L4-L5 paramedian disc herniation and L5-S1 paramedian disc herniation for the treatment of radicular pain. MATERIAL and METHODS: A total of 593 patients treated by transforaminal epidural ster...


Comparison of Glasgow Coma Scale and Full Outline of Unresponsiveness (Four) Score: A Prospective Study
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AIM: To assess reliability by comparing the Full Outline of Unresponsiveness (FOUR) scores and Glasgow Coma Scale (GCS) values assigned by specialists from two different fields to patients in the Anesthesiology and Reanimation and Neurosurgery intensive care units. MATERIAL and METHODS: This stud...


Antidepressant Prescriptions in Neurosurgical Practice: A Survey of Current Trends
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AIM: To better understand the indications and the impact of antidepressant drugs on the field of neurosurgery in terms of risks and benefits in Turkey. MATERIAL and METHODS: A national survey was conducted among neurosurgeons in current practice in Turkey to report routine prescription trends of ...


Technique of Localizing the Central Sulcus under Awake Anesthesia for Treatment of Gliomas in or near Motor Areas
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AIM: To study the protective effect on motor function of intraoperative awakening and localizing the central sulcus during surgery in patients with gliomas located in motor areas. MATERIAL and METHODS: A total of 68 patients with gliomas in motor areas were intubated with a laryngeal mask and rap...


Systematic Evaluation of Promising Clinical Trials-Gene Silencing for the Treatment of Glioblastoma
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AIM: To systematically investigate the role of artificial small interfering RNA (siRNA) molecules in glioblastoma treatment and to give a detailed overview of the literature concerning studies performed in this field worldwide in the last 31 years. MATERIAL and METHODS: Articles about clinical tri...


Prevalence of Anomalously Originating Occipital Artery in a Group of Turkish Individuals: A Retrospective Study using Angiography
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AIM: To investigated the prevalence of anomalously originating occipital artery (OA) using angiography in a group of Turkish individuals. MATERIAL and METHODS: The images recorded in the picture archiving and communication system for a total of 114 patients, in which the whole vertebral artery, a...


Analysis of Cavernous Malformations: Experience with 18 Cases
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AIM: To analyze the results of stereotactic radiosurgery (SRS) or surgical treatment of 18 cases with cavernous malformation and report 2 cases with unusual localization and size. MATERIAL and METHODS: We present 11 and 8 patients who underwent surgery and SRS between 2010 and 2018 respectively. ...


Television Tip-Over Related Head Injuries: A Particular Type of Child Neglect
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AIM: To identify, report, and raise awareness of the risk factors for television (TV) tip-over. MATERIAL and METHODS: In total, 86 children who were brought to the emergency service and hospitalized at the neurosurgery clinic because of TV tip-over-related head trauma between August 2011 and Augus...


Comparison of Subthalamic Nucleus vs. Globus Pallidus Interna Deep Brain Stimulation in Terms of Gait and Balance; A Two Year Follow-Up Study
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AIM: To compare the effects of subthalamic nucleus (STN) and globus pallidus interna (GPi) deep brain stimulation (DBS) on the motor outcome, gait and balance function, fall risk (FR), and non-motor symptoms in patients with advanced Parkinson’s disease (PD). MATERIAL and METHODS: We randomized...


Understanding of Dry Eye in Subarachnoid Hemorrhage: An Experimental Study on the Role of Facial Nerve Ischemia
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AIM: To understand possible mechanisms underlying lacrimal gland degeneration when facial nerve root ischemia induces pterygopalatine ganglion injury and subsequent dry eye in a rabbit model of subarachnoid hemorrhage. MATERIAL and METHODS: Rabbits were divided into four groups: control, sham, mod...


Effects of Microvascular Decompression Plus Longitudinal Nerve Sectioning on Recurrent Trigeminal Neuralgia and Investigations of Postoperative Recurrence Causes
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AIM: To investigate the causes of recurrent trigeminal neuralgia (RTN) and to evaluate the efficacy of microvascular decompression (MVD) plus longitudinal nerve sectioning (LNS) or LNS only for RTN patients who have undergone multiple procedures. MATERIAL and METHODS: Twenty one patients underwent...


Identification of Risk Factors for Postoperative Cerebrospinal Fluid Leakage and Comparison of Two Alternative Dural Augmentation Techniques in Posterior Fossa and Spinal Surgeries
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AIM: To investigate comparative efficacy of a novel absorbable adhesive membrane (TissuePatchDuralTM “TPD”) and a fibrin glue (Tisseel “T”) in reducing cerebrospinal fluid (CSF) leaks after posterior fossa and spinal procedures, and also to identify potential risk factors for CSF leakage. ...


Determination of Spinopelvic Parameters in Degenerative Lumbar Spondylolisthesis Patients Undergoing Lumbosacral Spine Fusion Surgery: The Lesson Learnt
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AIM: To investigate the relationship between the deformity correction and subsequent alterations in spinopelvic parameters after surgical correction in degenerative lumbar spondylolisthesis patients. MATERIAL and METHODS: About 100 adult patients were recruited in the study. The eligible cases rec...


Polyetheretherketone Rods in Lumbar Spine Degenerative Disease: Mid-term Results in a Patient Series Involving Radiological and Clinical Assessment
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AIM: To evaluate the satisfaction of patients operated due to degenerative lumbar spinal diseases with dynamic stabilization placing polyetheretherketone (PEEK) rods and to share their radiological and clinical results (mid-term) with visual analogue scale (VAS) and Oswestry disability index (ODI)...


Pelvic Incidence as a Prognostic Factor in Coccydynia
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AIM: To evaluate the pelvic incidence (PI) of coccydynia patients treated by different methods and to determine whether it is a risk factor or a prognostic factor. MATERIAL and METHODS: Patients who were treated for coccydynia were evaluated retrospectively, and 110 patients were enrolled. Spinop...


The Incidence and Interrelationship of Concomitant Anomalies in Congenital Scoliosis
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AIM: To report the incidence and interrelationship of concomitant anomalies in congenital scoliosis (CS) patients. MATERIAL and METHODS: Whole-spine computed tomography and magnetic resonance imaging (MRI) examination, echocardiography, and renal ultrasonography (USG) evaluations of 231 patients w...


Common Spinal Parasites
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AIM: To report the four most common spinal parasites for providing insight into definitive therapy. MATERIAL and METHODS: Twelve patients with spinal parasites were diagnosed between 2009 and 2016. A definite diagnosis was established in the form of histopathology (n=9) and response to drug therap...


Investigation of Lateral Epicondylitis in Neurosurgeons
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AIM: To investigate the frequency of lateral epicondylitis (LE), depending on the tasks performed by neurosurgeons, and to determine whether it can be accepted as an occupational disease depending on its frequency. MATERIAL and METHODS: All neurosurgery specialists enrolled in the Turkish Neurosur...


Light Microscopic Evaluation of Acute and Chronic Hypophyseal Endocrinopathy in a Kaolin-Induced Hydrocephalus Model
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AIM: To demonstrate progression of acute and chronic endocrinopathies in a kaolin-induced hydrocephalus model using light microscopy. MATERIAL and METHODS: Adult male Sprague–Dawley rats (n = 48) were divided into six groups. Hydrocephalus was induced by intracisternal injection of kaolin solut...


Characterizing the Intraoperative Microelectrode Recording-Induced Microlesion Effect on Motor Symptoms in Patients with Parkinson’s Disease Undergoing Deep Brain Stimulation of the Subthalamic Nucleus
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AIM: To investigate microelectrode recording (MER)-induced microlesion effect (MLE) on the motor symptoms of 30 patients with Parkinson’s disease (PD) who underwent deep brain stimulation of the subthalamic nucleus. MATERIAL and METHODS: MER-induced MLE was evaluated based on the difference betw...


Spinal Subarachnoid Hemorrhage Induced Intractable Miotic Pupil. A Reminder of Ciliospinal Sympathetic Center Ischemia Based Miosis: An Experimental Study
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AIM: To examine ischemic neurodegeneration of the ciliospinal center on permanent miosis following subarachnoid hemorrhage (SAH). MATERIAL and METHODS: Nineteen rabbits were examined in this study. The animals were divided into three groups, as control (GI, n=5), sham (GII, n=5) and study group (...


Effect of Curcumin on the Formation of Epidural Fibrosis in an Experimental Laminectomy Model in Rats
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AIM: To clarify the effects of topical application of curcumin on the prevention of epidural fibrosis. MATERIAL and METHODS: Twenty-one rats were randomly divided into three equal groups (control, spongostan, local curcumin) and a laminectomy procedure was performed between T11 and L1 in all rats....


Morphometric Assesment of the External Anatomy of Fourth Ventricle and Dorsal Brainstem in Fresh Cadavers
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AIM: To investigate the external anatomy of the fourth ventricle and dorsal brainstem using morphometric data, which could be useful for preoperative surgical planning. MATERIAL and METHODS: Between January 2017 and December 2017, 42 fresh adult cadavers were investigated for the measurements of ...


Whole Brain Radiotherapy Plus Conventional Boost in Non-Small Cell Lung Cancer Patients with Brain Metastasis: A Retrospective Analysis of Overall Survival
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AIM: To evaluate the clinical characteristics and treatment outcomes of non-small cell lung cancer (NSCLC) patients with brain metastasis, who were treated by whole brain radiotherapy with a conventional boost at a single institution. MATERIAL and METHODS: A total of 296 patients diagnosed with NS...


Are Intervertebral Disc Tissue Cells Damaged When Attempting to Prevent Thrombus Formation Using Dabigatran, A New Oral Anticoagulant?
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AIM: To investigate the effect of dabigatran, a new oral anticoagulant, on human primary cell cultures isolated from intact intervertebral disc tissue. MATERIAL and METHODS: Cell cultures were prepared from tissues obtained from six cases who had undergone surgery due to spinal trauma. Dabigatran...


Differences in Neurodegeneration Between Kainic Acid-Injected GAERS and Wistar Rats
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AIM: To compare neurodegenerative changes using the Fluoro-Jade B staining, following status epilepticus induced by intraamygdaloid injection of kainic acid in Genetic Absence Epilepsy Rats from Strasbourg (GAERS) and non-epileptic control Wistar rats. MATERIAL and METHODS: A single unilateral in...


Endoscopic Endonasal Approaches to Craniovertebral Junction Pathologies: A Single-Center Experience
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AIM: To review our experience of using the endoscopic endonasal approach for clivus and odontoid pathologies as well as craniovertebral junction anomalies at our institution. MATERIAL and METHODS: We retrospectively evaluated 41 patients (21 male, 20 female; age range, 2–65 years) who underwent ...


Retraction: Efficacy Comparison of Microvascular Decompression and Rhizotomy in the Treatment of Glossopharyngeal Neuralgia: A Retrospective Analysis of 37 Cases
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Retraction Request Letter: https://www.turkishneurosurgery.org.tr/pdf/pdf_JTN_2901.pdf


Telovelar Approach to Pediatric Fourth Ventricle Tumors: Feasibility and Outcome
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AIM: To describe our institution’s experience with the telovelar approach as well as factors governing radicality and outcome for pediatric fourth ventricle tumors. MATERIAL and METHODS: During March 2015–January 2017, 44 children with fourth ventricular tumors were operated using the telovel...


Gunshot Acquired Spinal Cord Injury in Civilians
[Abstract] [Similar Articles]

AIM: To understand the differences between operative versus conservative treatment in terms of the outcome measured according to the American Spinal Injury Association (ASIA) impairment scale (AIS) in patients with gunshot acquired spinal cord injuries. MATERIAL and METHODS: A total of 168 patient...


Effects of Glycogen Synthase Kinase Inhibitor on Glioblastoma Multiforme Cell Line via Apoptosis and Cell Signaling Pathways
[Abstract] [Similar Articles]

AIM: To investigate the apoptotic and molecular effects of glycogen synthase kinase-3 (GSK-3) in glioblastoma multiforme (GBM). MATERIAL and METHODS: Human primary glioblastoma cell line (U-87 MG) and the human fetal glial cell line (SVGp12) were used. The cells were exposed to the different doses...


Evaluation of the Effect of Daptomycin, a Glycopeptide Agent, on Intact Intervertebral Disc Tissue
[Abstract] [Similar Articles]

AIM: To evaluate the effects of pre- and intra-operatively administered daptomycin (DAP) on the intact human primary intervertebral disc tissue cells. MATERIAL and METHODS: Primary cell cultures were established using tissues obtained through decompressive laminectomy, traumatic intervertebral di...


Selective Spinal Nerve Block in Ilioinguinal, Iliohypogastric and Genitofemoral Neuralgia
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AIM: To seek the efficacy of selective spinal nerve blocks in the treatment of groin pain that are irresponsive to peripheral nerve blocks. MATERIAL and METHODS: This retrospective study comprised 17 patients with ilioinguinal, iliohypogastric, and genitofemoral neuralgias treated between 2017 an...


Intraorbital Penetrating and Retained Foreign Bodies – A Neurosurgical Case Series
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AIM: To present the particularities of the intraorbital foreign bodies from a neurosurgical perspective by summarizing the findings of a case series. MATERIAL and METHODS: A retrospective study was conducted including a consecutive series of 30 patients with intraorbital foreign bodies treated be...


How Safe is the Use of Intrathecal Fluorescein? An Experimental Study
[Abstract] [Similar Articles]

AIM: To investigate the effects of fluorescein-sodium on neural tissues. MATERIAL and METHODS: Twenty-one Wistar rats were randomly divided into three experimental groups: control (group 1) and fluorescein-sodium groups with different doses (groups 2 and 3). In the control group, craniectomy follo...


Comparison of Two Segment Combined Instrumentation and Fusion versus Three Segment Posterior Instrumentation in Thoracolumbar Burst Fractures: A Randomized Clinical Trial with 10 Years of Follow Up
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AIM: To compare the clinical and functional outcomes between combined anterior and posterior 2-segment spinal fusion and posterior 3-segment spinal fusion in patients with thoracolumbar (TL) burst fractures at risk for posttraumatic kyphosis without neurological deficit. MATERIAL and METHODS:Twen...


Endovascular Treatment of Superior Cerebellar Artery Aneurysms
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AIM: To present our experience on superior cerebellar artery (SCA) aneurysms treated with embolization by using current endovascular techniques. MATERIAL and METHODS: All SCA aneurysms treated by our endovascular team since 2013 were retrospectively evaluated. Clinical information and angiographi...


The Evaluation of Killer Cell Immunoglobulin-Like Receptor Gene Polymorphism in Glioblastoma Patients
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AIM: To assess the distribution of genetic polymorphisms of killer cell immunoglobulin-like receptors (KIRs) to predict the clinical course of glioblastoma, report on the genetic mechanisms, and provide guidance on potential therapeutic methods. MATERIAL and METHODS: Our study included 31 adult pa...


Do Stabilization Exercises Increase the Effects of Lumbar Facet Radiofrequency Denervation?
[Abstract] [Similar Articles]

AIM: To investigate the effects of lumbar stabilization exercises on pain severity, functional disability, and physical performance after two weeks following radiofrequency denervation in patients with lumbar facet joint syndrome (LFJS). MATERIAL and METHODS: Thirty-nine patients diagnosed with LF...


Surgical Management of Thoracic Disc Herniation: Anterior vs Posterior Approach
[Abstract] [Similar Articles]

AIM: To compare outcomes and complications in patients with thoracic disc herniation (TDH) undergoing surgery with either the posterior or anterior approach. MATERIAL and METHODS: A total of 86 patients, with 98 symptomatic TDHs, who underwent surgery in a single institution between 2007 and 2016...


Ultrasound-Guided Microsurgical Excision for Brachial Plexus Schwannomas: Short-Term Clinical Study
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AIM: To describe the ultrasound-guided microsurgical excision technique and to evaluate the surgical outcomes of brachial plexus schwannomas. MATERIAL and METHODS: Eleven patients who underwent ultrasound-guided microsurgery for small (


Morphological Characteristics of the Posterior Cerebral Circulation: An Analysis Based on Non-Invasive Imaging
[Abstract] [Similar Articles]

AIM: To provide measurements of the posterior cerebral circulation using a non-invasive imaging modality. MATERIAL and METHODS: One-hundred and twenty patients aged from 12 to 76 years were analyzed using computed tomography (CT) angiography. Measurements of vertebral arteries (VA), basilar artery...


Evaluation of the Retrogasserian Opioid Application in the Treatment of Idiopathic Trigeminal Neuralgia
[Abstract] [Similar Articles]

AIM: To evaluate the clinical outcomes of the retrogasserian opioid application in patients with type 1 trigeminal neuralgia. MATERIAL and METHODS: A total of 37 patients (12 male, 25 female; average age 56.2 ± 5.4 years) who were administered retrogasserian opioid due to type 1 trigeminal neural...


Endocrinological Outcomes of Intraoperative MRI-Guided Endoscopic Transsphenoidal Surgery for Non-Functioning Pituitary Adenoma
[Abstract] [Similar Articles]

AIM: To assess the endocrinological outcomes of high-field (1.5-T) intraoperative magnetic resonance imaging (iMRI)-guided endoscopic transsphenoidal surgery (TSS) for non-functioning pituitary adenomas (NFPAs). MATERIAL and METHODS: Radiological and endocrinological data were retrospectively coll...


A Simple Cost-Effectiveness Analysis of Bilateral Decompression via Unilateral Approach versus Instrumented Total Laminectomy and Fusion for Lumbar Spinal Stenosis
[Abstract] [Similar Articles]

AIM: To compare the clinical and economic results of two different surgical approaches (bilateral decompression via unilateral approach and instrumented total laminectomy and fusion) in the treatment of lumbar spinal stenosis. MATERIAL and METHODS: The clinical, surgical, and economic aspects of 1...


Comparison of Different Environmental Conditions in the Follow-up of Subarachnoid Haemorrhage: An Experimental Rat Study
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AIM: To analyze the effect of different environmental conditions on the brain in rats with subarachnoid haemorrhage. MATERIAL and METHODS: Microtubules in neurons mediate both the consciousness and memory and regulate firing. Microtubuleassociated proteins promote microtubule organisation and dyna...


New Laminoplasty Technique for Preserving Paravertebral Muscles: Technical Note
[Abstract] [Similar Articles]

AIM: To develop a new laminoplasty technique for preserving paravertebral muscles. MATERIAL and METHODS: In this technique, semispinalis and splenius muscles are cut approximately 1 cm laterally to the muscle insertion point to the spinous process at the laminotomy side. Then, multifidus and rotat...


Correlation of Preoperative Radiological Evaluation of Skull Base and Non-skull Base Meningiomas with Clinical and Surgical Data
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AIM: To determine whether neuroradiological assessment of skull base and non-skull base meningioma consistency and vascularity can be used to improve the surgical approach. MATERIAL and METHODS: Forty meningioma cases were split into skull base (n=16) and non-skull (n=24) base groups, and intraop...


Immunohistochemical Evaluation of Hemostatic Changes in Glioblastoma Multiforme and Low-Grade Astrocytoma
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AIM: To compare glioblastoma multiforme with astrocytoma grade II by subjectively evaluating the levels of prothrombin and biotinylation thrombin, and G protein serum protease activatin receptors, as tissue factors causing hypercoagulation and affecting coagulation. MATERIAL and METHODS: Specimen...


Microelectrode Recording for Deep Brain Stimulation of the Subthalamic Nucleus in Patients with Advanced Parkinson’s Disease: Advantage or Loss of Time?
[Abstract] [Similar Articles]

AIM: To investigate the effect of using microelectrode recording (MER) on the length of time required to carry out a deep brain stimulation (DBS) procedure of the subthalamic nucleus in patients with Parkinson’s disease (PD). MATERIAL and METHODS: The time required to include MER in the DBS oper...


Neuropathic Pain Questionnaire and Neuropathic Pain Questionnaire-Short Form: Translation, Reliability, and Validation Study of the Turkish Version
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AIM: To perform reliability and validity studies of the Neuropathic Pain Questionnaire (NPQ) and NPQ-Short Form (SF) in the Turkish language. MATERIAL and METHODS: The Turkish translation and cross-cultural validation were performed. Then, 101 patients (36 males, 65 females; mean age: 50.4 ± 14....


Survival Benefit with Gross Total Resection and Adjuvant Radiotherapy in Childhood Atypical Teratoid/Rhabdoid Tumors: Results of a Single-Center Cohort of 27 Cases
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AIM: To share a single center experience with 27 atypical teratoid/rhabdoid tumor (AT/RT) cases, and to determine the effect of gross total tumor resection and other clinical characteristics on the overall survival rate of AT/RT. MATERIAL and METHODS: We included 27 patients—with a histopatholog...


Complementary Specific Pelvic Sequences on Routine Lumbar Magnetic Resonance Imaging Scans: An Imaging-Based Study Focused on Piriformis Syndrome
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AIM: To discuss the rationale and merit of specific pelvic sequences as an adjunct to routine lumbar magnetic resonance imaging (MRI) for early detection of piriformis syndrome (PS) and to disclose its frequency in patients who underwent radiological evaluation. MATERIAL and METHODS: This retrospe...


Effect of Preoperative Uric Acid Level and Neutrophil / Lymphocyte Ratio on Preoperative and Postoperative Visual Analogue Pain Scores in Patients with Lumbar Disc Herniation: A Cross-Sectional Study
[Abstract] [Similar Articles]

AIM: To determine the relationship between the serum urate (SU) level, neutrophil / lymphocyte ratio (NLR), and pain severity using preoperative and postoperative visual analogue scale (VAS) scores in patients with lumbar disc herniation (LDH). MATERIAL and METHODS: This single-center, cross-secti...


Simvastatin vs. L-Carnitine: An Experimental Study on Optimizing Nerve Repair
[Abstract] [Similar Articles]

AIM: To assay the effects of simvastatin and L-carnitine on peripheral nerve repair. MATERIAL and METHODS: Left sciatic nerve of 70 female rats were cut and repaired under aseptic microsurgery. Based on medications and treatment period, seven groups were formed; control: no medication, SIM1W: one ...


Neuroprotective Effects of Lacosamide in Experimental Traumatic Spinal Cord Injury in Rats
[Abstract] [Similar Articles]

AIM: To evaluate the effects of lacosamide on traumatic spinal cord injury (SCI) in rats. MATERIAL and METHODS: A total of 28 male Wistar albino rats, each weighing 300–350 g, were included. They were randomly assigned to four groups. In Group 1, only a laminectomy was performed; in Group 2, SCI...


Posterior Approach Alone Versus Combined Anterior and Posterior Approach in the Management of Vertebral Tuberculosis
[Abstract] [Similar Articles]

AIM: To compare posterior surgery alone versus combined anterior and posterior surgery for the management of spinal tuberculosis. MATERIAL and METHODS: Data from 31 consecutive patients who underwent surgery for spinal tuberculosis were analyzed retrospectively. Patients were divided into two grou...


Investigation of the Effects of Methylphenidate, an Amphetamine Derivative, on Intervertebral Disc Tissue Cell Cultures and Matrix Structures
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AIM: To investigate the effects of methylphenidate (MPH), on intervertebral disc tissue (IVD) cell cultures and extracellular matrix structures. Changes in the expression of some important marker genes involved in anabolic and catabolic mechanisms of IVD extracellular matrix formation were also ev...


Effect of Tarantula Cubensis Extract (Theranekron) on Peripheral Nerve Healing in an Experimental Sciatic Nerve Injury Model in Rats
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AIM: To investigate the effects of systemic application of Theranekron on peripheral nerve healing after compression type peripheral nerve injury. MATERIAL and METHODS: Twenty-one female Wistar albino rats were randomly divided into 3 groups (n=7): Control (C), injury (I), and Theranekron (T). Th...


Study on Umbilical Cord-Matrix Stem Cells Transplantation for Treatment of Acute Traumatic Brain Injury in Rats
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AIM: To evaluate the effect of umbilical cord derived mesenchymal stem cells (UC-MSCs) transplantation on traumatic brain injury (TBI). MATERIAL and METHODS: UC-MSCs were isolated from human umbilical cord and TBI rat model was constructed. 30 male SD rats were randomly divided into 3 groups: con...


DTI-Based Neuronavigation Guided Eloquent Area Glioma Resection with Awake Craniotomy: Supra-Functional Resection of Eloquent Area Gliomas
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AIM: To present an overview of our awake craniotomy practices performed with complementary use of diffusion tensor imaging (DTI)-based neuronavigation (DTI-bN) and cortical-subcortical electrical stimulation for glioma resection located in eloquent areas, and the clinical outcomes of these practic...


Research Activities of Spinal Fusion in Various Subspecialties by Different Surgeons: A Bibliometric Study
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AIM: To conduct a scientometric assessment of the research activities of spinal fusion in various subspecialties carried out by different surgeons. MATERIAL and METHODS: All articles regarding spinal fusion research on Web of Science from the year 1994 to 2015 were identified and analyzed in the ...


Identification of Driver Genes and Key Pathways of Ependymoma
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AIM: To identify ependymoma (EPN) driver genes and key pathways, and also to illuminate the connection between prognosis of EPN patients and expression levels of driver genes. MATERIAL and METHODS: The gene expression profiles of GSE50161, GSE66354, GSE74195, and GSE86574 were analyzed to figure ...


LncRNA MALAT1 Promotes Neuronal Apoptosis During Spinal Cord Injury Through miR-199a-5p/ PRDM5 Axis
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AIM: To determine the regulation of long non-coding RNA (lncRNA) MALAT1 on neuronal apoptosis during spinal cord injury (SCI) and to explore its possible mechanisms. MATERIAL and METHODS: The motor ability of SCI rat models and apoptosis in spinal cord tissue were evaluated. Primary spinal cord n...


MiRNA-384-5p Targets GABRB1 to Regulate Ketamine-Induced Neurotoxicity in Neurons
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AIM: To determine the function of miR-384-5p in ketamine-induced neurotoxicity. MATERIAL and METHODS: Neonatal hippocampal neurons were isolated from rats and treated with varying doses of ketamine. RT?qPCR was utilized to measure the miR-384-5p level in ketamine-treated neurons. Neuronal viabilit...


RESULTS OF SURGICAL TREATMENT FOR SYMPTOMATIC CHIARI I MALFORMATION IN ADULTS
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This study presents the results of epiarachnoidal posterior fossa decompression for 20 adults who had symptomatic Chiari I malformation with syringomyelia, and discusses the efficacy of this technique.


NEUROGENIC THORACIC OUTLET SYNDROME DUE TO THE COMPRESSION AT THE INTERSCALENE TRIANGLE
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The characteristics of neurogenic thorasic outlet syndrome due to compressions at the interscalene triangle were evaluated in 17 patients. Sixteen of the patients were female, and the mean age of the group was 34,6 years. Eight cases had only osseous anomalies (Group I). Another six had no bony vari...


HYPOTHERMIA IN NEURONAL PROTECTION
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During the last decade it has been repeatedly demonstrated that mild to moderate hypothermia (30-34 º C) reduces neurological injury in animal models of focal or global ischemia, and of traumatic injury. This has led to renewed interest in the application of hypothermia for managing head injury, str...


COMBINED TRANSPETROSAL- TRANSTENTORIAL APPROACH FOR EXCISION OF PETROCLIVAL TUMORS
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This report describes our experience using a combined transpetrosal-transtentorial approach to address petroclival lesions. This surgical technique provides good exposure to the cerebellopontine angle, the petroclival region, the posterior aspect of the cavernous sinus, and the upper and mid-clivus....


THE INFIUENCE OF INTRACRANİAI ANEURYSM, MENINGIOMA AND GIIAI TUMOR SURGERY ON IMMUNODEPRESSION
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The neurosurgical operations used to treat various intracranial pathologies may affect the immune system in different ways. The main goal of this study was to determine whether the surgeries for intracranial aneurysm, meningioma and glial tumor cause immunodepression. In each of these three surgical...


SURGICAL TREATMENT OF POSTLAMINECTOMY CERVICAL KYPHOSIS
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Multilevel cervical laminectomy may cause cervical kyphosis in adults afflicted with preoperative instability or deformity in this part of the spine. The laminectomy procedure may also lead to cervical kyphosis in children who have no preoperative instability or deformity. This paper describes four ...


VALUE OF PROLIFERATIVE CELL NUCLEAR ANTIGEN IMMUNOHISTOCHEMISTRY AND THE AGNOR METHOD FOR PREOPERATIVE HISTOLOGICAL GRADING OF GLIAL TUMORS
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Extended short forms again here - same in the key words so please modify according to your journal's style the aim of this study was to determine whether or not assessing cell kinetics by argyrophilic nucleolar organizer region counting, and using immunohistochemistry to detect proliferative cell nu...


ORBITOZYGOMATIC APPROACH TO SKULL BASE LESIONS
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Detailed knowledge of the microneuroanatomy of the skull base enables the neurosurgeon to make more aggressive surgical approaches. The most important goal in skull base surgery is minimizing retraction of the brain tissue, since excessive retraction may lead to cerebral contusion, intracerebral hem...


CAROTID ENDARTERECTOMY IN PATIENTS WITH INCIDENTAL INTRACRANIAL ANEURYSMS
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The surgical management of patients with symptomatic carotid stenosis in combination with one or more incidental intracranial aneurysms is problematic. We discuss this issue with reference to two cases, and in light of the relevant literature. Our conclusion is that the best management plan is aneur...


PEDIATRIC EPILEPSY SURGERY (I): SPECIAL CONSIDERATIONS AND PRESURGICAL STRATEGIES
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PEDIATRIC EPILEPSY SURGERY (II): SURGICAL STRATEGIES AND RELATED ISSUES
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EFFEET OF HYPERBARIE OXYGEN TREATMENT ON FETAL SPINAL CORD GRAFTS: A PRELIMINARY EXPERIMENTAL STUDY
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In fetal neural tissue transplantation, lack of oxygen supply to the graft in the acute stage is an important problem. This study evaluated the effects of hyperbaric oxygen treatment on fetal spinal cord grafts. Spinal cord tissues obtained from 16-day fetal rats were transplanted to the spinal cord...


VERTEBRAL ARTERY LANDMARKS FOR THE FAR-LATERAL TRANSCONDYLAR APPROACH: AN ANATOMIC STUDY
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The far-lateral transcondylar approach is the method of choice for accessing lesions of the lower clivus, anterior foramen magnum, upper cervical spine and ventrolateral brainstem. This approach requires rapid identification and mobilization of the vertebral artery. in this article, we describe our ...


LIGHT AND ELECTRON MICROSCOPIC, AND IMMUNOHISTOCHEMICAL ANALYSIS OF DEPOSITS IN THE PROXIMAL ENDS OF VENTRICULOPERITONEAL SHUNT CATHETERS
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The ventriculoperitoneal shunt is accepted as the simplest and most effective treatment for hydrocephalus. The major problem with these devices is obstruction of the proximal end of the tubing. In this study, we examined deposıts in the proximal ends of Codman shunts from 20 of our patients whose ca...


SEARCHING FOR FIBERS OF FACIAI NERVE ORIGIN IN THE TYMPANIC PLEXUS: A TRACER STUDY
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This study investigated a possible connection between the facial nerve and/or its chorda tympani branch, and the tympanic plexus with the aim of defining some of the innervation of the middle ear mucosa. The study involved 20 locally bred male and female Wistar albino rats that were 2.5 to 3-months ...


IS SKULL ASYMMETRY A PREDICTOR OF SEVERITY IN HEAP TRAUMA?
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A major retrospective study of head injury was done on patients admitted over a 13-year period whose clinical records were complete. A total of 583 computerized tomography seans were evaluated, and these indicated that 9 patients had asymmetric skull conformation. Six of these nine were cases of sur...


MULTILEVEL LAININOTOMY IN THE TREATMENT OF CHILDREN WITH SPINAL DYSRAPHISM AND ASSOCIATED MILD SPINAL DEFORMITY
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Fourteen pediatric patients with spinal dysraphism and associated mild spinal deformities underwent multilevel laminotomy in the years 1993 through 1998. At the time of surgery, the 8 male and 6 female patients ranged from 0 to 2 years of age, and their mean age was 5.3 months. All were evaluated us...


THREE-LEVEL CERVICAL DISCECTOMY AND FUSION WITHOUT INTERNAL FIXATION
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It is generally believed that the rate of pseudoarthrosis rises as the number of operative levels of anterior cervical discectomy and fusion increases. This retrospective study evaluated bone union status in 13 patients who underwent three-Ievel anterior cervical discectomy and fusion with the Clowa...


TARSAL TUNNEL SYNDROME: REPORT OF TWO CASES WİTH ATYPİCAL ETİOLOGY
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Tarsal tunnel syndrome involves compression of the posterior tibial nerve due to trauma, repetitive microtrauma, ankle fracture, tumors of the tuımel contents, and systemic diseases including ankylosing spondylitis, uremia, and rheumatoid arthritis. The symptoms are focal pain, and paresthesia over ...


A REVIEW OF CURRENT SURGICAL OPTIONS FOR THE TREATMENT OF PARKINSON'S DISEASE, WITH SPECIAL EMPHASIS ON DEEP BRAIN STIMULATION
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Surgical treatment of movement disorders, and especially Parkinson's disease, is regaining momentum. Despite all efforts, a significant number of patients who suffer from various types of movement disorders are becoming surgical candidates. Recent advances in medical technology have enabled more pre...


GAMMA KNIFE RADIOSURGERY IN THE MANAGEMENT OF BRAIN METASTASES
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To report our experience with a series of consecutive patients with brain metastases, who underwent gamma knife radiosurgery during a 3 year period and to assess the prognostic significance of primary cancer type, number of intracranial lesions, and tumor locatian with regard to survival. We also ex...


THE IMPORTANCE OF FLOW CYTOMETRIC DNA ANALYSIS IN GLIAL TUMORS
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Neoplasms of glial origin constitute 40-50% of all primary tumors of the central nervous system. Although a number of clinical features are related to prognosis, tumor grade is currently used to predict outcome. However, at present, grading is a subjective process based on tumor morphology and quant...


EFFECTS OF METHYLPREDNISOLONE ON SERUM NEURON-SPECIFIC ENOLASE LEVELS AF TER GLOBAL ISCHEMIC BRAIN DAMAGE IN RATS
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Neuron-specific enolase (NSE) is a mitochondriaI enzyme that is found at high levels in neurons. Changes in NSE levels maY provide quantitative information about the extent of certain types of neurological injury, including cerebral infarction, subarachnoid hemorrhage, intracerebral hemorrhage, cınd...


USE OF EXPANDED POLYTETRAFLUOROETHYLENE GRAFTS IN THE PREVENTION OF PERIDURAL FIBROSIS: AN EXPERIMENTAL STUDY
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The aim of this study was to investigate whether expanded polytetrafluoroethylene (ePTFE) grafts prevent peridural fibrosis (PF). Seven adult dogs were anesthetized with an intramuscular injection of xylazine + ketamine HCI, and were operated on between L5 and S1 via a posterior approach. Total lami...


MIDDLE FOSSA SURGICAL ANATOMY RELATED TO THE SUBTEMPORAL PREAURICULAR INFRATEMPORAL APPROACH: AN ANATOMIC STUDY
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Lesions in the extradural middle and upper clival region, including the posterior cavernous sinus, and those in the infratemporal and middle fossa areas can be accessed by the subtemporal preauricular infratemporal approach. This method requires drilling of the petrous bone and clivus, and mobilizat...


HYPODENSE NON-ENHANCING LESIONS: HISTOPATHOLOGICAL DIAGNOSIS THROUGH CT-GUIDED STEREOTACTIC BRAIN BIOPSY
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The histopathological diagnoses for a series of hypodense non-enhancing lesions were established through computed tomography (CT)-guided stereotactic brain biopsy. The aim was to retrospectively assess how well the imaging-based diagnoses correlated with the histological diagnoses in these cases.


COMPARISON OF SIMPLE DECOMPRESSION AND SUPERFICIAL TRANSPOSITIONINPATIENTSWITHADVANCED CUBITAL TUNNEL SYNDROME
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This retrospective study investigated the outcomes of surgical therapy in 14 patients with advanced ulnar neuropathy at the elbow. We evaluated patients clinically and electrophysiologically pre- and postoperatively. The mean follow-up was 43.8 months. The gender distribution in the group indicated ...


ANTERIOR, POSTERIOR AND LATERAL APPROACHES TO THE BRAINSTEM
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The aim of this study was to demonstrate posterior, postero-lateral, lateral, antero-lateral and anterior approaches to the brainstem, and to discuss the indications for each approach. Twenty cadaver head specimens (40 sides in total) were used bilaterally to demonstrate different approaches to the ...


SEXUAL FUNCTION AND FERTILITY IN HYPOPHYSECTOMIZED ADULT MALE RATS AFTER PITUITARY GRAFTING: PART I
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Male rats underwent hypophysectomy and graft procedures, and a normal control group (C) was also established. In the hypophysectomy-plus-pituitary graft (HG) group, a suspension of neonatal rat pituitary cells (cortical cells in the hypophysectomy-plus-cortical graft [CG] group) was implanted into t...


SURGICAL ANATOMY OF THE SUPERIOR CEREBELLAR ARTERY
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In this study twenty-one brains (42 sides) and 5 cadavers (10 sides) were studied especially for surgical anatomy of the superior cerebellar artery. The superior cerebellar artery is the most constant and least anomalous artery arising from the vertebrobasilar system. The superior cerebellar artery ...


SPINAL CORD COMPRESSION CAUSED BY SOLID MALIGNANT TUMORS IN CHILDREN
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The medical records of 154 children with solid malignant primary tumors outside the central nervous system were retrospectively reviewed to achieve a better understanding of the incidence, presentation, outcome and treatment options for metastatic spinal cord disease. Of the 154 total, 12 children h...


CAUDA EQUINA SYNDROME CAUSED BY POSTERIOR EPIDURAL MIGRATION OF AN EXTRUDED LUMBAR DISC FRAGMENT
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Cauda equina syndrome due to posterior epidural migration of an extruded dise fragment is extremely rare. This report describes such a case in a 36 year-old male with disc fragment extrusion at the L4-5 intervertebral space. We discuss the case and review the relevant literature.


One Year Outcome After Surgery for Lumbar Disc Herniation: A Comparison of Reoperated and not Reoperated Patients
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OBJECTIVES: To assess the disability level and quality of life of the patients who had been reoperated and not reoperated because of lumbar disc herniation. METHODS: 34 reoperated and 34 not reoperated patients with lumbar disc herniation were retrospectively included in the study. The disability l...


Late Decompression in Patients With Acute Facial Nerve Paralysis After Temporal Bone Fracture
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OBJECTIVE: The aim of this paper was to address the management of acute facial nerve paralysis after temporal bone fracture and the outcomes of late decompression. METHODS: The study design was a retrospective review of eight patients who underwent late decompression of acute facial nerve paralysis...


Intracarotid L-arginine Reverses Motor Evoked Potential Changes in Experimental Cerebral Vasospasm
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OBJECTIVE: To investigate motor evoked potentials during short term La rginine infusion in cerebral vasospasm after experimental subarachnoid hemorrhage. METHODS: Three groups were designated for this study: control group, subarachnoid hemorrhage-saline infusion group, and subarachnoid hemorrhage-L...


Bypass to the Intracranial Giant or Large Internal Carotid Artery Aneurysms: Superficial Temporal Artery to Middle Cerebral Artery Bypass Re-visited
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OBJECTIVE: Hunterian ligation of the internal carotid artery is an acceptable treatment modality for inoperable intracranial carotid aneurysms. Despite the risk of thrombo-embolic complications, ligation together with superficial temporal artery-middle cerebral artery (STA-MCA) bypass surgery is vit...


WICHASHA WAKAN: MEDICINE MAN (LAKOTA SIOUX) NATIVE AMERICAN MEDICINE AND THE ROLE OF THE MEDICINE MAN
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"We were and are a peaceful people. We even welcomed the wasichu [white man]. Only when we saw them building roads, forts, killing off the game, committing buffalo genocide, when we saw them ripping off our land for gold, only then did we realize that what they wanted was our land. They took away ou...


TRANSFERRIN RECEPTOR EXPRESSION IN INTRACRANIAL MENINGIOMAS
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Objective: Recent studies of iron mechanism in the brain have indicated that there may be a relationship between transferrin receptor (TfR) expression and histological malignancy._ TfR expression may also reflect cell proliferation. We investigated TfR staining intensity in intracranial meningiomas,...


EFFECTS OF LIFARIZINE AND NIMODIPINE ON FOREBRAIN LACTATE LEVELS IN A RAT MODEL OF FOCAL CEREBRAL ISCHEMIA
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Objective: The effects of lifarizine (RS-87476) and nimodipine on lactate concentrations in ischemic forebrain were evaluated in a rat model of bilateral carotid artery ligation. Methods: Eighteen rats were randomly assigned to three groups (control, lifarizine treatment, and nimodipine treatment)....


TUMORS OF THE CHOROID PLEXUS
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Objective: Choroid plexus neoplasms originate from choroid plexus epithelium. They are classified as papillomas and carcinomas histopathologically. The aim of this study is to discuss the signs, symptoms, treatment modalities and surgical results of this entities. Method: Ten cases of choroid plexu...


COMPUTER-ASSISTED STEREOTACTIC NEURONAVIGATION FOR INTRACRANIAL MASS LESIONS: PRELIMINARY CLINICAL EXPERIENCES İN 63 CASES
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Objective: Computer-assisted stereotactic frameless navigation techniques are used in many centers for intracranial neurosurgical procedures. In this study, we assessed the accuracy and the clinical usefulness of a frameless system based on the optical digitizer in a variety of intracranial procedur...


THE NEUROPROTECTIVE EFFECTS OF EBSELEN IN EXPERIMENTAL SPİNAL CORD INJURY
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Objective: The neuroprotective effects of ebselen were investigated in a rat spinal cord trauma model. Methods:Thirty-six Wistar albino rats were studied in four groups of nine animals each: sham-operated controls; trauma-only controls; and two ebselen treatment groups (administered 1 hour after inj...


ENDOSCOPIC THIRD VENTRICULOSTOMY: INDICATIONS, SURGICAL TECHNIQUE, AND POTENTIAL PROBLEMS
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Endoscopic third ventriculostomy is becoming more popular as an alternative to shunting in the management of obstructive-type hydrocephalus. The goal of this procedure is to fenestrate the floor of the third ventricle between the mamillary bodies and the infundibular recess, and thus establish flow ...


THE VALUE OF CORPECTOMY AND FUSION WITH OR WITHOUT PLATING IN THE SURGICAL TREATMENT OF LOWER CERVICAL SPINE FRACTURES
[Abstract] [Similar Articles]

Objective: The aim of this study is to evaluate retrospectively the results of 37 patients who underwent anterior cervical corpectomy due to cervical spine fractures and fracture-dislocations. Methods: Skeletal traction with skull tongs was applied in 24 patients who had fracture-dislocations prior...


PROGNOSTIC VALUE OF INITIAL COMPUTED TOMOGRAPHY FINDINGS IN PATIENTS WITH TRAUMATIC ACUTE SUBDURAL HEMATOMA
[Abstract] [Similar Articles]

Objective: The prognostic value of initial computed tomography (CT) findings in cases of traumatic acute subdural hematoma (ASDH) is unclear. The aim of this study was to investigate relationships between initial CT findings and outcome in this patient group. Methods: Sixty-five cases of traumatic ...


CORRELATION OF HISTOMORPHOLOGIC, HISTOCHEMICAL AND IMMUNOPHENOTYPIC FINDINGS IN PITUITARY ADENOMAS SHOWING PROLACTIN ACTIVITY
[Abstract] [Similar Articles]

Objective: In order to study clinical, histomorphological, histochemical and immunohistochemical characteristics in hyperproloactinemic patients, we undertook a comparative study of 30 pituitary adenomas. Methods: We used a group of nuclear, cytoplasmic and staining parameters for the evaluation o...


DECOMPRESSIVE CRANIECTOMY IN LARGE HEMISPHERIC INFARCTION
[Abstract] [Similar Articles]

Objective: Many cases of large hemispheric infarction are associated with early death due to massive edema, increased intracranial pressure, and subsequent uncal herniation. If medical therapy fails to lower intracranial pressure in a stroke patient, surgical decompression by large craniectomy may b...


ENDOSCOPIC THIRD VENTRICULOSTOMY: OUTCOME ANALYSIS OF 40 CONSECUTIVE CASES
[Abstract] [Similar Articles]

Giving opportunity to avoid placement of shunt systems, endoscopic third ventriculostomy (ETV) has revolutionized the management of hydrocephalus. With increasing experience, indications for ETV are being continuously reviewed and expanded. We report a retrospective analysis of our experience with 4...


THE EFFECTS OF ESTABLISHING THE SPINE SURGERY SECTION WITHIN TURKISH NEUROSURGICAL SOCIETY ON THE NUMBER AND QUALITY OF THE SPINAL PAPERS PRESENTED AT THE ANNUAL MEETINGS OF TURKISH NEUROSURGICAL SOCIETY
[Abstract] [Similar Articles]

Objective: There has been much progress in spinal surgery over the past two decades. These advances have increased the quality and number of spine-related studies, and the number of papers presented at annual meetings of neurosurgical societies. The Spinal Surgery Section (SSS) of the Turkish Neuros...


THE ANTIOXIDANT EFFECT OF AMINOPHYLLINE IN RAT BRAIN AND SPINAL CORD HOMOGENATES
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Object: Free oxygen radicals play a major role in the pathophysiology of central nervous system (CNS) trauma, neurodegeneration and aging. Aminophylline, an antiasthmatic drug, was shown to exert some free radical scavenging effect on lung tissue. The purpose of this study was to investigate the fre...


PREVENTION OF HEMOLYSATE-INDUCED DAMAGE IN CULTURED CEREBRAL ENDOTHELIAL CELLS WITH MEXILITINE
[Abstract] [Similar Articles]

Objective: Damage to the vascular endothelium is considered to be an important factor in the development of cerebral vasospasm after subarachnoid hemorrhage. Studies have shown that hemolysate causes structural and functional injury in cultured cerebral endothelial cells. Mexilitine is an anti-arrhy...


ENDOSCOPIC AQUEDUCTOPLASTY TECHNIQUE AND PRELIMINARY RESULTS
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Objective: Neuroendoscopic aqueductoplasty presents an effective alternative to third ventriculostomy for the treatment of hydrocephalus caused by stenosis of the aqueduct of Sylvius. There have been few reports in the past decade with promising results. Here we report our preliminary experience, de...


CEREBRAL TISSUE SIALIC ACID LEVELS IN EXPERIMENTAL BRAIN EDEMA
[Abstract] [Similar Articles]

Objective: The aim of this study was to examine sialic acid levels in brain tissue with vasogenic edema due to experimental focal freeze injury. Methods: Thirty-seven male Wistar-Albino rats were divided into an edema group (n=30) and a control group (n=7). Animals in the edema group were subjecte...


CLINICAL EXPERIENCE IN CRANIOPLASTY WITH POROUS POLYETHYLENE IMPLANT
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Objective: Cranial defects and their optimum reconstructions have been a deal in neurosurgical practice. In the recent time, we used porous polyethylene implants for cranioplasty to provide better cosmetic, surgical and long-term safety results. Material and method: Porous polyethylene implants (M...


Neuroprotective Effects of Acetyl-L-Carnithine in Experimental Chronic Compression Neuropathy. A Prospective, Randomized and Plasebo-Control Trials
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OBJECTIVE: We designed this experimental study to examine the potential positive influences of the acetylated derivative of acetyl-L-carnithine, an endogenous substance present in the nervous system, on chronic compression neuropathy. This is the first study ever published on the medical treatmen...


The Effects of Vitamin E on Lipid Peroxidation, Nitric Oxide Production and Superoxide Dismutase Expression in Hyperglycemic Rats With Cerebral Ischemia- Reperfusion Injury
[Abstract] [Similar Articles]

OBJECTIVES: Recent studies have revealed that nitric oxide (NO) in concert with lipid peroxidation (LP) may play an important role in pathophysiological mechanism(s) of cerebral ischemia. In addition, hyperglycemia exaggerates the pathological changes during cerebral ischemia. The purpose of this...


Functional Results of Physiotherapy Programme On Patients With Aneurysmal Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

OBJECTIVE: The purpose is to evaluate the functional recoveries obtained through the pysiotherapy program started in the early postoperative period with the patients with SAH, and then advanced after being discharged. MATERIAL AND METHODS: Home Exercise (HE) (n=54) was Group I, and the Regular S...


Cognitive Changes After Unilateral Cortico-amygdalohippocampectomy Unilateral Selective-amygdalohippocampectomy Mesial Temporal Lobe Epilepsy
[Abstract] [Similar Articles]

BACKGROUND: The aim of this study was to compare neuropsychological outcome at 1-year follow-up in patients with medically refractory unilateral mesial temporal lobe epilepsy (MTLE) due to hippocampal sclerosis (HS) treated by a cortico-amygdalohippocampectomy (CAH) or a selective-amygdalohippoca...


Efficacy of Unilateral Laminectomy for Bilateral Decompression in Lumbar Spinal Stenosis
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OBJECTIVE: We have conducted a prospective study to evaluate the results and effectiveness of bilateral decompression via a unilateral laminectomy in 50 patients with 98 levels of degenerative lumbar spinal stenosis without instability. METHODS: Clinical outcomes were assessed using the Visual An...


A New Neurosurgical Instrument: A Micro-Vibrato-Dissector
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OBJECTIVE: We developed an instrument (a dissector tool with micro- vibrating system) to make make brain tissue dissection easy and safe. METHOD: We used this instrument and conventional technique to dissect 18 fresh cadaver sheep brains (9 of them were dissected by the vibrating-dissection tech...


Load Sharing within a Human Thoracic Vertebral Body: An In Vitro Biomechanical Study
[Abstract] [Similar Articles]

OBJECTIVE: The vertebral body is the major load bearing part of the vertebra and consists of a central trabecular core surrounded by a thin cortical shell. The aim of this in vitro biomechanical study is to determine the debated issue of load sharing in a vertebral body. METHODS: A series of non...


The Effect of Laminectomy on Instability in the Management of Degenerative Lumbar Stenosis Surgery: A Retrospective Radiographic Assessment
[Abstract] [Similar Articles]

A retrospective study was conducted to assess the surgical outcomes of degenerative lumbar spinal stenosis. Thirty-four patients treated with decompressive surgery in Departments of III. Neurosurgery, Bakırkoy Hospital for Psychiatric and Neurological Diseases between 2000-2004 were reviewed. There ...


Chiari 1 Malformation with Syringomyelia: Correlation of Phase-Contrast Cine MR Imaging and Outcome
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AIM: This study was designed to determine the hemodynamics of cerebrospinal fluid flow in syringomyelia patients associated with Chiari I malformation using phase-contrast velocity-encoded-cine MRI and also to find out whether treatment outcomes may be predicted by these flow measurements. MATERIAL...


Ultrasound Examination in the Surgical Treatment of Lower Extremity Peripheral Nerve Injuries: Part II
[Abstract] [Similar Articles]

OBJECTIVE: The aim of this clinical study was to evaluate the benefits of ultrasonographic imaging in the surgical treatment of lower extremity peripheral nerve lesions. METHODS: Peripheral nerves in the lower extremity were evaluated by using real-time utrasonographic examination. The capabilty...


The Effectiveness of Simple Drainage Technique in Improvement of Cerebral Blood Flow in Patients with Chronic Subdural Hemorrhage
[Abstract] [Similar Articles]

OBJECTIVE: In the present study, the clinical effectiveness of a surgical procedure in which no draining tubes are installed following simple burr hole drainage and saline irrigation is investigated. METHODS: 10 patients, having undergone operative intervention for unilateral chronic subdural he...


Ultrasonographically Checking the Sectioning of the Transverse Carpal Ligament During Carpal Tunnel Surgery with Limited Uni Skin Incisions
[Abstract] [Similar Articles]

AIMS: The goal of this clinical study was to evaluate the capability of intraoperative ultrasonographical examination to demonstrate the sectioning of the transverse carpal ligament during open surgical treatment of carpal tunnel syndrome with limited uni skin incision (mini skin incision technique)...


Cerebrospinal Fluid and Serum Chitotriosidase Levels in Patients with Aneurysmal Subarachnoid Haemorrhage: Preliminary Results
[Abstract] [Similar Articles]

AIM: The purpose of this study was to investigate the time course(s) of the cerebrospinal fluid and serum chitotriosidase changes in patients with aneurysmal subarachnoid hemorrhage and to show whether cerebrospinal fluid and/or serum chitotriosidase levels might be used as a specific marker for ...


Simulation of Cerebrovascular Circulation in the Human Cadaver for Surgical Neuroanatomy Training
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OBJECTIVE: The current progress in diagnostic and screening methods and surgical equipment technologies facilitates the accessibility to numerous anatomic structures through various interventional approaches. Consequently, the exact knowledge of the anatomic locations of neurovascular structures ...


Ultrasound Examination in the Surgical Treatment for Upper Extremity Peripheral Nerve Injuries: Part I
[Abstract] [Similar Articles]

AIM: The aim of this clinical study was to evaluate the benefits of ultrasonographic imaging in the surgical treatment of upper extremity peripheral nerve lesions. MATERIAL and METHODS: Peripheral nerves in the upper extremity were evaluated by using real-time ultrasonographic examination. The ca...


Magnetic Resonance Imaging Finding in Severe Head Injury Patients with Normal Computerized Tomography
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AIM: Computerized tomography (CT) has been the primary diagnostic instrument of neurosurgical centers for head injury until now. However, there is a subgroup of patients who have persisting neurological deficits without visible pathology on CT. MATERIAL and METHODS: Between 2000 and 2002, 3000 pa...


Role of Diffusion-Weighted MRG in Predicting Outcome in Subarachnoid Hemorrhage Due to Anterior Communicating Artery Aneurysms
[Abstract] [Similar Articles]

AIM: Efficacy of DWI in detecting ischemic injury following anterior communicating artery aneurysmal SAH is studied MATERIAL and METHODS: In this prospective study ,16 patients within 5 days of their ictus were included. Preoperative CT scan excluded an intracerebral infarct; an angiogram determ...


The Accuracy and Diagnostic Yield of Computerized Tomography Guided Stereotactic Biopsy in Brain Lesions
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OBJECTIVES: Radiological imaging techniques provide early detection of neurological diseases but they do not always provide an adequate and reliable diagnosis. With the help of stereotactic biopsy techniques, it is possible to access brain lesions safely and with high precision. We described the ...


The Segments and the Inferior Boundaries of the Odontoid Process of C2 Based on the Magnetic Resonance Imaging Study
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AIM: The aims of this clinical study were to describe the segments and the inferior boundaries of the odontoid process as regards the embryological development of C2 based on the magnetic resonance imaging finding. MATERIAL and METHODS: Cranial and cervical magnetic resonance images including oc...


Cerebellar Mutism Following Posterior Fossa Tumor Resection in Children
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AIM: Cerebellar mutism is a documented complication of posterior fossa surgery in pediatric ages. Risk factors such as the type of tumor, size, and location of tumor, hyrdrocephalus, postoperative cerebellar swelling for cerebellar mutism were investigated in this study. MATERIAL and METHODS: A ...


Invited Article: Surgical Management of Moyamoya Disease
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OBJECTIVE: Various types of revascularization surgery have been performed for moyamoya disease, and there have been controversies about the surgical procedures. In this report, we introduce our surgical strategy of moyamoya disease and discuss the various surgical procedure options. METHODS: The...


Psychosocial Outcome after Extratemporal Epilepsy Surgery: A Prospective Clinical Study
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AIM: The purpose of this prospective clinical study was to examine the short- and long-term psychosocial outcomes of a consecutive series of patients who underwent extratemporal lobe resection due to medically-refractory epilepsy. MATERIALS and METHODS: The sample consisted of 23 consecutive pati...


Do we Need Bispectral Index Monitoring During Total Intravenous Anesthesia for Lumbar Discectomies?
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The aim of this study was to investigate the effect of bispectral index (BIS) monitoring on hemodynamic parameters, drug consumption and awareness during total intravenous anesthesia (TIVA) with remifentanil and propofol in lumbar discectomies. After institutional ethical committee approval, ASAI...


Functional Brain Mapping During Recitation of Buddhist Scriptures and Repetition of the Namu Amida Butsu; a Study in Experienced Japanese Monks
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BACKGROUND: The invocation Namu Amida Butsu (Nembutsu), voices the hope of rebirth into Amida's Pure Land. In the Nembutsu, Buddhists imagine that they are absorbed into Amida's Pure Land. Shiritori, a Japanese word chain game, is a common task used to activate language related regions in Japanes...


Posterior Atlantal Lateral Mass Fixation Technique With Polyaxial Screw And Rod Fixation System
[Abstract] [Similar Articles]

OBJECTIVE: Atlantoaxial instability may result from various pathologic conditions and operative treatment may be required to correct the deformity, provide stability and prevent neurological deficits. We presented our clinic's experience using C1-C2 fusion with polyaxial screw and rod fixation fo...


Effects of Peripheral Nerve Ischemia-Reperfusion Model on Serum Cytokine Levels
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AIM: Although the neuropathology of ischemic nerve fiber degeneration is relatively well known, its pathogenesis is poorly understood. Local cytokines, which have neuroprotective effects on inflammation and repair, participate in the process by undefined mechanisms. In this study, we evaluated th...


Nitric Oxide Level and Adenosine Deaminase Activity in Cerebrospinal Fluid of Patients with Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

OBJECTIVE: Adenosine and nitric oxide (NO) are known as vasodilatators. We investigated adenosine deaminase (ADA) activity and NO concentration in the cerebrospinal fluid (CSF) of patients with subarachnoid hemorrhage (SAH). METHODS: Forty patients with SAH and 10 controls were included in the st...


Effects of Hypoxic Preconditioning in Antioxidant Enzyme Activities in Hypoxic- Ischemic Brain Damage in Immature Rats
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AIM: HI (hypoxic–ischemic) brain injury is a major cause of neonatal mortality and longterm neurological morbidity. The aim of the present study was to investigate the effects of HPC (hypoxic preconditioning) on the oxidative-antioxidative status in the neonatal HI brain model. MATERIAL an...


Management of Spinal Synovial Cysts
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OBJECTIVE: The report aimed to present the outcome of surgical management of spinal synovial cyst. Methods: The study was a retrospective review of six patients surgically treated between January 2005 and September 2007. The patients were evaluated in preoperative and postoperative periods. Evalu...


The Importance of Macroprolactinemia in the Differential Diagnosis of Hyperprolactinemic Patients
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OBJECTIVE: Hypersecretion of prolactin (PRL) by lactotroph cells of the anterior pituitary may lead to hyperprolactinemia in physiological or pathological conditions. However, some of the patients may present with another cause of hyperprolactinemia, described by various authors as macroprolactin...


The Incidence of Berry Aneurysm in the Iranian Population: An Autopsy Study
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Intracranial berry aneurysms are the most common kind of aneurysms in the brain, and are caused by head trauma in 1% of cases. They may remain asymptomatic for a long time or may rupture and cause intracranial hemorrhage. These aneurysms are associated with a high mortality rate. A definitive di...


Surgical Treatment of Lesions Involving the Supplementary Motor Area: Clinical Results of 12 Patients
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AIM: Surgical resection of lesions involving the dominant supplementary motor area (SMA) may result in immediate postoperative motor and speech deficits which in most cases are reversible.We report 12 patients with frontal lesions involving the SMA and aim to analyse the clinical data and the cor...


Repair of Wide Myelomeningocele Defects with the Bilateral Fasciocutaneous Flap Method
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OBJECTIVE: Five large myelomeningocele defects repaired by bilateral fasciocutaneous flaps are presented in this article. PATIENTS and METHODS: After the neurological repair, bilateral fasciocutaneous flaps were raised, transposed over the midline, and sutured to each other. RESULTS: All oper...


Prenatal Expressions of Hyperpolarization-activated Cyclic-Nucleotide-Gated Channel (HCN) Genes in Dysplastic Hippocampi in Rats
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AIM: Hyperpolarization-activated cyclic nucleotide-gated (HCN or h-channel) channels mediate hyperpolarization-activating currents in the hippocampus and neocortex. The aim of this study is to present prenatal h-channel gene expressions (HCN1 and HCN2; HCN1-Entrez-Gene ID: 84390; HCN2- Entrez Gene I...


Efficacy of Prognostic Factors on Survival in Patients with Low Grade Glioma
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AIM: In this report, we aim to determine the prognostic factors influencing the length of survival in patients with low-grade gliomas. MATERIAL and METHODS: In a retrospective evaluation, we have reviewed fiftythree patients who had been operated between the years of 1980 and 2006. The diagnoses...


Tumors of the Lateral Ventricle: The Factors that Affected the Preference of the Surgical Approach in 46 Patiens
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AIM: Optimal surgical pathway for lateral ventricle tumors is still controversial. The purpose of this study is to discuss the factors that affected the preference of the surgical techniques for removing lateral ventricle tumors. MATERIAL and METHODS: 46 consecutive patients underwent operation f...


Nogo-A Inhibitory Peptide (NEP1-40) Increases Pan-Cadherin Expression Following Mild Cortical Contusion Injury in Rats
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BACKGROUND: Nogo-A is a myelin-associated neurite outgrowth inhibitory protein that limits elongation of central nerve fibers, neuronal regeneration and plasticity. We investigated the effect of delivering an inhibitory peptide that neutralizes Nogo-A on neuronal recovery following mild cortical ...


Review of a Series with Abducens Nerve Palsy
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OBJECTIVE: In this report, we aimed to investigate the patients that presented at our clinic complaint with diplopia due to the abducens nerve palsy and neurosurgical disease. METHODS: The study design was a retrospective review of ten cases with the abducens nerve palsy. The causes of the abduc...


Surgical Outcome in Hippocampal Sclerosis Following Selective Amygdalo-Hippocampectomy
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OBJECTIVES: Temporal lobe epilepsy is the most common form of intractable partial epilepsy in adults with hippocampal sclerosis accounting for the majority of cases. Selective amygdalo-hippocampectomy (SEAH) is suggested as a safe and effective surgical procedure with the advantage of a better co...


Early Post Operative Visual Outcome in Microsurgically Treated Suprasellar Meningiomas Predict Long-Term Visual Outcome
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BACKGROUND: Different data exist regarding long-term visual prognosis associated with suprasellar meningiomas. The aim of this study was to determine the outcome of suprasellar meningiomas with respect to short and long-term visual outcomes. METHOD: During the period of 1997 to 2006, 45 patients ...


When Should Ventriculoperitoneal Shunt Placement Be Performed in Cases with Myelomeningocele and Hydrocephalus?
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AIM: The shunt infection rates vary from 2 to 39% among complications related to shunts used for hydrocephalus treatment. Shunt infections are reported to be more common than any other etiologies in newborn babies with myelomeningocele. MATERIAL and METHODS: In this study, we performed a retrospe...


Sublabial Transseptal Approach to Pituitary Adenomas with Special Emphasis on Rhinological Complications
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OBJECTIVE: The aim of this presentation is to show that the sublabial transseptal transsphenoidal approach to pituitary adenomas is the least invasive anatomic route with the lowest postoperative complication rates. PATIENTS and METHOD: This study was based on a retrospective analysis of 276 pat...


Atypical Language Lateralization in Patients with Left Hippocampal Sclerosis: Does the Hippocampus affect language lateralization?
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AIM: To provide information related to atypical language activations (right or bilateral) in positron emission tomography in patients with left clear-cut hippocampal sclerosis. MATERIAL and METHODS: Twelve right-handed patients who had been operated on left-sided hippocampal sclerosis and 12 righ...


Evaluation of Cerebellar Asymmetry with Vertigo Cases: A Stereological Study
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AIM: We aimed to evaluate the relevant methods of stereology to estimate cerebellar asymmetry according to gender in both adult right-handed vertigo cases and healthy cases. MATERIAL and METHODS: The study included 14 adult control subjects and 18 patients with vertigo. The volumes of the cerebe...


Carotid Endarterectomy with Regional Anesthesia: An Audit of 71 Cases
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AIM: The aim of carotid endarterectomy (CEA) is the successful removal of the atherosclerotic plaque and meticulous anatomical and physiological reconstruction of the carotid artery without any perioperative complications. Endarterectomy can also be carried out with regional anesthesia, which all...


Evaluation of the Intellectual Skill Problems of Hydrocephalic Children: A Clinical Study
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AIM: This study is plained to determine the intellectual skill difficulties and attention problems of hydrocephalic children, and to compare them to children with attention deficit hyperactivity disorder (ADHD). MATERIAL and METHODS: The Wechsler Intelligence Scale for Children-Revised (WISC-R) ...


Aspiration or Capsule Excision? Analysis of Treatment Results for Brain Abscesses at Single Institute
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AIM: Aspiration of the abscess cavity versus excision of capsule are still in debate for the capsulated, large, superficially located abscesses. MATERIAL and METHODS: Twenty patients who had large, solitary, capsulated, and superficially located lobar abscesses were analyzed retrospectively to co...


The Incidence and Anatomical Features of the McKenzie Branch: A Cadaver Study
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AIM: The aim of this study was to demonstrate the morphological characteristics of the connections between the spinal accessory nerve and the anterior root of the first cervical nerve (C1) which is also called the McKenzie branch. MATERIAL and METHODS: The cranial cervical regions of 49 specimen...


The Premasseteric Branch of Facial Artery: Its Importance for Craniofacial Surgery
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AIM: The masseter muscle is often exploited by craniofacial surgeons in transposition operations to correct facial palsy, benign masseteric hypertrophy; or neurectomy-induced atrophy of the muscle. A clear understanding of the course of the premasseteric branch of the facial artery and its relati...


Comparing the Results of Limited Incision Technique and Standard Longitudinal Incision Technique for Carpal Tunnel Decompression by Numerical Grading System
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The carpal tunnel syndrome is the most common nerve entrapment syndrome. Many different methods have been described for treatment. We performed a novel method to release the carpal tunnel. Subsequently, we compared the surgery results of this novel limited incision technique and the standard lon...


Operative Technique for Calvarial Reconstruction of Sagittal Craniosynostosis
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AIM: The purpose of this study was to retrospectively evaluate the efficacy of the developed by the authors surgical technique in patients with a radiographically confirmed diagnosis of sagittal craniosynostosis. MATERIAL and METHODS: 34 children with scaphocephaly underwent surgical treatment w...


Replacement of Vertebral Lamina (Laminoplasty) in Surgery for Lumbar Isthmic Spondylolisthesis. A Prospective Clinical Study
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BACKGROUND: The use of lamina as a graft for fusion in isthmic lumbar spondylolisthesis (LIS) is not known. In the present prospective clinical study, we used the laminoplasty technique and reported on its outcomes. MATERIAL and METHOD: Twenty cases that have been operated in our clinic due to G1...


Clinical Outcomes Following Cervical Laminoplasty for 19 Patients with Cervical Spondylotic Myelopathy
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OBJECTIVE: Cervical laminoplasty is an effective procedure. We describe the technique of open-door and french-door cervical laminoplasty and present our clinical results. METHODS: All patients undergoing laminoplasty at our clinic during the 1997- 2008 period were included in the study. All pati...


Total Disc Replacement in the Treatment of Lumbar Discogenic Pain with Disc Herniation: A Prospective Clinical Study
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BACKGROUND: Biomechanical benefits of Total Disc Replacement (TDR) including both the restoration of normal segmental range of motion and the prevention of physiological lumbar lordosis encourage spine surgeons to perform TDR for lumbar disc disease. METHODS: Atotal of twenty patients (mean age: ...


HER-2/neu Gene Amplification in Paraffin-Embedded Tissue Sections of Meningioma Patients
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AIM: Meningiomas arise from the meningoendothelial cells and are one of the most common tumors of the central nervous system. The HER-2/neu gene is located on the 17q11.2-q12 chromosome region and encodes an epidermal growth factor receptor. HER- 2/neu gene amplification and/or over expression ha...


Variations in the High Division of the Sciatic Nerve and Relationship Between the Sciatic Nerve and the Piriformis
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OBJECTIVE: The sciatic nerve (SN) separates into its branches, the tibial and common fibular nerves, outside the pelvis. However, it may rarely be separated within the pelvis. In such cases, the tibial nerve and the common fibular nerve may leave the pelvis through different routes. These variati...


Evaluation of Congenital Lumbosacral Malformations and Neurological Findings in Patients with Low Back Pain
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AIM: To investigate the correlation of congenital lumbosacral abnormalities with neurological signs in young patients with low back pain (LBP) MATERIAL and METHODS: The study included 401 patients with LBP that lasted longer than 2 weeks. All cases were screened by standard lumbosacral x-rays for...


Traumatic Spondylolisthesis of the Axis Treated with Direct C2 Pars Screw
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OBJECTIVE: The optimal treatment modality for traumatic spondylolisthesis of the axis is still a controversial issue. Many conservative, posterior and anterior fixation techniques have been used to treat these injuries. The C2 pars (isthmus) was used as a novel screw anchor point in upper cervica...


Transcallosal Transbiforaminal Approach to the Third Ventricle
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BACKGROUND: Colloid cysts are benign intracranial lesions but can show signs of severe obstructive hydrocephalus and present with sudden death. The approaches to colloid cysts have been described by many authors. The treatment modalities can be classified as endoscopic and microsurgical. Bilatera...


Predictive Value of Leucocytosis in Head Trauma
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AIM: Head trauma is associated with an acute phase response which is characterized by leucocytosis due to increased levels of catecholamine and cortisol. Early edema formation following severe head injury may also be associated with microglia activation. Therefore, increased white blood cell (WB...


Traumatic Brain Injury Due To Gunshot Wounds: A Single Institution's Experience With 442 Consecutive Patients
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AIM: Traumatic brain injury (TBI) caused by a gunshot wound is a complex injury with a broad spectrum of symptoms and high rates of mortality and morbidity. This study presents an evaluation of TBI caused by gunshot wounds presenting at a single institution and discusses possible predictive facto...


High Dose Cotinine may Induce Neural Tube Defects in a Chick Embryo Model
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AIM: Nicotine is a well-known agent among 4000 chemicals in cigarettes. About 70 to 80% of nicotine is converted to cotinine, a major metabolite. The aim of the present study is to investigate the effect of cotinine on neural tube development in a chick embryo model. MATERIAL and METHODS: Sixty ...


Investigation of Neuroprotective Effects of Cyclooxygenase Inhibitors in the 6-Hydroxydopamine Induced Rat Parkinson Model
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AIM: Recent experimental and clinical studies on Parkinson's disease point out the pivotal role of inflammation in the pathogenesis of neurodegeneration and the possible positive effects of nonsteroidal anti-inflammatory drug therapies. Our aim in this study was to investigate the preventive effe...


Endoscopic Endonasal Transsphenoidal Approach to the Sellar Region: Results of Endoscopic Dissection on 30 Cadavers
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AIM: To recognize the endoscopic anatomy of the surgical corridor along the nasal cavity, sphenoidal sinus and the sellar area to delineate the pure endoscopic endonasal transsphenoidal approach (EETSA) to the region of the pituitary gland. MATERIAL and METHODS: The endoscopic anatomy of the nasa...


C2 Intralaminar Screw Placement: A Quantitative Anatomical and Morphometric Evaluation
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AIM: To investigate the feasibility of placing a screw in the C2 lamina and evaluate the reliability of the surface of the dorsal arch of C2 as a landmark for determining the optimal site of screw entry. MATERIAL and METHODS: 88 adult human C2 spines were used. Seven measurements were determined...


Extended Endoscopic Endonasal Approach to the Anterior Cranio-vertebral Junction: Anatomic Study
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OBJECTIVE: Our aim in this study was to identify the endoscopic anatomy of the anterior cranio-vertebral junction to be able to perform minimal invasive endoscopic surgical procedures to this region (such as dens resection) safely with better postoperative performance of the patients. MATERIAL a...


Utilizing Dynamic Rods with Dynamic Screws in the Surgical Treatment of Chronic Instability: A Prospective Clinical Study
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AIM: In this study, we examined the results of utilizing the agile posterior dynamic stabilization system with dynamic transpedicular screws in our patients. MATERIAL and METHODS: Posterior dynamic instrumentation with agile rods and dynamic transpedicular screws was employed in 15 (seven male an...


Risk Factors For Low Back Pain and Its Relation with Pain Related Disability and Depression in a Turkish Sample
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AIM: To investigate the relation of depression and pain-related disability associated with Low Back Pain (LBP). MATERIAL and METHODS: The Quebec Back Pain Disability Scale, Visual Analogue Scale (VAS) and Zung Depression Scale were sent to 3800 randomly select adults in Kayseri, Turkey. The demo...


Acute Subdural Hematomas Caused by Ruptured Aneurysms: Experience from a Single Turkish Center
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AIM: Although an aneurysmal rupture typically presents on computed tomography (CT) imaging as only a subarachnoid hemorrhage (SAH), it may be associated with spontaneous (nontraumatic) subdural hemorrhage (sSDH). The purpose of this paper is to discuss the clinical and radiological characteristic...


Spontaneous Primary Intraventricular Hemorrhage in Adults: Clinical Data, Etiology and Outcome
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AIM: Primary intraventricular hemorrhage (PIVH), bleeding in the ventricular system without a recognizable parenchymal component, is a rare neurological disorder. The purpose of this study was to identify clinical features, risk factors, etiology and outcome of patients with PIVH. MATERIAL and M...


Bilateral C1-C2 Claw for Atlantoaxial Instability
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OBJECTIVE: Atlantoaxial stability can be achieved by laminar hook systems via posterior approach. This technique is much more safer than using screws. We presented our experience with the C1-C2 claw procedure. METHODS and MATERIAL: Seven patients with atlantoaxial instability were operated by us...


The Variations of the Anterior Choroidal Artery: an Intraoperative Study
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AIM: Increasing use of surgical magnification for operations in the territory of the anterior choroidal artery (AChA) has created a need for detailed knowledge of their anatomical variations. The aim of the present study is to examine the anatomical variations of the AChAin patients operated via ...


Analysis of Serum Pro-Inflammatory Cytokine Levels after Rat Spinal Cord Ischemia/Reperfusion Injury and Correlation with Tissue Damage
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AIM: A rat model of spinal cord ischemia/reperfusion was conducted and the serum cytokine levels and histopathological changes were assessed. MATERIAL and METHODS: Twenty-four male Sprague-Dawley rats were assigned into four experimental groups. Group-A (the sham operated rats) and group-B (the s...


The Effect of Nitrogen Mustard on the Rat Brain and the Therapeutic Value of Proanthocyanidin
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AIM: Nitrogen Mustard (NM) is an alkylating agent that damages cellular nuclear DNA after penetrating tissue. This results in cytostatic, mutagenic and cytotoxic effects. We used the electron microscope to investigate the effect of NM gas administered through the dermal and respiratory routes to ...


The Preventive Effect of Mexiletine on Cerebral Ischemic Injury Following Experimental Middle Cerebral Artery Occlusion
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AIM: Previous studies demonstrated that mexiletine has some important features in the prevention of ischemic brain injury such as sodium and calcium canal blockage and free radical occurrence. Our aim was to investigate the effects of mexiletine on ischemic brain injury. MATERIAL and METHODS: Ex...


The Effects of Intravenous Cilostazol and Nimodipine on Cerebral Vasospasm after Subarachnoid Hemorrhage in an Experimental Rabbit Model
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AIM: Our aim in this study was to investigate the efficacy of intravenous administration of cilostazol and compare these effects with intravenous usage of nimodipine in subarachnoid hemorrhage model. MATERIAL and METHODS: Twenty-five male New Zealand White rabbits were assigned randomly to 1 of ...


Effect of a Chloride Channel Inhibitor, 5-Nitro-2- (3-Phenylpropylamino)-Benzoate, on Endothelin-1 Induced Vasoconstriction in Rabbit Basilar Artery
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AIM: Endothelin-1 (ET-1) has been implicated in the pathophysiology of cerebral vasospasm. Chloride (Cl-) channels exist in vascular smooth muscle and activation of these channels leads to depolarization and contraction. The aim of the present study was to test the effect of 5-nitro-2-(3-phenylpr...


Effect of Cepea Extract-Heparin and Allantoin Mixture on Epidural Fibrosis in a Rat Hemilaminectomy Model
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AIM: Epidural fibrosis following a laminectomy procedure is a serious problem that results in failed back surgery syndrome. Aserious number of manuscripts have explained its possible mechanism and results but no effective preventive surgical technique or treatment is currently present. MATERIAL ...


Effect of Smoking on Rat Basilar Artery: Correlation with Inducible Nitric Oxide Synthase and Endothelin Converting Enzyme-1
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AIM: Smoking is an extremely important risk factor for subarachnoid hemorrhage and seems to increase rupture risk of unruptured aneurysms by accelerating their growth rate. The aim of the study was to investigate the effect of smoking on the luminal diameter with wall thicknesses of rat basilar a...


Spinal Dysraphisms of the Cervicothoracic Region in Childhood
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PURPOSE: Spinal dysraphisms are the most common congenital anomalies of the CNS. Spinal dysraphism (SD) of cervical and upper thoracic region are rare, demonstrating distinct clinical and structural configurations compared to lumbar counterparts. METHODS: In Haydarpasa Numune Hospital, a total o...


Neuroprotective Effects of Postconditioning on Lipid Peroxidation and Apoptosis after Focal Cerebral Ischemia/Reperfusion Injury in Rats
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AIM: Apoptosis after cerebral ischemia/reperfusion (I/R) injury leads to the process of cell death. The deal therapeutic approach would target the apoptosis after I/R. Ischemic postconditioning is a recently discovered neuroprotective strategy that involves the application of brief mechanical rep...


677C>T and 1298A>C Polymorphisms of Methylenetetrahydropholate Reductase Gene and Biochemical Parameters in Turkish Population with Spina Bifida Occulta
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AIM: This study aimed to investigate the 677C>T and 1298A>C MTHFR gene polymorphisms and their metabolic effects on the levels of folate, vitamin B12 and homocysteine in the serum of Turkish spina bifida occulta (SBO) patients and healthy individuals in disease. MATERIAL and METHODS: A case-cont...


Electrophysiological Findings in Patients with Adult Tethered Cord Syndrome
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AIM: This study was planned for detailed evaluation of electrophysiological findings in patients with adult TCS. MATERIAL and METHODS: Patients were retrospectively assessed for clinical, radiological and electrophysiological data between 1999 and 2008. Tibial somatosensorial evoked potentials, ...


Factors in Sample Volume and Quality of CT-guided Vertebral Biopsy: Location and Needle Trajectory
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AIM: To assess sample volume (by its length and diameter) and sample quality (judging by its integrity) in CT-guided vertebral biopsy due to lesion location and needle trajectory method as individual study variables each. MATERIAL and METHODS: Of 48 patients, 25 were men and 23 were women; rangin...


Laminoplasty with Miniplates for Posterior Approach in Thoracic and Lumbar Intraspinal Surgery
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OBJECTIVE: A prospective clinical follow-up study of patients who underwent thoracolumbar intraspinal surgery with replacement of the posterior spinal arch and supporting elements is reported. PATIENTS and METHODS: The surgical procedures of 45 patients who underwent intraspinal surgery with ost...


Perioperative Complications of Intraventricular Neuroendoscopy: A 7-Year Experience
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AIM: Despite being a minimally invasive procedure, serious perioperative complications are reported during neuroendoscopy, largely generated by its unique surgical maneuvers. We report here the complications of elective neuroendoscopic surgery for the treatment of hydrocephalus and other intraven...


Surface Anatomy of the Transverse Sinus for the Midline Infratentorial Supracerebellar Approach
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AIM: Knowing the location of the transverse sinus in the midline supracerebellar infratentorial approach is important to prevent its inadvertent injury. The external landmarks of the occipital bone have been studied in this anatomic study in order to reveal their relationship with the transverse ...


Comparison of the Effect of Mexiletine and Methylprednisolone on Neural Function and Histopathological Damage after Transient Spinal Cord Ischemia in Rabbits
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AIM: The purpose of this study was to investigate the effect of mexiletine on the neural function and histopathological changes after ischemic spinal cord injury in rabbits. We also compared the effect of mexiletine to that of methylprednisolone. MATERIAL and METHODS: Twenty six male New Zealand ...


Efects of Melatonin and Octreotide on Peridural Fibrosis in an Animal Model of Laminectomy
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AIM: To investigate the effects of melatonin and octreotide in the prevention of peridural fibrosis in an experimental rat model. MATERIAL and METHODS: A total of 36 rats were divided into three groups: Group I was laminectomized and not given any treatment. Group II received an intraperitoneal ...


The Protective Effects of Propofol and Citicoline Combination in Experimental Head Injury in Rats
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AIM: Lipid peroxidation (LP) is an important factor in tissue damage following head injury. Reactive oxygen radicals which damage cellular components play an important role in ischemic or hypoxic tissue. They initiate the lipid peroxidation process after head trauma. However, antioxidant agents m...


The Effects of Meloxicam on Neural Tube Development in the Early Stage of Chick Embryos
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AIM: The aim of this study is to demonstrate the effect of meloxicam in early stage chick embryos on neural tube development. MATERIAL and METHODS: One hundred specific pathogen-free (SPF) chicken eggs were used to investigate the neurulation. SPF eggs were invastigated in four groups (n:25). Al...


Efficacy of Clinical Prognostic Factors on Survival in Patients with Glioblastoma
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AIM: Glioblastoma is the most common and highest-grade infiltrative astrocytoma. It is usually associated with a bad prognosis. Histological grading is highly predictive of an aggressive behavior, with a mean survival rate of 1 year. Nonetheless, individual patient survival can vary substantially...


Endovascular Management of Vertebral Artery Dissecting Aneurysms: Review of 25 Patients
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AIM: Management of Vertebral Artery (VA) dissections remains controversial. The clinical and angiographic variables of VA dissections were evaluated to demonstrate the safety and efficacy of endovascular intervention in treatment of VA dissecting aneurysms. MATERIAL and METHODS: 25 patients with...


Placement of Three-Pin Head Holders in the Concorde Position
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AIM: To reevaluate the Concorde position with different surgical interventions to the posterior fossa and cervical pathology and to improve patient comfort in the Concorde position through obtuse angle placement of the three-pin holder while the patient is in the supine position. MATERIAL and ME...


The Surgical Anatomy of the Brachial Plexus
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AIM: The brachial plexus (BP) has a complex structure and risky relations with its neighborhoods. This study was designed to investigate and overcome the morphometric features of the BP and the difficulties regarding surgery of BP lesions. MATERIAL and METHOD: Twelve BP of six adult cadavers wer...


Comparative Research of the Thin Transverse Sectional Anatomy and the Multislice Spiral CT on Pterygopalatine Fossa
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AIM: To explore a method to obtain sub-millimeter data of the thin transverse section of the pterygopalatine fossa (PPF), and to study the thin transverse sectional anatomy of the adult pterygopalatine fossa and its communicating structure for providing anatomic gist for the imaging diagnosis and...


Connecting the Early Brain Injury of Aneurysmal Subarachnoid Hemorrhage to Clinical Practice
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Aneurysmal subarachnoid hemorrhage (SAH) is a devastating neurological disease that has a mortality rate as high as 67% in some series. Traditional research and treatment has focused on addressing the delayed events of cerebral vasospasm following SAH. However, the physiological and cellular even...


Lateral Orbitotomy Approach to Orbital Tumors: Report of 10 Cases
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AIM: Lateral orbitotomy is a well-known approach for lesions of the lateral orbital cone. It is still appropriate for laterally situated tumors although contemporary cranial base approaches were defined and developed within the last decades. MATERIAL and METHODS: Here we report 10 orbital lesion...


Ultrastructural Changes in the Liver after Experimental Spinal Cord Injury in Rats: Effects of Methylprednisolone, Immunoglobulin G and Albumin
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AIM: Spinal Cord Injury (SCI) is routinely treated with standardized methyl prednisolone sodium succinate (MPSS) dose, so it is reassuring to find its effects on liver. We also evaluated the effects of albumin and immunoglobulin G (Ig G) therapies on liver if they are used in case of experimental...


The Relationship between Health Locus of Control and Quality of Life in Patients with Chronic Low Back Pain
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AIM: To investigate the relationship between health locus of control and quality of life in patients with chronic low back pain. MATERIAL and METHODS: Pain intensity by visual analog scale, quality of life related to health by the World Health Organization Quality of Life (WHOQOL) assessment and...


Anatomical Study of the Cavernous Sinus Emphasizing Operative Approaches
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AIM: The aim of this article is to describe the microsurgical anatomy of the cavernous sinus, the triangles, and the osseous relationships in the region with special attention to the relationships important in surgical approaches on the intracavernous structures. MATERIAL and METHODS: Fifty cave...


Dynamic Stabilization of the Spine: A New Classification System
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Fusion surgeries are still the gold standard in the treatment of the degenerative spine. Spinal fusion has some problems, however. Adjacent segment disease, donor place ailment, and the morbidity of the surgery has emerged as important problems over the years. As a consequence of such complicatio...


Radiological and Scintigraphic Evaluation Versus Stereotaxic Biopsy for Intracranial Hypodense Lesions: A Comparative Study
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AIM: Intracranial hypodense lesions include a wide group of pathologies with different structures and characters. Although the radiological imaging properties of these neoplastic and non-neoplastic lesions are similar, treatment modalities for each lesion differs due to histopathological structur...


Spine Surgery Database: A Turkish Registry for Spinal Disorders
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AIM: This study presents a Turkish academic database application platform which is specialized for spinal surgery clinics. The application provides a userfriendly interface and easy access to the patients' data due to a hierarchical structure. Patient diagnosis, treatment and follow-up process da...


Single-Stage Posterolateral Corpectomy and Circumferential Stabilization without Laminectomy in the Upper Thoracic Spine: Cadaveric Study and Report of Three Cases
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AIM: Surgical approach to the upper thoracic spine diseases is challenging since anterior interventions to this region are quite complicated with the presence of major vascular elements or important visceral and soft-tissue structures. MATERIAL and METHODS: Operative technique was performed initi...


PKC Alpha Phosphorylates Cytosolic NF-kappaB/p65 and PKC Delta Delays Nuclear Translocation of NF-kappaB/p65 in U1242 Glioblastoma Cells
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AIM: Protein kinase-C (PKC) and NF-kappaB are involved in cell survival, proliferation, migration and radioresistance in glioblastoma multiforme (GBM). We sought to determine the interaction between PKC and NF-kappaB pathways. MATERIAL and METHODS: The activation of NF-kappaB by PKC α and P...


Fetal Allogeneic Umbilical Cord Cell Transplantation Improves Motor Function in Spinal Cord- Injured Rats
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AIM: The objective of this study was to investigate whether the transplantation of fetal umbilical cord tissue cells as a source of stem cells into the acutely injured spinal cord would produce some regenerations and/or functional recovery in a rat model of spinal cord injury. MATERIAL and METH...


Diagnostic and Therapeutic Role of CT-Guided Stereotactic Surgery in the Management of Intracranial Tuberculomas
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AIM: CT-guided stereotactic methods have long been used for the diagnosis and treatment of intracranial masses. Intracranial tuberculoma is a rare form of extrapulmonary tuberculosis. Histological confirmation is the gold standard for a correct diagnosis. However, histopathological diagnosis and ...


The Evaluation of Surgical Treatment Options in the Chiari Malformation Type I
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AIM: There have been several treatment modalities to reduce the volume of the syringomyelic cavity and the pressure on the brainstem in Chiari Malformation Type I (CM-I). Foramen magnum decompression with and without duroplasty were compared in this retrospective study. MATERIAL and METHODS: Fr...


White Fiber Dissection of Brain; the Internal Capsule: A Cadaveric Study
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AIM: This study was done to study the three dimensional anatomy of internal capsule's white fibers completely by cadaveric dissection and its relation to basal ganglia and other related anatomical structures. MATERIAL and METHODS: Eight formalin fixed cerebral hemispheres were dissected for int...


Microanatomical Characteristics of the Petrosphenoidal Ligament of Gruber
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AIM: The petrosphenoidal ligament (PSL, or Gruber‘s ligament) is located between the petrous apex (PA) and posterior clinoid process (PCP). Details of its anatomy are conflicting in the few studies that exist in the literature. We performed this study to describe in detail the microanatomic...


Radiofrequency Thermocoagulation of Ganglion Impar in the Management of Coccydynia: Preliminary Results
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AIM: Coccydynia is a painful condition affecting quality of life. The majority of patients can be successfully treated by non-surgical means. Chemical neurolysis, cryoablation and radiofrequency thermocoagulation (RFT) of ganglion impar are also used in the treatment of visceral pelvic pain. We a...


Assessment of Adjacent- Segment Degeneration in and Between Patients Treated with Anterior or Posterior Cervical Simple Discectomy
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AIM: The authors compared the incidence of radiologically documented and/or symptomatic adjacent segment degeneration in and between patients who underwent anterior or posterior single-level, simple discectomy. MATERIAL and METHODS: 79 patients were clinically and radiologically examined for ad...


The Addition of Metamizole to Morphine and Paracetamol Improves Early Postoperative Analgesia and Patient Satisfaction after Lumbar Disc Surgery
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AIM: Combined analgesic regimens produce sufficient analgesia by additive or synergistic effects, and reduce the total dose of analgesics and minimise adverse effects. We investigated the metamizole, paracetamol and morphine combination with respect to postoperative pain treatment in lumbar disc ...


Microsurgical Resection of Supratentorial Cerebral Cavernomas
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AIM: More than two thirds of cerebral cavernomas are located supratentorially. The transsulcal approach without excision of the perilesional gliotic parenchyma and simple lesionectomy are keys to surgery on eloquent areas. MATERIAL and METHODS: We present 11 supratentorial cerebral cavernomas o...


The Mini Incision Technique for Carpal Tunnel Decompression Using Nasal Instruments
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AIM: Mini incision techniques for carpal tunnel release have become increasingly popular for the treatment of carpal tunnel syndrome. The main advantages of mini incision techniques are shorter recovery and return-to-work time. However, the risk of neurovascular injury still remains worrisome. We...


Stereological Evaluation of Temporal Lobe/Telencephalon Volume in Temporal Lobe Epilepsy Using the Cavalieri Principle
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AIM: Epilepsy is a temporary electric discharge in the brain cells due to shortterm brain function disorder. Epileptic seizures mostly stem from the temporal lobe. The prevalence is the same for women and men. It is thought that there are both microscopic- and macroscopic-level localized changes ...


Surgical Morbidity of Invasive Monitoring in Epilepsy Surgery: An Experience from a Single Institution
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AIM: This paper aimed to provide information related to surgical and neurological complications encountered following intracranial electrode placements in patients with medically intractable epilepsy. MATERIAL and METHODS: Retrospective review of 70 patients with either subdural grid/strip or d...


Thoracoscopic Surgical Approaches for Treating Various Thoracic Spinal Region Diseases
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AIM: Minimally invasive surgery is currently a goal for surgical intervention in the spine. The effectiveness of endoscopic thoracic spine surgery and technological improvements are two factors that are always under consideration in the practice of spinal surgery. MATERIAL and METHODS: We prese...


Effect of Early Bilateral Decompressive Craniectomy on Outcome for Severe Traumatic Brain Injury
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AIM: Debate continues as to whether decompressive craniectomy (DC) is an effective treatment for severe traumatic brain injury (STBI). DC is mostly used as a second tier treatment option. The aim of this study was determined whether early bilateral DC is effective as a first tier treatment option...


Basilar Skull Fracture: Outcome of Acute Care without Antibiotic Prophylaxis in a Nigerian Neurosurgical Unit
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Aim: A prospective observational study of the in-hospital outcome of the management of BSF without antibiotic prophylaxis in a Nigerian neurosurgical unit. Material and Methods: All cases of HI with clinical diagnosis of BSF over an 8-month period were reviewed. Their demographic, clinical, and ...


Low Back Pain and Sciatica Related with the Premenstrual Period in Patients with Lumbar Disc Herniation
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Aim: We examined the clinical progress of low back pain and radicular pain during the premenstrual period in patients with lumbar disc protrusion and discussed the probable effective physiopathological mechanisms and laboratory results reported in the literature. Material and Methods: Fifty fema...


The Effect of Repetitious Concussions on Cognitive Functions in Rats
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Aim: In this study, we aimed to investigate the effect of repetitious concussions on the spatial learning and memory function in rats. Material and Methods: 46 adult, male Sprague-Dawley rats were assigned to three homogenous groups by stratified random sampling according to their basal performa...


Microanatomical Study of the Intracranial Abducens Nerve: Clinical Interest and Surgical Perspective
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Aim: The microanatomy of the abducens nerve (AN) is important for clinical reasons and surgical approaches as it is located in the petroclival region. The incidence of branching and duplication of the abducens nerve are unknown and mechanisms relating to paralysis of the nerve in indirect conditi...


Comparison of the Effects of an Adhesion Barrier and Chitin on Experimental Epidural Fibrosis
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Aim: Epidural fibrosis is an important factor for postoperative failed back syndrome development and causes clinical complaints in 6-25% of cases. An effective treatment modality has not been found yet. The aim of this study is to investigate the anti-adhesive effects of a novel agent chitin and ...


Vertebroplasty and Kyphoplasty Under Local Anesthesia: Review of 91 Patients
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Aim: Vertebroplasty (VP) and kyphoplasty (KP) are minimally invasive methods for the treatment of vertebral compression fractures (VCF). In this study, we aimed to present our experience with VP and KP performed under local anesthesia and percutaneously. Material and Methods: Between 2002 and 20...


Repair of the Peripheral Nerve Defect with the Combination of Allogeneic Nerve and Autologous Neuroma
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Aim: To explore the effect of nerve regeneration through repairing the defect of sciatic nerve in rats with the combination of optimized acellular allogeneic nerve and autologous neuroma. Material and Methods: 30 SD rats were randomly divided into two groups A and B, with 15 in each, which were ...


Intraoperative Neurophysiological Monitoring During Surgery for Tethered Cord Syndrome
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Aim: The tethered cord syndrome refers to a variety of lesions that can cause the conus medullaris to be low-lying or incapable of movement within the spinal canal. Permanent or temporary neurological complications were reported following surgical release. In this report, peri- and postoperative ...


Radiological and Histopathological Comparison of Microporous Polysaccharide Hemospheres and Oxidized Regenerated Cellulose in the Rabbit Brain: A Study of Efficacy and Safety
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Aim: Topical hemostatic agents are widely used in brain surgery but they have some disadvantages such as foreign body reaction, being a focus for infection and causing artifacts in radiological examinations. The purpose of this study is to compare the effectiveness and safety of microporous polys...


Catabolic Cytokine Expressions in Patients with Degenerative Disc Disease
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Aim: Lumbar degenerative disc disease (DDD) is a common disease of advanced age characterized by progressive changes in the intervertebral disc and associated structures. There have been great efforts for years to explain its pathophysiological mechanism(s). This study aims to provide cytokine pr...


Postoperative Computed Tomography Assessment of Pedicle Screw Placement Accuracy
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Aim: Pedicle screw instrumentation is widely used in the lumbar spine as a means of stabilization to enhance arthrodesis and has gained acceptance in the thoracic spine in recent years. The purposes of this study were to determine the incidence of screw misplacement, complications, the accuracy a...


Effects of the Hippocampal Deep Brain Stimulation on Cortical Epileptic Discharges in Penicillin &#8211; Induced Epilepsy Model in Rats
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AIM: Experimental and clinical studies have revealed that hippocampal DBS can control epileptic activity, but the mechanism of action is obscure and optimal stimulation parameters are not clearly defined. The aim was to evaluate the effects of high frequency hippocampal stimulation on cortical epi...


Meta-Analyses of Intracerebral Hematoma Treatment
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AIM: The aim of this study is to define the position of surgery preference in the treatment choice for spontaneous intracerebral hematoma (ICH) and to compare the efficacy of surgery with the medical treatment based on data from 18 previously reported randomized prospective studies on this topic. ...


The Management in the C2-C3 Disc Herniations: A Clinical Study
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AIM: Cervical disc herniation at C2-C3 level is an uncommon condition. In this paper, the management C2-C3 disc herniation and long-term follow-up data of 5 cases is reported. MATERIAL and METHODS: 1100 patients who have been operated in our department for cervical disc herniation between 2000 and...


Benign Cerebellar Pilocytic Astrocytomas in Children
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AIM: Cerebellar astrocytomas are benign tumors of the central nervous system. They represent 10% of all pediatric intracranial brain tumors and 30% of all pediatric posterior fossa tumors especially in the first two decades of life. MATERIAL and METHODS: We reviewed the medical records of patients...


Immunohistochemical Expression of Cycloxygenase-2 in Astrocytoma: Correlation with Angiogenesis, Tumor Progression and Survival
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AIM: Cyclooxygenase-2 (Cox-2) appears to play a role in the regulation of progression, invasiveness and angiogenesis of various neoplasms. Experimental studies have indicated that COX-2 regulate angiogenesis by modulating vascular endothelial growth factor (VEGF) production. The aim of this study ...


Occipital Emissary Foramina in Human Skulls: An Anatomical Investigation with Reference to Surgical Anatomy of Emissary Veins
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AIM: The objectives were to find the incidence and topography of the occipital emissary foramina in skulls of South Indian Region. MATERIAL and METHODS: In the present study, 78 dried adult human skulls were examined. They were analyzed for the gross incidence and position of the occipital emissar...


Primary Cns Lymphoma in Immunocompetent: A Review of Literature and Our Experience from Kashmir
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AIM: To study the clinicopathological aspects of primary CNS lymphoma in immunocompetent patients. MATERIAL and METHODS: Sixteen patients with primary CNS lymphoma were analyzed for their clinico-pathological characteristics and followed-up for the treatment and subsequent management in Neurosurge...


Long-Term Outcomes of Percutaneous Retrogasserian Glycerol Rhizotomy in 3370 Patients with Trigeminal Neuralgia
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AIM: To assess the long-term outcomes of percutaneous retrogasserian glycerol rhizotomy (PRGR) in patients with medically unresponsive idiopathic trigeminal neuralgia. MATERIAL and METHODS: A total of 3370 patients undergoing PRGR between 1983 and 2003 in our hospital were followed up for 13.1 yea...


Clipping of Large and Giant Aneurysms of Anterior Circulation
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AIM: Surgical outcome for giant intracranial aneurysms (GIA) is suboptimal. Reasons for higher complication rates in large and GIA surgery are the occlusion of perforators or parent arteries during aneurysm clipping, or prolonged temporary occlusion of main arteries. In this article, results of cl...


Outcomes of Intrathecal Baclofen (Itb) Therapy in Spacticity
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AIM: Spasticity is associated with various neurological conditions. Intrathecal baclofen (ITB) is one of the popular treatments for severe spasticity. In this paper we present our experience in treating 30 patients with both spinal and supraspinal spasticity with chronic infusion of Baclofen to ev...


Cerebro-Spinal Fluid Shunt Revisions, Importance of the Symptoms and Shunt Structure
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AIM: CSF shunt failure is still a frequent problem in children. This prospective study was designed for focusing symptoms and reasons of shunt failure. We also especially focused on the mechanical reasons of shunt failure. MATERIAL and METHODS: We focused on the causes of shunt failures, and the s...


Spontaneous Pyogenic Spinal Epidural Abscess
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AIM: Spontaneous pyogenic spinal epidural abscess (SEA) is a rare condition but might be devastating and fatal. Traditional treatment is surgical decompression and antibiotics. A retrospective study was designed to assess the eff ect of clinical findings and treatment methods on the outcome. MATE...


Neuronavigation in Cranioorbital Neurosurgery - Do We Really Need It?
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AIM: The value of neuronavigation in cranioorbital neurosurgery is controversial and relatively unstudied. The aim of this study was to evaluate the application, the usefulness and the reliability of neuronavigation in the neurosurgical treatment of orbital tumours. MATERIAL and METHODS: A framele...


Noncontrast and Perfusion CT Provides Accurate Assessment of Head Deceleration Injury
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AIM: To investigate the feasibility of noncontrast computed tomography (NcCT) and perfusion CT (PCT) in the assessment of head deceleration injury (HDI). MATERIAL and METHODS: A small animal HDI device was developed. A total of 20 healthy adult rabbits with frontal impacts resulting from a 3.5 m ...


Nonspecific Low Back Pain in a Group of Young Adult Men
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AIM: Low back pain (LBP) is a common symptom that causes enormous social, psychological, and economical problems. We studied LBP occurrence in a group of young adults referred to an army hospital for a planned health check and evaluated possible causative factors by prospective questionnaires. MA...


The Influence of Subthalamic Nucleus Deep Brain Stimulation on Physical, Emotional, Cognitive Functions and Daily Living Activities in Patients with Parkinson's Disease
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AIM: To describe effectiveness of deep brain stimulation of subthalamic nucleus (DBS STN) on physical, emotional, cognitive functions and daily activities in Parkinson's patients. MATERIAL and METHODS: Ten patients (51.20 ±10.20 yr.) were assessed three times. The Time Up and Go Test, 12 m Walking...


Spectrum of Surgical Complications of Temporal Lobe Epilepsy Surgery: A Single - Center Study
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AIM: Although surgery is the most effective means of eliminating or reducing seizures in cases of medically refractory epilepsy, the expected or unexpected surgical complications must also be kept in mind in order not to decrease patients' quality of life. The aim of this present study was to asse...


The Correlation Between Hematoma Volume and Outcome in Ruptured Posterior Fossa Arteriovenous Malformations Indicates the Importance of Surgical Evacuation of Hematomas
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AIM: The correlation between hematoma volume and outcome in ruptured arteriovenous malformations (AVM) with accompanying posterior fossa hematoma was retrospectively evaluated. MATERIAL and METHODS: Microsurgery operations were performed on 127 patients with intracranial AVM between January 1998 a...


Indirect Bypass Procedures for Moyamoya Disease in Pediatric Patients
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AIM: Many direct and indirect surgical intervention methods have been defined for the treatment of moyamoya disease. Indirect surgical procedures have been increasingly used. In this study, indirect surgical intervention methods especially used in combination with pial synangiosis were assessed to...


Simple Decompression of the Ulnar Nerve at the Elbow Via Proximal and Distal Mini Skin Incisions
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The purpose of the present study was to describe a new minimally invasive surgical technique for decompression of the ulnar nerve at the elbow for treatment of cubital tunnel syndrome. Four patients underwent surgical treatment for cubital tunnel syndrome. Preoperative clinical states were classif...


Efficacy and Safety of Surgery for Lumbar Disc Herniation in Patients Aged 80 and Older
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AIM: To evaluate the efficacy and safety of surgery for lumbar disc herniation in patients aged 80 or older. MATERIAL and METHODS: Operative time (OT), intraoperative estimated blood loss (EBL), length of hospital stay (LOS), and complication rate (CR) were used to assess safety of surgery. The Vi...


Experience of Carpal Tunnel Syndrome that Operated Using a Limited Uni Skin Incision
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AIM: Releasing the carpal tunnel for Carpal Tunnel Syndrome (CTS) is the most common surgical procedure in neurosurgical practice. In this study, we aimed to analyze the outcome of patients operated on for carpal tunnel syndrome using a limited uni skin incision. MATERIAL and METHODS: Between June...


Anatomical Variations of the Foramen Magnum, Occipital Condyle and Jugular Tubercle
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AIM: The foramen magnum (FM) is a unique and complex anatomical region. The occipital condyle (OC) and jugular tubercle (JT) are the main bony structures which obscure the anterolaterally situated lesions of the FM.The aim of this study was to revisit the anatomy of the FM region and assess variat...


The Effects of Impulse Noise on the Epithelial Cells of the Choroid Plexus
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AIM: The aim of this study was to investigate the effects of impulse noise on the epithelial cells of the choroid plexus. MATERIAL and METHODS: Forty Sprague Dawley rats were used and divided into the 2 groups as control and study groups. In the control group, the rats did not suffer noise injury....


Effects of Parenteral Nutritional Support with Fish-Oil Emulsion on Spinal Cord Recovery in Rats with Traumatic Spinal Cord Injury
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AIM: Aim of this study is to assess effects of parenteral nutritional support with fish-oil emulsion on spinal cord recovery in rats with traumatic spinal cord injury. MATERIAL and METHODS: For 5 days after SCI rats were received saline in group C and Omegaven in group O. Locomotor strengths (BBB ...


Antithrombin Iıı and Enoxaparin Treatment Inhibit Contusion-Triggered Cell Death, Inflammation, Hemorrhage and Apoptosis after Severe Traumatic Brain Injury in Rats
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AIM: In this study, we aimed to show the neuroprotective effects of AT III and Enoxaparin after severe traumatic brain injury. MATERIAL and METHODS: The animals were divided into four groups as Group 1; control group, Group 2; trauma group, Group 3; AT III group and Group 4; Enoxaparin group. Seve...


Correlation of Pulsatility Index with Intracranial Pressure in Traumatic Brain Injury
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AIM: In traumatic brain injury (TBI) patients, it is desired to monitor the intracranial pressure (ICP) to assess the cerebral haemodynamics and guide the therapy. The study was designed to see if the pulsatility index (PI) measured by transcranial Doppler ultrasonography (TCD) predicts informatio...


Analysis of the Mortality Probability of Preoperative MRI Features in Malignant Astrocytomas
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AIM: The aim of the present study is to analyze the effects of the MRI features on the recurrence time and prognosis, and to emphasize the analyses of mortality risks in malignant astrocytomas. MATERIAL and METHODS: The effects of preoperative MRI features on prognosis were studied for follow-up p...


Natural Course of the Arteriovenous Malformations of the Brain Initially Presented by Hemorrhage: Analysis of a Clinical Series of 39 Patients
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AIM: AVM because of outstanding tendency toward bleeding, even though 20 times more rare then aneurysm on the blood vessels of the brain and her own specific anatomical structure even today represents big neurosurgical challenge. MATERIAL and METHODS: Series which is shown here consists of 39 pati...


Use of Tape Measure in People with or without Back Pain in Assessment of Reposition Error
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AIM: Examining lumbar repositioning error (RE) using a tape measure in nonspecific low back pain (NLBP) and control groups and determining whether RE is different in subjects with nonspecific back pain than in controlled subjects. MATERIAL and METHODS: The study was totally applied to 36 subjects ...


Does Disc Space Height of Fused Segment Affect Adjacent Degeneration in ALIF? A Finite Element Study
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AIM: The restoration of disc space height of fused segment is essential in anterior lumbar interbody fusion, while the disc space height in many cases decreased postoperatively, which may adversely aggravate the adjacent segmental degeneration. However, no literature available focused on the issue...


The Surgical Treatment of Plagiocephaly
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AIM: Anterior plagiocephaly usually occurs with premature synostosis of the ipsilateral half of the coronal suture. The forehead is flattened on the affected side, with a backward and upward displacement of the affected orbit. The bulging of the calvaria may occur in the contralateral parietal are...


Surgical Timing of the Subependymal Giant Cell Astrocytoma (SEGA) with the Patients of Tuberous Sclerosis Complex
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AIM: Tuberous sclerosis complex has shown a wide variety of clinical, pathologic and radiologic manifestations. Many tumor types are found in tuberous sclerosis, which includes subependimal giant cell astrositoma. The aim of this study is to focus on surgical timing of the tumor. MATERIAL and METH...


Memory Difficulties of Adult Patients with Shunted Hydrocephalus: A Clinical Study
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AIM: The purpose of this prospective study was to describe memory problems of adult patients with hydrocephalus. MATERIAL and METHODS: The research group consisted of healthy adults (control group) and hydrocephlic adults (hydrocephalus group). The hydrocephalus group (n: 19) had no clinical signs...


A New Endoscopic Surgical Classification and Invasion Criteria for Pituitary Adenomas Involving the Cavernous Sinus
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AIM: There are two major problems for the pituitary adenomas invading the Cavernous Sinus (CS); differentiation of extension and invasion and inability to demonstrate the medial wall via preoperative imaging methods. Two important corridors are defined in endoscopic cavernous sinus approaches; the...


The Effects of Analgesia-Sedation on the Immune System before and after Cerebral Digital Subtraction Angiography
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AIM: Cerebral digital subtraction angiography (DSA) is an invasive procedure and may cause inflammatory responses in the body. This study aims to provide cytokine and lymphocyte profile in a population of patients underwent cerebral DSA. MATERIAL and METHODS: Forty-one male patients who admitted f...


Computed Tomography Findings in Cerebral Hydatid Disease
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AIM: To describe imaging findings of cerebral hydatid cysts on computed tomography of brain. MATERIAL and METHODS: We retrospectively reviewed CT scans of brain in 5 patients with pathologically confirmed hydatid cysts in cerebral hemispheres. The patients were scanned either on a spiral (single s...


Neuroprotective Effect of Memantine on Hippocampal Neurons in Infantile Rat Hydrocephalus
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AIM: The effect of memantine administration on hippocampal neurons of the infantile rats with kaolin induced hydrocephalus was investigated. MATERIAL and METHODS: Hydrocephalus was induced by injecting kaolin into the cisterna magna of 3-weeks old Sprague-Dawley rat pups. One group received a sing...


Ultrastructural Changes in the Liliequist Membrane in the Hydrocephalic Process and Its Implications for the Endoscopic Third Ventriculostomy Procedure
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AIM: Fenestration of Liliequist membrane (LM) during endoscopic third ventriculostomy (ETV) is extremely important for the success of the procedure. It is noteworthy that LM usually shows a tough and dense stucture in long-standing hydrocephalus cases different from its usual arachnoidal membrane-...


Neuroprotective Effect of ACE Inhibitors in Glutamate - Induced Neurotoxicity: Rat Neuron Culture Study
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AIM: Glutamate is known to be neurotoxic at concentrations of 10-6M and 10-7M. Angiotensin converting enzyme (ACE) inhibitors can be assumed to be neuroprotective as they open the mitochondrial adenosine triphosphate-sensitive potassium channels by inhibiting the degradation of bradykinin. In this...


Subarachnoid, Subdural and Interdural Spaces at the Clival Region: An Anatomical Study
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AIM: We aimed to show the significance of the anterior pontine membrane as a determining structure between the subdural and subarachnoid space in the clival region. MATERIAL and METHODS: Five adult cadaver heads and five cerebral hemispheres were used. The skull vault and hemipheres were removed ...


A Morphometric Study of Foramen Ovale
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AIM: To note the morphological variations and morphometric details of foramina ovale in dry adult skulls of Indian origin. MATERIAL and METHODS: 82 dry adult human skulls of unknown sex and of Indian origin were obtained and variations in appearance and number of foramen ovale were noted. The len...


Accessory Transverse Foramina in the Cervical Spine: Incidence, Embryological Basis, Morphology and Surgical Importance
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AIM: To study the incidence of accessory foramina transversaria in cervical spine and to analyze them morphologically with emphasize on their embryological and surgical importance. MATERIAL and METHODS: The study included 363 human cervical vertebrae which were procured from the bone collections o...


Spinal Meningiomas: Recurrence in Ventrally Located Individuals on Long-Term Follow-Up; A Review of 46 Operated Cases
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AIM: Surgical removal of spinal meningiomas is usually not difficult. In neurosurgical practice, their locations and growing patterns may affect surgical results. Ventrally located and en plaque meningiomas may not be removed totally. The aim of this study was to present the results of surgery in ...


Hippocampal Neuronal Damage in Rats Exposed to a Double Hit: Irradiation and Hyperthermia
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AIM: In utero irradiation models induce diffuse neuronal damage. Experimental studies have shown that hyperthermia induced seizures are easily elicited and have high mortality accompanied by neuronal loss. Neuronal damage and loss are the results of cell death coupled with cortical development in ...


The Effect of Nitrogen Mustard on the Enzymatic Antioxidant Defense of Rat Brain Tissue and the Therapeutic Value of Proanthocyanidin
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AIM: Nitrogen Mustard (NM) is an alkylating agent that damages cellular nuclear DNA after penetrating tissue. This results in cytostatic, mutagenic and cytotoxic effects. We used biochemical analyses to investigate the effect of NM gas administered through the dermal and respiratory routes, on the...


Effectiveness of Lumbar Zygapophysial Joint Blockage for Low Back Pain
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AIM: Zygapophysial joints have been a well-recognized source of low back pain. This paper compares the efficacy of lumbar zygapophysial joints blockage and medical therapy in terms of pain relief, loss of working days and recurrence of pain in a population with mechanical low back pain. MATERIAL ...


Effects of Phenytoin Sodium on Dura Mater Healing in a Rat Model of CSF Leakage
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AIM: Cerebro-spinal fluid (CSF) leakage caused by defects on the dura mater after trauma or some neurosurgical interventions is an important issue. In this study, we investigated the effects of local and systemic use of phenytoin sodium on dural healing. MATERIAL and METHODS: Thirty-six male Wista...


The Effect of Choroidal Artery Vasospasm on Choroid Plexus Injury in Subarachnoid Hemorrhage: Experimental Study
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AIM: We examined whether vasospasm of choroidal arteries (ChAs) may be resulted in ischemic injury in choroid plexus (CP) after subarachnoid hemorrhage (SAH). MATERIAL and METHODS: This study has been conducted on 30 rabbits. Eight, fourteen and eight of them were used as control, SAH and SHAM gr...


Transoral Surgical Approach for Treatment of Symptomatic Atlantoaxial Cervical Synovial Cysts
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AIM: Synovial cysts are relatively common in the lumbar spine and very uncommon in the cervical spine. Several case reports and a few small series have been reported in the literature over the past four decades. There are two distinct cervical spine synovial cyst categories: atlantoaxial and the s...


Median Frontal Sutures &#8211; Incidence, Morphology and Their Surgical, Radiological Importance
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AIM: To determine the incidence of metopic suture in Indian human adult skulls and to study their morphology. MATERIAL and METHODS: The study included 81 human adult dry skulls which were obtained from the neuroanatomy laboratory of our institution. The skulls were macroscopically inspected at the ...


The Far Lateral Approach for Intra-Dural Anteriorly Situated Tumours at the Craniovertebral Junction
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AIM: To assess the efficacy of the far lateral approach, without drilling of the occipital condyle, in the management of anterior intradural tumors at the craniocervical junction. MATERIAL and METHODS: Ten patients suffering from foramen magnum tumors were operated upon via the far lateral approac...


Glutamic Acid Decarboxylase Immunoreactivity in the Mossy Fiber Terminals of the Hippocampus of Genetic Absence Epileptic Rats
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AIM: Genetic absence epilepsy rats from Strasbourg (GAERS) provide a model of absence epilepsy. Although excessive GABA mediation within the thalamo-cortico-thalamic circuit has been shown to play a role in absence epilepsy, neuronal networks of hippocampus have recently received attention. Glutam...


Superior and Anterior Inferior Cerebellar Arteries and Their Relationship with Cerebello-pontine Angle Cranial Nerves Revisited in the Light of Cranial Cephalometric Indexes: A Cadaveric Study
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AIM: The aim was to clarify the anatomical features of the superior and anterior inferior cerebellar arteries in relation to the trigeminal nerve and acoustic-facial complex and to the bony structures of the skull in a sample of male Iranian cadavers. MATERIAL and METHODS: Bilateral dissections, c...


Tethered Cord Syndrome in Childhood: Special Emphasis on the Surgical Technique and Review of the Literature with Our Experience
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AIM: Surgery is the treatment of choice for children who had tethered cord syndrome (TCS). However, a detailed technique for the release of spinal cord is not described yet. The aims of this study are to present our series of TCS in children and to focus on the details of surgical technique. MATERI...


Percutaneous Evacuation for Treatment of Subdural Hematoma and Outcome in 28 Patients
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AIM: Chronic subdural hematoma is a frequently encountered entity in neurosurgery in particular in elderly patients. There in a high variance in the treatment in literature. MATERIAL and METHODS: We report our experience of percutaneous evacuation of chronic subdural hematoma in 28 patients. RESU...


The Effects of Alpha Lipoic Acid on Cerebral Vasospasm Following Experimental Subarachnoid Hemorrhage in the Rabbit
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AIM: The aim of this study is to determine the effects of a strong dithiol antioxidant, alpha lipoic acid (ALA) on cerebral vasospasm following subarachnoid hemorrhage in a rabbit model. MATERIAL and METHODS: Twenty-one New Zealand white rabbits were assigned to one of three groups: group 1 (contro...


Double Foramen Transversarium Variation in Ancient Byzantine Cervical Vertebrae: Preliminary Report of an Anthropological Study
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AIM: Foramina transversaria (FT) are located on the transverse processes of cervical vertebrae. These foramina are known to exhibit variations with regard to size, shape and may even be absent or duplicated. The aims of this study are to investigate the shape, size and variations of FT in an ancient...


Can Scintigraphy Explain Prolonged Postoperative Neck Pain?
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AIM: Anterior cervical fusion procedures are among the most commonly performed spinal operations. Investigators have reported pseudoarthrosis rates ranging from 3 to 36% following anterior cervical fusion operations. The diagnosis of pseudoarthrosis has been based on the triad of pain, radiographic ...


Location of the Abducent Nerve within the Cavernous Sinus
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AIM: Knowing the distance between the superior and inferior border of Parkinson's triangle and the location of the abducent nerve within the cavernous sinus is important to decrease the complications which may occur during surgery. We aimed to investigate the cavernous sinus to decrease the complica...


Epilepsy Surgery in Patients with Unilateral Mesial Temporal Sclerosis and Contralateral Scalp Ictal Onset
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AIM: Concordance of EEG findings and MRI is best correlated with favored surgical outcome in patients with unilateral mesial temporal sclerosis (MTS). If there is no evidence for unilateral focus with scalp EEG, invasive recordings are undertaken. In this report we describe the investigation process...


Multichannel Microelectrode Recording Influences Final Electrode Placement in Pallidal Deep Brain Stimulation for Parkinson's Disease: Report of Twenty Consecutive Cases
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AIM: Stereotactic placement of the permanent deep brain stimulating electrode can be based upon imaging guidance with or without microelectrode recordings (MER). MATERIAL and METHODS: We conducted a retrospective study of 20 PD patients who underwent bilateral pallidal DBS placement with MER. There...


The Effect of Degenerated Neuron Density of Petrosal Ganglion on the Development of Blood Pressure Variabilities after Subarachnoid Hemorrhage in a Rabbit Model: An Experimental Study
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AIM: The aim of this study was to determine the relationship between ischemic neurodegeneration, of the petrosal ganglion of the glossopharyngeal nerve, and BP fluctuations, after subarachnoid hemorrhage (SAH). MATERIAL and METHODS: Twenty-four rabbits had their blood pressure and heart rhythms st...


Occlusion of Middle Cerebral Artery Induces Apoptosis of Cerebellar Cortex Neural Cells via Caspase-3 in Rats
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AIM: Occlusion of the middle ferebral artery in rats may cause secondary injury that is not associated with middle ferebral artery feeding zone. This entity has been investigated very rarely. MATERIAL and METHODS: HE staining method observed the changes of cerebellar cortex after MCAO operation. El...


Anterior Radical Debridement and Reconstruction Using Titanium Mesh Cage for the Surgical Treatment of Thoracic and Thoracolumbar Spinal Tuberculosis: Minimium Five-Year Follow-Up
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AIM: To evaluate the long-term outcomes for the surgical treatment of thoracic and thoracolumbar spinal tuberculosis with anterior radical debridement and reconstruction with titanium mesh cages (TMCs). MATERIAL and METHODS: 69 patients with thoracic and thoracolumbar spinal tuberculosis were retro...


The Safety and Diagnostic Value of Frame-Based and Ct-Guided Stereotactic Brain Biopsy Technique
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AIM: Histopathological diagnosis is always necessary to make an effective treatment plan for intracranial mass lesions. This study aimed to evaluate the diagnostic efficacy, and associated mortality and morbidity of CT-guided stereotactic biopsy procedures in a large number of patients with intrac...


Early and Delayed Ct Findings in Patients with Mild-to-Moderate Head Trauma
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AIM: The aim of this study is to evaluate the changes between the initial and late cranial CT scans in patients with mild-to-moderate head trauma. MATERIAL and METHODS: Of the two thousand six hundred and forty-four patients hospitalized for head trauma within a two-year period, 112 (4.24%) patie...


Ghrelin Alleviates Spinal Cord Injury in Rats Via Its Anti-inflammatory Effects
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AIM: Spinal cord injury (SCI) leads to an inflammatory response that generates substantial secondary damage within the tissue besides the primary damage. Ghrelin, 28 amino-acid peptide, has been shown to modulate the release of proinflammatory cytokines and exert antiinflammatory effects. The aim ...


Two Level Cervical Corpectomy with Iliac Crest Fusion and Rigid Plate Fixation: A Retrospective Study with a Three-Year Follow-Up
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AIM: There is no clear knowlegde in the literature about two-level vertebral corpectomy using the iliac bone crest for fusion and rigid plate fixation. We present our experience with two-vertebral level cervical corpectomy and reconstruction. MATERIAL and METHODS: Each patient was graded according...


The Traumatic Brain Injury: Diagnosis and Management at Emergency Department by General Surgeon. A Retrospective Critical Analysis on the Use of the Ct Head Scan
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AIM: In recent decades, considerable progress has been made in diagnosis and management of cranial trauma patients. Computed Tomography has resulted in a revolution in head injury diagnosis, making it possible to detect cases suitable for surgical treatment in a rapid, non-invasive manner. We pres...


The Effect of TENS on Pain, Function, Depression, and Analgesic Consumption in the Early Postoperative Period with Spinal Surgery Patients
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AIM: The aim of our study was to examine the effects of the use of Transcutaneous Electrical Nerve Stimulation (TENS) in patients who had undergone spinal surgery on pain, functionality, depression and consumption of analgesic agents. MATERIAL and METHODS: Fifty-Four patients were randomized and p...


Comparison of two Different Formulations of Botulinum Toxin a for the Treatment of Blepharospasm and Hemifacial Spasm
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AIM: Aim: To confirm and compare the therapeutic efficacies and adverse effects of Chinese botulinum toxin type A (CBTX-A, Lanzhou Biological Products Institute, China) and current Botox (Allergan Inc., CA, USA) in the treatment of blepharospasm (BS) and hemifacial spasm (HFS). MATERIAL and METHOD...


Topical Application of Tacrolimus Prevents Epidural Fibrosis in a Rat Postlaminectomy Model: Histopathological and Ultrastructural Analysis
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AIM: Postlaminectomy epidural fibrosis is the formation of scar tissue over the dura mater following posterior spinal surgery. This devastating complication is responsible for the substantial amount of failed back syndromes. MATERIAL and METHODS: Twenty male Wistar-Albino rats each weighing 350-40...


Neurosurgery in the Sitting Position: Retrospective Analysis of 692 Adult and Pediatric Cases
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AIM: The sitting position is routinely used in many centers, although its use remains controversial and appears to be diminishing because of the risk of venous air embolism (VAE). MATERIAL and METHODS: This is a retrospective analysis of 601 adult and 91 pediatric cases underwent neurosurgery from...


Neuroprotective Effects of NKN on Focal Cerebral Ischemia in Rats
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AIM: NKN reduces brain edema, neuronal death and neurological deficits in rats after cerebral ischemia. In the present study, we investigated whether NKN was effective on brain injury in cerebral ischemia rats. MATERIAL and METHODS: The middle cerebral artery occlusion (MCAO) model was used to pro...


The Role of Folic Acid in Prevention of Neural Tube Defects Caused by High Dose Progesterone
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AIM: To describe the effect of high dose progesterone (HDP) alone, or in combination with folic acid (FA), on occurrence of neural tube defects (NTDs) in chick embryo. MATERIAL and METHODS: 60 Fertile, specific eggs of Fyoumi species of chick were selected at zero hr of incubation. They were incub...


Modifying the Details of Aspiration Operation may Contribute to the Improvement of Prognosis of Patients with ICH
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AIM: The aim of the retrospective study was to compare the clinical efficacy of the traditional way of aspiration and the modified way of aspiration. MATERIAL and METHODS: Clinical data of total 159 patients with spontaneous intracerebral hemorrhage treated by traditional (group A, n=66) or modif...


Lumbar Peritoneal Shunt in Idiopathic Intracranial Hypertension
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AIM: Treatment options for idiopathic intracranial hypertension (IIH) are lumbar peritoneal shunt (LP), optic nerve fenestration, ventriculoperitoneal shunt and venous stenting. We report our experience of 24 cases of LP shunt. MATERIAL and METHODS: All the patients had preoperative fundus examina...


Analysis of Scalp Wound Infections Among Craniocerebral Trauma Patients Following the 2008 Wenchuan Earthquake
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AIM: To explore the causes of scalp wound infection, pathogen distribution, characteristics of antimicrobial susceptibility and therapeutic measures following craniocerebral trauma caused by the 2008 Wenchuan earthquake. MATERIAL and METHODS: We retrospectively analyzed the microbiology records of...


Surgical Treatment of Primary Trigeminal Neuralgia: Comparison of the Effectiveness Between MVD and MVD+PSR in a Series of 210 Patients
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AIM: To evaluate the effectiveness of microvascular-decompression (MVD) or MVD+partial-sensory-rhizotomy (PSR) on the treatment of primary trigeminal neuralgia (TN). MATERIAL and METHODS: 210 TN patients were retrospectively studied, among which there're 142 cases underwent MVD and 68 cases under...


Extradural Haematoma in Children: Surgical Experiences and Prospective Analysis of 170 Cases
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AIM: We present our experiences in the management of extradural haematoma in children which involved an aggressive diagnostic approach, prompt surgical evacuation results in an excellent outcome. MATERIAL and METHODS: 170 EDH patients who underwent surgery in our department from January 2006 to Ju...


Temporary Clamping of External Carotid Artery in Convexity, Parasagittal and Temporal Base Meningioma
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AIM: The management of intraoperative bleeding during removal of a large hyper vascular meningioma is crucial for safe and efficient surgery. Preoperative embolization of meningioma is the best way to reduce vascularity of meningiomas but this technique is not readily available, costly and has its...


Surgical Treatment of the Spinal Stenosis with an Interspinous Distraction Device: Do We Really Restore the Foraminal Height?
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AIM: The aim of implantation of interspinous device is to unload the facet joints, restore foraminal height and provide stability in order to improve the clinical outcome of surgery. MATERIAL and METHODS: After microsurgical decompression, Coflex™ device was applied. Patients were evaluated ...


The Results of Radiological Screening in Asymptomatic At-Risk Members of Intracranial Aneurysm Families from the Turkish Population
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AIM: To better understand the characteristics of familial intracranial aneurysms (FIA) and to investigate the yield of screening in asymptomatic, at-risk individuals in intracranial aneurysm (IA) families within the Turkish population. MATERIAL and METHODS: We identified six families in which at l...


Variations of the Superficial Peroneal Nerve and Its Terminal Branches in the Turkish Newborn Fetuses
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AIM: The topography of the superficial peroneal nerve (SPN) and its terminal branches were studied, with the aim of providing further anatomical details for leg and foot in the Turkish newborn fetuses. MATERIAL and METHODS: Limbs from twenty newborn cadavers were dissected. The course of the SPN o...


Endoscopic Endonasal Transsphenoidal Exposure of Circle of Willis (Cw); Can It be Applied in Vascular Neurosurgery in the Near Future? A Cadaveric Study of 26 Cases
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AIM: Endonasal transsphenoidal approaches are getting rapidly popular in removing many midline skullbase lesions from crista galli to foramen magnum. For safe removal of these lesions, familiarity with endoscopic endonasal anatomy of circle of Willis is very important. Furthermore, for safe develo...


The Effects of Diesel Exhaust Particles on Neural Tube Development in the Early Stage Chicken Embryo
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AIM: Particulate matter is an important air-pollutant and its toxicity has been reported. Diesel exhaust particles (DEP) constitute a large portion of particulate matter. Therefore, we established our study to investigate the effects of DEP on neural tissue in early stage chicken embryos. MATERIAL...


The Effect of KinesioTape Application on Functional Performance in Surgeons Who have Musculo-Skeletal Pain after Performing Surgery
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AIM: Surgeons make up a unique group that is at risk for developing work-related musculoskeletal symptoms. The purpose of this study was to evaluate the effect of Kinesiotape technique on pain and functional performance in surgeons who have musculoskeletal system pain after performing surgery. MA...


Surgical Treatment of Glioblastoma Multiforme Localized in the Motor Area of the Brain Using the Technique of Cortical Electrostimulation
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AIM: Glioblastoma multiforme in the motor area is the surgical challenge because of the need for more radical resection in order to extend the life of the patient, and the risk that radicalism could lead to additional neurological deficit. MATERIAL and METHODS: We present series of 26 patients wit...


Endovascular Treatments for Distal Posterior Cerebral Artery Aneurysms
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AIM: The purpose of the current study was to evaluate the methods and results of endovascular treatments for distal posterior cerebral artery (PCA) aneurysms. MATERIAL and METHODS: We studied 10 patients admitted to our hospital, of which 6 had aneurysms at the P2 segment (2 were saccular, 2 were...


Anaesthetic Considerations and Perioperative Features of Endoscopic Third Ventriculostomy in Infants: Analysis of 57 Cases
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AIM: Endoscopic third ventriculostomy (ETV) is currently considered the best alternative to shunt systems in the treatment of triventricular hydrocephalus. However, there has been very few published data about the anaesthetic management and the complications of ETV procedure in infants. In this re...


Anterior Lumbar Interbody Fusion Combined with Percutaneous Pedicle Screw Fixation for Degenerative Lumbar Instability: Minimum Four-Year Follow-up
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AIM: Our goal was to investigate the long-term results of anterior lumbar interbody fusion combined with percutaneous pedicle screw fixation for degenerative lumbar instability. MATERIAL and METHODS: Forty-seven patients that had undergone anterior lumbar interbody fusion combined with percutaneou...


Application of a Crescent-Shaped PMMA Strut in Anterior Spinal Reconstruction of Thoracolumbar and Lumbar Burst Fractures: A New Technique
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AIM: Our aim was to evaluate the safety and efficacy of the novel crescent-shaped PMMA strut for anterior spinal reconstruction and fusion in patients with thoracolumbar bust fractures. The surgical results using this technique are reviewed. MATERIAL and METHODS: Six patients suffering thoracolumb...


The Effects of Low-Dose Radiation in the Treatment of Sciatic Nerve Injury in Rats
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AIM: Peripheral nerve regeneration is often blocked by scar formation and misdirection of axon sprouts. The aim of this study is to evaluate electrophysiological and histopathological effects of low-dose radiation therapy on the prevention of intraneural scar formation in peripheral nerve injury. ...


Unilateral Frontal Interhemispheric Transfalcial Approaches for the Removal of Olfactory Groove Meninjiomas
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AIM: A unilateral subfrontal interhemispheric transfalcial approach for the removal of olfactory groove meningiomas (OGM) was evaluated in terms of surgical technique, complications, clinical outcomes, and recurrence rate. MATERIAL and METHODS: Twenty-four females and eighteen males with a mean ag...


Transforaminal Epidural Steroid Injection via a Preganglionic Approach for the Treatment of Lumbar Radicular Pain
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AIM: To evaluate the effectiveness of transforaminal epidural steroid injection (TFESI) for lumbar radiculopathy with respect to effect of injection levels, gender, and age group. MATERIAL and METHODS: Hundred-fifty-three consecutive patients who underwent to lumbar TFESI were enrolled. The outcom...


Effect of Curcumin on Lipid Peroxidation, Early Ultrastructural Findings and Neurological Recovery after Experimental Spinal Cord Contusion Injury in Rats
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AIM: After acute spinal cord injury (SCI), a large number of axons are lost by a cascade of pathophysiological events known as a secondary injury. The main aim of the current study was to investigate the potential neuroprotective effects of curcumin on lipid peroxidation (LPO), neurological functi...


Results of Single Burr Hole Drainage for Acute Subdural Hematoma with Non-Reactive Pupil
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AIM: To investigate the effects of emergency burr hole drainage for acute subdural hematoma (ASDH) with bilateral non-reactive pupils. MATERIAL and METHODS: A retrospective study was conducted by reviewing medical records from 1998 to 2007. Patients meeting the following criteria were included: 1)...


Comparison of Effectiveness of Facet Joint Injection and Radiofrequency Denervation in Chronic Low Back Pain
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AIM: The study was conducted to compare the clinical effectiveness of FJ injections (FJI) and FJ radiofrequency (FJRF) denervation in patients with chronic low back pain. MATERIAL and METHODS: This study included 100 patients; 50 in FJI 50 in FJRF group. VNS, NASS and EQ-5D were used to evaluate t...


Reduction of Lesion in Injured Rat Spinal Cord and Partial Functional Recovery of Motility after Bone Marrow Derived Mesenchymal Stem Cell Transplantation
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AIM: This study aimed to analyze the effect of rat bone marrow-mesenchymal stem cells (rBM-MSCs) delivery on lesion site after spinal cord injury, and to observe the functional recovery after transplantation. MATERIAL and METHODS: MSCs were isolated from rat femurs and tibias. The experimental rat...


Use of an Ultra-Low Field Intraoperative Mrı System for Pediatric Brain Tumor Cases: Initial Experience with &#8216;PoleStar N20'
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AIM: Use of intraoperative MRI (iMRI) is the highest contemporary supportive means for brain tumor surgery. In this article we describe the issues related to iMRI use in pediatric cranial operations. MATERIAL and METHODS: Pediatric cases operated with the aid of Polestar N20 iMRI system are define...


Cerebellar Tonsillectomy with Suboccipital Decompression and Duraplasty by Small Incision for Chiari I Malformation (with Syringomyelia): Long Term Follow-up of 76 Surgically Treated Cases
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AIM: To explore the surgical effect of cerebellar tonsillectomy with suboccipital decompression and duraplasty by small surgical incision (3~4cm around the foramina magnum) on treating Chiari I Malformation (CM I) patients. MATERIAL and METHODS: A retrospective study was undertaken on 76 CM I pati...


Use of Topical Landmarks for Percutaneous Projection of Intracranial Tumors for Neurosurgical Oncology
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AIM: The objective of this study was to introduce a surgical navigation method which provides a safe, quick and effective access to cortical and subcortical tumors, along with a review of other methods in use for this purpose. MATERIAL and METHODS: 53 patients have been operated using this techniq...


Neurosurgical Training Programme in Selected European Countries: From the Young Neurosurgeons' Point of View
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AIM: In this paper we discuss the Neurosurgical Training Programme (NTP) in some European countries. MATERIAL and METHODS: Although there is no official data on how many neurosurgeons are certified in Europe, our calculation shows that this number is somewhat lower than in the United States of Ame...


Keyhole Endoscopic Hematoma Evacuation in Patients
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AIM: Keyhole endoscopy is a promising therapeutic option for spontaneous intracerebral hemorrhage (ICH). We sought to compare the clinical outcomes between keyhole endoscopy surgery and craniotomy for basal ganglia ICH. MATERIAL and METHODS: The authors performed a retrospective analysis of the cl...


Relationship of Antioxidant Enzyme Activities with Myelomeningocele
[Abstract] [Similar Articles]

AIM: To investigate the role of erythrocyte free radical scavenging enzyme activities (FRSE), carbonic anhydrase (CA) activity and malondialdehyde (MDA) in infants with myelomeningocele (MM). MATERIAL and METHODS: We compared antioxidant enzyme activities and MDA level in 40 individuals (10 infant...


Traumatic Peritentorial Subdural Hematomas: A Study of 32 Cases
[Abstract] [Similar Articles]

AIM: This study aimed to investigate the clinicoradiological features in patients with traumatic peritentorial subdural hematomas (SDHs). MATERIAL and METHODS: We retrospectively reviewed the clinical and radiological findings, management criteria, and outcomes in 32 patients with peritentorial SD...


Comparative Assessment of Neuro-Cognitive Impairments Among Patients with Brain Tumor and Healthy Adults
[Abstract] [Similar Articles]

AIM: Most brain tumor patients encounter cognitive impairments. Coping with such challenges is intolerable for them. Objective: This study tries to determine the diagnostic role of cognitive tests, CPT, Stroop and TOL, in assessing neuro-cognitive impairments among patients with brain tumor and he...


Anatomy of Meckel's Cave and the Trigeminal Ganglion: Anatomical Landmarks for a Safer Approach to Them
[Abstract] [Similar Articles]

AIM: Surgical approaches to Meckel's cave (MC) are often technically difficult and sometimes associated with postoperative morbidity. The relationship of surgical landmarks to relevant anatomy is important. Therefore, we attempted to delineate quantitatively their anatomy and the relationships bet...


Does TLIF Aggravate Adjacent Segmental Degeneration More Adversely than ALIF? A Finite Element Study
[Abstract] [Similar Articles]

AIM: To determine whether transforaminal lumbar interbody fusion aggravate adjacent segmental degeneration more adversely than anterior lumbar interbody fusion. MATERIAL and METHODS: A normal finite element model, an anterior lumbar interbody fusion model and a transforaminal lumbar interbody fus...


Surgical Strategies for Neurological Function Preservation in Severe Brain Contusion
[Abstract] [Similar Articles]

AIM: Traditional surgical strategies for severe brain contusion are constantly associated with variable degree of postoperative neurological dysfunction, which is in part attributed to the location and severity of contusion. The purpose of this study was to compare and evaluate these current surgi...


A New Technique for Clipping Diaphragm Defects in Transsphenoidal Surgery
[Abstract] [Similar Articles]

AIM: To deal with postoperative CSF rhinorrhea, we developed a new technique using titanium/aneurysm clips to envelope the diaphragm defect to avoid postoperative CSF rhinorrhea. MATERIAL and METHODS: From January 2007 through December 2010, we used a new technique of clipping diaphragm defects to...


Evaluation of Cerebral Arteriovenous Malformations Using Image Fusion Combining Three-Dimensional Digital Subtraction Angiography with Magnetic Resonance Imaging
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AIM: An image fusion of 3-dimensional (D) digital subtraction angiography (DSA) and magnetic resonance (MR) images, DSA-MR fusion, can simultaneously visualize both information of the vasculature provided by 3D DSA and of the soft tissues provided by MR images. The authors assessed the usefulness ...


Noninvasive Estimation of Cerebral Perfusion Pressure with Transcranial Doppler Ultrasonography in Traumatic Brain Injury
[Abstract] [Similar Articles]

AIM: In traumatic brain injury (TBI) patients, to overcome the secondary insults, cerebral perfusion pressure (CPP) oriented therapy is recommended. The study is assigned to estimate CPP values with middle cerebral artery (MCA) flow velocities measured noninvasively using transcranial Doppler ultr...


Morphological Analysis and Morphometry of the Foramen Magnum: An Anatomical Investigation
[Abstract] [Similar Articles]

AIM: The objectives were to study the morphology of the foramen magnum in dry skulls and to evaluate its antero-posterior diameter, transverse diameter and the foramen magnum index. MATERIAL and METHODS: The foramen magna of 53 dry human cadaver skulls that were obtained from the neuroanatomy labo...


Predictable Morphometric Parameters for Rupture of Intracranial Aneurysms &#8211; A Series of 142 Operated Aneurysms
[Abstract] [Similar Articles]

AIM: Intracranial aneurysm rupture is followed by high mortality and morbidity. In order to understand the aneurysm's natural course, it is necessary to recognize the predisposing factors for the rupture. MATERIAL and METHODS: Analysis included 142 operated aneurysms (94 hemorrhaging and 48 unrupt...


Micro-Surgical Decompression for Greater Occipital Neuralgia
[Abstract] [Similar Articles]

AIM: To evaluate the clinical effect of micro-surgical decompression of greater occipital nerve for greater occipital neuralgia (GON). MATERIAL and METHODS: 76 patients underwent surgical decompression of the great occipital nerve. A nerve block was tested before operation. The headache rapidly re...


Effectiveness of Single Posterior Decompressive Laminectomy in Symptomatic Lumbar Spinal Stenosis: A Retrospective Study
[Abstract] [Similar Articles]

AIM: The best method for surgical intervention in symptomatic lumbar stenosis is not clear. The present study aims to assess first year outcomes and complication rates of patients treated with single posterior decompressive laminectomy. MATRRIAL and METHODS: Patients requiring surgery for severe, ...


Haemodynamic Augmentation in the Treatment of Vasospasm in Aneurysmal Subarachnoid Hemorrhage
[Abstract] [Similar Articles]

AIM: Hypertension, hypervolemia and hemodilution therapy is a common approach to cerebral vasospasm after subarachnoid haemorrhage. This study is designed to see the difference of moderate or aggressive hypervolemia supported with induced hypertension in symptomatic vasospasm detected with transcr...


Cluster Analysis of mrna Expression Levels Identifies Multiple Sequential Patterns Following Focal Cerebral Ischemia
[Abstract] [Similar Articles]

AIM: The purpose of this study is to detect gene expression patterns following focal cerebral ischemia. MATERIAL and METHODS: 25 male Wistar rats were divided into control (n = 8) and ischemic (n = 17) groups. In the ischemic group, slowly progressing focal ischemia was simulated by two-vein occlu...


Morphometric Evaluation of Parasagittal Venous Anatomy for Intracranial Approaches: A Cadaveric Study
[Abstract] [Similar Articles]

AIM: Obstruction of superior sagittal sinus (SSS) and collateral bridging veins is a well-known reason of postoperative brain edema and brain infarct, however, morphometric anatomic studies done in the light of surgical landmarks aren't sufficient in number. Object of this study is to describe venou...


Large Medial Sphenoid Wing Meningiomas: Long-Term Outcome and Correlation with Tumor Size after Microsurgical Treatment in 127 Consecutive Cases
[Abstract] [Similar Articles]

AIM: We present the long-term outcomes as well as their correlation with tumor size in 127 consecutive patients harboring large MSWM after microsurgical treatment. MATERIAL and METHODS: The retrospective analysis of clinical data and follow-up data of 127 microsurgical treated patients with MSWM wa...


Preoperative Assessment Using Multimodal Functional Magnetic Resonance Imaging Techniques in Patients with Brain Gliomas
[Abstract] [Similar Articles]

AIM: To evaluate the value of magnetic resonance spectroscopy (MRS), blood oxygen level-dependent imaging (BOLD) and diffusion tensor imaging (DTI) for preoperative assessment in patients with brain gliomas. MATERIAL and METHODS: Twenty-three consecutive glioma patients underwent MRS, BOLD and DTI...


Malign Transformation in the Low Grade Astrocytomas and Related Factors
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AIM: Retrospective investigation of prognostic factors in low-grade astrocytomas. MATERIAL and METHODS: In the study, prognostic factors were prospectively identified and assumed to be effective on prognosis, which were reviewed in 67 cases diagnosed as low-grade astrocytoma with craniotomy betwee...


Effect of Prenatal Stress on Expression of Glutathione System in Neonatal Rat Brain
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AIM: Prenatal stress is known to adversely affect the fetal brain development and also neuronal loss. The mechanism(s) associated with prenatal stress induced developmental neurotoxicity remains obscure. Few studies point to the glutathione (GSH) antioxidant system which is an important molecular ...


Clinical Results of Surgical Management in Type II Odontoid Fracture: A Preliminary Report
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AIM: This study was conducted to evaluate the therapeutic effectiveness of surgical approaches in type II odontoid fracture. MATERIAL and METHODS: In a retrospective study in Mashhad university, 15 patients with anterior screw fixation technique (ASF) and 31 patients with posterior approaches (PA)...


Duration of Intra-Operative Stimulation as a Predictor of Success of Spinal Cord Stimulation for Chronic Pain Syndromes
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AIM: Electrical stimulation of the dorsal column of the spinal cord stands out as a major method of neuromodulation. Its popularity stems from the long lasting support to the “gate theory” in which electrical stimulation of the gate prevents passage of nociceptive impulses and reduces ...


Surgical Management Strategies of Intracranial Arachnoid Cysts: A Single Institution Experience of 75 Cases
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AIM: Arachnoid cysts are benign intra-arachnoid cystic lesions filled with cerebrospinal fluid. With advent of modern treatment techniques, debate continues regarding which surgical treatment is most effective. MATERIAL and METHODS: A consecutive series of 75 patients with arachnoid cysts that wer...


Microscopic Supraciliary Approach for Terminal Laminotomy for Treatment of Hydrocephalus: A Preliminary Report of Eight Cases
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AIM: Shunting and endoscopic third ventriculostomy for treatment of hydrocephalus have their own complications which make the management of such patients more difficult. We have examined the subfrontal route to fenestrate lamina terminalis in order to achieve relief of hydrocephalus in eight conse...


Anxiety Caused by Traumatic Brain Injury Correlates to Decreased Prefrontal Cortex VEGF Immunoreactivity and Neuron Density in Immature Rats
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AIM: Traumatic brain injury (TBI) may cause neuropsychiatric disorders such as anxiety disorder which has negative effects on cognitive functions and behavior. The aim of this study is to investigate the effects of TBI on anxiety and vascular endothelial growth factor (VEGF) immunoreactivity on th...


Outcome Evaluation of a Zero-Profile Implant for Anterior Cervical Diskectomy with Fusion
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AIM: Supplementing anterior cervical diskectomy and fusion (ACDF) with plates enhances stabilization, increases fusion and reduces failure rates. Zero-P implant for stand-alone anterior interbody fusion procedures of the cervical spine was recently developed to avoid complications associated with ...


Does the Sphenoid Angle Effect the Operation Strategy? Anatomical and Radiological Investigation
[Abstract] [Similar Articles]

AIM: The aim of our study is to suggest the sphenoid wing-lesser wing angulation (SWA) importance during surgeries directed to this region. MATERIAL and METHODS: SWA on 40 skulls were measured bilaterally (n=80). The depth of the middle cranial fossa (DMCF) at the level of the SWA was determined. ...


Computed Tomographic Evaluation of the Distance Between the Medial Border of Longus Colli Muscle and Foramen Transversarium in Ventral Approaches to the Subaxial Cervical Spine
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AIM: Iatrogenic vertebral artery (VA) injury during ventral approaches to the subaxial cervical spine ranges from 0.22% to 2.77%. Evaluation of the extent of safe lateral working distance before the V2 segment of the VA is reached can be helpful to avoid this complication. MATERIAL and METHODS: In...


Do Translaminar Facet Screws Have the Same Stability as Pedicle Screws in Two-Level Anterior Lumbar Interbody Fusion? A Biomechanical Study
[Abstract] [Similar Articles]

AIM: To determine whether translaminar facet screws can provide stability equivalent to pedicle screws in two-level anterior lumbar interbody fusion. MATERIAL and METHODS: We performed a biomechanical study using 12 fresh human lumbar spines and tested intact spine, stand-alone two-level ALIF and...


Prevention of Epidural Fibrosis in Rats by Local or Systemic Administration of Citicoline
[Abstract] [Similar Articles]

AIM: The objective of this study was to investigate the effect of citicoline administration on epidural fibrosis which is a frequent complication of lumbar disc surgery with no effective treatment or preventive surgical technique. MATERIAL and METHODS: Sixty Sprague-Dawley female rats undergoing L...


The Importance and Efficacy of Posterior Only Instrumentation and Fusion for Severe Idiopathic Scoliosis
[Abstract] [Similar Articles]

AIM: In mild and moderate idiopathic scoliosis (IS), posterior only instrumentation and fusion can provide satisfactory reduction. However in severe and rigid curvatures, combined anterior and posterior fusion is generally required. In this study we have aimed to evaluate the efficacy of posterior...


Improvement in Remission Rates of the First Operation in Acromegalic Patients
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AIM: The aim of the study was to determine the remission rates of the first operation with respect to the number of surgeons and the parameters important for the prediction of the success. MATERIAL and METHODS: The study cohort consisted of 180 acromegalic patients who presented over a 29 year. Al...


Incidence and Management of Late Postsurgical Seizures in Clinical Practice
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AIM: Seizures are a frequent complication in patients who undergo neurosurgery, and can complicate the post-operative course and deteriorate patients' quality of life. Evidence on the prophylactic anticonvulsant therapy after craniotomy is still lacking. MATERIAL and METHODS: We undertook an obser...


Multiple Cavernomas of the Brain: Simultaneous Hemorrhage of Two Lesions in a Non-Familial Form
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BACKGROUND: Cavernomas of the brain are congenital lesions clinically divided into hereditary and a sporadic forms. Multiple lesions are usually observed in the familial form, whereas the sporadic variant generally shows a single cavernoma. In this case we describe the simultaneous bleeding of two...


Risk Factors for Rebleeding of Aneurysmal Subarachnoid Hemorrhage Based on the Analysis of On-Admission Information
[Abstract] [Similar Articles]

AIM: To provide a quick evaluation of rebleeding risk based on the on-admission patient information and to guide the management of patients for better outcome. MATERIAL and METHODS: A retrospective review of 630 consecutive cases of subarachnoid hemorrhage (SAH) at a major medical center was cond...


Analysis and Management of Brain Abscess; A Ten Year Hospital Based Study
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AIM: To study Clinical , microbiological and radiological profile of pyogenic brain abscess patients along with modes of treatment and their outcome. MATERIAL and METHODS: This retrospective as well as prospective study included One hundred and fourteen patients of Brain Abscess who were admitted...


1H-MR Spectroscopy Guided Gamma Knife Radiosurgery for Treatment of Glioma
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AIM: To observe the outcomes of 1H- MR-spectroscopy (MRS) guided gamma knife surgery for treatment of glioma. MATERIAL and METHODS: Twenty patients with glioma diagnosed pathologically were randomly divided into MRI group and MRI plus MRS group. The target volume was defined as the tumor enhanced ...


Is There a Relationship Between Serum Heart- Type Fatty Acid Binding Protein Level and Clinical Severity in Patients with Subarachnoid Hemorrhage?
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AIM: The aim of this study was to determine the serum heart-type fatty acid binding protein (H-FABP) levels and cardiac effects in patients presenting with subarachnoid hemorrhage (SAH) and to investigate whether any correlation exists between the cardiac effects and H-FABP. MATERIAL and METHODS: ...


A Practical Laboratory Study Simulating the Percutaneous Lumbar Transforaminal Epidural Injection: Training Model in Fresh Cadaveric Sheep Spine
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AIM: Laboratory training models are essential for developing and refining treatment skills before the clinical application of surgical and invasive procedures. A simple simulation model is needed for young trainees to learn how to handle instruments, and to perform safe lumbar transforaminal epidu...


The Effect of Temozolomide on the Prevention of Epidural Fibrosis Developing after Lumbar Laminectomy in Rats
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AIM: Failed back surgery syndrome is observed in 15% of patients who have undergone surgery for lumbar disk hernia.Excess epidural fibrosis is the etiology in 24% of FBSS cases. This study was conducted with the belief that the antiproliferative effect of temozolomide can prevent epidural fibrosis...


Use of Scalp Flaps as a Salvage Procedure in Reconstruction of the Large Defects of Head and Neck Region
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AIM: Large defects of the scalp, head and neck region are often encountered by plastic surgeons. The repair of such defects is dependent upon their location, size and depth. This study describes the use of large scalp flaps as a salvage procedure in the reconstruction of large scalp, head and neck...


Unilateral Dynamic Stabilization for Unilateral Lumbar Spinal Pathologies; A New Surgical Concept
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AIM: Minimally invasive surgical techniques for spine surgery have gained popularity over the last decade. In this study, the authors describe a unilateral dynamic stabilization for unilateral spinal pathologies. MATERIAL and METHODS: A total of 7 patients with an average age of 46.1 years (range ...


The Relationship Between Disability, Quality of Life and Fear-Avoidance Beliefs in Patients with Chronic Low Back Pain
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AIM: The aim of this study is to investigate the relationship between fear and avoidance beliefs with the disability of patients with chronic low back pain and the prediction of quality of life. MATERIAL and METHODS: 105 outpatients with chronic low back pain were included in the study. Patients w...


Enhanced Neuroprotective Effects of Co-Administration of G-CSF with Simvastatin on Intracerebral Hemorrhage in Rats
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AIM: Based on the neuroprotective effect of either G-CSF or statins in various neurological disease models, the purpose of this study was to evaluate the superiority of combined therapy G-CSF with simvastatin in experimental intracerebral hemorrhage (ICH). MATERIAL and METHODS: Primary ICH was ind...


The Therapeutic Effects of Melatonin and Nimodipine in Rats after Cerebral Cortical Injury
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AIM: Secondary brain injury starts after the initial traumatic impact and marked by an increase in the intracellular calcium concentrations.This cascadeeventually results in membrane lipid peroxidation and neuronal cell death. MATERIAL and METHODS: We investigated the neuro-protective effects of n...


Predictive Value of Preoperative Magnetic Resonance Imaging of the Pituitary for Surgical Cure in Cushing's Disease
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AIM: Cushing's disease (CD) is caused by ACTH-secreting pituitary adenoma. Transsphenoidal surgery (TSS) is the treatment of choice. CD diagnosis must be based on biochemical confirmation of hypercortisolemia and visualization of pituitary tumor on magnetic resonance imaging (MRI). Diagnostic prob...


The Effect of Bevacizumab on Spinal Epidural Fibrosis in a Postlaminectomy Rat Model
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AIM: Spinal epidural fibrosis is an inherent result of surgical trauma after laminectomy. The conditions in which epidural fibrosis is excessive are in the etiology of failed back syndrome. There have been many attempts to prevent formation of epidural fibrosis. Bevacizumab which is an anti-angiog...


Surgery for Meralgia Paresthetica: Neurolysis Versus Nerve Resection
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AIM: Neurolysis with transposition of the nerve and nerve resection are commonly performed surgical procedures for appropriate managing Meralgia Paresthetica (MP). But long-term outcome of these two procedures are uncertain. This case-series study came to address follow-up results of these two sur...


Quantitative MRI Analysis of Idiopathic Carpal Tunnel Syndrome
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AIM: The aim of this study was to try to find parametric ratios for the diagnosis and pathophysiology of carpal tunnel syndrome using MR. MATERIAL and METHODS: Dominant side wrist MRI examinations of 27 female carpal tunnel patients and 21 normal females were compared. The carpal tunnel contents a...


Early Post-Operative Results after Repair of Traumatic Brachial Plexus Palsy
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AIM: Treatment options for traumatic brachial plexus injuries include nerve grafting, or neurotization. The type of lesion and the reconstructive procedures affect functional results and postoperative pain relief. MATERIAL and METHODS: A total number of twenty five patients suffering from post-tra...


Human Brain Arteriovenous Malformations are Associated with Interruptions in Elastic Fibers and Changes in Collagen Content
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AIM: We hypothesized that the loss of structural integrity in vessels of brain arteriovenous malformations (bAVM) is associated with abnormal expression of collagen subtypes. MATERIAL and METHODS: We retrospectively obtained the nidus tissue specimens from 24 bAVM patients and structurally normal ...


Evaluation of the Neurotoxicity of the Polyethylene Glycol Hydrogel Dural Sealant
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AIM: Although polyethylene glycol (PEG) is a neutral, biocompatible hydrophilic polymer recognized for its lack of interaction with biological barrier, its neurotoxicity has not been clearly identified in neurosurgery. This study is constructed to evaluate the possible neurotoxicity of a PEG hydro...


Endovascular Embolization of Ruptured and Unruptured Posterior Circulation Aneurysms. A Multi-Factor Analysis
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AIM: Complete aneurysm obliteration reduces the risk of rebleeding and is an important goal of the aneurysm treatment. MATERIAL and METHODS: A retrospective analysis of 63 patients undergoing endovascular treatment of posterior circulation aneurysms. The occlusion rate was stratified to three grou...


Management of Intraneural Fibro-Lipoma of the Median Nerve and the Role of Pressure-Specified Sensory Device (PSSD) for the Patient's Motor and Sensorial Evaluations
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AIM: The intraneural fibro-lipoma is a benign, uncommon tumor which is characterised with infiltration of the epineurium and perineurium by fibrofatty tissue. The preoperative diagnosis is difficult. However, the Pressure-Specified Sensory Device (PSSD) may support identifying the earliest stages ...


Effects of Intracisternal Dexmedetomidine on Cerebral Neuronal Cells in Rat: A Preliminary Study
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AIM: The aim was to investigate whether dexmedetomidine had a toxic effect on cerebral neurons when it was administered centrally into the cerebrospinal fluid by the intracisternal route. MATERIAL and METHODS: Eighteen rats were anesthetized and the right femoral artery was cannulated. Mean arteri...


Neuroprotective Effect of Acute Interferon-Beta 1B Treatment after Spinal Cord Injury
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AIM: The purpose of this trial was to investigate the effect of a well known immunomodulator -interferon beta- on traumatized spinal cord in terms of biochemical and histopathological features. MATERIAL and METHODS: Twenty-four rats were used in this trial. The rats were divided into 3 groups. In ...


Modified Twist Drill Technique in the Management of Chronic Subdural Hematoma
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AIM: Burr-hole craniostomy is the most efficient and safe choice for surgical drainage of chronic subdural hematoma (CSDH). Although the twist-drill drainage is also relatively safe and time-saving, it carries the risk of inadequate drainage, brain penetration and hematoma formation. Our modified ...


Immunohistochemical Expression of ErbB2 in Adamantinomatous Craniopharyngiomas: A Possible Target for Immunotherapy
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AIM: To determine the immunohistochemical expression of ErbB2 in adamantinomatous craniopharyngiomas (ACP) and to assess its relationship with nuclear expression of β-catenin in surgically resected human ACP tissue sections and to estimate whether these tumors could be candidates for anti-Erb...


Laparoscopic Revision of the Distally Obstructed Ventriculoperitoneal Shunt
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AIM: Evaluation of the laparoscopic assisted revision of the ventriculoperitoneal shunt as an alternative technique to the traditional laparotomy. MATERIAL and METHODS: Out of 1181 elective neurosurgical procedures have been done from January 2009 to December 2010. There are 98 (8.2%) ventriculope...


The Effects of Splenectomy on Lipid Peroxidation and Neuronal Loss in Experimental Spinal Cord Ischemia/Reperfusion Injury
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AIM: The aim of this study is to investigate the effects of prior splenectomy on oxidative stress and neuronal loss following spinal cord ischemia and reperfusion injury. MATERIAL and METHODS: Twenty-one Sprague Dawley rats were randomly divided into three groups as sham laparatomy (n=7), spinal ...


Assessment of Physical Activity in Patients with Chronic Low Back or Neck Pain
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AIM: To investigate physical activity level in patients with chronic low back and neck pain. MATERIAL and METHODS: 32 preoperative patients, 32 outpatients with low back or neck pain and 32 healthy controls were included in study. The physical activity level of the participants was evaluated with ...


CT-Guided Percutaneous Cordotomy for Intractable Pain in What is More than a Disease: Lung Malignancies
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AIM: Lung cancer is the leading cause of cancer-related mortality worldwide. Pain is a common problem in these patients, yet inadequate or dissatisfactory management is prevalent. MATERIAL and METHODS: Between 1987 and 2012, 224 patients with intractable pain were treated with computerized tomogra...


Combined Treatment with Progesterone and Magnesium Sulfate Positively Affects Traumatic Brain Injury in Immature Rats
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AIM: It is well known that head trauma results in damage in hippocampal and cortical areas of the brain and impairs cognitive functions. The aim of this study is to explore the neuroprotective effect of combination therapy with magnesium sulphate (MgSO4) and progesterone in the 7-days-old rat pups...


Surgical Management of Intracranial Arachnoid Cysts: Clinical and Radiological Outcome
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AIM: Intracranial arachnoid cysts account for 1% of all intracranial mass lesions and may require drainage if symptomatic. MATERIAL and METHODS: We retrospectively reviewed the medical records of 45 consecutive patients who underwent surgical drainage for symptomatic intracranial cysts at our inst...


The Effect of Intracerebroventricular Injection of Beta Amyloid Peptide (1-42) on Caspase-3 Activity, Lipid Peroxidation, Nitric Oxide and NOS Expression in Young Adult and Aged Rat Brain
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AIM: Intracerebroventricular (icv) administration of beta amyloid peptide (Aβ) in rats can be used to model certain aspects of Alzheimer disease (AD).The purpose of this study was to examine the effects of intracerebroventricular Aβ (1-42) peptide injection on caspase-3 activity and expr...


Evaluation of TGF &#946;1, IL-8 and Nitric Oxide in the Serum of Diffuse Axonal Injury Patients and Its Association with Clinical Status and Outcome
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AIM: The aim was to evaluate the level of interleukin 8 (IL-8), transforming growth factor β1 (TGF β1) and Nitric oxide (NO) in diffuse axonal injury (DAI) and its association to the outcome and clinical status. MATERIAL and METHODS: This cross-sectional study was conducted on 20 patient...


Dose Dependent Morphological Effects of Alpha Lipoic Acid on Vasospastic Femoral Artery in Rats
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AIM: The dose dependent effects of alpha lipoic acid (α-LA) were investigated morphologically on rat vasospasm model. MATERIAL and METHODS: 32 rats were divided into four groups: group I=control; group II=vasospasm; group III=vasospasm +low dose (20 mg/kg) intraperitoneal α-LA administer...


Facial Nerve Function after Large Cystic Vestibular Schwannomas Surgery via the Retrosigmoid Approach
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AIM: To evaluate long-term postoperative facial nerve function in patients undergoing large cystic vestibular schwannomas (VSs) surgery. MATERIAL and METHODS: Surgical outcome of 36 patients with large cystic VS was retrospectively assessed, and compared with a group of 67 patients with large soli...


Single-Stage Operation for Traumatic Thoracolumbar Fractures with Severe Dislocation via a Posterior Approach Alone: A Case Series
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AIM: This study reports a technique for treating severe thoracolumbar fractures with single-stage decompression, reduction, reconstruction, and stabilization via an entirely posterior approach. MATERIAL and METHODS: The cases of 11 patients with severe traumatic thoracolumbar fractures/dislocation...


Stent-Jail Technique in Endovascular Treatment of Wide-Necked Aneurysm
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AIM: To describe a reconstructive technique using single stent for wide-necked aneurysms. MATERIAL and METHODS: This technique was described as stent-jail technique consisting of the aneurismal catheterization before the deployment of a self-expandable stent across the aneurysm neck. Following the...


The Value of Touch Imprint Cytology of Core Needle Biopsy in the Diagnosis of Spinal Lesions
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AIM: We aimed to investigate the contribution of the touch imprint cytology (TIC) of core needle biopsies (CNBs) to the diagnosis in spinal lesions. MATERIAL and METHODS: Sixty cases with spinal CNB and TIC were included in the study. Hematoxylin and Eosin (H&E) and May-Grunwald- Giemsa (MGG) sta...


Posterior Dynamic Stabilization for the Treatment of Patients with Lumbar Degenerative Disc Disease: Long-Term Clinical and Radiological Results
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AIM: Comparison of long-term preoperative and postoperative clinical and radiological results for patients diagnosed with degenerative disc disease that underwent posterior dynamic stabilization. Lumbar disc degeneration is caused by a variety of factors. Disruptions in the vertebral endplate resu...


Missed Injury in Patients with Severe Traumatic Brain Injury Complicated by Multiple Trauma
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AIM: The aim of this study was to investigate retrospectively the multiple injuries prone to be missed in 432 cases. MATERIAL and METHODS: The cases were divided into two groups, i.e., whether the missed injury was found during admission or follow up. The mean ISS value, ratio of patients of cases...


Supracondylar Transjugular Tubercle Approach to Intradural Lesions Anterior or Anterolateral to the Craniocervical Junction without Resection of the Occipital Condyle
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AIM: To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlantooccipital joint in...


Effects of Intracisternal and Intravenous Dexmedetomidine on Ischemia-Induced Brain Injury in Rat: A Comparative Study
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AIM: To compare the effect of dexmedetomidine administered by intracisternal route with by intravenous route on brain tissue of rat after incomplete cerebral ischemia. MATERIAL and METHODS: Cerebral ischemia was produced by the combination of right common carotid artery occlusion and hemorrhagic ...


MR Cisternography in the Posterior Fossa: The Evaluation of Trigeminal Neurovascular Compression
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AIM: To evaluate the utility of 3D-magnetic resonance cisternography(MRC) of posterior cranial fossa in visualizing trigeminal neurovascular compression in patients with trigeminal neuralgia. MATERIAL and METHODS: 146 consecutive patients in the period from June 2010 to July 2011 in our institute ...


Incidence, Hormonal Distribution and Postoperative Follow Up of Atypical Pituitary Adenomas
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AIM: To assess the incidence, hormonal activity and postoperative follow up of the cases that are histopathologically diagnosed as atypical pituitary adenoma (APA) in our series. MATERIAL and METHODS: In this study, 13 atypical pituitary adenoma cases, by the WHO 2004 criteria, among the 146 pitui...


Stent Placement for the Treatment of Complex Internal Carotid Bifurcation Aneurysms: A Review of 16 Cases
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AIM: Stent placements for the treatment of complex internal carotid bifurcation aneurysms are not well documented yet. In this article, we reported a series of 16 such cases to evaluate the feasibility, safety and effectiveness of stent placement for these particular lesions. MATERIAL and METHODS:...


Preoperative and Postoperative Evaluation of Somatosensorial Evoked Potentials of Upper Extremities in Cervical Intervertebral Disc Herniation
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This study aims to determine the dysfunction caused by existing pathological condition in structures involved in the transfer of sensory functions of the neural system in cervical disc herniation, and to establish whether or not the level and degree of this anatomical damage can be anticipated by ...


Prevention of Anterior Scar Formation Following Discectomy with a MediShield Adhesion Barrier: Randomized Experimental Trial
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AIM: To investigate whether carboxymethylcellulose/polyethylene oxide (CMC/PEO) gel has a protective effect against epidural scar formation anterior to the dura following discectomy. MATERIAL and METHODS: A barrier gel comprised of CMC and PEO (MediShield) was studied as a material to reduce anter...


Endovascular Management of Vertebrobasilar Artery Dissecting Aneurysms
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AIM: The prognosis of VBA aneurysms seems poor and surgical management of VBA dissecting aneurysms is challenging. We evaluated our endovascular experience in management of ruptured and unruptured VBA dissecting aneurysms. MATERIAL and METHODS: Eleven consecutive patients with eleven VBA aneurysms...


Ultrasound-Based Neuronavigation and Spinal Cord Tumour Surgery - Marriage of Convenience or Notified Incompatibility?
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AIM: The study aimed to examine the position of three-dimensional (3D) neurosonography and the advantages and disadvantages of ultrasound-based neuronavigation in spinal cord tumour surgery. MATERIAL and METHODS: During the period July, 2007- February 2011, 28 patients with spinal cord tumours wer...


The Correlation of Serum NT-proBNP Levels of Hemorrhagic and Ischemic Lesions Detected with Diffusion MRI in Head Traumas
[Abstract] [Similar Articles]

AIM: To evaluate the correlation between the dimensions of ischemic and hemorrhagic lesions detected by diffusion MRI and the changes in lesion dimensions with serum NT-proBNP levels in mild and moderate head trauma. MATERIAL and METHODS: 30 patients were assessed in our study. A control group of ...


Fluoroscopy for Transpedicular Screw Placement in Scoliosis: To What Extent Can Radiation Exposure Be Reduced by the Freehand Technique?
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AIM: In spinal surgery, high doses of radiation are delivered during surgical procedures that require fluoroscopic control. The aim of this study was to determine the amount of radiation delivered from the fluoroscopic unit and also the factors to reduce the amount of radiation during the surgery ...


Decrease in Plasma Adiponectin Level and Increase in Adiponectin Immunoreactivity in Cortex and Hippocampus After Traumatic Brain Injury in Rats
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AIM: Adiponectin plays an important role in the regulation of tissue inflammation. Recently, it has been reported that the plasma adiponectin levels in several acute illnesses decrease periodically, thus indicating that adiponectin may play a role in the inflammatory response in patients with acut...


Feasibility Study on Repair for Cranial Defect of Immaturity
[Abstract] [Similar Articles]

AIM: To evaluate use of a titanium mesh to fill cranial defects in growing animals, as a model for juvenile humans. MATERIAL and METHODS: Thirty two-month-old Seghers pigs were evenly assigned to one of three groups: controls, a defect group (unrepaired 5 × 5 cm lesion), and a repair group (repair...


Preoperative Endoscopic Third Ventriculostomy in Children with Posterior Fossa Tumors: An Institution Experience
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AIM: To assess the effectiveness and safety of pre-resection endoscopic third ventriculostomy (ETV) in permanently relieving hydrocephalus in children with posterior fossa tumors. MATERIAL and METHODS: 17 pediatric patients with posterior fossa tumors and associated triventricular obstructive hydr...


The Effect of Captopril on Brain Apoptosis After Burn Injury in Rats
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AIM: The purpose of this study was to determine the possible protective effects of captopril treatment against apoptosis in the brain induced by burn injury. MATERIAL and METHODS: Under ether anaesthesia, Wistar albino rats (200-250 g) were exposed to a 900C (burn) or 250C (sham) water bath for 1...


Unilateral Percutaneous Pedicle Screw Instrumentation with Minimally Invasive TLIF for the Treatment of Recurrent Lumbar Disk Disease: 2 Years Follow-Up
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AIM: To compare the clinical and radiological outcomes of recurrent disk disease in patients who underwent unilateral and bilateral percutaneous pedicle screw instrumentation with Mis-TLIF. MATERIAL and METHODS: 10 patients treated with unilateral percutaneous instrumentation plus Mis-TLIF formed ...


Quality of Life and Depressive Symptoms in Parkinson's Disease After Subthalamic Deep Brain Stimulation: A 2-Year Follow-Up Study
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AIM: To assess the correlation between quality of life (QoL), depressive symptoms and motor signs in patients with Parkinson disease after subthalamic deep brain stimulation (DBS STN). MATERIAL and METHODS: 74 patients, average age 55.6 ± 7 and duration of disease 12.3 years± 3.8, treated with l S...


Correlation of Matrix Metalloproteinase–3 Expression with Patient Age, Magnetic Resonance Imaging and Histopathological Grade in Lumbar Disc Degeneration
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Aim: The purpose of the present study is to analyze the expression of matrix metalloproteinase-3 (MMP-3), magnetic resonance imaging (MRI) grading and histopathological alterations of the intervertebral disc (IVD) for correlations with each other and with the age, gender and low back pain duration...


Supraorbital Keyhole Approach for Anterior Circulation Aneurysms
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Aim: Supraorbital keyhole approach provides access to the major part of the anterior circulation aneurysms. Herein, our surgical experience of supraorbital keyhole approach and its some modification have been proposed. Material and Methods: Out of a series of 76 patients harboring 80 aneurysms op...


Endonasal Endoscopic Skull Base Multilayer Reconstruction Surgery with Nasal Pedicled Mucosal Flap to Manage High Flow CSF Leakage
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Aim: Multilayer reconstruction of skull base using nasal pedicled mucosal flap has been widely accepted as a standard method for repairing high flow cerebrospinal fluid [CSF] leakage. In this study, we analyzed our outcome and summarized several valuable operation experiences from this technique. ...


Pineal Epidermoid Tumors: Report of Five Cases
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Aim: The aim of this study was to retrospectively analyse the clinical, radiological features and surgical outcome of pineal epidermoid tumors treated at a single neurosurgical department. Material and Methods: We performed surgery on five patients with pineal region epidermoid tumors at a single...


The Effects of Vagal Nerve Stimulation in Focal Cerebral Ischemia and Reperfusion Model
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Aim: This study aimed to investigate the effects of VNS in transient middle cerebral artery occlusion and reperfusion (MCAO/R) rat model of ischemia based on behavioral, morphological, and molecular approaches. Material and Methods: Wistar albino rats were divided into 3 groups: ischemia-reperfus...


Routine Postoperative Ct-Scans After Burr Hole Trepanation for Chronic Subdural Hematoma – Better Before or After Drainage Removal?
[Abstract] [Similar Articles]

Aim: To evaluate timing of scheduled CT-scans after burr hole trepanation for chronic subdural hematoma (cSDH). Material and Methods: 131 patients with primary cSDH were included. Scheduled CT-scans were performed after burr hole trepanation and placement of a subdural drain. The influence of CT-...


Investigation of ACE Genome Insertion/Deletion Correlation with Immunohistochemical Profile in Pituitary Adenomas
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Aim: The deletion polymorphism of the angiotensin-converting enzyme (ACE) genome causes neoplastic development in several organs by increasing the angiotensin 2 (A2) formation. In this study, we aimed to identify the ACE genome insertion/deletion polymorphism in pituitary adenomas and to compare i...


Management of Brown-Sequard Syndrome in Cervical Disc Diseases
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Aim: To raise the awareness of the appropriate management of unusual clinical presentation of cervical disc herniation. Material and Methods: Seven patients with Brown-Sequard syndrome due to cervical disc herniation presented with Brown-Sequard syndrome had been treated surgically as one of them...


Frequency, Distribution and Severity of Prevalent Osteoporotic Vertebral Fractures in Postmenopausal Women
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Aim: Assessment of previous vertebral fractures provides useful information to predict future fracture risk. This study aimed to determine the frequency, distribution and severity of prevalent osteoporotic vertebral fractures in postmenopausal women. Material and Methods: Data on patient characte...


Long-Term Prognosis After Revascularization Therapy in Patients with Atherothrombotic Stroke
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Aim: Many guidelines recommend carotid endarterectomy (CEA) in symptomatic patients with carotid stenosis of greater than 70%, and carotid artery stenting (CAS) as an alternative to CEA. In our study, we evaluated the clinical characteristics of patients who underwent revascularizaton therapy. M...


Surgical Therapy for Craniocerebral Firearm Injury
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Aim: The current study aims to explore the clinical characteristics of craniocerebral firearm injury and to improve the diagnosis and treatment of this condition. Material and Methods: Data from 56 patients with craniocerebral firearm injury were analyzed retrospectively for projectile types, tr...


Headache and Its Effects on Health-Related Quality of Life Among Adults
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Aim: This study was conducted with aim of determining prevalence of headache and evaluating its effects on health-related quality of life (HRQoL) in Beylikova town of Eskisehir city in the west of Turkey. Material and Methods: This study was conducted on adults aged 20 years and over aged between...


Further Modified Taylor Retractor for Spinal Surgery
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New techniques have minimized the incision length and thus required modifications of surgical instruments. The Taylor retractor is one of these instruments. We therefore designed several modifications of the classical Taylor retractor. The following structural modifications were made on the classi...


Surgical Treatment Problems of Hydrocephalus Caused by Spontaneus Intraventricular Hemorrhage in Prematurely Born Children
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AIM: The aim of this study was to identify the most appropriate method of surgical treatment of hydrocephalus in preterm infants that is caused by spontaneous intraventricular hemorrhage (IVH) and to identify predictive factors of poor perioperative outcomes. MATERIAL and METHODS: We present a ser...


Is Intraoperative Ultrasound Required in Cervical Spinal Tumors? A Prospective Study
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AIM: To determine the role of intraoperative ultrasonography (IOUSG) in the surgical management of patients with intradural spinal tumors. MATERIAL and METHODS: Twenty-six patients with intradural spinal cord tumors were surgically treated under intraoperative ultrasonographic guidance between Jan...


Hyperbaric Oxygen in Epidural Fibrosis: Is There a Potential for Treatment?
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AIM: To investigate the effects of hyperbaric oxygen treatment on epidural fibrosis formation in an experimental laminectomy model. MATERIAL and METHODS: Twenty-four Wistar rats underwent L5-L6 total laminectomy and divided into three groups. Animals in the control group received no further treatm...


Diagnosis and Management of Pituitary Abscess: A Case Series and Review of the Literature
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AIM: Pituitary abscess is a disorder characterized with central nervous system (CNS) infection, mass effect, and endocrine dysfunction. These abscesses generally occur due to hematogenous spread in conditions such as paranasal sinusitis, sepsis, and where the blood brain barrier breaks down. This ...


The Effects of Levetiracetam on Neural Tube Development in the Early Stage of Chick Embryos
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AIM: This study aimed to investigate the effects of a new generation antiepileptic agent, levetiracetam, on the neural tube development in a chick embryo model that corresponds to the first month of vertebral development in mammals. MATERIAL and METHODS: Forty-five Atabey® breed fertilized chicken...


Comparison of the Effects of Local and Systemic Dexamethasone on the Rat Traumatic Sciatic Nerve Model
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AIM: The aim of the study was to evaluate the effect of peroperatively locally administered dexamethasone on nerve recovery after induced nerve crush injury. MATERIAL and METHODS: 4 groups of 8 animals were formed. The sciatic nerves of 32 rats were exposed at midthigh level and those of 24 rats ...


Hemilaminectomy Approach Combined with in situ Restoration of Vertebral Laminae for Thoracic Intraspinal Tumors
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AIM: This study aims to evaluate the hemilaminectomy approach and in situ restoration of vertebral laminae in microsurgery for thoracic intraspinal tumors. MATERIAL and METHODS: Sixteen patients with thoracic intraspinal tumors, consisting of 6 males and 10 females with a mean age of 47.5±16.4 ye...


A New Guide Tube for Odontoid Screw Fixation for Unstable Odontoid Fractures: Report of 6 Case Series
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AIM: We describe a modified form of traditional open surgery with a new guide tube. This guide tube permits anterior screwing of odontoid in a shorter time with a more simple technique as compared to traditional open surgery, endoscopic and percutaneous surgeries. MATERIAL and METHODS: Our series ...


Analysis of Risk Factors for Recurrence of Giant Cell Tumor of the Sacrum and Mobile Spine Combined with Preoperative Embolization
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AIM: To investigate the factors related to the local recurrence-free survival time (LRFS) after surgical treatment of GCT of the sacrum and mobile spine combined with preoperative embolization. MATERIAL and METHODS: We retrospectively reviewed 28 consecutive patients with GCT of the sacrum and mob...


Clinical Characteristics and Outcomes of Patients with Cerebral Herniation During Continuous Lumbar Drainage
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AIM: The aim of this study was to investigate the clinical characteristics and outcomes of patients who developed cerebral herniation after continuous lumbar cerebrospinal fluid (CSF) drainage. MATERIAL and METHODS: We retrospectively reviewed eight patients who developed cerebral herniation after...


Does Probe's Eye Subthalamic Nucleus Length on T2W MRI Correspond with Microelectrode Recording in Patients with Deep Brain Stimulation for Advanced Parkinson's Disease?
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AIM: Subthalamic nucleus (STN) deep brain stimulation (DBS) has become a well-accepted treatment for patients with advanced Parkinson’s disease (PD). During surgical planning for DBS, the length of the STN is taken into account and verified during microelectrode recording (MER) intraoperativ...


Neuroprotective Effect of Magnesium Sulfate and Dexamethasone on Intrauterine Ischemia in the Fetal Rat Brain: Ultrastructural Evaluation
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AIM: The aim of this study was to investigate the neuroprotective effect of magnesium sulfate and dexamethasone on oxidative damage in intrauterine ischemia. MATERIAL and METHODS: In this study, 19-day pregnant rats were divided into five groups. Fetal brain ischemia was achieved in the ischemia/ ...


TGF-&#946;s and Smads Activities at the Site of Failed Neural Tube in the Human Embryos
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AIM: Transforming growth factor β (TGF-β) and Smads control intracellular signaling pathways in neurulation. Although previously reported similar experimental animal studies, the aim of this human study is to investigate the expression of TGF-β (1,2,3) and Smads (1,2,3,6,7) in abort...


Clinicopathological Characteristics of Chordoma: An Institutional Experience and a Review of the Literature
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AIM: To study the clinicopathologic characteristics of chordomas from a single institution. MATERIAL and METHODS: This study is a retrospective analysis of 18 cases of chordomas diagnosed over a period of 5-years at Sher-i-Kashmir Institute of Medical Sciences, Srinagar, from 2006 to 2010. RESULT...


The Effect of Electromagnetic Radiation on the Rat Brain: An Experimental Study
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AIM: The aim of this study is to determine the structural changes of electromagnetic waves in the frontal cortex, brain stem and cerebellum. MATERIAL and METHODS: 24 Wistar Albino adult male rats were randomly divided into four groups: group I consisted of control rats, and groups II-IV comprised ...


Diagnosis and Treatment of Traumatic Internal Carotid Artery Pseudoaneurysm Primarily Manifested by Repeated Epistaxis
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AIM: The current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis. MATERIAL and METHODS: Clinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyz...


The Experimental Study of miRNA in Pituitary Adenomas
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AIM: We investigated the differential miRNA expression in pituitary adenomas (both non-functioning and gonadotropin-secreting) and normal pituitaries. MATERIAL and METHODS: RNA was extracted and purified from pituitary adenomas (10 non-functioning and 10 gonadotropin-secreting) and from two norm...


Mass Lesions in the Brain: Tumor or Multiple Sclerosis? Clinical and Imaging Characteristics and Course from a Single Reference Center
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AIM: In demyelinating disease spectrum, tumor-like (tumefactive) demyelinating lesions (TDL) are rarely seen. Atypical imaging and clinical features of these lesions may cause misdiagnosis of tumor or abscess. MATERIAL and METHODS: 25 patients with TDL in our center were followed and clinical, mag...


Using an Autologous Fibrin Sealant in the Preventing of Cerebrospinal Fluid Leak with Large Skull Base Defect Following Endoscopic Endonasal Transsphenoidal Surgery
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AIM: Postoperative cerebrospinal fluid (CSF) leak following endoscopic endonasal transsphenoidal surgery (EETS) is associated with increased morbidity and mortality. This prospective study is the first evaluation of using autologous fibrin sealant for preventing postoperative CSF leak and related ...


Evaluation of the Effects of Mobile Phones on the Neural Tube Development of Chick Embryos
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AIM: The objective of this study is to examine the effects of radiation of mobile phones on developing neural tissue of chick embryos. MATERIAL and METHODS: There were 4 study groups. All Groups were placed in equal distance, from the mobile phones. Serial sections were taken from each Group to st...


Management of Medically Intractable Genitofemoral and Ilioingunal Neuralgia
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AIM: To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia. MATERIAL and METHODS: This is a prospective study of 20 patients with genitofemoral and ilioinguinal neuralgias who were treated at our medical center between 2007 and 2011. ...


Evaluation of the Prevertebral Soft Tissue Thickness by Magnetic Resonance Imaging in Patients with Mild Neck Problem
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AIM: We encountered no study conducted on the evaluation of prevertebral soft tissue (PVST) thickness by magnetic resonance imaging (MRI) during our literature search. Measuring PVST thickness by MRI in the cervical region of adult cases was aimed in the present retrospective study. MATERIAL and ...


The Effects of Lornoxicam on Neuroprotection Following Diffuse Traumatic Brain Injury in Rats
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AIM: In this study, the effects of lornoxicam on the prevention of secondary brain injury via the apoptotic pathway were studied in a rat model of head injury. MATERIAL and METHODS: Thirty adult male Wistar albino rats were anesthetized, and experimental closed head trauma was induced by allowing...


SYMPATHETIC INNERVATION OF THE CEREBRAL ARTERIAL SYSTEM STUDIED USING ANTEROGRADE LABELLING WITH WGA-HRP
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EFFECT OF EXPERIMENTAL SUBARACHNOID HEMORRHAGE ON THE SYMPATHETIC NERVES OF CEREBRAL ARTERIES, INVESTIGATED WITH WGA-HRP ANTEROGRADE TRACING IN THE RAT
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THE CAROTID BODY AND ITS TUMOR II. Chemodectomas. Report of Five Operated Cases
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ELECTRON MICROSCOPIC OBSERVATIONS OF THE EFFECTS OF DEXAMETHASONE AND MANNITOL IN THE HYPOXIC RAT BRAIN (PART-II)
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TOTAL AND LIPID-BOUND SIALIC ACID IN THE SERUM AND CEREBROSPINAL FLUID OF PATIENTS WITH BRAIN TUMORS
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3.0-T Diffusion Images After Clipping of Middle Cerebral Artery Aneurysm
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AIM: Replacement of aneurysm clips or temporary parent artery occlusion during aneurysm clipping (AC) carries the risk of inducing postoperative neurologic deficits. When studying the risk of surgical complications associated with cerebral aneurysms, patients with similar conditions should be comp...


Implanting Pedicle Screw in Fractured Vertebra Results in No Adverse Effect on Bone Healing in Thoracic or Lumbar Burst Fracture
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AIM: To confirm whether implanting pedicle-screw at the level of fractured vertebra increases adverse effects on fracture healing. MATERIAL and METHODS: CT follow-up was conducted for 28 patients who sustained thoracic or lumbar burst fracture and underwent posterior pedicle-screw instrumentation ...


The Neuroprotective Effects of Rituximab in Rat Spinal Cord Injury Model: An Immunohistochemical Study
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AIM: In the present study, we investigate the neuroprotective effects of rituximab, a monoclonal antibody directed towards B cell mediated humoral immunity, on a rat spinal cord injury (SCI) model with immunohistochemical methods. MATERIAL and METHODS: Twenty-four rats were used for the study. Rat...


How Analgesia-Sedation Alters Monocyte mCD14 and HLA-DR Levels in Patients Undergoing Cerebral Angiography?
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AIM: This study aims to evaluate how analgesia-sedation causes alterations of HLA-DR and cytokines (IL-10 and IL-6) in patients undergoing cerebral angiography for several cerebral vascular diseases. MATERIAL and METHODS: This study includes 41 males who underwent cerebral angiography. The study s...


Third Ventricular Colloid Cysts in Children-A Series of Eight Cases and Review of the Literature
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AIM: Colloid cysts are uncommon lesions, which most commonly occur in the fourth through seventh decade. The authors hereby report a series of colloid cysts in the pediatric age group. MATERIAL and METHODS: A retrospective study was conducted on all patients of colloid cyst that underwent surgery ...


Neurosurgical Wound Infection at a University Hospital in Egypt; Prospective Study of 1181 Patients for 2 Years
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AIM: The aim of this study is to report the incidence rate of neurosurgical wound infection at our university as well as the predisposing risk factors. MATERIAL and METHODS: A 2-year hospital prospective study was conducted and included 1110 patients underwent 1181 elective neurosurgical procedur...


Clinical Features of Patients with Carcinomatous Meningitis in the Chinese Population: Report of 4 Cases and Review of the Literature
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AIM: Carcinomatous meningitis (CM) is a rare neurological disorder. We aim to promote the diagnostic efficiency of CM. MATERIAL and METHODS: Four patients (1 male and 3 females) who had been diagnosed with CM from June 2007 to June 2009 in our department were included in this study. The mean age o...


Traumatic Brain Injuries: Experience from a Tertiary Care Centre in Pakistan
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AIM: Traumatic Brain Injury (TBI) is one of the leading causes for morbidity, mortality and economic loss. The impact is much worse in developing countries like Pakistan. The objective of our study was to highlight the etiological pattern and distribution of TBI in Pakistan. MATERIAL and METHODS: ...


The Effect of Copper on Vasospastic Femoral Artery in Rats
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AIM: The aim of this study was to investigate the effect of copper, which is the cofactor and regulator of the superoxide dysmutase enzyme, on preventing experimental peripheral vasospasm in rats through antioxidative mechanisms. MATERIAL and METHODS: Twenty-four female Wistar-Albino rats were div...


Posterior Inferior Cerebellar Artery Aneurysms: Operative Strategies Based on a Surgical Series of 27 Patients
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AIM: Posterior inferior cerebellar artery (PICA) aneurysms are uncommon. The natural history and management of these aneurysms remains poorly understood. Surgical treatment of PICA aneurysms is challenging in view of their close neurovascular relationship. MATERIAL and METHODS: Data relating to cl...


A New Molecule in Aneurysmal Subarachnoid Hemorrhage: Dendroaspis Natriuretic Peptide
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AIM: Dendroaspis natriuretic peptide (DNP) is the most recently identified member of the natriuretic peptide family. Although DNP has similar structure and function to other members, it is genetically different. The other members are known to cause vasorelaxation but the effects of DNP on vascular...


Treatment of Symptomatic Fusiform Aneurysm in Basilar Artery by Stenting Following Coiling Technique
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AIM: The present stent-assisted coil technique has many limitations especially in treating fusiform aneurysms. We aimed to introduce stenting following coiling technique to treat fusiform aneurysms. MATERIAL and METHODS: From January 2009 to December 2010, we treated 6 patients with fusiform aneur...


Preemptive Wound Infiltration in Lumbar Laminectomy for Postoperative Pain: Comparison of Bupivacaine and Levobupivacaine
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AIM: Patients usually suffer significant pain after lumbar laminectomy. Wound infiltration with local anesthetics is a useful method for postoperative pain control. Our aim was to compare the efficacies of preemptive wound infiltration with bupivacaine and levobupivacaine. MATERIAL and METHODS: 60...


Investigation of the Dose-Dependency of Citicoline Effects on Nerve Regeneration and Functional Recovery in a Rat Model of Sciatic Nerve Injury
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AIM: The aim of this study was to investigate the dose dependence of citicoline’s previously-reported effects on recovery of peripheral nerve injury. MATERIAL and METHODS: Right sciatic nerves of sixty adult female Wistar Albino rats were incised and primary anastomosis was performed. Rats ...


Effect of the Gamma Knife Treatment on the Trigeminal Nerve Root in Chinese Patients with Primary Trigeminal Neuralgia
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AIM: To understand the mechanism of the gamma knife treating the trigeminal neuralgia. MATERIAL and METHODS: Using the MASEP-SRRS type gamma knife treatment system, 140 Chinese patients with trigeminal neuralgia (NT) were treated in our hospital from 2002 to 2010, in which the pain relief rate rea...


Posterior Communicating Aneurysm with Oculomotor Nerve Palsy: Clinical Outcome After Aneurysm Clipping
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AIM: One of the clinical presentations of intracranial aneurysm is unilateral oculomotor nerve palsy (ONP). The most common location is the posterior communicating artery. Surgical clipping and/or endovascular coiling of the aneurysm are the treatments. The aim of this study was to identify the fa...


Extended Pterional Approach for Initial Surgical Management of Craniopharyngiomas: A Case Series
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AIM: Treatment of craniopharyngiomas remains challenging. The aim of this study was to evaluate results of initial surgical management of craniopharyngiomas via the extended pterional approach. MATERIAL and METHODS: Nineteen patients (10 female; median age of 23 years; ranging from 10 months to 67...


Analysis of the Influence of Nucleotomy on Lumbar Degeneration of the Operated Level Using the Finite Element Method
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AIM: To determine whether nucleotomy may aggravate lumbar degeneration at the operated level. MATERIAL and METHODS: A normal healthy finite element model, two degeneration models and corresponding nucleotomy models of the L4-5 segment were created. Combined with 800 N preloading, 10 Nm moment was ...


Endovascular Embolization of Refractory Traumatic Carotid Cavernous Fistula with Micro-Coils: A Preliminary Experience
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AIM: This study reports our preliminary experiences in performing detachable micro-coils embolization for refractory traumatic carotid cavernous fistulas (TCCFs) and evaluates its efficacy and safety. MATERIAL and METHODS: Fifteen consecutive patients with TCCFs treated with detachable micro-coils...


Neuroprotective Effects of Agmatine in Experimental Peripheral Nerve Injury in Rats: A Prospective Randomized and Placebo-Controlled Trial
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AIM: The purpose of this study was to demonstrate the activity of agmatine, an inducible nitric oxide synthase (iNOS) inhibitor and selective N-methyl-D-aspartate receptor (NMDAR) antagonist, on reducing tissue damage in distal part of traumatic nerve in an experimental rat peripheral nerve injury...


Influence of Different Surgical Timing on Outcome of Patients with Aneurysmal Subarachnoid Hemorrhage and the Surgical Techniques during Early Surgery for Ruptured Intracranial Aneurysms
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AIM: This study aims to investigate the influence of different surgical timing on outcome of patients with aneurysmal subarachnoid hemorrhage and to explore the surgical techniques for ruptured intracranial aneurysms. MATERIAL and METHODS: The clinical data were from 327 cases. 304 cases of the su...


Surgical Treatment of Multiple Intracranial Aneurysms
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AIM: To discuss the surgical methods for multiple intracranial aneurysms. MATERIAL and METHODS: 23 patients were divided into three groups according to the location of the aneurysms: aneurysms located in one side or in the midline of the Willis ring; aneurysms located on both sides of the Willis r...


Controlled Decompression for the Treatment of Severe Head Injury: A Preliminary Study
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AIM: Fast direct decompression surgery for treatment of severe head injury often results in intraoperative and postoperative complications. Controlled decompression may help prevent these complications. This preliminary study aims to compare the effects of controlled and conventional decompression...


Intravascular Virtual MR Endoscopy Evaluation of Cerebral Aneurysms
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AIM: The aim of this study was to evaluate the role of intravascular virtual MR endoscopy in the planning of correct surgical clipping of the aneurysm neck. MATERIAL and METHODS: A total of 36 aneurysms were detected by using magnetic resonance angiography (MRA) in thirty patients. Intravascular ...


Surgical Management of Traumatic Interhemispheric Subdural Hematoma
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AIM: To review our experience in the surgical treatment of TISH, and to analyze prognostic factors. MATERIAL and METHODS: Clinical and imaging data, surgical modalities, and outcomes of 21 patients with TISH who were treated with microsurgery were analyzed retrospectively. Prognostic factors for o...


Effect of Nifedipine on Hippocampal Neuron Number in Penicillin-Induced Epileptic Rats
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AIM: Epileptic seizures lead to neuronal loss in the hippocampus. Experimental epilepsy can be induced by direct application of various chemicals to cerebral cortex. Nifedipine is an L-type voltage-dependent calcium channel blocker. In spite of several studies that show the seizure-suppressing eff...


Effect of Gradient Decompression on the Occurrence of Intraoperative Hypotension and Prognosis in Traumatic Brain Injury
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AIM: To investigate the effect of gradient decompression on the occurrence of intraoperative hypotension and prognosis in traumatic brain injury. MATERIAL and METHODS: A retrospective analysis was performed in 186 hospitalized patients from January, 2008 to January, 2012 in the Affiliated Hospita...


Chronic Subdural Hematomas: Single or Double Burr Hole&#8211;Results of a Randomized Study
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AIM: To analyze the analysis of recurrence rates of single versus double burr holes in patients with subacute and chronic subdural hematomas. MATERIAL and METHODS: The study was a prospective randomized controlled trial on patients with subacute and chronic subdural hematomas. Collections with mem...


Antibacterial Effect of Royal Jelly for Preservation of Implant-Related Spinal Infection in Rat
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AIM: Implant-related infections are still a significant problem in spinal surgical procedures. Many drugs and methods have been tried to prevent implant-related infections. Our objective in this study was to evaluate whether royal jelly, which was found to hinder the growth of MRSA, has any preven...


Indocyanine Green Videoangiography in Clipping of Paraclinoid Aneurysms
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AIM: To evaluate the use of indocyanine green (ICG) videoangiography in surgical clipping of paraclinoid aneurysms. MATERIAL and METHODS: Intraoperative ICG videoangiography was used as a surgical adjunct in 60 patients with 65 paraclinoid aneurysms. The findings on ICG videoangiography were compa...


Efficacy Analysis of 33 Cases with Epidural Hematoma Treated by Brain Puncture Under CT Surveillance
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AIM: To study the clinical value and efficacy of computerized tomography (CT)-monitored microinvasive craniopuncture for traumatic epidural hematoma. MATERIAL and METHODS: Thirty-three cases of traumatic epidural hematoma patients were selected at our hospital. YL-1-type disposable intracranial h...


Different Clinical Characteristics Between Perimesencephalic Subarachnoid Hemorrhage and Diffuse Subarachnoid Hemorrhage with Negative Initial Angiography
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AIM: The purpose of this study was to compare the different clinical features, outcome and treatment strategies in patients with perimesencephalic SAH (p-SAH) and diffuse SAH (d-SAH). MATERIAL and METHODS: 83 patients with spontaneous SAH and negative initial cerebral angiography were retrospectiv...


Transcranial Doppler Sonography Monitors Cerebral Blood Flow of Mannitol-Treated Patients with Acute Large Hemispheric Infarction
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AIM: To evaluate the effect of mannitol at different doses (125 ml and 250 ml) by transcranial Doppler (TCD) sonography in patients with acute large hemispheric infarction. MATERIAL and METHODS: 33 patients with acute large hemispheric infarction were enrolled, and the systolic peak velocity (Vs),...


Systemic Administration of Atorvastatin Improves Locomotor Functions and Hyperacute-Acute Response After Experimental Spinal Cord Injury: An Ultrastructural and Biochemical Analysis
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AIM: Spinal cord injury (SCI) is characterized by posttraumatic inflammatory cascades including excitotoxicity, oxidative stress, and apoptosis. Agents against neuroinflammation are the current scope of studies on experimental SCI with promising results. MATERIAL and METHODS: Thirty-two male Sprag...


Evaluation of the Applicability of Resovist in DSC-MR Perfusion-Weighted Imaging of Rat Hyperacute Cerebral Infarction
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AIM: The aim of this study was to evaluate the use of Resovist in perfusion-weighted imaging (PWI) of rat hyperacute cerebral infarction. MATERIAL and METHODS: 30 Wistar rats were randomly divided into 2 groups. Group A was intravenously injected with 8 μmol Fe/kg body weight of Resovist, whi...


Factors Influencing the Decision to Retain or Remove the Bone Flap of Adult Patients with Traumatic Brain Injury: A Retrospective Study
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Anatomoradiological Identification of Intrasutural Bones for Importance of Cranial Fracture
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AIM: Intrasutural bones are often found within sutures and fontanelles of the skull. It is important that the anatomy of these bones in the field of non-accidental injury with respect to medicolegal complications. Skull fracture lines are critical in their differential diagnosis, and the features ...


Matrix Metalloproteinase-9 in the Ventricular Cerebrospinal Fluid Correlated with the Prognosis of Traumatic Brain Injury
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AIM: Matrix metalloproteinase 9 (MMP-9) has been shown to be a potential biomarker for outcome prediction after neuron damage. This study investigated whether MMP-9 could be used for outcome prediction after traumatic brain injury (TBI). MATERIAL and METHODS: For the TBI group, cerebrospinal fluid...


Acute Spinal Cord Injury in Rats Induces Autophagy Activation
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Anterior Pituitary Hormone Deficiency in Subjects with Total and Partial Primary Empty Sella: Do All Cases Need Endocrinological Evaluation?
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Comparison of Patient Satisfaction and Cost in Spinal and General Anesthesia for Lumbar Disc Surgery
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The Impact of Surgical Timing on the Management of Aneurysms with Acute Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage
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Cerebrospinal Fluid Cystatin C Levels Following Treatment for Aneurysmal Subarachnoid Hemorrhage
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Accuracy of Pedicle Screw Placement in Thoracolumbar Spine with Conventional Open Technique
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CT-Guided Piriformis Muscle Injection for the Treatment of Piriformis Syndrome
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Neurotization of the Phrenic Nerve with Accessory Nerve for High Cervical Spinal Cord Injury with Respiratory Distress: An Anatomic Study
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Microsurgical Anatomy and Variations of the Anterior Clinoid Process
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Chronic Subdural Hematoma: A Comparison of Recurrence Rates Following Burr-Hole Craniostomy with and without Drains
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Surgical Treatment in Sacral Fractures and Traumatic Spinopelvic Instabilities
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The Effect of Etanercept on Spinal Epidural Fibrosis in a Postlaminectomy Rat Model
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Robotic Spine Surgery: A Preliminary Report
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Early Induction of ADAMTS 1, -4, -5 and -9 in IL-Stimulated Mouse Astrocytes
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Normal Pressure Hydrocephalus versus Atrophic Dilatation to Distinguish and Predict the Benefits of Surgical Intervention with a Phase-Contrast MRI Technique
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Treatment Principles for Coccygodynia
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Combining Pyramidal Tract Mapping, Microscopic-Based Neuronavigation, and Intraoperative Magnetic Resonance Imaging Improves Outcome of Epilepsy Foci Resection in the Sensorimotor Cortex
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Occlusion of the Ascending Pharyngeal Artery During Carotid Artery Surgery: Importance and Technique
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The Use of Neuronavigation and Intraoperative Imaging Systems in the Surgical Treatment of Orbital Tumors
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Occipitocervical Fixation Using Occipital Bone Hooks and Cervical Lateral Mass Screws: Analysis of 16 Cases
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Preliminary Experience with Squid: A New Liquid Embolizing Agent for Avm, Av Fistulas and Tumors
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Balloon-Assisted Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas
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Management of Large Medial Sphenoid Wing Meningiomas: A Series of 178 Cases
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Analysis of the Serum Components in Acute Period After Subarachnoid Hemorrhage
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Prognostic Factors Obtained from Long-Term Follow-up of Pituitary Adenomas and Other Sellar Tumors
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Emergency Microsurgery for Aneurysmal Subarachnoid Hemorrhage Coexisting with Brain Hernia
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Antimicrobial Prophylaxis at the Neurosurgical Department of a Major Hospital in China: Compare of Cross-Sectional Studies
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The Effects of Topiramate Therapy on Cerebral Metabolism in Migraine with Aura Patients
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Intra- and Post-operational Changes in Pupils Induced by Local Application of Cisternal Papaverine During Cerebral Aneurysm Operations
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Experience with the Second-Generation Wallis Interspinous Dynamic Stabilization Device Implanted in Degenerative Lumbar Disease: A Case Series of 50 Patients
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Results of the Transsternal Approach to Cervicothoracic Junction Lesions
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The Role of a Single Nucleotide Polymorphism of the Matrix Metalloproteinase-1 Gene Promoter Region in Invasion and Prognosis of Meningiomas
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Choice for the Removal of Bloody Cerebrospinal Fluid in Postcoiling Aneurysmal Subarachnoid Hemorrhage: External Ventricular Drainage or Lumbar Drainage?
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Expression of Heat Shock Proteins in Brain Tumors
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AIM: Heat shock proteins (HSP) are an evolutionary conserved family of proteins that serve as molecular chaperones, preventing the formation of nonspecific protein aggregates and assisting proteins in the acquisition of their native structures. Furthermore, HSPs have anti-apoptotic properties and ...


Clinical Results of Anterior Odontoid Screw Fixation for Type II Odontoid Fractures
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Evaluating the Diagnostic Accuracy of Ct Perfusion in Patients with Cerebral Vasospasm After Aneurysm Rupture: A Meta-Analysis
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Lipopolysaccharide Preconditioning Induces Neuroprotection Against Early Brain Injury After Experimental Subarachnoid Hemorrhage
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Altered Neurotransmitter Levels with Post-Traumatic Stress Disorder
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&#8220;Honey&#8221; can Prevent Epidural Fibrosis Development After Laminectomy: An Experimental Study
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Management of Hydrocephalus After Decompressive Craniectomy
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Surgical Strategies for the Removal of Sphenoorbital Meningiomas
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Supraclavicular Surgical Approach for Thoracic Outlet Syndrome: 10 Years of Experience
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Beneficial Effects of Moxonidine on Cerebral Vasospasm After Experimental Subarachnoid Hemorrhage
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Spinal Nerve Root Compositions of Musculocutaneous Nerve: An Anatomical Study
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The Therapeutic Value of Proanthocyanidin in Experimental Cerebral Vasospasm Following Subarachnoid Hemorrhage
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Single Institute Experience on 108 Consecutive Cases of Type II Odontoid Fractures: Surgery Versus Conservative Treatment
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Neurosurgical Treatment of Cerebrovascular Complications of Heart Surgeries and Interventions
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Endoscopic Endonasal Transsphenoidal Treatment for Acromegaly: 2010 Consensus Criteria for Remission and Predictors of Outcomes
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Description of the Response of a New Multi-Parametric Brain Sensor to Physiological and Pathophysiological Challenges in the Cortex of Juvenile Pigs
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Biomechanical Effect of Graded Facetectomy on Asymmetrical Finite Element Model of the Lumbar Spin
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Intra-Arterial Infusion of Tirofiban and Urokinase for Thromboembolic Complications During Coil Embolization of Ruptured Intracranial Aneurysms
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Bilateral Ophthalmic Segment Aneurysm Clipping with One Craniotomy: Operative Technique and Results
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Quantitative Anatomic Comparison of the Extended Pterional Transtemporal Transtentorial Approach and the Subtemporal Transtentorial Approach to the Petroclival Region
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Lipoma of the Quadrigeminal Cistern: Report of 12 Cases with Clinical and Radiological Features
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Quantitative Measurement of Oxygen Extraction Fraction by Mrı in Patients with Cerebrovascular Disease: Pre- and Post-Surgery
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Transforaminal Approach in Lumbar Disc Herniations: TransForaminal MicroDiscectomy (TFMD) Technique
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The Contribution of Cervical Dynamic Magnetic Resonance Imaging to the Surgical Treatment of Cervical Spondylotic Myelopathy
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The Effect of Amifostine on Pathophysiological Changes in Vasogenic Brain Edema Induced by an Experimental Cold Injury Model
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Contribution of Fdg-Pet in Epilepsy Surgery: Consistency and Postoperative Results Compared with Magnetic Resonance Imaging and Electroencephalography
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Clinical and Economic Results of Ventriculoperitoneal Shunt Infections in Children
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Microsurgical Anatomy of Perforated Arteries in the Hypothalamic Area
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Treatment of Spontaneous Intracranial Hypotension with Intravenous Factor Xııı Administration: Initial Clinical Experience
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Endovascular Treatment of Ruptured True Posterior Communicating Artery Aneurysms
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The Histopathological and Ultrastructural Effects of the Topical Application of Bacitracin on the Cerebral Cortex in Rats
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Antiedema Effects of Proanthocyanidin on Experimental Traumatic Brain Edema
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Alpha-Lipoic Acid Inhibits Peridural Fibrosis Following Laminectomy through the Inactivation of TGF-&#946;1, PDGF, PAI-1 and IL-6 Expressions
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AIM: The objective of this study was to investigate the antifibrotic effect of parenteral administration of alpha-lipoic acid (ALA), which has been reported to reduce fibrosis in the liver, oral mucosa, and peritoneum, in laminectomized rabbits as a potential candidate for the prevention of peridu...


Combined Treatment of Brain Avms by Onyx Embolization and Gamma Knife Radiosurgery Decreased Hemorrhage Risk Despite Low Obliteration Rate
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The Relation of Matrix Metalloproteinase 1, 2, 3 Expressions with Clinical and Radiological Findings in Primary and Recurrent Lumbar Disc Herniations
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Epidural Anesthesia in Elective Lumbar Microdiscectomy Surgery: Is It Safe and Effective?
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Clinical Features and Surgical Treatment of Asymptomatic Meningiomas
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Surgical and Anesthesiological Considerations of Awake Craniotomy: Cerrahpasa Experience
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Three-Dimensional Anatomical Landmarks of the Sphenoid Ostium for a Safer Transsphenoidal Approach
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Increased Osseous Thickening of the Inner Surface of the Frontal Bone
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Microsurgery with or without Neuroendoscopy in Petroclival Meningiomas
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A Comparison of Bilateral Decompression via Unilateral Approach and Classic Laminectomy in Patients with Lumbar Spinal Stenosis: A retrospective Clinical Study
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Superior Medullary Velum: Anatomical-Histological Study in the Sheep Brain and a Preliminary Tractographic Study in the Human Brain
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Local Application of Corticosteroids Combined with Surgery for the Treatment of Chronic Subdural Hematoma
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Diagnosis of Brain Death by Orbital Doppler Ultrasound: A Comparative Research Study
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AIM: It remains unknown whether orbital Doppler-ultrasound (ODUS) could be an alternative to other established ancillary tests for the diagnosis of brain death. We investigated the effectiveness of ODUS in the diagnosis of brain death and compared data obtained from ODUS with transcranial Doppler-...


A Combined Bilateral Approach to Anterior Communicating Artery Aneurysm
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AIM: To discuss the features, feasibility, and safety of a combined bilateral approach in the endovascular treatment of intracranial anterior communicating artery (ACoA) aneurysm. MATERIAL and METHODS: We performed a retrospective analysis of the clinical data of patients with ACoA aneurysm treate...


Management of Type II Odontoid Fracture for Osteoporotic Bone Structure: Preliminary Report
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AIM: Anterior transodontoid screw fixation technique is generally chosen for the management of type II odontoid fractures. The nonunion of type II odontoid fractures is still a major problem especially in elderly and osteoporotic patients. Eleven osteoporotic type II odontoid fracured patients wer...


The Role of Vagal Nerve Root Injury on Respiration Disturbances in Subarachnoid Hemorrhage
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AIM: We examined whether there is a relationship between vagal nerve root injury and the severity of respiration disorders associated with subarachnoid hemorrhage (SAH). MATERIAL and METHODS: This study was conducted on 20 rabbits. Experimental SAH was induced by injecting homologous blood into th...


X-Stop® Implantation Effectively Limits Segmental Lumbar Extension in-vivo without Altering the Kinematics of the Adjacent Levels
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AIM: To evaluate the in-vivo three-dimensional (3D) vertebral kinematics of the implanted and adjacent segments after implantation of the interspinous process distracting (ISP) device during various functional activities. MATERIAL and METHODS: Eight patients with lumbar spinal stenosis (LSS) sched...


The Evaluation of Three-Dimensional Anatomy of the Superficial Temporal Artery Using the Volume Rendering Technique
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AIM: The superficial temporal artery (STA) is the one of the terminal branches of the external carotid artery. Three-dimensional anatomical structure of the STA can be evaluated by using three dimensional volume rendering technique (3D-VRT) from acquired two-dimensional contrast-enhanced computeri...


The Anatomical Variations in the Neurovascular Relations of the Sphenoid Sinus: An Evaluation by Coronal Computed Tomography
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AIM: The sphenoid sinus is deeply situated in the skull and is the least accessible paranasal sinus. The sphenoid sinus is surrounded by vital structures such as the optic nerve and internal carotid artery, and therefore additional radiological assessment of the sphenoid sinus and the related neur...


Effects of the Popular Food Additive Sodium Benzoate on Neural Tube Development in the Chicken Embryo
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AIM: Many more additives have been introduced with the development of processed foods. Neural tube defects are congenital malformations of the central nervous system. More than 300 000 children are born with neural tube defects every year and surviving children remain disabled for life. Sodium ben...


Increase in Folate Receptor Alpha Expression in Nonfunctional Pituitary Adenomas
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AIM: Human pituitary adenomas account for 10% of intracranial tumours and occur in about 20% of the population. They cause hypopituitarism or the compression of adjacent regional structures. However, little is known about the molecular pathogenesis that contributes to the development of these tumo...


Effectiveness of Physical Therapy and Rehabilitation Programs Starting Immediately After Lumbar Disc Surgery
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AIM: The aim of this randomized study was to compare exercise program to control group regarding pain, back disability, behavioural outcomes, global health measures and back mobility who underwent microdiscectomy operation. MATERIAL and METHODS: Thirty patients who underwent lumbar microdiscectomy...


Cavernous Sinus Invasion and Effect of Immunohistochemical Features on Remission in Growth Hormone Secreting Pituitary Adenomas
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AIM: We examined the cavernous sinus invasion and tumor biological markers that influence the remission rate. Cavernous sinus (CS) invasion was evaluated radiologically. Tumor biological markers consisting of the tumor cell growth parameter Ki-67 and the cancer cell vasculature marker of vascular ...


Why Do the Patients Reject Spinal Operations? A Preliminary Study
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AIM: Cases of failed back and spine surgery have increased significantly recently, which leads to patient hesitation in deciding about whether to be operated on. In this article, we present a survey investigating refusal reasons for spinal surgery, and we emphasize the effect of failed back surger...


A Modified Technique for the Treatment of Isthmic Spondylolisthesis
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AIM: To describe a modified technique for the treatment of single level, isthmic spondylolisthesis (IS) MATERIAL and METHODS: Forty-two patients who underwent posterior lumbar interbody fusion (PLIF) with spinolaminar autologous bone graft for the treatment of isthmic spondylolisthesis between May...


The Analysis of Long-Term Follow-Up Screening in Patients with Surgically Treated Intracranial Aneurysms
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AIM: To understand the late anatomical results of surgically treated intracranial aneurysms (IA’s) and to investigate the incidence of recurrent, de novo aneurysms, the natural history of residual aneurysms, and the morphological changes in temporarily clipped vascular segments. MATERIAL and...


Detection and Evaluation of Intracranial Aneurysms with 3D-Ct Angiography and Compatibility of Simulation View with Surgical Observation
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AIM: The aim of this study was to report our experience with a 64-channel computerized tomography (CT) scanner as the primary choice on the detection of intracranial aneurysms. Comparison of intracranial aneurysms with the simulated images obtained via three-dimensional computed tomography angiogr...


Comparison of the Surgical Results for Foramen Magnum Decompression with and without Duraplasty in Chiari Malformation Type 1
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AIM: The surgical results for foramen magnum decompression (FMD) with and without duraplasty in Chiari Malformation type 1 (CM-1) were compared retrospectively. MATERIAL and METHODS: Thirty-nine cases of CM-1 with and without syringomyelia (SM) were included. There were 18 patients in the nondurap...


Effects of Acorus calamus Rhizome Extract on the Neuromodulatory System in Restraint Stress Male Rats
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AIM: Prolonged exposure to stress mainly affects the cognitive functions of the brain by inducing neuronal damage mediated through oxidative stress. Acorus calamus (AC) has long been used in Indian folk medicine for various central nervous system (CNS) abnormalities. Hence the present study invest...


Surgical Management of Midline Anterior Skull Base Meningiomas: Experience of 30 Cases
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AIM: Midline anterior skull base meningiomas include olfactory groove meningiomas (OGMs), Tuberculum Sellae meningiomas (TSMs), and planum sphenoidale meningiomas (PSMs). The main surgical challenge in treating these lesions is to excise the tumor totally without causing mortality or morbidity. St...


Functional Outcome of Surgery for Glioma Directly Adjacent to Pyramidal Tract Depicted by Diffusion-Tensor Based Fiber Tracking
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AIM: To investigate the outcome of glioma resection surgery and changes of pyramidal tract (PT) for patients where PT is immediately adjacent to the tumors, which were revealed by diffusion tensor imaging (DTI) based fiber tracking (FT) technique. MATERIAL and METHODS: 40 patients enrolled. Preope...


Comparison of the Toxicities of Ethylene Vinyl Alcohol Copolymer (EVOH) Preparations, Dimethyl Sulphoxide and N-Butyl 2-Cyanoacrylate on Cerebral Parenchyma in an Experimental Rabbit Model
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AIM: Ethylene vinyl alcohol copolymer (EVOH), its organic solvent dimethyl sulfoxide (DMSO), and N-Butyl 2-Cyanoacrylate (NBCA) are widely used in neurovascular embolization procedures and yet with potential risk of cytotoxicity. The aim of this study was to evaluate the toxic effect of EVOH-DMSO,...


Biochemical and Histopathological Effects of Catechin on Experimental Peripheral Nerve Injuries
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AIM: Catechin is a type of polyphenol, along with epicatechin, epigallocatechin, and epigallocatechin-gallate (EGCG). This study aims to investigate the effect of EGCG, a major metabolite of catechin, which is the principle bioactive compound in green tea, on rats with peripheral nerve injury. MA...


Pain Perception Differences Between Patients and Physicians: A Pain Severity Study in Patients with Low Back Pain
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AIM: Perception, definition and tolerance of pain vary individually because of its subjective character. This study aimed to determine the perception differences between patients with mechanical low back pain (MLBP) and their physicians regarding the assessments of the patients’ pain severit...


Preventive Role of Hilar Parasympathetic Ganglia on Pulmonary Artery Vasospasm in Subarachnoid Hemorrhage: An Experimental Study
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Aim: Pulmonary arteries are mainly innervated by sympathetic vasoconstrictor and parasympathetic vasodilatory fibers. We examined whether there is a relationship between the neuron densities of hilar parasympathetic ganglia and pulmonary vasospasm in subarachnoid hemorrhage (SAH). Material and M...


Endovascular Management of Superior Cerebellar Artery Aneurysms: Mid and Long-Term Results
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Aim: Superior cerebellar artery (SCA) aneurysms are uncommon vascular lesions, thus data about their presentation and clinical management are limited. Our aim was to determine clinical presentation, angiographic findings and mid and long-term clinical and imaging results of endovascular treatment ...


The Comparison of Pullout Strengths of Various Pedicle Screw Designs on Synthetic Foams and Ovine Vertebrae
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Aim: One of the most common problems with transpedicular screws is screw pullout. This study was conducted to measure the pullout strengths of newly designed transpedicular screws. Material and Methods: The design of the three group screws were conical cored standard pedicle screw (Type A), dual ...


Microsurgical Anatomy of the Labyrinthine Artery and Clinical Relevance
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Aim: To describe the origin, the course, and relationships of the labyrinthine artery (LA). Material and Methods: Thanks to a colored silicone mix preparation, ten cranial bases were examined using x3 to x40 magnification under surgical microscope. Results: The LA often arose from the meatal lo...


Effects of Intensive Blood Pressure Lowering on Intracerebral Hemorrhage Outcomes: A Meta-Analysis of Randomized Controlled Trials
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Aim: Elevation of blood pressure (BP) is common after intracerebral hemorrhage (ICH). Early BP treatment may be beneficial after ICH, but the effect of intensive BP lowering on ICH outcomes is not known and no systematic review or meta-analysis was published regarding this issue. Material and Met...


Neuroprotective Effects of Erythropoietin in Patients with Severe Closed Brain Injury
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Aim: Our research was focused on the neuroprotective function of erythropoietin (Epo) in patients with severe closed traumatic brain injury (TBI). Material and Methods: Our model examined the influence of the outcome and neurological recovery in 42 adults with TBI who were admitted to ICU within...


Feasibility of Screw Placement in the Occipital Condyle of Chinese Patients for Occipitocervical Arthrodesis: A Cadaveric Study
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Aim: The feasibility of computed tomography (CT) and two-dimensional (2D) reconstruction-guided screw placement in the occipital condyle (OC) of Chinese patients was investigated. Material and Methods: Twenty (40 OCs) fresh cadaveric specimens with intact superior cervical spine and occipital bon...


Morphometric Analysis of the Sacral Canal and Hiatus Using Multidetector Computed Tomography for Interventional Procedures
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Aim: The sacral canal has been frequently used as “a passage” for minimally invasive diagnostic and therapeutic procedures for spinal diseases. The aim of the present study was to investigate morphometric analyses of the sacral canal, hiatus, and surrounding structures according to different age g...


Expression of Stem Cell Marker Nestin and MicroRNA-21 in Meningiomas
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Aim: Meningiomas are one of the most common benign intracranial tumors, making up nearly one third of all primary intracranial tumors. The majority of meningiomas have benign histological features and total resection is associated with favourable prognosis. Atypical and malignant meningiomas are a...


Effect of Posterior Dynamic Instrumentation on High-Intensity Zone in Lumbar Degenerative Disc Disease
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Aim: To investigate high-intensity zone (HIZ) changes after lumbar posterior dynamic instrumentation. Material and Methods: Our study included 53 patients: 27 patients in group 1, 26 patients in group 2. All patients had one or two levels of degenerative disc disease with an HIZ confirmed by magn...


Anatomical Variability in the Termination of the Basilar Artery in the Human Cadaveric Brain
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Aim: The basilar artery (BA) is the prominent median vessel of the vertebrobasilar circulation and usually terminates into two posterior cerebral arteries forming the posterior angle of the Circle of Willis (CW). To tackle different variations of CW, basilar artery acts as a guideline for neurorad...


Laminoplasty using the Posterior Midline Approach in the Treatment of C1-2 Spinal Tumors
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Aim: This study aimed to investigate the method and efficacy of vertebral reconstruction using the posterior midline approach (PMA) in the treatment of C1-2 spinal tumors. Material and Methods: Twenty-seven patients with C1-2 spinal tumors from the Affiliated Hospital of Luzhou Medical College, wh...


A Haptic Guided Robotic System for Endoscope Positioning and Holding
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Aim: To determine the feasibility, advantages, and disadvantages of using a robot for holding and maneuvering the endoscope in transnasal transsphenoidal surgery. Material and Methods: The system used in this study was a Stewart Platform based robotic system that was developed by Kocaeli Universi...


Angiographic Morphometry of Internal Carotid Artery Circulation in Turkish Children
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Aim: Knowledge of cerebrovascular morphology is integral in planning neuroendovascular interventions, especially for procedures involving placement of stents, flow diverters or stentrievers. There is insufficient data on angiographic normative values of cerebral circulation in the pediatric age gr...


Paclitaxel Inhibits Expression of Neuronal Nitric Oxide Synthase and Prevents Mitochondrial Dysfunction in Spinal Ventral Horn in Rats After C7 Spinal Root Avulsion
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Aim: This study evaluated the neuroprotective effect of intrathecally infused paclitaxel in the prevention of motoneuron death and mitochondrial dysfunction following brachial plexus avulsion injury. Material and Methods: Brachial root avulsion injury was induced in Sprague-Dawley rats. The Paclit...


Intraspinal Transplantation of Autologous Neurogenically-Induced Bone Marrow-Derived Mesenchymal Stem Cells in the Treatment of Paraplegic Dogs without Deep Pain Perception Secondary to Intervertebral Disk Disease
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Aim: To investigate the effects of neurogenically-induced autologous bone marrow-derived mesenchymal stem cells (NIBM-MSCs) in paraplegic dogs without deep pain perception (DPP) secondary to intervertebral disk disease (IVDD). Material and Methods: Seven dogs which could not be improved neurologic...


The Effect of Levetiracetam on Closure of the Midline in Early Chicken Embryos
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AIM: Genetic predisposition and some environmental factors play an important role in the development of neural tube defects. Levetiracetam is a new drug that has been approved in the treatment of partial seizures. We aimed in this study to determine the effect of levetiracetam on chick embryos. M...


Lumbar Microdiscectomy Under Spinal and General Anesthesia: A Comparative Study
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AIM: To compare the safety and efficacy of spinal anesthesia (SA) in patients undergoing lumbar microdiscectomy (LM). MATERIAL and METHODS: We evaluated 180 patients who underwent LM between 1 January 2012 and 5 July 2013. Demographic, clinical, laboratory, and pre-, intra-, and postoperative info...


Clinical Features and Surgical Treatment of Aggressive Meningiomas
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AIM: To explore the clinical features and surgical treatment of aggressive meningiomas (AMs). MATERIAL and METHODS: Samples from 55 patients with AMs were analyzed, and their clinical characteristics, molecular biological mechanism, and surgical treatment were studied in combination with the litera...


Vena Cava Filters are not Superior to Low Molecular Weight Heparin in Venous Thromboembolism Prophylaxis: A Study on Long-Term Immobilized Neurosurgical Patients
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AIM: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are the most frequent surgical problems and associated with high morbidity and mortality. Neurosurgical patients constitute a unique group where prophylaxis with anticoagulant and antiaggregant agents are relatively contraindicated due ...


The Role of Wrist Magnetic Resonance Imaging in the Differential Diagnosis of the Carpal Tunnel Syndrome
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AIM: The carpal tunnel syndrome (CTS) is the commonest compressive neuropathy. Electromyography (EMG) is accepted as gold standard in diagnosis of CTS. However, pathologies and variations that are associated with a various findings may lead to failure. MATERIAL and METHODS: Magnetic resonance Imag...


Use of Spongostan&#8482; for Prevention of Cranial Subdural Adhesions Following Craniotomy in an Experimental Rabbit Model
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AIM: Spongostan™ is a sterile, water-insoluble, porcine gelatin absorbable sponge, which is widely used as a hemostatic material. The aim of this study is to test the anti-fibrotic capacity of Spongostan™, using a craniotomy model in an experimental rabbit model. MATERIAL and METHODS: ...


Surgical Management of Moderate Sized Spontaneous Cerebellar Hematomas: Role of Intracranial Pressure Monitoring
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AIM: Acute onset spontaneous cerebellar hematoma (SCH) is a neurosurgical emergency with unpredictable natural history and outcome. Specific guidelines are available for management of small (40 mmHg experienced good outcome (p


Deep Brain Stimulation of the Rat Subthalamic Nucleus Induced Inhibition of Median Raphe Serotonergic and Dopaminergic Neurotransmission
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AIM: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) relieves motor dysfunction in advanced Parkinson’s disease (PD). However, STN DBS treated patients can experience unpleasant and debilitating psychiatric side effects such as depression and impulsivity. The neural basis of th...


Surgical Exposure Gained in an Extended Retrosigmoid Approach to the Cerebellopontine Angle Compared to the Traditional Retrosigmoid Approach
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AIM: Retrosigmoid approach to the posterior fossa has been a popular and dependable approach for accessing the cerebellopontine angle (CPA) and petroclival region. Although this approach is commonly used, it requires cerebellar retraction and has limitations when the lesion is located ventral to t...


Fusiform Enlargement of the Superficial Temporal Artery in the Cases with Intracranial Aneurysm
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AIM: The superficial temporal artery is one of the main terminal branches of the external carotid artery. This artery ascends through the lateralposterior margin of the zygomatic arch to reach the temporal region of the scalp. The superficial temporal artery divides its frontal and parietal branch...


Role of Post-Decompressive Hydrocephalus in Patients with Malignant Cerebral Infarction
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AIM: The association between post-decompressive hydrocephalus and clinical neurological expression is still unclear. In order to investigate this relationship, the authors analyze series of ventricular morphology and level of consciousness at different clinical stages for patients accepting decomp...


Increased Expression of Matrix Metalloproteinase-9 in Patients with Temporal Lobe Epilepsy
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AIM: The molecular mechanism of epileptogenesis in temporal lobe epilepsy is still unclear. Experimental studies have suggested that matrix metalloproteinases have important roles in this process, but human studies are limited. The aim of this study was to assess the expression of MMP-9, MMP-2 and...


Effect of Montelukast on Spinal Cord Ischemia- Reperfusion Injury
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AIM: Paraplegia due to ischemia-reperfusion (I/R) injury of the spinal cord is a devastating complication of thoracoabdominal aortic surgery. Cysteinyl leukotrienes are potent mediators of inflammation that are associated with I/R injury. The present study was designed to investigate the role of m...


Percutaneous Laser Disc Decompression: Retrospective Analysis of 197 Cases and Review of The Literature
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AIM: Percutaneous laser disc decompression (PLDD) is a one of the well-known minimal invasive treatment methods of disc herniations. The aim of this study is to present our clinical experience and to show the benefits of this technique. MATERIAL and METHODS: A total of 197 patients, who met the cr...


Posterior Lumbar Stabilization Surgery under Spinal Anesthesia for High-Risk Patients with Degenerative Spondylolisthesis, Spinal Stenosis and Lumbar Compression Fracture
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AIM: Spinal anesthesia is an appropriate technique for lumbar spine surgeries of two to three hours duration. The aim of this study is to document our experience on spinal anesthesia administered to the patients with degenerative lumbar spine. MATERIAL and METHODS: A total of 497 patients underwen...


The Anatomy of the Posterior Commissure
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AIM: The connections of posterior commissure are defined. Its fibers mediate the consensual light reflex by interconnecting the pretectal nuclei. The fiber connections from the thalamic, pretectal, superior colliculus and the habenular nuclei are known, but they have not been shown anatomically. T...


The Paracondylar Skull Base: Anatomical Variants and Their Clinical Implications
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AIM: The knowledge of the vasculature around the paracondylar region is important in neurosurgical procedures such as the paracondylar and lateral supracondylar approaches. The objectives of the present study were to determine the prevalence of paracondylar emissary foramina in the adult skull bas...


Effect of Statins on Aneurysmal Subarachnoid Hemorrhage: A Meta-Analysis of Randomized Controlled Trials
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AIM: The role of statins for treating aneurysmal subarachnoid hemorrhage (aSAH) remains uncertain. In this study, the relevance of different end points was evaluated in order to clarify the action and efficacy of statins. MATERIAL and METHODS: A systematic literature retrieval was carried out to o...


Factors Influencing Intraoperative Rupture of Intracranial Aneurysms
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AIM: The study deals with intraoperative rupture of intracranial aneurysms (IOR) during microsurgery, analyzing factors that may be connected with IOR. MATERIAL and METHODS: During the three-year period (2006-2008), 934 patients were operated for aneurysms at the Institute of Neurosurgery, CCS, B...


The Volume Embolization Ratio of Intraaneurysmal Embolization Using Guglielmi Detachable Coils
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AIM: To analyse the relationship between the Volume Embolization Ratio (VER), aneurysmal morphological characteristics, and intracranial aneurysm embolization results. MATERIAL and METHODS: Using the clinical and radiological data of 57 cerebral aneurysms treated with detachable coils, VERs were ...


Enteral Nutritional Support in Patients with Head Injuries After Craniocerebral Surgery
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AIM: To explore the effect of early enteral (EN) and parenteral nutritional (PN) support on head-injured patients after craniocerebral surgery. MATERIAL and METHODS: We randomly divided 120 head trauma patients into two groups: those receiving EN and those receiving PN support (60 patients each). ...


Retrospective Analysis of Prognostic Factors of Severe Traumatic Brain Injury in a University Hospital in Turkey
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AIM: To examine the use of prognostic factors such as age, Glasgow Coma Scale (GCS) score, pupil reactivity and computerized tomography (CT) findings for predicting the prognosis of severe traumatic brain injury (TBI) patients in Turkey. MATERIAL and METHODS: We retrospectively evaluated TBI patie...


Endoscopic Endonasal Transsphenoidal Pituitary Surgery: Experience of 80 Cases
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AIM: Surgical approaches to the pituitary have undergone numerous refinements over the last 100 years. The fully endoscopic transsphenoidal approach has gained widespread use all around the world. We report the results of a consecutive series of patients who underwent pituitary surgery using a pur...


Reconstruction of Tissue Defects Developing After Excision of Non-Melanoma Malignant Skin Tumors in Scalp and Forehead Regions
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AIM: The scalp and forehead are the anatomical regions where non-melanoma malignant skin tumors are commonly seen due to direct sun exposure. After surgery for non-melanoma malignant skin tumors located in the scalp and forehead, many complex defects can develop, ranging from sole skin defects to ...


The Role of Sulfadiazine for the Treatment of Refractory Intracranial Infection
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AIM: Sulfadiazine (SD) is a classic antibiotic for intracranial infection. Due to the medical market policy, SD has not been chosen as an essential drug in all the hospitals in China. However, its therapeutic effect is definite and cannot be substituted. The aim of this study was to evaluate the t...


Epilepsy Surgery in Children with Lesional Partial Epilepsies
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AIM: Surgery for epilepsy is a significant treatment alternative with favorable outcomes in the pediatric age group. In this study we present the surgical outcomes of pediatric population referred to our center. MATERIAL and METHODS: The clinical data of 126 patients (≤18 years) with lesiona...


Presurgical Evaluation and Epilepsy Surgery in MRI Negative Resistant Epilepsy of Childhood with Good Outcome
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Magnetic resonance imaging (MRI)-negative epilepsy may be successfully solved with a multidisciplinary approach using invasive recordings, image and signal analysis. The whole methodology used by the epilepsy surgery team is systematically described based on an resistant epilepsy case with all ste...


Three-Dimensional Microsurgical Anatomy of the Choroid Plexus Using the Volume Rendering Technique
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AIM: The choroid plexus (CP) is a specific anatomical structure producing cerebrospinal fluid into the ventricular space. The three-dimensional anatomical structure of the choroid plexus located within the lateral ventricle may be evaluated by using the three dimensional volume rendering technique...


Tethered Cord Syndrome in Adults: Experience of 56 Patients
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AIM: The aim of this study was to describe the results of surgery performed in a group of adult patients with tethered cord syndrome with their outcomes. MATERIAL and METHODS: This retrospective study included 56 patients. There were 38 females and 18 males. All patients were older than 18 years....


Effect of Carvedilol on Secondary Damage in Experimental Spinal Cord Injury in Rats
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AIM: Previous studies have shown that carvedilol has a neuroprotective effect in animal models of brain ischemia and brain oxidative damage in vitro. This study was perfomed to investigate the effect of carvedilol on the secondary damage in experimental spinal cord injury (SCI). MATERIAL and METHO...


Protective Effect of Ad-VEGF-Bone Mesenchymal Stem Cells on Cerebral Infarction
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AIM: To understand the mechanism of intracerebroventricular transplantation of vascular endothelial growth factor (VEGF) genemodified bone mesenchymal stem cells (BMSCs) in rats after cerebral infarction. MATERIAL and METHODS: The middle cerebral artery occlusion ischemia/reperfusion (MCAO I/R) mo...


Three Dimensional Microanatomy of the Ophthalmic Artery: Spontaneous Intracranial-Extracranial Anastomosis Site within the Orbital Cavity
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AIM: The aim was to evaluate three-dimensional structure of the ophthalmic artery (OphA). MATERIAL and METHODS: The raw data of the Three-dimensional Computerized Tomography Angiography (3D-CTA) were transferred to computer and recorded in a software program. RESULTS: The study group consisted of...


Operative Management of Intraventricular Central Neurocytomas: An Analysis of a Surgical Experience with 32 Cases
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AIM: To better understand the clinical characteristics of central neurocytoma (CN), as well as to assess the optimum therapeutic schedule. MATERIAL and METHODS: This was a retrospective study of 32 patients with CN who visited our department between January 2008 and January 2013. We analyzed the ...


Microsurgical Outcomes of Secondary Epilepsy from Hippocampal Lesions: A Report of 56 Cases and Literature Review
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AIM: To explore the treatment efficacy of microsurgery for secondary epilepsy from hippocampal lesions. MATERIAL and METHODS: The clinical data, pathological findings, surgical methods and surgical outcomes of 56 patients with secondary epilepsy from hippocampal lesions were retrospectively analyz...


Surgery for Pyogenic Brain Abscess over 30 Years: Evaluation of the Roles of Aspiration and Craniotomy
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AIM: To evaluate the roles of craniotomy and aspiration in the treatment of pyogenic brain abscess throughout 30 years of computerized tomography. MATERIAL and METHODS: A retrospective study of 224 patients who were surgically treated at Istanbul Medical Faculty, Department of Neurosurgery betwee...


Microsurgical Treatment of Tuberculum Sellae Meningiomas with Visual Impairments: A Chinese Experience of 56 Cases
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AIM: Tuberculum sellae meningiomas (TSMs) are suprasellar lesions that commonly extend to the medial side of the optic nerve, resulting in visual impairments in the affected eye as the initial and most common symptoms. The primary goal of surgical treatment for TSM is the preservation or improveme...


The Anatomy of Circulus Arteriosus Cerebri (Circle of Willis): A Study in Turkish Population
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AIM: The function of the circle of Willis, an arterial polygon, is to protect the brain from ischemia. The aim of this study is to define the structural characteristics of the circle of Willis within the Turkish adult population, along with variations and arteries involved in the measurement of di...


Single Operation with Simplified Incisions to Build an Experimental Cerebral Aneurysm Model by Induced Hemodynamic Stress and Estrogen Deficiency in Rats
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AIM: To implement a surgical technique consisting of simplified incisions that allows all required procedures to be performed in one single operation for the purpose of reducing surgical stress in experimental animals. MATERIAL and METHODS: Experimental animals (rats) were assigned to one of four ...


Application of the Enterprise Stent in Atherosclerotic Intracranial Arterial Stenosis: A Series of 60 Cases
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AIM: We assessed the safety and effectiveness of the Enterprise stent in treating atherosclerotic intracranial arterial stenosis (AIAS). MATERIAL and METHODS: This was a retrospective study conducted with 60 consecutive patients with 62 AIAS lesions who received the Enterprise stent at the Departm...


Predictors of Surgical Results in Patients with Primary Pontine Hemorrhage
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AIM: Prediction of outcome for surgical patients with primary pontine hemorrhage (PPH) is seldom reported although many predictors from clinical and radiological features have been identified in conservative patients. The purpose of this study was to assess the prognostic factors affecting the 30-...


Endoscope-Assisted Keyhole Technique for Hypertensive Cerebral Hemorrhage in Elderly Patients: A Randomized Controlled Study in 184 Patients
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AIM: Hypertensive cerebral hemorrhage (HCH) is a potentially life-threatening cerebrovascular disease with high mortality. In case of a massive hematoma, surgical drainage is a crucial treatment. The aim of the present study was to assess the efficacy of the endoscope-assisted keyhole technique in...


Clinical Results of Median Corpectomy in Cervical Spondylotic Patients with Myelopathy
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AIM: To determine the factors in choosing the right surgical technique for patients with cervical spondylotic myelopathy. MATERIAL and METHODS: 60 patients were operated with anterior median corpectomy and anterior fusion for cervical myelopathy in Ankara Atatürk Education and Research Hospital be...


Effect of Using High-Speed Drill in Anterior Cervical Discectomy and Fusion
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AIM: The objective of this study was to investigate the effect of using 2 different surgical techniques (curette or high-speed drill) in anterior cervical discectomy surgery on the healing of cases. MATERIAL and METHODS: Fifty-four operated cervical disc hernia cases were retrospectively examined ...


Empty Bladed PEEK Cage for Interbody Fusion after Anterior Cervical Discectomy
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AIM: Cervical disc herniation (CDH) can be treated using different anterior and posterior methods. Anterior cervical discectomy and fusion (ACDF) is currently gold standard and provides bony fusion and good clinical outcome. Recently many studies reported good clinical and radiological outcomes in...


Demographical Aspects of Central Large Lumbar Disc Herniation
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AIM: The purpose of this study was to investigate the risk factors for the development of the central large disc herniations and to compare the demographic data between central mass prolapse and broad-based central disc herniation. MATERIAL and METHODS: Between 2002 and 2007, 1630 patients underwe...


Comparative Biochemical and Motor Function Analysis of Alpha Lipoic Acid and N-Acetyl Cysteine Treatment on Rats with Experimental Spinal Cord Injury
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AIM: Spinal Cord Injury (SCI) is a devastating health problem both for the patient and the clinician. Numerous treatment modalities have been studied to reverse the effects of spinal cord injury. Herein is reported the effects and the comparison of Alpha Lipoic Acid and N-Acetyl Cysteine on rats w...


The Effects of Adipose Tissue-Derived Mesenchymal Stem Cell Transplantation During the Acute and Subacute Phases Following Spinal Cord Injury
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AIM: To investigate the effectiveness of rat adipose tissue-derived (rAT) mesenchymal stem cell (MSC) transplantation on the functional restoration and regeneration of spinal cord injury (SCI). MATERIAL and METHODS: Six of 48 Wistar albino rats were sacrificed to obtain MSCs, and the remaining rat...


The Human Tail: A Simple Skin Appendage or Cutaneous Stigma of an Anomaly?
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AIM: The human tail is a term to describe skin-covered protrusions in the lumbosacral and coccygeal region, ascribing to the resemblance to the tails in the animals. The first reports dates back to second half of the 19th century, the etiological bases could not been ascertained yet. They are main...


The Outcomes of Late Term Surgical Treatment of Penetrating Peripheral Nerve Injuries
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AIM: The aim of this retrospective study was to evaluate the follow-up results of patients who received late-term surgical treatment for peripheral nerve lesions caused by penetrating injuries. MATERIAL and METHODS: The study included 25 patients who underwent surgery for peripheral nerve injuries...


Etiology of Pituitary Tumors: A Case Control Study
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AIM: Pituitary tumors are generally benign, but may be associated with some morbidities. The aim of this study was to identify the risk factors for pituitary tumors. MATERIAL and METHODS: A population-based case-control study on the potential risk factors of pituitary tumors was conducted in Chin...


Middle Turbinate Mucosal Flap in Endoscopic Skull Base Reconstruction
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AIM: To explore the indications, operation techniques and benefits of pedicled middle turbinate mucosal flap in endoscopic skull base reconstruction. MATERIAL and METHODS: The patients, who underwent endonasal endoscopic surgery from October 2009 to June 2010 in our department, were involved in t...


Burr Hole Evacuation of Extradural Hematoma in Mass Trauma. A Life Saving and Time Saving Procedure: Our Experience in the Earthquake of 2005
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AIM: To observe the outcome of burr hole evacuation of extradural hematoma (EDH) in mass head injury. MATERIAL and METHODS: This study included patients of any age who sustained head injury in the earthquake of October 8, 2005, were diagnosed as EDH on computed tomography (CT) scan and were admitt...


Combination of Curcumin with an Anti-Transferrin Receptor Antibody Suppressed the Growth of Malignant Gliomas In vitro
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AIM: Transferrin receptor (TfR) has been used as a target for the molecular cancer therapy due to its higher expression in a variety of tumors. Anti-TfR antibodies combined with chemotherapeutic drugs has showed great potential as a possible cancer therapeutic strategy. In our study, we investigat...


Endovascular Treatment of Rare Vascular Complications of Percutaneous Balloon Compression for Trigeminal Neuralgia
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AIM: To present the clinical features and outcomes of rare vascular complications of percutaneous balloon compression (PBC) for trigeminal neuralgia. These complications were treated by the endovascular technique. MATERIAL and METHODS: In this retrospective study, 5 patients with trigeminal neural...


Stent-Assisted Coil Embolization of Ruptured Supraclinoid Blood Blister-Like Aneurysm of Internal Carotid Artery
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AIM: To report angiographic and clinical results obtained in patients with supraclinoid segment blood blister-like aneurysms (BBLAs) of the internal carotid artery treated with stent-assisted coil embolization. MATERIAL and METHODS: A retrospective review of patients, who were treated for a ruptur...


Endovascular Treatment of Intracranial Ophthalmic Segment Aneurysms: A Series and Literature Review
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Proposal of Classification of Aneurysms Coexisting with AVM and Possible Treatment Strategies
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Neurosurgical Site Infection Prevention: Single Institute Experience
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CO<sub>2</sub> Laser Soldering for the Reconstruction of Dural Defects in the Minipig Model
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Evaluation of Computed Tomography Perfusion Imaging in a Rat Acute Cerebral Ischemia-Reperfusion Model
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Prediction of Lumbar Disc Herniation Patients' Satisfaction with the Aid of an Artificial Neural Network
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AIM: To identify key determinants of lumbar disc herniation (LDH) patients’ satisfaction and to evaluate the efficiency of an artificial neural network (ANN) model to prognosticate satisfaction derived from the hospital stay in this specific patient group. MATERIAL and METHODS: A single item...


A Novel Classification and Minimally Invasive Treatment of Degenerative Lumbar Spinal Stenosis
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AIM: We conducted a novel classification system of degenerative lumbar spinal stenosis (DLSS) based on clinical manifestations and imaging (computed tomography and magnetic resonance imaging) features. We chose different minimally invasive surgical procedures according to our system. Clinical para...


Dynamic Radiographic Results of Different Semi-Rigid Fusion Devices for Degenerative Lumbar Spondylolisthesis: "Dynamic Rod" vs. "Dynamic Screw Head"
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AIM: To assess the clinical outcomes and compare the segmental range of motion (ROM) at the implanted L4-L5 level, the cranial and caudal adjacent levels, and the ROM of the whole lumbar spine after semi-rigid lumbar fusion with 2 different devices. MATERIAL and METHODS: Patients with neurogenic c...


Evaluation of the Association Between Matrix Metalloproteinase 11 and Intervertebral Disc Disease
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AIM: The intervertebral disc starts to degenerate when a human being begins to stand and learn to walk. It is known that many extrinsic, intrinsic and genetic factors play a role in disc degeneration. In this study, we examined whether the matrix metalloproteinase 11 might be associated with inter...


The Correlation Study of C5 Nerve Root Palsy and Common Body Position in Posterior Total Laminectomy Decompression and Instrumentation
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AIM: To compare both the clinical characteristics and incidence of postoperative cervical nerve root palsy in cervical spondylosis patients treated by posterior total laminectomy, decompression and instrumentation with two different common body positions, traction bed and plaster bed. MATERIAL an...


Experimental Endoscopic Cordotomy in the Sheep Model
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AIM: Interventional pain therapies are usually based on destruction of the related pain-conducting pathways. Current procedures targeting pain have replaced conventional pain treatment modalities while being less invasive. In this study, we investigated the feasibility of the endoscopic percutaneo...


Prevention of Epineural Fibrosis in Rats by Local Administration of Mitomycin C or Daunorubicin
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AIM: Epineural adhesion after peripheral nerve surgery is common. The purpose of this study was to evaluate the macroscopic and histopathologic effects of topical mitomycin C and daunorubicin on epineural scar formation. MATERIAL and METHODS: In this study, we used 15 rats (30 nerves). Two test gr...


Microsurgical Outcome of Post-traumatic Peripheral Nerve Injuries: An Experience of 23 Cases and Review of Literature
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AIM: The present study aimed to evaluate the microsurgical outcome in post-traumatic peripheral nerve injuries and its correlation with time since injury and the type of the operative procedure performed. MATERIAL and METHODS: All the patients admitted to our center with the diagnosis of post-trau...


Microsurgical Resection of Petroclival Tumors via the Subtemporal Transtentorial Approach
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AIM: To study and summarize our experience with the subtemporal transtentorial approach for resection of petroclival tumors. MATERIAL and METHODS: Twenty-eight patients who suffered from petroclival tumors and underwent tumor resection via a subtemporal transtentorial approach between October 2010...


Treatment Results for Pineal Region Tumors: Role of Stereotactic Biopsy Plus Adjuvant Therapy vs. Open Resection
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AIM: Pineal tumors represent uncommon intracranial tumors with highly diverse histologic subtypes. There still exists a controversy in literature about what influences overall survival and outcome. MATERIAL and METHODS: We present the results of 48 patients with pineal tumor treated either by ster...


Unruptured Epileptogenic Brain Arteriovenous Malformations
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AIM: To determine whether specific clinical and radiographic factors predispose arteriovenous malformations (AVMs) presenting with seizure and to predict the seizure risk for individual AVM patients. MATERIAL and METHODS: Clinical features and cerebral angiograms of consecutive 45 unruptured AVM p...


Vagal Nerve Stimulation Effects on Generalized-Partial Seizures and Medication in Adult Drug- Resistant Epilepsy Patients
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AIM: The aim of this study was to find out if vagal nerve stimulation (VNS) affect the generalized-partial seizure count and medical treatment in adult drug resistant epilepsy patients. MATERIAL and METHODS: Twenty adult patients who were diagnosed with drug-resistant epilepsy were investigated re...


The Acute and Delayed Effects of Vagal Nerve Stimulation on an Absence Epilepsy Model in WAG/Rij
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AIM: Vagal nerve stimulation (VNS) is an effective method of treatment for epilepsy patients either unresponsive to medical therapy or not suitable for resective surgeries. We designed an experimental study on Wistar Albino Glaxo rats from Rijswijk (WAGRij) to investigate the effects of VNS on a n...


Internal Carotid Artery Aneurysms Presenting with Epistaxis - Our Experience and Review of Literature
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AIM: Intracranial internal carotid artery aneurysms are an extremely rare cause of spontaneous epistaxis, with a few documented cases. The management of such cases is challenging due to the relative anatomical inaccessibility of the bleeding point. The aim of the present study was to acquaint the ...


Pericallosal Lipomas: A Series of 10 Cases with Clinical and Radiological Features
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AIM: A pericallosal lipoma is a fat-containing lesion occurring in the interhemispheric fissure closely related to the corpus callosum, which is often abnormal. This is the most common location for an intracranial lipoma. In this study, we aim to report on the clinical and radiographic aspects of ...


Ventriculoperitoneal (VP) Shunt Survival in Patients Developing Hydrocephalus After Cranial Surgery
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AIM: Ventriculoperitoneal (VP) shunt insertion remains the most popular method for the treatment of hydrocephalus despite its associated complications. We assessed VP shunt survival in a group of patients who had developed hydrocephalus following cranial surgery. MATERIAL and METHODS: A retrospec...


Transplantation of Neural Precursor Cells in the Treatment of Parkinson Disease: An Efficacy and Safety Analysis
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AIM: The aim of this study was to evaluate the clinical safety, feasibility and efficacy of transplantation of neural precursor cells (NPCs) in the treatment for Parkinson’s disease (PD). MATERIAL and METHODS: Twenty-one patients, aged 42-79 years (median age 57.33 years), participated in th...


Changes of MDA and SOD in Brain Tissue after Secondary Brain Injury with Seawater Immersion in Rats
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AIM: To investigate the variation and significance of malondialdehyde (MDA) and superoxide dismutase (SOD) in brain tissue after secondary brain injury (SBI) with seawater immersion in rats. MATERIAL and METHODS: We randomly divided 163 male Sprague Dawley rats into 4 groups, as normal (Group A), ...


The Relationship of the Vertebral Artery with Anatomical Landmarks in the Posterior Craniovertebral Junction of Fresh Human Cadavers in the Turkish Population
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Lumbar Disc Surgery with Epidural Anesthesia: Review of 700 Cases
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AIM: Lumbar disc surgery can be performed under general anesthesia or regional anesthesia methods. There are long-standing discussions between neurosurgeons, orthopedic surgeons and anesthesiologists concerning the use of epidural anesthesia in lumbar surgery. The results of this study’s 700...


Comparison of Anterior Cervical Discectomy Fusion Techniques: Bladed and Non Bladed PEEK Cages
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AIM: The aim of this study is to compare the different types of fusion materials known as PEEK cages used during anterior cervical discectomy (ACD) surgery. MATERIAL and METHODS: A total of 67 patients were operated and evaluated retrospectively under two groups (group A: 35 PEEK cage patients, g...


Timing of Surgery for Spinal Fractures Associated with Systemic Trauma: A Need for a Strategic and Systemic Approach
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AIM: An underestimated evaluation of systemic organs in cases with spinal fractures might jeopardize the intervention for treatment and future complications with an increased morbidity and mortality are almost warranted. In the present study, a retrospective analysis of spinal fracture cases assoc...


Outcome Evaluation of Zero-Profile Implant Compared with an Anterior Plate and Cage Used in Anterior Cervical Discectomy and Fusion: A Two-Year Follow-Up Study
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AIM: To compare the clinical outcome and complications between Zero-P implant and cage with anterior plate in patients undergoing anterior cervical discectomy and fusion (ACDF). MATERIAL and METHODS: 50 patients underwent ACDF operation of which 23 patients had Zero-P implanted and 27 had cage an...


Comparison of Vertebroplasty Versus Vertebral Perforation for the Treatment of Acute Vertebral Compression Fractures
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Construction of Finite Element Model for an Artificial Atlanto-Odontoid Joint Replacement and Analysis of Its Biomechanical Properties
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AIM: To investigate the stress distribution on artificial atlantoaxial-odontoid joint (AAOJ) components during flexion, extension, lateral bending and rotation of AAOJ model constructed with the finite element (FE) method. MATERIAL and METHODS: Human cadaver specimens of normal AAOJ were CT scanne...


Histopathological Evaluation of the Effects of CAPE in Experimental Spinal Cord Injury
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AIM: Spinal cord injuries negatively affect the individuals and the life quality of their families due to neurological deficits caused by trauma. The prevalence of spinal cord injury is 15-45/1 million in the world. Caffeic acid phenethyl ester (CAPE) is the most active component of propolis and h...


Metamizole Sodium Induces Neural Tube Defects in a Chick Embryo Model
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AIM: The aim of this study was to investigate the effects of metamizole sodium on neural tube development in the early stage chick embryo model that complies with the first month of embryonic development in mammals. MATERIAL and METHODS: A total of 40 fertilized chicken eggs were divided into 4 eq...


Keyhole Transsylvian Resection of Infiltrative Insular Gliomas: Technique and Anatomic Results
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AIM: Insular gliomas have traditionally been approached through variations of large frontotemporal craniotomies exposing much of the Sylvian fissure. Due to the importance of many structures exposed by such an approach, a less-invasive approach to these lesions is a viable alternative for resectio...


Prognostic Value of Angiogenesis and Survivin Expression in Patients with Glioblastoma
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Fully Endoscopic Resection of Intra-Axial Brain Lesions Using Neuronavigated Pediatric Anoscope
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Monitoring Ischemic Cerebral Injury in Spontaneously Hypertensive Rats by Diffusion Tensor Imaging
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AIM: We have applied diffusion tensor imaging (DTI) to interrogate microstructural changes in white matter integrity in a widely used middle cerebral artery occlusion (MCAO) model of cerebral ischemia. MATERIAL and METHODS: We performed ex vivo DTI 35 days after 60 minutes transient focal ischemia...


Clinical and Angiographic Outcomes of Endovascular Treatment for Ruptured Posterior Circulation Cerebral Aneurysms
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AIM: To report the angiographic and clinical results achieved in endovascular treatment of ruptured posterior circulation cerebral aneurysms over a 3-year period. MATERIAL and METHODS: A retrospective analysis of 45 patients was performed between June 2008 and June 2011. Clinical follow-up was ac...


Transarterial ONYX Embolization of Intracranial Dural Arteriovenous Fistulas in Adults
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AIM: To present our experience on transarterial treatment of dural arteriovenous fistulas (DAVFs) with ONYX in adult patients. MATERIAL and METHODS: Between March 2008 and November 2012, 27 adult patients with DAVFs treated by transarterial ONYX embolization were included. Clinical data, including...


Silk Device for the Treatment of Intracranial Aneurysms. Part 1: Peri-Procedural Results, Technical Aspects and Learning Curve
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AIM: We evaluated the procedural outcomes of intracranial aneurysm treatment with the Silk device and its relation with operator experience. We also detailed some technical points we learned throughout our experience. MATERIAL and METHODS: One hundred and six consecutive patients with intracranial...


Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome
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AIM: To report patient and procedure-related factors affecting the angiographic and clinical outcome in patients treated with the Silk device. MATERIAL and METHODS: All patients with intracranial aneurysms in whom treatment was attempted with the Silk flow diverter by our neurovascular team betwe...


Effect of Simvastatin on Proliferation of Vascular Smooth Muscle Cells During Delayed Cerebral Vasospasm After Subarachnoid Hemorrhage
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AIM: To explore the effect of simvastatin on proliferation of vascular smooth muscle cells (VSMCs) during delayed cerebral vasospasm (dCVS) after subarachnoid hemorrhage (SAH). MATERIAL and METHODS: Thirty-six male New Zealand White rabbits were randomly divided into three groups: 1) Control group...


Predictors of Symptomatic Vasospasm After Subarachnoid Hemorrhage: A Single Center Study of 457 Consecutive Cases
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The Neuroprotective Effects of Resveratrol Preconditioning in Transient Global Cerebral Ischemia&#8211;Reperfusion in Mice
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AIM: This study was designed to elucidate the neuroprotective effect of resveratrol in a mouse model of bilateral common carotid artery occlusion (BCCAO). MATERIAL and METHODS: Sixty male C57BL/6 mice, weighing 20–24 g, were used in our experiments. The mice were randomly assigned into thre...


Which Biomarker is most Effective to Determine Severity of Acute Head Trauma in the Experimental Animal Head Trauma Model?
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AIM: Because of the need for effective method to determine the severity of head trauma, the importance of biomarkers is recognized recently. This study aims to analyze the values of sera levels of some biomarkers and the relation with their tissue levels in acute head injury. MATERIAL and METHODS...


Skull Anatomic Landmarks for Retrosigmoid Craniotomy in a Chinese Cohort: A 3D-Computed Tomography Study in Vivo
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AIM: This study was designed to determine the anatomic position of the asterion and the relationship between the asterion and the transverse sigmoid sinus junction (TSSJ) in a Chinese cohort. MATERIAL and METHODS: Venous computed tomography (CT) angiography was performed in 32 patients to simultan...


A Very Quickly Prepared, Colored Silicone Material for Injecting into Cerebral Vasculature for Anatomical Dissection: A Novel and Suitable Material for both Fresh and Non-Fresh Cadavers
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AIM: Cadaveric studies have a great impact on neuroanatomy learning. Cadaver preparation may take a lot of effort, especially at the phase of intravascular color filling. The authors describe their silicone dye technique and a novel mixture which is self-curing, quick to prepare and easy to inject...


Comparison of Neuronavigation and Frame-Based Stereotactic Systems in Implanting Epileptic Depth Electrodes
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AIM: To investigate the application of neuronavigation in the implantation of depth electrodes in patients with epilepsy. MATERIAL and METHODS: Thirty-six patients with epilepsy who were implanted with depth electrodes using neuronavigation were assessed for accuracy of implantation and associated...


Effect of Intrathecal Anti-Fibroblast Growth Factor-2 Antibodies on the Mechanical Allodynia and Activation of Spinal Cord Astrocytes in Rats
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AIM: To investigate the effect of intrathecal anti-fibroblast growth factor-2 (FGF-2) antibodies on the mechanical allodynia and activation of spinal cord astrocytes in a rat model of neuropathic pain. MATERIAL and METHODS: Forty male Sprague-Dawley rats were randomly divided into 4 groups (Each g...


Targeting Apoptosis Through Foxp1, and N-cadherin with Glatiramer Acetate in Chick Embryos During Neural Tube Development
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AIM: To demonstrate the effect of glatiramer acetate (GA) in chick embryos on neural tube (NT) development, and to explore its effects of Foxp1, apoptosis, and N-cadherin. MATERIAL and METHODS: One hundred fertile, specific pathogen free eggs were divided into 5 groups for this study. The eggshell...


Initial Discectomy Associated with Aging Leading to Adjacent Disc Disease and Recurrence
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AIM: Failure of surgery for lumbar disc herniation (LDH) can be commonly caused by recurrence. There are many debates regarding the risk factors of recurrent LDH (rLDH) and it is very difficult to define them because many clinical and complicated biomechanical parameters are involved. The purpose ...


Surgical Management of Osteoblastoma of the Spine: Case Series and Review of the Literature
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AIM: To describe the demographics, clinical and radiologic presentation, surgical considerations, and clinical outcomes associated with spinal osteoblastoma. MATERIAL and METHODS: A spinal tumor database of 522 patients treated surgically at a single institution between January 2002 and June 2012...


Long-Term Benefits of Percutaneous Anatomical Restoration of Vertebral Compression Fractures Linked to Malignancy
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AIM: To evaluate the efficacy, feasibility and safety of a percutaneous anatomical vertebral body reduction for the treatment of VCF (vertebral compression fracture) linked to malignancy. Vertebroplasty and percutaneous kyphoplasty have played essential roles in the treatment of painful vertebral ...


Surgical Management of Adult Reducible Atlantoaxial Dislocation, Basilar Invagination and Chiari Malformation with Syringomyelia
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AIM: To analyze retrospectively the surgical management of reducible atlantoaxial dislocation (AAD), basilar invagination (BI) and Chiari malformation (CHM) with syringomyelia through a single-stage posterior approach. MATERIAL and METHODS: Forty-three patients with reducible AAD, BI and CHM with ...


The Biochemical, Histopathological and Clinical Comparison of the Neuroprotective Effects of Subcutaneous Adalimumab and Intravenous Methylprednisolone in an Experimental Compressive Spinal Cord Trauma Model
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AIM: To evaluate the neuroprotective effects of adalimumab in an experimental spinal cord injury model and compare them with those of the widely-used methylprednisolone. MATERIAL and METHODS: Forty male Wistar rats were divided into 5 as the sham, trauma, adalimumab, methylprednisolone, and adali...


Transforaminal Lumbar Interbody Fusion with Unilateral Pedicle Screw and Contralateral Percutaneous Transfacet Screw Fixation for the Treatment of Lumbar Degenerative Disorders
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AIM: To assess the feasibility and efficacy of TLIF with unilateral pedicle screw and contralateral percutaneous lumbar transfacet screw fixation for the treatment of lumbar degenerative disorders. MATERIAL and METHODS: A series of computed tomography (CT) digital images from 60 patients (30 males...


The Use of Neuronavigation and Intraoperative Imaging in Spinal Stabilization Surgery
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AIM: Misplacement of pedicle screw is the serious complication of spinal surgeries. Intraoperative imaging techniques and navigation systems are currently in use for the prevention of this complication. The aim of this study was to document the results of our experience with the navigation and int...


Memantine and Q-VD-OPh Treatments in Experimental Spinal Cord Injury: Combined Inhibition of Necrosis and Apoptosis
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AIM: To evaluate the effects of NMDA receptor antagonist memantine and pancaspase inhibitor Q-VD-Oph in combination or alone in experimental spinal cord injury. MATERIAL and METHODS: 45 male Sprague-Dawley rats were divided into five groups. Spinal cord injury was created with the clip compressio...


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SPECT/CT in the Assessment of Postoperative Spine: A Comprehensive Literature Review
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Back pain is a widespread and debilitating condition that significantly impairs quality of life, often eroding patients’ sense of autonomy and independence, and contributes to global disability rates. The initial management of back pain generally follows a conservative approach, encompassing physica...


Exosome-Mediated Brain Tumor Diagnostics from Peripheral Fluids: A Review of Clinical Data
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Definitive diagnoses in neuro-oncology often require invasive procedures, such as surgical biopsies to obtain tissue for histopathologic and molecular interrogation. Patients with small lesions that may respond to nonsurgical treatments, such as chemoradiation, may nevertheless undergo surgery wit...


Chronic Subdural Hematoma and Tranexamic Acid: A Systematic Review
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AIM: To systematically evaluate the existing literature regarding adjuvant or primary treatment of chronic subdural hematoma (cSDH) with tranexamic acid (TXA). MATERIAL and METHODS: This systematic review followed the parameters set by the Preferred Reporting Items for Systematic Reviews and Meta...


Neurotoxicity of Microplastic Particles in the Human Brain: A Systematic Review
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AIM: To systematically review the existing literature on the neurotoxic effects of microplastics (MPs) on the brain. MATERIAL and METHODS: This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines. The following keywords were used for th...


Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis
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AIM: To conduct an updated systematic review and meta-analysis to compare the efficacy and safety between total disc replacement (TDR) and fusion surgery for lumbar degenerative disc disease (LDDD). MATERIAL and METHODS: We comprehensively searched meta-analyses comparing TDR with fusion through t...


Head Transplantation: The Ultimate Level that Medicine has not yet Achieved
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The process of head transplantation is reviewed according to Cartesian philosophy. Recent developments in head transplantation were followed with great interest in the media and society. The surgeon Sergio Canavero stated that he could perform head transplantation. His ethical approaches to the pr...


Neurocutaneous Melanosis in Infancy: Always a Dismal Prognosis?
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AIM: To analyze the current literature on neurocutaneous melanosis (NCM), as well as, our cases, in order to better define the prognosis and the presence of risk factors affecting it, thus, offering better information to the parents. MATERIAL and METHODS: Two cases observed at the Pediatric Neuros...


Stereotactic Radiosurgery Versus Observation for Treating Incidental Meningiomas: A Systematic Review and Meta-Analysis
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AIM: To evaluate the clinical outcomes of incidental meningiomas (IM) treated with stereotactic radiosurgery (SRS) or observation. MATERIAL and METHODS: The PubMed, Cochrane Library and MEDLINE (Ovid) databases were comprehensively searched for eligible studies about IM that were managed with seri...


Clipping Versus Coiling in Ruptured Basilar Apex Aneurysms: A Meta-Analysis
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AIM: To assess the results, effectiveness, safety, and potentials of coiling and clipping of ruptured basilar apex aneurysms. MATERIAL and METHODS: Included in this study were articles comparisons of outcomes of endovascular coiling and clipping of ruptured basilar apex aneurysms, published in the...


New Trends in Spinal Surgery: Less Invasive Anatomical Approach to the Spine. The Advantages of the Anterior Approach in Lumbar Spinal Fusion
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AIM: To describe the history of the anterior approach to the lumbar spine from the beginning to the minimal invasive techniques that the authors have developed, and to discuss its advantages and drawbacks. MATERIAL and METHODS: The authors collected published data on the evolution of the anterior ...


Current Use of Intraoperative Neurophysiology in Neurosurgery: Supratentorial Part 1
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The general aim of the neurosurgical practice is to both anatomically and physiologically preserve functional neurological structures to ensure a higher quality of life. Intraoperative neuromonitorization (IONM) helps the neurosurgeon physiologically identify and assess the functional integrity of...


Research Progress on the Correlation Between Vitamin D and Neurological Disorders
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AIM: To review the correlation between vitamin D (VD) and several common neurological disorders with the aim of providing directions and ideas for using VD to treat neurological disorders. MATERIAL and METHODS: VD, 1,25-dihydroxyvitamin D3, stroke, epilepsy, and cognitive dysfunction were used as ...


The Alteration of Neurogenesis and Pathological Markers in Alzheimer's Disease After Deep Brain Stimulation
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Alzheimer's disease (AD) is the most common type of dementia that causes disabilities in memory formation and activities of daily living. Unfortunately, pharmacologic treatments have minimal and short-lasting effects on AD. With the increasing aging population, investigations into therapeutic stra...


Biological Significance of Serum Biomarkers in Sports- Related Concussion Injury-A Systematic Review
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AIM: To evaluate all serum biomarkers in sports-related concussion injury (SRC) to determine diagnostic validity, changes with symptom severity, and return to play, as well as detect early changes in serum concentration. MATERIAL and METHODS: Studies were searched in various electronic databases (...


Approach to Primary Vertebral Tumors in the Light of the 2020 Updated World Health Organization Classification of Bone Tumors
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AIM: To define a new approach for primary vertebral tumors by discussing them in the light of 2020 World Health Organization (WHO) classification of bone tumors. MATERIAL and METHODS: In this study, we have discussed primary vertebral tumors in light of the 2020 Updated WHO Classification of Soft...


Intracranial Dural Arteriovenous Fistulas: A Brief Review on Classification and General Features
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Intracranial dural arteriovenous malformations are unique and rare pathological entities. They may present with a wide spectrum of clinical pictures and the natural disease course is also variable. The main determinant in prognosis and indication for and response to treatment is the venous archi...


CERRAHİYYETÜ'L &#8211; HANİYYE (IMPERİAL SURGERY)
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Review of the Anatomy of the Distal Anterior Cerebral Artery and Its Anomalies
[Abstract] [Similar Articles]

The anterior cerebral artery (ACA) varies considerably and this complicates the description of the normal anatomy. The segmentation of the ACA is mostly agreed on by different authors, although the relationship of the pericallosal and callosomarginal arteries (CmA) is not agreed upon. The two basi...


Searching Evidences of Stroke in Animal Models: A Review of Discrepancies A Review of Discrepancies
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So far, animal models have helped us better understand the pathophysiology of the ischemic brain damage but they could not contribute so much to clinical practice. The discrepancies in results regarding neuroprotective agents in animal experiments compared to clinical trials have not been solved. ...


Anatomy of the Middle Cerebral Artery: Cortical Branches, Branching Pattern and Anomalies
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The middle cerebral artery (MCA) covers a large part of the cerebral hemispheres and is therefore exposed during surgical intervention in this area. Aspects of cerebral branches tend to vary, different branching patterns can be described, and several anomalies can be observed. Knowledge of these v...


A Systematic Review on Machine Learning in Neurosurgery: The Future of Decision-Making in Patient Care
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Current practice of neurosurgery depends on clinical practice guidelines and evidence-based research publications that derive results using statistical methods. However, statistical analysis methods have some limitations such as the inability to analyze nonlinear variables, requiring setting a lev...


Practical Aspects of Neuroendoscopic Techniques and Complication Avoidance: A Systematic Review
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Although endoscopic techniques have many advantages including improved visualization and magnification, they are also associated with limitations. The objective of this review is to discuss the practical aspects that can reduce complications after endoscopic procedures, and their management. The r...


Prognostic Role of Perihematomal Edema in Intracerebral Hemorrhage: A Systematic Review
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Although several studies have suggested perihematomal edema (PHE) is associated with prognosis in intracerebral hemorrhage (ICH), the results are different in other studies. The purpose of this study was to evaluate the prognostic role of PHE in ICH. According to PRISMA guidelines, a systematic li...


The Research Progress of Mesenchymal Stem Cells in the Treatment of Traumatic Brain Injury
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Traumatic brain injury (TBI) is the leading cause of mortality and morbidity in children and adults throughout the world. It is urgent to ameliorate TBI damage and reduce the disability and case-fatality rate. Stem cell therapy is another medical revolution after drug and surgical medication. Mese...


Hypothermia Therapy After Traumatic Brain Injury: A Systematic Review and Meta-Analysis
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The purpose of this article was mainly to focus on whether hypothermia improves mortality and/or the chance of a good neurological outcome compared with the standard of care alone in patients with traumatic brain injury (TBI). We used a comprehensive search strategy. Articles were eliminated in a ...


Variation and Anomalies of the Posterior Cerebral Artery: Review and Pilot Study
[Abstract] [Similar Articles]

Variations and anomalies of the posterior cerebral artery (PCA) have several clinical implications, including assisting in understanding the clinical signs of a stroke. Anomalies have been described previously; however, few reports mention the origins, absence, duplication and triplication of the ...


Collegiate Neurosurgery in Disaster and Mass Medical Emergencies: Lessons Learned from Mexico
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Every year, natural or people-generated disasters disrupt the functioning of society, causing human, and material loses, which lead to an increase in the demand for medical attention. In the morning of September 19, 2017, a 7.1-magnitude earthquake struck Mexico City and four other cities, leaving...


Radiological and Clinical Outcomes of Transforaminal vs. Posterior Lumbar Interbody Fusions: A Systematic Review
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AIM: To compare 1 and 2 level posterior lumbar interbody fusion (PLIF) to transforaminal lumbar interbody fusion (TLIF) techniques in an effort to elucidate trends in overall radiological and clinical outcome, rate of complications, operation time, length of hospital stay, reoperation rate, pseudo...


Craniopagus, Laleh and Ladan Twins, Sagital Sinus
[Abstract] [Similar Articles]

Adult craniopagus twins aged 29 years who succumbed to the surgical separation are being presented posthumously. Neuroimaging studies had revealed a total type 3 craniopagus with a common superior sagittal sinus beginning at its distal half and draining into a common Torcular Herophili. In July 2003...


Surgical Treatment of Supplementary Motor Area Lesions
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Different portions of the SMA appear to be engaged by different types of neurological functions. It is important to identify the functional activation of SMA in terms of planning the surgical strategy. Our unpublished data from M.D. Anderson suggest that resection of the site of SMA activation ba...


The History of Psychosurgery in Turkey
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The modern age of psychosurgery can be said to have started with Moniz and Lima. Freeman and Watts subsequently revised and popularised the lobotomy procedure. Moniz shared the 1949 Nobel Prize for medicine or physiology for his discovery of the therapeutic value of leucotomy in certain psychoses...


The Story Behind
[Abstract] [Similar Articles]

The Executive Committee of the Neurosurgical Society that functioned during 1988-1990 period under the leadership of Dr's Tunçalp Özgen and Yücel Kanpolat realized many major accomplishments. Each of these senior neurosurgeons served as presidents of the Society for one year. Dr. Nur Altınörs wa...


Book Review
[Abstract] [Similar Articles]


Neuroproctective Effects of Ischemic Tolerance (Preconditioning) and Postconditioning
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Elucidation of the endogenous cell survival pathways involved in ischemic tolerance (preconditioning) and postconditioning has significant clinical implications for preventing neuronal damage in susceptible patients. Ischemic tolerance is a phenomenon in which the brain protects itself against fu...


Potential Roles of the Neural Stem Cell in the Restoration of the Injured Spinal Cord: Review of the Literature
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The use of stem cells in the treatment of traumatic spinal cord injury (SCI) in recent years has provided promising results. Different sources of cells for transplantation have been used, including neural progenitor cells (NPCs), neural stem cells (NSCs) or embryonic stem cells (ESCs). Experiment...


Sacroiliac Joint Dysfunction
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AIM: Sacroiliac joint dysfunction is a disorder presenting with low back and groin pain. It should be taken into consideration during the preoperative differential diagnosis of lumbar disc herniation, lumbar spinal stenosis and facet syndrome. MATERIAL and METHODS: Four cases with sacroiliac dy...


Rare Lesions of the Cerebellopontine Angle
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Vestibular schwannomas, meningiomas and epidermoids account for a vast majority of the lesions occurring in the cerebellopontine angle (CPA). Neoplastic and non-neoplastic pathologies other than these tumors constitute 1% of all lesions located in the CPA. The aim of this study was to reveal our ...


Profound Blockage of Cxcr4 Signaling at Multiple Points Using the Synergy Between Plerixafor, Mirtazapine, and Clotrimazole as a New Glioblastoma Treatment Adjunct
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CXCL12 signaling at CXCR4 is important in glioblastoma growth promotion as a migration-directing chemokine and as a mitosis-stimulating cytokine system. Recent developments in other areas of medicine may have made it now possible to comprehensively block glioblastoma's use of CXCL12 signaling. CX...


Anatomic Variations of the Median Nerve in the Carpal Tunnel: A Brief Review of the Literature
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Carpal tunnel syndrome (CTS) is a common focal peripheral neuropathy. Increased pressure in the carpal tunnel results in median nerve compression and impaired nerve perfusion, leading to discomfort and paresthesia in the affected hand. Surgical division of the transverse carpal ligament is preferr...


Comparison of Simultaneous Shunting to Delayed Shunting in Infants with Myelomeningocele in Terms of Shunt Infection Rate
[Abstract] [Similar Articles]

AIM: Timing of shunt insertion in infants with myelomeningocele (MM) and hydrocephalus (HCP) has been debated. Many authors have suggested to perform the repair of MM and shunt insertion during same operation. However, there is also an opposite view. MATERIAL and METHODS: We analyzed retrospective...


Role of Vena Cava Inferior Filter on Neurosurgical Deep Venous Thrombosis
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AIM: The patients who undergo neurosurgical procedures are at high risk for perioperative deep vein thrombosis and pulmonary embolism. Pharmacological prophylaxis with mechanic prophylaxis is a safe and effective way of preventing deep vein thrombosis and pulmonary thromboembolism in neurosurgery....


Persistent Primitive Trigeminal Artery: A Review
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The trigeminal artery is the largest of the fetal carotid-basilar anastomotic arteries, and it persists for the longest embryonic period. The artery usually involutes after the development of the posterior communicating artery. The exact causes of persistence of this primitive vessel into adulthoo...


Armored Brain in Patients with Hydrocephalus after Shunt Surgery: Review of the Literatures
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Armored brain or chronic calcified subdural hematoma is a rare complication of cerebrospinal fluid diversion with few cases reported in the literature. Seventeen patients with this pathology have been published. A complete review of the literatures regarding this topic has been collected and discu...


Early Brain Injury Following Aneurysmal Subarachnoid Hemorrhage: Emphasis on Cellular Apoptosis
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Subarachnoid hemorrhage (SAH) due to intracranial aneurysm rupture is a complex clinical disease with high mortality and morbidity. Recent studies suggest that early brain injury (EBI) rather than vasospasm might be responsible for morbidity and mortality within 24-72 hours after SAH. The rise in ...


Surgical Results of Degenerative Spondylolisthesis Patients Over 70 Years Old: A Single-Center Experience and Clinical Outcomes
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AIM: The aim of this study is to evaluate results of surgery in Degenerative Spondylolisthesis (DS) patients over 70 years old. MATERIAL and METHODS: This is a non-randomized retrospective analysis of the clinical outcome of 34 patients older than 70 years who underwent surgery. At the end of two-...


Surgical Treatment of Supra- and Infratentorial Epidural Hematoma
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Supra- and infratentorial acute epidural hematoma (SIEDH) is a common type of posterior fossa epidural hematoma (PFEDH), representing 11– 64% of all PFEDHs. Although SIEDH is associated with typical characteristics, it might be difficult to diagnose when presenting as infratentorial acute ep...


An Update on Three-Dimensional Ct Angiography in Aneurysms: A Useful Modality for a Neurosurgeon
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The role of three-dimensional computed tomography angiography (3D-CTA) in management of aneurysms has been fairly acknowledged in the past. There have been numerous articles in the literature regarding its potential threat to the conventional “gold standard”, i.e. digital subtraction a...


Can Posterior Dynamic Stabilization Reduce the Risk of Adjacent Segment Deterioration?
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AIM: The aim of this study was to systematically review the relevant literature to develop a benchmark for the incidence of adjacent segment degeneration (ASDeg) and adjacent segment disease (ASDis) following the posterior dynamic stabilization (PDS) procedure and to investigate whether conclusion...


THE CAROTID BODY AND ITS TUMOR I. An Anatomical and Physiological Update
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General Approach to Spine Deformities
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Malalignment of the spine can be defined as a spinal deformity. Spinal deformities may be secondary to a variety of causes including congenital anomalies, neuromuscular disorders, skeletal dysplasies, and some other developmental disorders. Pediatric spine deformities may be accompanied by neural ...


Sagittal Balance in the Spine
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This chapter explains the significance of the sagittal balance of the spine and spinal and pelvic parameters associated with sagittal balance of the spine. Herein the parameters related to spinal sagittal balance are C7 plumb line, gravity line, pelvic incidence, sacral slope, pelvic tilt and spin...


Lumbar Segmental Instability and Deformity
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Lumbar spine instability develops as a result of a gradual degenerative process. Segmental instability causes chronic low back pain and decreases the quality of life of the patient. The deformity that develops secondary to lumbar instability is seen as coronal and sagittal imbalance. The diagnosis...


Congenital Scoliosis
[Abstract] [Similar Articles]

Congenital scoliosis is the deformity of the spine that is caused due to intrauterine development anomaly of spine. The defects developing during formation and segmentation periods of the spine may cause a vertebra anomaly. These defects of the vertebra may cause a serious deformity and pulmonary ...


Idiopathic Scoliosis
[Abstract] [Similar Articles]

Measurement of a curvature angle higher than 10 degrees on anterior-posterior X-rays is known as scoliosis. Idiopathic scoliosis forms 80% of coronal structural deformities. Deformity causes coronal, sagittal and axial plane imbalance. Idiopathic scoliosis is divided into three sub-groups by age; ...


Adult Deformity
[Abstract] [Similar Articles]

Adult deformity, which occurs with degeneration of the spine, is a pathology that has been seen usually in the older population. The patients with adult deformity have a pain and disability that develops within time. Adult deformity is different from adolescence idiopathic scoliosis because of its...


Kyphosis: Diagnosis, Classification and Treatment Methods
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A Cobb angle measurement, the angle between upper end plate of T5 and lower end plate of T12, higher than 40 degrees known as kyphosis. Although various etiologies cause kyphosis, the best-known form, Scheuermann’s kyphosis causes disorder in sagittal balance. Surgery should be considered fo...


Iatrogenic Spinal Deformities
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Iatrogenic spinal deformities can cause either sagittal or coronal imbalance. They consist of flat back syndrome, post-laminectomy kyphosis, proximal junctional kyphosis, failing of a spinal instrument, pseudoarthrosis, infection and using of instruments that cause anterior compression. We discuss...


Dynamic and Dynamic-Hybrid Instrumentation in Deformity Surgery
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Spinal deformity is one of the problematic issues of spine surgery. The variety of spinal deformities and the differences in pathomechanism require different treatment methods. Another important factor is that some deformities exist with spinal instability. The aim of surgical treatment in spinal ...


Endoscopic Approach to Treat Thoracal Spine Deformity
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Minimally invasive surgery is currently a goal for surgical intervention in the spine. The effectiveness of endoscopic thoracic spine surgery and technological improvements are considered to be two factors that are routinely applied to spine surgery, particularly in spine deformity surgery practic...


Rehabilitation After Surgery of the Spinal Deformity
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The main aim of the rehabilitation programs following surgical correction of spinal deformities is to restore the patient to full function as early as possible without compromising the integrity of the surgical intervention. The most important issue that need to be considered includes avoiding str...


Overview of Complications
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Deformity of spine is the structural deformity in sagittal, coronal or both planes due to many causes. Due to the complex structure of deformity, complications of deformity surgery are different from other surgeries performed for the spine. Being aware of the complications that can cause balance p...


Tumor-to-Tumor Metastasis of the Central Nervous System
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Tumor-to-tumor metastasis is a well recognized phenomenon. Although any tumor may be potential recipient of metastasis, renal cell carcinoma and meningioma are the most common malignant and benign recipients, respectively, whereas the lung and breast are the most common metastatic donors respectiv...


Robotic Systems in Spine Surgery
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Surgical robotic systems have been available for almost twenty years. The first surgical robotic systems were designed as supportive systems for laparoscopic approaches in general surgery (the first procedure was a cholecystectomy in 1987). The da Vinci Robotic System is the most common system use...


Development of a Finite Element Model of the Human Cervical Spine
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The finite element model has been used as an effective tool in human spine biomechanics. Biomechanical finite element models have provided basic insights into the workings of the cervical spine system. Advancements in numerical methods during the last decade have enabled researchers to propose mor...


Kyphosis and Review of the Literature
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AIM: The term kyphosis is used to describe the spinal curve that results in an abnormally rounded back. Kyphosis may develop due to trauma, developmental anomalies, degenerative disc disease, inflammatory diseases, and infectious diseases and also iatrogenic. The aim of this paper is to review the...


Biomechanics of Neck Injuries Resulting from Rear-End Vehicle Collisions
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It has been claimed that 85% of the neck injuries caused by car accidents are the result of rear-end collisions. This type of injury is called a whiplash injury, and its mechanisms are not completely understood due to the limited ability to diagnose them using X-ray or MRI. Biomechanical studies i...


Efficacy and Safety of Carmustine Wafers in the Treatment of Glioblastoma Multiforme: A Systematic Review
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The aim of this study was to a conduct a systematic review of carmustine wafers (Gliadel wafers) for the treatment of glioblastoma multiforme (GBM) to assess the survival benefit and safety of this therapy. The inclusion criteria were 1) prospective or retrospective clinical trial; 2) patients who...


Idiopathic Scoliosis
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Scoliosis refers to curves exceeding 10 degrees observed through posterioanterior direct radiography. In fact, the diagnosis for idiopathic scoliosis is accepted to exclude already available causes. The aim of this paper was to review the etiopathogenesis, classification systems and the treatment ...


Neurosurgery Apps: Novel Knowledge Boosters
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AIM: The utilization of technology for purpose of imparting knowledge, especially in high-end branches like neurosurgery, has gained prominence in the contemporary academic scenario. The technological advancements have brought about outstanding transformation to education and patient care. The con...


Primary Pineal Malignant Melanoma - Illustrated Review
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AIM: Primary pineal melanoma is a rare tumor. We herein review the histogenesis, pathology, radiology and therapeutic options of this rare tumor. MATERIAL and METHODS: We conducted a PUBMED search using a combination of keywords such as “primary pineal melanoma”, “CNS melanoma&#...


Minimally Invasive Approaches in Metastatic Spinal Tumor Surgery
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The surgical treatment of spinal metastases is still controversial. Due to developments in diagnostic imaging there has been a great evolution in minimally invasive surgical techniques for the spinal surgery. Most of the patients with spinal metastases are debilitated and under high risk of major ...


Management of Colloid Cyst of Third Ventricle
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Colloid cysts are usually located in third ventricle and are believed to be derived from either primitive neuroepithelium or endoderm. Patients may remain asymptomatic for long time while some can present with paroxysmal headache, gait disturbance, nausea, vomiting, behavioral changes, weaknesses ...


Management of Postoperative Spondylodiscitis with and without Internal Fixation
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Postoperative spondylodiscitis is relatively uncommon. This complication is associated with increased cost, and long-term of inability to work, and even morbidity. Although the majority of postoperative spondylodiscitis cases can be well managed by conservative treatment, postoperative spondylodis...


Effect of Pre/Postconditioning at Temporary Clipping
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Intracranial aneurysms and their treatment is one of the leading problems of neurosurgery that create high mortality and morbidity. The technique of safe clipping is as generally used depends on the temporary occlusion of the cerebral vasculature during surgery. However, there is no exact data abo...


Fluorescein Sodium-Guided Surgery of Malignant Brain Tumors: History, Current Concepts, and Future Project
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Fluorescein sodium (FL)–guided resection has become an important and beneficial treatment method for malignant brain tumors. FL-guided resection improves the rate of gross total resection in high-grade gliomas (HGG) and cerebral metastases (CM). FL sensitively visualizes the disruption of th...


Trigeminal Cardiac Reflex Caused by Onyx Embolization of Intracranial Dural Arteriovenous Fistula
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Trigeminocardiac reflex (TCR) is a reflexive response of bradycardia, hypotension and gastric hypermotility which is observed upon mechanical stimulation in the distribution of the trigeminal nerve. Previous articles have described TCR during intracranial operations, ophthalmic surgery, microcompr...


The Management of Intracranial Aneurysms During Pregnancy: A Systematic Review
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Hemodynamic changes during pregnancy may favor the formation and rupture of intracranial aneurysms. Despite this risk, guidelines for managing intracranial aneurysms during pregnancy have not been clearly defined. The objective of this review is to describe the treatment options for pregnant women...


Case Report

(898)
Percheron Artery Implicance in Bi-Thalamic Stroke Following Endoscopic Endonasal Approach for Infundibulo-Neurohypophysitis: A Combination of Two Rare Entities
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Bi-thalamic stroke is rarely reported in the literature as a complication of an endonasal endoscopic procedure. It has been associated with presence of a Percheron artery variant, as well as with top of the basilar syndrome, both of which significantly increase patient surgical morbidity. Infundib...


Dural Amyloidoma Located in the Falx Cerebri and Spinal Dura: Two Case Reports
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Amyloidosis is a progressive disorder marked by the aggregation of insoluble fibrillar proteins in various tissues, leading to tissue damage. Localised amyloidosis, known as amyloidoma, is particularly rare in the central nervous system and may be mistaken for a neoplastic lesion due to similar ra...


Recurrent Glioblastoma with Turcot Syndrome
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Turcot syndrome (TS) is an extremely rare genetic disorder characterized by the concurrent occurrence of primary brain tumors and colorectal cancer. The prognosis for patients with TS is typically poor. A 57-year-old man with TS who developed recurrent glioblastoma and had a family history of colo...


Posterolateral Approach for Recurrent Multi-Level Ventral Intradural Extramedullary Cervical Spinal Meningioma
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Spinal meningiomas are common intradural spinal tumors. Recurrent multilevel ventral intradural extramedullary spinal meningiomas, especially those presenting several years post-initial surgery is rare and can be particularly challenging to treat. We report two cases of such recurrent multilevel v...


Intracranial Mature Bone Formation: Report of Three Uncommon Cases and a Proposed Pathogenetic Mechanism
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The formation of histologically mature bone within the intracranial compartment is an exceptionally rare phenomenon. Although intracranial calcifications are frequently encountered in clinical practice, true ossification culminating in the development of mature bone tissue remains poorly character...


Emergent Endovascular Parent Artery Occlusion for Type III Carotid Blowout Syndrome After Charged Particle Therapy for Recurrent Maxillary Carcinoma: A Case Report and Literature Review
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Carotid blowout syndrome (CBS) refers to involvement of the carotid artery by malignant processes of the head and neck with compromise of vessel integrity and rupture. Carotid hemorrhage (CBS type III) is fatal, particularly when it occurs outside hospital settings. Bleeding can occur through the ...


Asymptomatic Purely Intracranial Vagal Schwannoma: Clinical Case Report and Literature Review
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Vagus nerve schwannoma is an infrequently occurring schwannoma, in which a distinct subtype exists wherein the tumor is confined to the cerebellomedullary cistern without invading the jugular foramen. This unique tumor is called purely intracranial vagal schwannoma. In this case report, we presen...


GIANT POSTERIOR CEREBRAL ARTERY ANEURYSMS
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RADICULAR COMPRESSION DUE TO HERNIATED INTRADISCAL GAS
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CRYPTOCOCCIC GRANULOMA IN THE POSTERIOR FOSSA
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MULTIPLE ANEURYSMS ON THE SUPRACLINOID SEGMENT OF THE INTERNAL CAROTID ARTERY
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MR ANGIOGRAPHY OF THE PERSISTENT TRIGEMİNAL ARTERY ASSOCIATED WITH AN ANEURYSM
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PRIMARY EWING?S SARCOMA OF THE SKULL
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INTRACRANIAL GLASS
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INTRACRANIAL SEWING NEEDLE ASSOCIATED WITH EPILEPSY
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INTERHEMISPHERIC SUBDURAL HEMATOMA IN A PATIENT WITH CHRONIC RENAL DISEASE: UNUSUAL MR DEMONSTRATION
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Neglected Case of Cervical Meningocele in an Adult
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Neural tube defects (NTD), caused by a disturbance in the neurulation process, are easily diagnosed and treated in the early years of life. Although early repair of NTD is advocated, there is lacking information on its natural course. There are only 11 cases, including this one, reported in litera...


Erdheim-Chester Disease with Calvarial Involvement: A Rare Case of Histiocytosis
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Erdheim-Chester Disease is a rare systemic xanthogranulomatous infiltrating disease, characterized by lipid-laden histiocytes accumulating in various organs and almost always in bones. Etiology of the disease is still unknown. It may involve various organs and systems, such as musculoskeletal, car...


Cranial Dura Breach by Extradural Skull Base Hydatid Cyst Leading to Intraventricular Spread: A Novel Case of Intraventricular Spread
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Intraventricular hydatid cysts are extremely rare. Till date, these cysts have been believed to originate from the ventricle itself. Of the various intraventricular cysts, primary solitary cysts are the most common ones. These cysts are purely intraventricular or partly parenchymal with an intrave...


Deceptive Mimics of Trigeminal Schwannoma: Be Careful with Primary Radiosurgery
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Trigeminal schwannomas are rare lesions centered on the trigeminal ganglion at Meckel?s cave. The complexity and morbidity of surgery for these lesions have allowed stereotactic radiosurgery (SRS) to emerge as a safe and viable option for treatment. Various other lesions at this location must aler...


Functional Transformation of a Corticotroph Pituitary Neuroendocrine Tumor 128 Months Following Primary Excision ? A Case Report
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Silent corticotroph pituitary neuroendocrine tumours (PitNETs) are rare, aggressive tumours that exhibit clinical and biochemical silence, despite their expression of adrenocorticotrophic hormone (ACTH) and the transcription factor Tpit. They exist on a spectrum of functionality between true silen...


Strategies for Preventing Delayed Leukoencephalopathy: A Case Report on the Efficacy of Separate-Axis Catheter Angiography in Coil Embolization
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In recent years, there have been multiple reports of delayed leukoencephalopathy (DL) occurring after endovascular treatment for cerebral vascular lesions, with polyvinylpyrrolidone (PVP) identified as a contributing factor. Herein, we present a case of DL developing after coil embolization for an...


Complex Differential Diagnosis Between Cerebral Toxoplasmosis and Primary CNS Lymphoma in Immunocompromised Patients: The Value of Brain Biopsy
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We report the case of a 24-year-old woman who received immunosuppressive treatment for systemic lupus erythematosus. In her past medical history, she had been treated for disseminated toxoplasmosis (ocular and cardiac). Four months later, she was hospitalized and treated for a presentation suggest...


Spontaneous Bilateral Disappearance of Choroid Plexus Cysts in the Trigone of the Lateral Ventricles: A Case Report
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Non-neoplastic intracranial cysts (NICCs) are usually stable and typically do not cause symptoms throughout life. Among the various NICCs, rare spontaneous disappearances of arachnoid cysts, colloid cysts, and Rathke?s cleft cysts in various locations have been reported. To our knowledge, no repor...


Bilateral Thalamic Edema Caused by Tentorial Galenic Dural Arteriovenous Fistula and Sinus Thrombosis: Successful Endovascular Therapy
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Bilateral thalamic edema is commonly caused by vascular, toxic/metabolic, neoplastic, and infectious factors. However, dural arteriovenous fistulas (DAVFs) are a relatively rare and often overlooked cause, with an incidence rate of about 8%. Tentorial dural arteriovenous fistulas (TDAVFs) represen...


Traumatic Spinal Epidural Hematoma Associated with Cervical Nerve Root Avulsion without Vertebral Fractures: Case Report
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Traumatic spinal epidural hematoma (TSEH) is a rare condition that may cause acute spinal cord compression and lead to irreversible neurological impairment. TSEH not only compresses the cord, but it can also worsen cervical nerve root avulsion. To our knowledge, only five cases of combined TSEH an...


Treatment of a Pediatric Recurrent Dissecting Middle Cerebral Artery Aneurysm with a Flow Diverter: A Case Report
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Intracranial aneurysms are rare in the pediatric population, while fusiform middle cerebral artery (MCA) aneurysms are more common. Although surgical clipping is the generally preferred treatment strategy for aneurysms, occasional recurrence may still occur after successful clipping. As expertise ...


Bilateral Thinning of the Temporal Bone: A Case Rep
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Bone mass is maintained by a balance between bone formation by osteoblasts and resorption by osteoclasts. Calvarial thinning can occur because of various factors. However, no previous studies have described bilateral temporal thinning (BTT) of the skull. This report presents a case of a squamous p...


Intracranial Sewing Needles as Foreign Bodies: A Report of Two Cases
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Penetrating brain injuries are usually the result of high-velocity accidents. However, intracranial foreign bodies can also rarely occur as a result of child abuse. Inserting a sewing needle into the brain through the sutures before the closure of fontanelles represents a particularly intriguing a...


A Case of Tongue Twisting During Screening of STN-DBS for Parkinson's Disease: A Unique Form of Pyramidal Tract Activation
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Subthalamic nucleus deep brain stimulation (STN-DBS) is a safe and effective therapy for Parkinson´s disease (PD) in selected patients. However, various side effects such as paraesthesia, diplopia, ataxia, worsened akinesia, emotional changes, dysarthria, and muscle contractions can occur due to t...


Endoscopic Third Ventriculostomy for Hydrocephalus Associated with Cerebellar Arteriovenous Malformation: A Case Report and Literature Review
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Arteriovenous malformations (AVM) are abnormal arteriovenous shunt lesions that predominantly occur in the brain or spinal cord. However, obstructive hydrocephalus resulting from an unruptured AVM occurs rarely. Herein, we report the case of a patient with obstructive hydrocephalus caused by an un...


Tuberculum Sella Meningioma Compressing Anterior Cerebral Artery Causing Optic Nerve Symptoms-A Case Report
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Blindness due to blood vessels being compressed by tumors around optical chiasma has rarely been reported in the literature. We hereby report a rare circumstance where visual impairment occurred in a patient diagnosed with tuberculum sellae meningioma caused by optic nerve compression from the ant...


A Trial for an Evaluation of Perianeurysmal Arterial Pressure Change during Carotid Artery Stenting in Patients with Concomitant Severe Extracranial Carotid Artery Stenosis and Ipsilateral Intracranial Aneurysm
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Concomitant occurrence of severe extracranial large vessel stenosis and an ipsilateral intracranial aneurysm is often detected incidentally, but the optimal therapeutic strategy is not clear. Several reports have investigated whether simultaneous carotid artery stenting (CAS) and coil embolization...


A Case Report of a 4-Year-Old Boy with Intradural Spinal Cord Abscess Successfully Treated with Adjuvant Hyperbaric Oxygen Therapy
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Intradural spinal cord abscesses are rare infections in early childhood and usually result from pre-existing congenital anomalies of the spinal column. The formation of abscess may be the result of hematogenous spread. It is treated by surgical and parenteral antibiotic treatment, but some special...


Spontaneous Intracystic Haemorrhage of an Arachnoid Cyst Associated with a Subacute Subdural Haematoma: A Case Report and Literature Review
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Arachnoid cysts (ACs) are congenital malformations that may develop anywhere in the subarachnoid space along the cerebrospinal axis, but are mostly observed in the temporal fossa and Sylvian fissure, predominantly on the left side. ACs account for 1% of all intracranial space-occupying lesions. AC...


Functional Hemispherectomy for Adult Rasmussen Encephalitis: A Case Report and Literature Review
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Rasmussen encephalitis (RE) is a rare and severe brain disorder that is associated with unilateral hemispheric atrophy and manifests as severe refractory epilepsy, hemiplegia, defects of motor and speech functions, and cognitive impairment. Treatment of RE, especially in adult patients, is extreme...


Intentional Herniation Technique with the Neuroform EZ Stent System for Preservation of Aneurysmal Neck Branch: A Case Report
[Abstract] [Similar Articles]

Endovascular treatment of bifurcation aneurysms is difficult and complicated because arterial branches may arise from the aneurysmal neck. We treat these cases with complex techniques such as Y or T stenting. In this report, we deployed one Neuroform EZ stent using the intentional herniation techn...


Traumatic Sequestrated Thoracic Disc Herniation; A Case Report
[Abstract] [Similar Articles]

AIM: To present a case (3rd report in the literature, 1st case with sequestrated-extruded disc herniation) of thoracic disc herniation that was sequestrated only by ligamentous injury without thoracic osseous pathology. MATERIAL and METHODS: We reviewed the diagnosis and treatment of a 25-year-old...


Intracranial Medulloepithelioma in a Child: A Case Report
[Abstract] [Similar Articles]

Intracranial medulloepithelioma is an extremely rare and highly malignant fast-growing tumor that shows a propensity to spread widely throughout the central nervous system. It most commonly occurs in infants and young children. We report a rare case of 2-year-old female patient with a large mass l...


Association of Two Primitive Carotid-Basilar Anastomoses and Cerebrovascular Abnormalities on the Brain Base: A Case Report
[Abstract] [Similar Articles]

Simultaneous presence of the persistent primitive trigeminal artery and so-called intermediate communicating artery was discovered in a 77-year-old cadaver autopsied due to the myocardial infarction. Many vascular variants and abnormalities such as aplasia of the right vertebral artery (VA), prese...


Successful Application of the Ventriculo-Gallbladder Shunt: A Salvage Procedure
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Ventriculo-gallblader shunt is very rarely used in the treatment of hydrocephalus. A 44-year-old male with ventriculoatrial shunt dysfunction was evaluated. His ventriculoatrial shunt was not working. His medical history revealed that his hydrocephalus was treated five times by venrtriculoperitone...


Development of a Giant Cornu Cutaneum in a Patient with a Coincidental Foreknown Intracranial Meningioma
[Abstract] [Similar Articles]

The diagnostic spectrum for scalp lesions is extensive and comprises either benign or malignant features. Cornu cutaneum (CC) is a well-recognized condition; however, its origin and natural course are not always obvious. We present the case of a 78-year-old male patient who was diagnosed with intr...


Septum Pellucidum Cavernoma: A Case Report and Anatomical Consideration of an Extremely Rare Lesion
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Cavernous angiomas (cavernomas) are vascular malformations of the brain characterized by abnormal capillaries. Ventricular cavernomas are considered rare; however, an extremely unusual topography is the septum pellucidum, with only five reported cases in the English literature. These malformations...


Composite Hemangioendothelioma Settled in the Paraspinal Region: A Rare Case Report
[Abstract] [Similar Articles]

Composite hemangioendothelioma (CHE) is a very rare, low-grade malignant vascular tumor. It is most commonly seen as one or more nodules on both sides of the fingers and toes. This tumor rarely settles in the paraspinal muscles. The age of onset is usually between 21 and 72 years, with an average ...


An Intraventricular Type of Chondroma: A Case Report
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Intracranial chondromas are unusual benign tumors. They commonly occur at the base of the skull, whereas an intraventricular type is very rare. We present the case of a 19-year-old female patient with a giant intraventricular chondroma detected incidentally by imaging after a car accident. The sp...


Hydrocephalus Following Surgery of Thoracic Intradural Arachnoid Cyst: A Case Report
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Spinal intradural arachnoid cysts (SIACs) are cerebrospinal fluid (CSF) sacs formed by arachnoid membranes. They may be idiopathic or acquired. Treatment is resection, fenestration, or cyst drainage. A 41-year-old female patient presented with myelopathy symptoms and complaints. Magnetic resonance...


Our Experience in the Management of CSF Otorrhea: A Transmastoid Approach with Middle Ear Cavity Obliteration and a Middle Cranial Fossa Approach
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In this report, we present two cases of patients with cerebrospinal fluid (CSF) otorrhea who underwent surgical repair through either a transmastoid or middle cranial fossa approach. In our first case, a 34-year-old male after head trauma with conductive hearing loss and a House-Brackmann grade 2 ...


Surgically Treated Status Epilepticus due to Large Cortical Tuber and Long-Term Follow-Up Results
[Abstract] [Similar Articles]

We present a case of invasive monitoring of a patient while he was being surgically treated in the status state. Our patient was a 27-year-old male who was hospitalized for frequent seizures, which began after a head trauma at the age of 3 years. Video electroencephalography was performed, and 25 ...


Combined Preoperative Embolization and Surgical Treatment of a Giant Aneurysmal Bone Cyst in the Lumbar Spine: A Case Study
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An aneurysmal bone cyst (ABC) is a vascular locally proliferative, non-neoplastic, benign lesion observed in children and young adults. 75% of ABCs occur before the age of twenty. The cyst frequently develops in the long bones and comprises 1.4% of primary bone tumors. Spinal ABC is rare and is ty...


Pneumothorax After a Ventriculoperitoneal Shunt Placement: Case Report and Review of the Literature
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An 82-year-old woman underwent a ventriculoperitoneal (VP) shunt placement to treat hydrocephalus secondary to a right thalamic intracerebral hemorrhage. Pneumothorax and subcutaneous emphysema was noted 2 hours later. No respiratory distress was noted. A chest computed tomography scan revealed th...


Diagnosis and Treatment of Hemorrhagic Cerebral Paragonimiasis: Three Case Reports and Literature Review
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AIM: To investigate the clinical manifestations and radiologic characteristics in diagnosing and treating hemorrhagic cerebral paragonimiasis. MATERIAL and METHODS: The study retrospectively analyzed the data of three cases of hemorrhagic paragonimiasis who received treatment in the hospital from...


Cerebral Amyloid Angiopathy Related Inflammation Presenting as Steroid Responsive Brain Mass
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Cerebral amyloid angiopathy (CAA) is a common but often asymptomatic disease, characterized by the deposition of amyloid proteins within brain parenchyma and leptomeningeal-cortical vessels. It can occur as a sporadic disorder or accompany Alzheimer disease (AD). The usual presentation of CAA is s...


Reconstruction with a 3D-printed Prosthesis and Internal Fixation with Novel Four-Rod Technique After En Bloc Resection of Meningiomas in the Lumbosacral Region (L5-S3) without Rectum/Bladder Function Sacrifice: Technical Case Report
[Abstract] [Similar Articles]

Spinal meningiomas are rare in the lumbosacral region. The best solution is complete tumor resection. However, how to preserve the patient?s rectum/bladder function after en bloc resection is still a considerable challenge, even without spinopelvic reconstruction. The use of the three-dimensional ...


Central Nervous System Strongyloides Stercoralis. A Case Report
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Strongyloidiasis is an infestation caused by the intestinal nematode Strongyloides stercoralis. It is potentially fatal in immunocompromised hosts due to its capacity to cause an overwhelming hyperinfestation however infested healthy individuals are usually asymptomatic. Hyperinfestation is extrem...


Peripheral Facial Nerve Palsy After Ventriculoperitoneal Shunt Surgery: An Anatomical Perspective
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In this report, we present a case of peripheral facial nerve palsy (FNP) due to injury of the facial nerve trunk that occurred during tunneling of a VP shunt catheter. We aimed to present the preventive measures by taking the anatomical causes of this complication. A 75-year old was stated a VP sh...


A Hybrid Operation for the Treatment of Extracranial Carotid Artery Aneurysm with a 2-Year Follow-up
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Extracranial carotid artery aneurysms are less commonly observed. Hence, determining the optimal treatment strategy is difficult because of limitations in the reporting of results and confounding by indications based on the available literature. Here, we present a hybrid operation combining surger...


Atlantoaxial Instability Treated with Posterior Atlantoaxial Fixation in Two Siblings with Dyggve-Melchior-Clausen Syndrome
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AIM: To discuss the rare association of atlantoaxial instability in patients with the Dyggve-Melchior-Clausen syndrome, a rare autosomal recessive disease characterized by progressive spondyloepimetaphyseal dysplasia and mild to severe mental retardation. MATERIAL and METHODS: We report an uncommo...


One-Step Customized PEEK Cranioplasty After 3D Printed Resection Template Assisted Surgery for a Frontal Intraosseous Meningioma: A Case Report
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AIM: To present one-step customized cranioplasty for intraosseous meningiomas. CASE DESCRIPTION: The authors report the case of a 54-year-old woman with a consequent frontal intraosseous meningioma invading the superior sagittal sinus. The patient only suffered from local pain and cosmetic damage....


Bilateral Traumatic Carotid-Cavernous Fistula in a Child: Corkscrew Eyelid Vessels as an Indicator of Severe Congestion
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An 11-year-old girl presented with bilateral traumatic caroticocavernous fistula associated with corkscrew eyelid vessels, which were considered indicators of severe congestive disease in this case. Coil embolization was performed; similar to other congestive findings such as proptosis, orbital br...


Tuberculoma in the Fourth Ventricle: An Unusual Location
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To present a young immunocompetent patient with a fourth ventricle tuberculoma without pulmonary tuberculosis. A previously healthy young male patient presented with a history of headache, nausea, and blurred vision. Neuroimaging revealed a mass present in the fourth ventricle. The lesion was succ...


Posterior Interosseous Nerve Injury After a Fracture of Ulna and Radius: A Case Report
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The aim of this study is present a case of isolated injury to the branch of posterior interosseous nerve. A 27-year-old gentleman was presented with an inability to extend the ulnar three fingers of his left hand after sustaining closed fractures of the left ulna and radius after a motorbicycle ac...


Trigeminal Neuralgia Secondary to Compression by a Microsurgical Aneurysm Clip
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Microvascular decompression (MVD) is a common surgical technique used for treatment of trigeminal neuralgia (TN) caused by direct vascular compression of the nerve at the brainstem entry zone (BEZ). Here we report a case of a patient (status postcraniotomy for microsurgical clip obliteration of a ...


Treatment of Intractable Midbrain Tremor with a Pedinculopontine Nucleus Radiofrequency Lesion
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In this report, we present the case of a 21-year-old female with midbrain tremor involving atypical features, treated using a pedinculopontine nucleus lesion. Different targets for the treatment of midbrain tremor using radiofrequency lesion have been reported. In this case, stimulation of the tha...


Large Schwannoma of the Deep Peroneal Nerve: A Case Report
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This article presents the case of a 32-year-old female patient with schwannoma. The patient had swelling on the anterior aspect of her right foot for 1 year with increasing pain over the past 2 months. Moreover, a positive Tinel sign was present over the swelling. Magnetic resonance imaging reveal...


First Case of MELAS Syndrome Presenting with Local Brain Edema Requiring Decompressive Craniectomy
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Mitochondrial encephalomyopathy, lactic acidosis, and recurrent stroke-like episodes (MELAS) syndrome is a rare but one of the most common maternally inherited multisystem disorder. Although patients with MELAS present a variable clinical profile, strokelike lesions have been detected in 90% of ca...


Ruptured Proximal Anterior Cerebral Artery Aneurysm Treated with Flow Diverter
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AIM: To discuss the use of flow modulation in treating ruptured aneurysms of the proximal segment of the anterior cerebral artery (A1 aneurysms). A1 aneurysms are rare, constituting approximately 1% of all intracranial aneurysms. CASE REPORT: We report a left A1 aneurysm with a wide neck and small...


Intermediate-Grade Meningeal Melanocytoma in a 19-Month- Old Child with Difficulties in Differential Diagnosis and Management
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Intermediate-grade meningeal melanocytoma (IGM) is a rare tumor that has not been reported in children so far. It is speculated to have more aggressive clinical behavior with undefined best management options. In this study, we present a 19-month-old girl as the first case with IGM in English lite...


Atlantoaxial Osteoarthritis: A Well-Established Entity that Remains Frequently Overlooked
[Abstract] [Similar Articles]

Painful atlantoaxial (C1-2) osteoarthritis (AAOA) has been described over 40 years ago. The condition may cause severe pain symptoms and disability related to the unilateral suboccipital pain and, in some cases, occipital neuralgia. One of the greatest challenges with AAOA is making the diagnosis....


Acute-Onset Hemiparkinsonism Secondary to Subacute-Chronic Subdural Hematoma
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Subdural hematomas constitute rare causes of secondary Parkinsonism in elderly. Subacute or chronic subdural hematomas occur in the elderly following minor head trauma or even without a remarkable history of trauma. A 69-year-old woman admitted with a rapidly progressive acute-onset hemiparkinsoni...


A New Hope in the Treatment of Intraventricular Haemorrhage in Preterm Infants: Mesenchymal Stem Cells
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To date, there has been no effective treatment to prevent brain damage in premature infants or to prevent the development of post-hemorrhagic hydrocephalus (PHH) after severe intraventricular hemorrhage (IVH). Therefore, new, safe and effective treatment methods need to be developed to improve the...


Isolated Lumbar Atypical Choroid Plexus Papilloma: A Case Report
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AIM: To report the first case of an isolated lumbar grade II atypical choroid plexus papilloma (CPP). CASE REPORT: A 42-year-old man was admitted to the hospital because of back and leg pain. No urinary or rectal dysfunction was detected. Lumbar magnetic resonance imaging (MRI) showed a well-circu...


Subthalamic Nucleus Deep Brain Stimulation in a Patient with Severe Axial Symptoms and Suboptimal Levodopa Responsive Parkinson's Disease
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AIM: Deep brain stimulation (DBS) is a well-established treatment option for improving function and quality of life (QoL) in carefully selected patients with Parkinson?s disease (PD). Patient selection is a crucial step that should be performed by an experienced multidisciplinary team according to...


A Case of Posterior Communicating Artery Aneurysm Accompanied with Infundibular Dilatation Mimicking a Double-Hump Aneurysm
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Posterior communicating artery (PComA) aneurysms are common cerebral aneurysms. In cases of PComA aneurysms accompanied by anatomical variations of PComA, such as hypoplasia, hyperplasia, or infundibular dilatation, it is challenging to completely determine the relationship between the parent arte...


Encephalitis due to COVID-19 in a Patient Who Has Undergone Transsphenoidal Pituitary Surgery
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Central and peripheral nervous system involvement of COVID-19 has been reported in 25% of cases. COVID-19 is associated with encephalitis and most often presenting with confusion and disorientation, and mortality decreases with early diagnosis and treatment.The patient who was admitted with confus...


Relationship of Pressure Reactivity Index and Delayed Cerebral Ischemia in Aneurysmal Subarachnoid Hemorrhage
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Patients with aneurysmal subarachnoid hemorrhage (SAH) continue to have poor functional outcome due to the occurrence of delayed cerebral ischemia (DCI). Although vasospasm represents the primary therapeutic target for mitigating DCI, DCI occurs through multifocal etiologies that involve impaired ...


Isolated Brainstem Congestion Caused By Craniocervical Junction Arteriovenous Fistula
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Although arteriovenous fistulas (AVFs) at the craniocervical junction (CCJAVFs) are rare, they often develop into a subarachnoid haemorrhage when they have an ascending venous drainage, or cause venous congestion of the spinal cord with descending venous drainage. Isolated brainstem lesions due to...


Upper Thoracic Spondyloptosis due to Pott's Disease: One-Stage Surgical Reduction of Spondyloptosis via Posterior Approach
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AIM: To describe a rare case of spondyloptosis caused by spinal tuberculosis in the upper thoracic region. CASE PRESENTATION: A 22-year-old female patient suddenly fell down because of lower extremity weakness. Spondyloptosis was observed, which developed following melting of the spine caused by t...


An Unusual Case of Traumatic Cervical Epidural Hematoma in an Infant
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Spinal epidural hematoma (SEH) is exceedingly rare, especially in children. Acute cervical epidural hematoma presents suddenly, with progressive neurologic deficits. However, it is difficult to diagnose in infants, which results in delayed diagnosis. We report a case of rapid diagnosis of traumati...


Perinatal Presentation of a Congenital Intramedullary Capillary Hemangioma in a Neonate Born with Hydrocephalus and Paraplegia
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Spinal intramedullary capillary hemangioma is a rare condition. Although most spinal/spinal cord hemangiomas are inborn in origin, perinatal presentation is uncommon. We present a neonate with an intramedullary hemangioma, born with communicating hydrocephalus and complete paraplegia. Spinal imag...


Clipping of a Rebleeding Ruptured Aneurysm After Woven EndoBridge Treatment
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AIM: To present the clipping of a ruptured aneurysm in the M1 segment of the right middle cerebral artery after rebleeding, which was treated with Woven EndoBridge (WEB). CASE REPORT: A 68-year-old male patient with known hypertension, coronary artery disease and benign prostatic hypertrophy was ...


Incidental Ureteral Complication in Single-Center Consecutive Oblique Lateral Interbody Fusion Cases
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Oblique lateral interbody fusion (OLIF) has recently gained widespread use as a minimally invasive surgical procedure for degenerative lumbar disease. OLIF has several advantages but can also lead to several possible complications. For example, although less common, access through the retroperiton...


Parapharyngeal Prestyloid Vagal Paraganglioma
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Vagal paragangliomas (VPs) are rare tumors arising from paraganglionic tissue within the vagal nerve?s perineurium. Usually, benign vascular tumors, VPs tend to invade the surrounding structures. Herein, we report the case of a VP presenting as a neck mass, which was evaluated as a glomus caroticu...


Paramedian Forehead Flap for Repair of Refractory High-Flow Anterior Skull Base CSF Leak
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The paramedian forehead flap (PMFF) has been well described for nasal reconstruction. However, it has never been reported for use in the repair of high flow anterior skull base cerebrospinal fluid (CSF) leaks. The patient was a 55 year-old African American male cocaine abuser who initially presente...


Multiple Intracranial Aneurysms Concurrent with a Clinoid Meningioma: A Case Report
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The coexistence of intracranial aneurysms and a meningioma is not a clinically common phenomenon. Here we present the case of a meningioma of the left anterior clinoid process concurrent with a right clinoid aneurysm and a ruptured aneurysm of the left posterior communicating artery (PcomA). Immed...


Embolization of a Non-Galenic Pial Arteriovenous Fistula with Assistance of a SolitaireTM Stent: Case Report
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This study aimed to describe a novel endovascular strategy to help control blood flow used successfully to treat an infant with highflow pial arteriovenous fistula (AVF). Here, a single-hole high-flow nongalenic pial AVF was diagnosed in a 2.5 year-old infant is presented. After coil packing failu...


COVID-19 Vaccine Related Cervical Radiculitis and Parsonage-Turner Syndrome: Case Report and Review of the Literature
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Parsonage-Turner Syndrome, or neuralgic amyotrophy, is an acute-onset upper limb and shoulder girdle palsy that can occur in a post-viral, post-surgical or idiopathic setting. There have also been some reported cases of the syndrome occurring following vaccinations. The pathophysiology of neuralgic ...


The Primary Afferents of Trigeminal Autonomic Reflex May not be Nociceptive: A Case Report
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Autonomic symptoms have been long noticed coming along with pain in the head, e.g. Trigeminal Neuralgia, trigeminal autonomic cephalalgias. The symptoms show up during pain attacks, so they are assumed to be activated by the nociceptive afferents of the trigeminal nerve. Here, we present a case wi...


Coil Embolization of the Azygos Anterior Cerebral Artery Aneurysm: Three Case Reports
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The azygos anterior cerebral artery (ACA) is a rare anatomical anomaly. Clipping surgery has been conducted in approximately 30 reported cases because it is frequently associated with aneurysms. However, few cases in which coil embolization was performed have been reported. We report three cases o...


Endovascular Treatment for Ruptured Proximal Anterior Cerebral Artery Dissecting Aneurysm: A Case Series
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Subarachnoid hemorrhage due to the A1 segment of an anterior cerebral artery dissecting aneurysm is rare. Therefore, a standard treatment has not been established. Though several case reports of direct surgery exist, there are few reports on endovascular treatment. This is the first study to descr...


Transient Ageusia and Dysgeusia Following Thalamic Cyst Drainage
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Taste consists of sensation and perception. Specific neural structures transmit a stimulus from the taste buds to the gustatory cortex to generate taste sensation. Any disruption of this pathway, whether it affects sensation or perception, can result in taste disorders. Stereotactic procedures inv...


BILATERAL HORIZONTAL GAZE PALSY DUE TO PONTINE HEMORRHAGE
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OCCULT INTRASACRAL MENINGOCELE
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MULTIPLE ANEURYSMS AT THE JUNCTION OF P1-P2 OF THE POSTERIOR CEREBRAL ARTERY
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Supratentorial Leptomeningeal Hemangioblastoma Mimicking A Meningioma Without Von Hippel-Lindau Complex
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We present a 61-year-old man with a 3-month history of headache, hemiparesia and speech disturbance. Computerized tomography (CT) of the brain showed well defined, diffusely contrast enhanced and frontoparietally located solid mass. Histopatologic diagnosis of the tumour was hemangioblastoma. In ...


Primary Petrous Apex Cholesteatoma: A Case Report
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While primary cholesteatoma is rare, its presentation with only double vision merits extra attention. Apatient with primary cholesteatoma of the petrous apex where the only symptom was double vision is presented. Due to extreme medial localization there was absence of the common symptoms of heari...


Choroid Plexus Metastasis From Carcinoma of the Bladder: A Case Report
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Metastatic tumours in the choroid plexus are generally considered to be very rare. We report a case of bladder carcinoma metastasizing to the choroid plexus of the trigone of the lateral ventricle. This tumour was shown by computed tomography and magnetic resonance imaging of the brain, followed ...


Calcified Cerebral Hydatid Cyst Following Head Trauma: Case Report
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An extremely rare case of a calcified cerebral hydatid cyst is presented. The cyst was treated surgically at our department. The only symptom was generalized seizure. The calcified, non-enhancing and well-circumscribed characteristics of the lesion were detected on computed tomography (CT). The p...


Recurrent Tumor or Radionecrosis
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It is important to distinguish tumor recurrence from radionecrosis because subsequent therapy and prognosis are guided by the cause of progression. Necrosis is an important histological feature of glial tumors. Tumor necrosis is due to an insufficient blood supply and is ischemic in nature. Diffe...


Spontaneous Thoracic Spinal Epidural Hematoma Causing Paraplegia
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Spontaneous spinal epidural hematoma is a rare emergency. The exact etiology is unknown. A 60-year-old woman arrived at the emergency department with back pain, followed 20 minutes later by acute paralysis of both legs. The initial magnetic resonance image (MRI) showed a spinal epidural hematoma ...


Ossification of the Ligamentum Flavum at the Upper Thoracic Spine: Case Report
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Ossification of the thoracic ligamentum flavum is a rare condition and reports of this pathology have been limited mostly to oriental patients. Uppermost lesions are rare. A 39-year-old Turkish male presented with spastic paraparesis. He was a piano carrier. Radiological examinations revealed ex...


Intradural Spinal Lipoma: Report of A Thoracic Case and A Lumbar Case
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The indications for surgery and the optimal surgical strategy for intradural spinal lipomas are still being debated. The article presents two cases of intradural spinal lipoma that were treated with subtotal resection and decompression. The patients were two adults, one with a thoracic intradural...


Lumbar Spondylodiscitis Caused By Morganella Morganii
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To report of a case of lumbar spondylodiscitis caused by Morganella morganii and to discuss surgical treatment of spondylodiscitis by an extended posterior paramedian approach and posterior instrumentation. Instrumentation was performed by an extended posterior paramedian approach for our patient...


Spontaneous Cerebrospinal Fluid Rhinorrhea Associated
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Temporal lobe meningoencephalocele in the lateral sphenoid sinus is an uncommon, and potentially dangerous, pathological condition. Adult patients with meningoencephalocele in the sphenoid sinus often present with spontaneous cerebrospinal fluid rhinorrhea and should be considered for transsphen...


Intracranial Subfrontal Schwannoma: Case Report
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Intracranial schwannomas most frequently arise from the vestibular portion of the VIIIth cranial nerve. Schwannomas arising from other cranial nerves are rare. Subfrontal schwannoma is extremely rare. We report a case of a subfrontal schwannoma and review the related literature.


Unusually Fatal Complication of Large Sacral Chordoma: A Case Report
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Sacral chordomas are known as slow-growing, locally aggressive tumors. The management strategy and surgical treatment options are well discussed in literature. However, few reports mention the complications of sacral chordoma. We present a case with an unexpected large sacral chordoma developing ...


Chryseobacterium Meningosepticum Meningitis in A Neurosurgical Patient
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Chryseobacterium meningosepticum is a gram-negative bacillus that is known to cause meningitis in premature neonates, and a variety of infections in immunocompromised adults. Reports have also identified this agent as a cause of postoperative meningitis in immunocompetent adults. We present the c...


Frontal Lesional Epilepsy: A Case Report
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Extratemporal epilepsies are difficult to detect and to localize electrographically. The surgical success rate in extratemporal lobe epilepsy (ExTLE) has been low but might be increased by using invasive electrodes and functional mapping. We describe the preoperative evaluation and surgical appro...


Giant Pineal Meningiomas: Surgical Experiences With Two Cases
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Meningiomas rarely occur in the pineal region. Total removal should be performed because of their benign characteristics. Meningiomas can reach huge diameters in the pineal region. Classical pineal approaches may be insufficient during the total removal of giant or large pineal meningiomas. In t...


Ependymoma of Filum Terminale Mimicking Lumbar Disc Herniation
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A patient with ependymoma of filum terminale which was initially diagnosed as a lumbar disc herniation is presented. Compression of spinal nerve roots by an intradural mass due to ependymoma of filum terminale is a rare condition and should be kept in mind in the differential diagnosis of lumbar ...


The Guillain-Barre Syndrome After Lumbar Disc Surgery: A Case Report
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The Guillain-Barre Syndrome (GBS) is an acute demyelinating polyneuropathy characterized by progressive muscle weakness and areflexia. Although its pathogenesis remains unknown, it is thought to be an autoimmune disease. Guillain-Barre syndrome following anesthesia or surgery is rare. In this cas...


Dumbbell Shaped Giant Cell Tumor of the Temporal Bone: Case Report and Literature Review
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We present a 29-year-old woman with a giant cell tumor of the temporal bone. The differential diagnosis is discussed with reference to the literature regarding giant cell lesions, especially of the cranium.


Metastasis of Follicular Carcinoma of the Thyroid to the Lumbar Vertebrae: A Case Report
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Spinal cord compression due to follicular thyroid carcinoma is rare. We report an unusual case of isolated vertebrae metastasis of follicular thyroid carcinoma presenting with spinal cord compression. It is unusual for this neoplasm to initially present as a single metastasis to the spine. Compre...


Radiation-Induced Glioblastoma Multiforme Following Surgery For Medulloblastoma in A Child With Neurofibromatosis-1: Case Report
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Glioblastome multiforme (GBM) is a malignant tumor of the brain which may develop primarily or secondary to radiotherapy. The occurence of GBM following radiotherapy for medulloblastoma is a very rare condition and few cases have been reported. A 10-year-old girl who had been treated by surgery ...


Surgical Management of a Klippel-Feil Patient with Basilar Invagination and an Intramedullary lipoma: A Case Report
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Patients with Klippel-Feil syndrome (KFS) and associated craniocervical junction abnormalities are at high risk for the development of progressive neurologic deficits. A 60-year-old male patient with Klippel-Feil syndrome was admitted to the emergency room with an 8-year history of a progressive ...


Are Metachronous Multicentric Gliomas Systemic or Metastatic Disease of the Brain? Case Report and Review of the Literature
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A 40-year-old male had been operated five years ago due to a right frontal diffuse infiltrative astrocytoma grade II and the tumor had been removed grossly. There was no other lesion in the posterior fossa at that time and the patient received radiotherapy and chemotherapy. Five years later, the ...


Calvarial Remodeling For The Treatment of Scaphocephaly in A 4-Moth- Old Boy: Case Report
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Scaphocephaly is the most common type of craniosynostosis. Simple sagittal suturectomy is still the operation of choice for infants under the age of 6 months. We describe a 4-month-old boy who underwent calvarial remodeling for the treatment of scaphocephaly. The patient was operated on in the pr...


Spontaneous Regression of Lumbar Disc Herniations at Different Levels and Times in a Patient: A Case Report
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Lumbar intervertebral disc herniations can regress spontaneously at different levels and times in a patient even in the presence of a neurological deficit. A patient with spontaneous regressions of two herniated lumbar discs at different levels and time periods, which regressed after conservative...


Ependymoma With Cartilage Formation: A Case Report
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OBJECTIVE: The presence of cartilage and bone in a glial tumor is most unusual. Several mechanisms have been proposed to explain this condition. In some cases, there is a fibrous capsule between tumor tissue and the cartilaginous area together with glial fibrillary acidic protein negativity in c...


Abnormal Dilated Epidural Venous Plexus Mimicking Prolapse of Intervertebral Disc Report of three and Review of the Literature
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Lumbar disc disease may be confused with the other pathologies that generate sciatic pain. One of these pathologies is an abnormal dilated epidural venous plexus that mimics herniated lumbar disc disease. The purpose of this report is to describe this situation. Between 2002 and 2004, three of ou...


Late Onset Continuous Verbal Perseveration After Glial Tumor Surgery: A Rare Ictal Phenomenon
[Abstract] [Similar Articles]

OBJECTIVE: Perseveration is a rarely observed symptom during the course of neurosurgical diseases. As all perseverations are not uniform, determination of the corresponding brain regions is of great importance prior to deciding whether it represents a destructive or an irritative process. CLINIC...


Choroid Plexus Carcinoma in an Adult Patient: Case Report
[Abstract] [Similar Articles]

Although choroid plexus carcinoma is a rare and malignant intraventricular neoplasm that is usually seen in the pediatric age group, it may also present in older individuals. Radiotherapy following radical surgery is the main treatment strategy. A 54-year-old male patient with choroid plexus car...


Cavernous Sinus Hemangiomas: Two Case Reports
[Abstract] [Similar Articles]

Extra-axial cavernous sinus hemangiomas are rare and represent 3% of all benign cavernous sinus tumors. Total removal of cavernous sinus hemangiomas is difficult due to the risk of severe intraoperative bleeding and the complicated neurovascular structures of the cavernous sinus. These lesions ha...


Spinal Foraminal Arachnoid Cyst Associated With Lumbar Disc Herniation
[Abstract] [Similar Articles]

Lumbar spinal extradural arachnoid cysts are rare, expanding lesions and they commonly occur in the thoracic spine and lie posterolaterally. Their pathogenesis is still unclear and it is claimed that arachnoid cysts are the result of a widening of the septum posticum. The mechanism of cyst enlarg...


Brain Metastasis From Follicular Thyroid Carcinoma: Case report and Literature Review
[Abstract] [Similar Articles]

Brain metastasis is an uncommon and morbid complication of thyroid carcinoma, especially follicular carcinoma. Because of its rarity, management is still debated. A 64-year-old woman presented with signs of blindness. After ophthalmological and radiological evaluations, A frontobasal mass lesion...


Seeding Metastasis in the Scalp After Removal of the Meningioma: A Case Report
[Abstract] [Similar Articles]

INTRODUCTION: Meningiomas originate from meningothelial cells. Meningioma is a common neoplasm in the CNS, representing about 15-20 percent of all primary intracranial tumors. Although malignant forms may spread via blood, lymphatic drainage and cerebrospinal fluid to distant sites, metastasis f...


Recurrent Pleomorphic Adenoma of Orbit: Case Report
[Abstract] [Similar Articles]

Pleomorphic adenoma is the most common epithelial tumors of the human lacrimal gland, comprising about 50% of all the tumors. Although malignant transformation is not frequent, intraoperative tumor spill or inadequate resection may be associated with an increase in the recurrence rate of pleomor...


Primary Intracerebral Malignant Lymphoma and Prostate Adenocancer: Cytogenetic Study of a Case
[Abstract] [Similar Articles]

Primary central nervous system lymphomas are rare tumors that account for less than 2% of primary intracerebral neoplasms. A 70-year-old male who had been operated for prostatic adenocarcinoma ten months ago was admitted with the complaint of amnesia, confusion, stupor and difficulty in walking. ...


Rapidly Resolution of Interhemispheric Acute Subdural Hematoma: Case Report & Literature Review
[Abstract] [Similar Articles]

Acute subdural hematoma (ASDH) is a neurosurgical emergency. Spontaneous resolution of acute subdural hematoma is extremely rare and the mechanisms are still unclear. However, several mechanisms of spontaneous resolution of acute subdural hematoma have been reported. We have witnessed a patient ...


Os Odontoideum: A Case Report
[Abstract] [Similar Articles]

Several congenital anomalies of the odontoid process have been described in the literature. Malformations of the dens include aplasia, hypoplasia, duplication, condylicus tertius, os terminale (os avis) and os odontoideum. Os odontoideum is the most common anomaly of the odontoid. However, there ...


Extra-axial Subarachnoid Ependymoma Mimicking a PCA Schwannoma
[Abstract] [Similar Articles]

The presentation, diagnosis, and treatment are described for a patient with an ependymoma involving the left cerebellopontine angle (PCA). A 34-year-old woman had left facial paralysis, hearing loss and headache in 8 months. Computerized tomography (CT) revealed a mass lesion of the left PCA whic...


Positional Neurological Improvement Following Sinking Skin Flap Syndrome
[Abstract] [Similar Articles]

A 70-year-old male was operated for bilateral parasagittal meningioma. He suffered bilateral venous infarcts postoperatively. The craniotomy flap was removed and a duraplasty procedure was performed. One month later, the patient deteriorated with sinking of his skin flap. Holding the patient int...


Iatrogenic Injury to the Spinal Accessory Nerve: Late Surgery
[Abstract] [Similar Articles]

The spinal accessory nerve (SAN) is responsible for the main motor innervation to the trapezius muscle. It is susceptible to iatrogenic injury as its course is superficial and close to the posterior lymph node chain and the posterior cervical triangle is covered only by skin and the investing fas...


Coexistence of Spinal Ependymoma with Chronic Spinal Subdural Hematoma
[Abstract] [Similar Articles]

Although primary intradural-extramedullary ependymomas arising from the cauda equina or filum terminale are not rare, spinal ependymoma as a possible cause of chronic spinal subdural hematoma (CSSDH) following lumbar puncture has not been reported in the literature previously. A patient with pro...


Neurotization in the Treatment of Brachial Plexus Root Avulsion Injuries: A Case Report and Review of the Literature
[Abstract] [Similar Articles]

INTRODUCTION: Brachial plexus root avulsion injuries cannot be repaired by neurorrhaphy or nerve grafting. There is no possibility of spontaneous recovery and these injuries occur most often in individuals who are in their productive period. At present, the best surgical treatment option for brac...


Lhermitte-Duclos Disease and Cowden's Syndrome: Importance of the Clinical Association
[Abstract] [Similar Articles]

Lhermitte-Duclos disease is a rare hamartomatous lesion of the cerebellar cortex that may occur in the setting of Cowden's syndrome, an autosomal dominant condition characterised by multiple hamartomas and neoplastic lesions in skin and internal organs. We add a further case to this rare entity. ...


Cavernous Hemangioma of the Cavernous Sinus: A Case Report
[Abstract] [Similar Articles]

A case with giant cavernous hemangioma in the cavernous sinus is reported. The patient had a 5-month history of headache and visual symptoms. Computerized tomography (CT) and magnetic resonance imaging (MRI) studies demonstrated a lesion of the cavernous sinus in the left middle fossa. Only a bi...


Lumbosacral Plexopathy Developing After Abdominal Surgery: A Case Report and Review of the Literature
[Abstract] [Similar Articles]

Lumbosacral plexus lesions are rare as it is protected by the deep muscle layers in the retroperitoneal area and the wall of the pelvis. The lesions appear due to iatrogenic reasons after operations on the neighboring kidneys and internal genital organs. The lower extremities of cases that have u...


Lipomatous Meningioma: Report of a Case and a Diagnostic Pitfall
[Abstract] [Similar Articles]

Fat storage in a meningioma occurs via two distinct processes: metaplastic change of meningotheliomatous cells into mature adipocytes, or microcystic change and lipidisation of meningioma cells. We report a case of a true metaplastic “lipomatous” meningioma. Differentiation of two dis...


Transarticular Screw Fixation in Bilateral Traumatic Facet Dislocation of C6-7 Vertebral Level: A Case Report
[Abstract] [Similar Articles]

Bilateral facet dislocations at subaxial levels in a flexion-distraction type trauma are three-column injuries. Early reduction of the locked facets and decompression is critical in preventing progressive secondary spinal cord injury. We present a case of traumatic bilateral facet dislocations tr...


Cervical Pedicle Screw Fixation in a Patient With Larsen Syndrome: A Case Report
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Larsen syndrome is characterized by flat face with hypertelorism, multiple and bilateral congenital dislocations and juxta-calcaneal accessory bone or bifid calcaneus due to a generalized mesenchymal defect involving connective tissue. This rare syndrome sometimes causes severe cervical spinal ky...


Multilevel Thoracic Spinal Epidural Abscess: Case Report
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We report a case of multilevel thoracic spinal epidural abscess without any evidence of predisposing factors. Methicillin-susceptible Staphylococcus aureus was identified as the causal pathogen. Infection was managed with surgical debridement and a prolonged course of antibiotic therapy.


Sphenoid Sinus Osteoma: Report of a Case
[Abstract] [Similar Articles]

Paranasal sinus osteomas, especially those located in the sphenoid sinus, are rare lesions. They are usually solitary, benign and asymptomatic lesions and detected incidentally. We report a case of sphenoid sinus osteoma that was detected during investigations for otitis media. The patient was op...


Arachnoid Cyst Complicated with Subdural Hematoma: Case Report and Review of the Literature
[Abstract] [Similar Articles]

Arachnoid cysts are constitutional anomalies with an asymptomatic course. There is no consensus on their etiology. They may lead to increased intracranial pressure accompanied by acute or subacute hemorrhage fenestrating into subdural space in young adults. A case of arachnoid cyst that experienc...


Foot Drop as a Result of Bilateral Parasagittal Meningioma: A Case Report
[Abstract] [Similar Articles]

Foot drop has been known to occur in peripheral and spinal lesions and in muscular dystrophy as well as with central lesions. Insufficient neurological examination may result in an unnecessary investigation and delayed diagnosis. In this case report, the foot drop due to parasagittal meningioma w...


Arachnoid Cyst As a Complication of Ventriculoperitoneal Shunt: Case Illustration
[Abstract] [Similar Articles]

Development of an arachnoid cyst after ventriculo-peritoneal shunting is extremely rare. The authors present an unusual cause of arachnoid cyst formation following surgery performed for cystic dilatation of the 4th ventricle. Cyst to peritoneal shunting was performed and the patient developed a ...


Pregnant Woman With Subarachnoid Hemorrhage and Multiple Intracranial Aneurysms: A Case Report
[Abstract] [Similar Articles]

Aneurysmal subarachnoid haemorrhage (SAH) during pregnancy is rare but serious obstetric complication and may be confused with eclampsia. SAH occurs more often in primiparae and in the third trimester of pregnancy. The hemodynamic and endocrine changes play an important role in the growth and ru...


Planning of Surgical Management of Giant Spinal Schwannomas: Report of Four Cases
[Abstract] [Similar Articles]

OBJECTIVE: Giant spinal schwannomas are rare tumors. Complete excision is recommended for these tumors because inadequate removal has a high risk of recurrence, which requires more definitive, difficult, and dangerous surgery. However, complete removal poses difficulties and combined multistage ...


Lumbosacral Spondyloptosis Treated By Two-Staged Fusion in Situ Operation: A Case Report
[Abstract] [Similar Articles]

OBJECTIVE: Various operation techniques have been performed for treatment of lumbosacral spondyloptosis. However, there is not a standard treatment strategy because the disease is rare and the reported cases are in small series of other high-grade spondylolistheses. METHOD: A28-year-old lady wit...


Cerebellar Liponeurocytoma: A Case Report
[Abstract] [Similar Articles]

Cerebellar liponeurocytoma is a rare cerebellar tumor, with only about 20 cases reported under many different names. Although the few cases described in the literature support the relatively benign nature of this lesion, the optimum treatment strategy and long-term behavior still have to be defin...


Wires out of the Back
[Abstract] [Similar Articles]

We report a rare complication of spinal instrumentation in a paraplegic patient who underwent insertion of a Hartshill rectangle system using Luque sublaminar wires for a fracture dislocation of his tenth thoracic vertebra after being involved in road traffic accident in 1997. The patient present...


Cystic Meningiomas: Report of Three Cases
[Abstract] [Similar Articles]

Although intracranial meningiomas are usually solid and firm tumours, some are associated with diagnostically confusing cysts. In this article, we present our experience from three of our patients with cystic meningiomas and discuss the characteristics of these lesions. We detected type two cysts...


Combined Occipital, Transtentorial, Supracerebellar, Transsinus Approach for Pineal Region Teratoma
[Abstract] [Similar Articles]

An 11-year-old boy with a large pineal region mass was admitted to our clinic. The preliminary diagnosis was teratoma. Tumor resection was carried out via combined occipital, transtentorial, supracerebellar, transsinus approach. The tumor tissue was completely resected, and no operative complicat...


Spinal Hemangioblastoma Located in the Conus Medullaris: Case Report
[Abstract] [Similar Articles]

Although hemangioblastomas may be seen in various locations of the central nervous system (CNS), intradural-extramedullary spinal hemangioblastomas are extremely rare. Hemangioblastomas are histologically benign lesions. They may cause important neurological deficits and may bleed during the oper...


Reduction of High-grade Spondylolisthesis Using a Transvertebral Surgical Approach in a Child. A Case Report and Review of the Literature
[Abstract] [Similar Articles]

OBJECTIVE: The English literature describes no pediatric cases of reduction of high-grade spondylolisthesis using the transvertebral surgical approach. We report a case of a high-grade spondylolisthesis in a child and provide a review. The aim of this study was to determine the efficacy of a spec...


CT-guided Percutaneous Cordotomy in a Patient with Disseminated Neurofibromatosis
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CT guided percutaneous cordotomy relies on understanding anatomic and physiological cues in order to be performed safely and effectively. While the CT scan provides excellent anatomic targeting information, it does not supplant the vital confirmation that stimulation provides during this procedur...


Lumbosacral Plexopathy in a Patient with Metastasis of Cervix Carcinoma: A Case Report
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Neoplastic lumbosacral plexopathy is one of the most disabling complications in subjects with cancer. Its clinical presentation is characterized by pain, muscle weakness and sensory complaints in one or both limbs.There are only a few cases in the neurosurgical literature as it is mostly treated ...


Spondilodiscitis and Lumbar Epidural Abscess Occurring after Orthopedic Epidural Anesthesia: A Case Report
[Abstract] [Similar Articles]

Spinal epidural abscess is a rare complication of epidural catheterization with an estimated incidence of 0.2 to 2.8 cases per 10,000 per year, with the peak incidence occurring in patients in their 60's and 70's. Delay in diagnosis or treatment may have devastating consequences, resulting in sev...


Chronic Supra-and Infratentorial Epidural Hematoma. Case Report
[Abstract] [Similar Articles]

Chronic epidural hematoma is rare and not a well-known clinical entity. We present a 10-year-old male who complained of headache, nausea and diplopia due to supra- and infratentorial chronic epidural hematoma. He was operated with two burr holes located supra- and infratentorially. The hematoma w...


PRIMARY NON-NEOPLASTIC AQUEDUCTAL STENOSIS ASSOCIATED WITH VON
[Abstract] [Similar Articles]

Primary non-neoplastic aqueduetal stenosis associated with van Recklinghausen 's diease (neurofibromatosis) is a rare entity, aetiology of which is still unknown. About 19 similar cases have been reported in the literature, We report two additional cases presenting with this rare association. Our tw...


FAMILIAL ASTROCYTOMA
[Abstract] [Similar Articles]

Familial astrocytoma occurring in two siblings at similar sites is presented. Documentation of such cases is important for determining their incidence and exploring possible genetic factors.


MIGRATION OF AN ENTIRE ONE-PIECE VENTRICULOPERITONEAL SHUNT INTO THE VENTRICLE
[Abstract] [Similar Articles]

The author reports a case of upward migration of an entire one-piece shunt into the ventricle. The probable mechanisms are discussed. Suggestions are made for how to avoid the occurrence of such a rare complication.


EPENDYMAL BRAIN CYST
[Abstract] [Similar Articles]

A case of subarachnoid ependymal (epithelial) cyst is described. It was located in the frontoparietal lobe of the brain, was lined with cuboidal epithelial cells, and had no communication with the ventricular system. The only clinical sign was epilepsy. Diagnosis was demonstrated by computerized tom...


METASTATIC SPINAL INTRAMEDULLARY MEDULLOBLASTOMA Case Report
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Cerebellar medulloblastomas are the commonest malign tumors of the posterior fossa in childhood and they frequently metastasize. Tumor metastasis can be seen along the neural axis, lymph nodes, soft tissues, bones and distant organs. Spinal cord metastases are usually located in the extramedullary r...


RUPTURED ANEURYSM OF AN AZYGOS ANTERIOR CEREBRAL ARTERY
[Abstract] [Similar Articles]

A case of saccular aneurysm of the azygos anterior cerebral artery is reported. Aneurysms of the azygos anterior cerebral artery are extremely rare. Clinical, radiological and operative findings are described in detail and the pertinent literature is reviewed.


INTRADURAL SOLITARY CHONDROMA
[Abstract] [Similar Articles]

A case of solitary chondroma with a dural attachment is presented. The unusal fronto-parietal localisation, the computerized tomographic images and histological findings of this rare tumour are discussed. No recurrence is expected after total removal.


BLINDNESS AS AN INITIAL MANIFESTATION OF MENINGEAL CARCINOMATOSIS
[Abstract] [Similar Articles]

The term meningeal cardnomatosis refers to diffuse metastasis of the leptomeninges by systemic cancer. The diagnosis is suggested by signs and symptoms of headache, dementia, meningeal irritation and involvement of multiple cranial or spinal nerve roots. Blindness as an initial manifestation of meni...


CONSEQUENCES OF DELAYED TREATMENT IN SHUNT NEPHRITIES A Case Report
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A 12-year-old who had a ventriculoatrial shunt for hydrocephalus due to congenital aqueduct stenosis and later developed shunt nephritis is reported. His renal function detoriated progressively within eight months while he was lost to follow-up. After removing the shunt, and with appropriate aggress...


LHERMITTE-DUCLOS DISEASE IN A YOUNG ADULT CASE REPORT
[Abstract] [Similar Articles]

Dysplastic gangliocytoma of the cerebellum (Lhermitte-Duclos disease) is a rare disorder characterized by a slowly enlarging mass lesion in the cerebellum. In this paper, our experience with a case of Lhermitte-Dudos disease with an unusual vermian localization is reported and our findings are discu...


ORBITAL VARIX (Case Report)
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A patient with an orbital varix manifesting with proptosis, ophthalmoplegia and partial ptosis is presented. The lesion was unsuspected during computerized topographic examination and verified as a venous varix on pathological examination. Detail clinical manifestation and treatment are discussed.


A PRO-ATLANTAL INTERSEGMENTAL ARTERY BETWEEN THE VERTEBRAL
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A pro-atlantal intersegmental artery between the vertebral and occipital arteries in a patient is described. The intersegmental artery was treated by acrylic coating.


AN UNUSUAL COMPLICATION OF THE VENTRICULO-PERITONEAL SHUNT: MIGRATION OF THE DISTAL END INTO THE SCROTUM THROUGH THE INGUINAL CANAL
[Abstract] [Similar Articles]

A patient with communicated hydrocephalus who was treated by ventriculo - peritoneal shunting eight months ago was admitted to hospital because of a rare complication of this procedure, namely hydrocele. We report the case and review the literature.


BENIGN PAROXYSMAL POSITIONAL VERTIGO AS A RARE COMPLICATION OF PROLONGED BEDREST
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A case of benign paroxymal positional vertigo as a complication of prolonged bedrest is reported. The cause of this rare type of vertigo was considered to be postoperative bedrest which might have facilitated the deposition of precipitate on the cupula of the posterior semicircular canal. Physical t...


ACUTE SPONTANEOUS ARTERIAL SUBDURAL HAEMATOMA A Case report and review of the literature
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Acute spontaneous subdural haematoma of arterial origin is very are. We report such a case who presented with sudden severe headache and vomiting rapidly becoming comatose. The patient was hypertensive but had no history of head trauma. and the source of bleeding was identified as a cortical artery ...


CT POSITIVE-ANGIOGRAPHY NEGATIVE ACOA ANEURYSMS: REPORT OF TWO CASES
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Although the localization of sacular aneurysm, which are the most frequent cause of subarachnoid haemorrhage, is determined exactly with cerebral angiography, the false negative angiography rate varies from 10 to 25 %. Thrombosis. vasospasm and a number of other factors have an effect on false negat...


DYSPHAGIA SECONDARY TO ANKYLOSING HYPEROSTHOSIS
[Abstract] [Similar Articles]

A 59-year-old man presented with a one-year history of progressive dysphagia to the point that he could no longer swallow solid foods. Cervical spine X-Ray films demonstrated massive anterior new bone formation along the anterior surface of C3 to C7 vertebrae. Evaluation with barium swallow and cerv...


MIGRATION OF THE PERITONEAL CATHETER OF A VENTRICULOPERITONEAL SHUNT INTO THE SCROTUM: CASE REPORT
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Migration of a peritoneal catheter of the shunt system into the scrotum was encountered in a seven-month-old who had received a V-P shunt. This was considered a rare complication of a V-P shunt and the causal mechanism of this kind of complication is discussed with a review of the literature.


MULTIPLE SPINAL CORD MENINGIOMAS
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Multiple spinal cord meningiomas are extremely rare and we describe a case in which there was an extradural meningioma in the cervical region and an intradural meningioma in the lumbar region. The tumor was pathologically identified as meningothelial meningioma in the cervical region but in the lumb...


MULTIPLE SPINAL NERVE ROOT CYSTS : CASE REPORT
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A case with lumbosacral and cervical multiple root cysts that involved all roots except the thoracic region is presented and myelogram findings are discussed.


SUPRATENTORIAL METASTASIS OF MEDULLOBLASTOMA
[Abstract] [Similar Articles]

Medulloblastoma is a neuroectodermal tumor. It spreads particulary to the spinal cord. Supratentorial metastasis of medullablastoma is a rare form that generally occurs in subfrontal area and may be due to the low dosage of irradiation of this region.


ANGIOBLASTIC MENINGIOMA WITH INTRAPARENCHYMAL HEMORRHAGE
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We report the case of a 37-year-old female patient harboring a right tentorial meningioma with bicompartmental growth who deteriorated while awaiting elective surgery. Both radiological and operative findings demonstrated intra tumoral and intracerebellar hemorrhage. The tumor was removed totally in...


POSTERIOR EPIDURAL MIGRATION OF SEQUESTRATED LUMBAR DISC
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Posterior epidural migration of sequestrated disc is fairly rare. Since clinical and radiological findings are not typical, the diagnosis of these cases has some importance. In our opinion the best diagnostic method is postmyelographic CT.


INTRADIPLOIC EPIDERMOID CYST OF THE TEMPORAL BONE
[Abstract] [Similar Articles]

Epidermoid cysts are benign and congenital lesions. They commonly occur in the cranial cavity especially at the base of the brain and in the spinal canal. Intradiploic epidermoid cyst of the calvarium is very rare. We report an intradiploic epidermoid cyst of the temporal bone.


PRIMARY NEONATAL INTRACRANIAL NEUROBLASTOMA CASE REPORT
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Primary intracerebral neuroblastoma is an uncommon neoplasm. It is difficult to make a differential diagnosis from other intracranial neoplasm preoperatively or histologicaly because of its undifferentiated cellular features. In this report a case of primary intracranial neuroblastoma in the neonat...


A CASE OF CERVICAL SPINAL TERATOMA ASSOCIATED WITH DERMAL SINUS TRACT: MRI AND SURGICAL FINDINGS
[Abstract] [Similar Articles]

Intradural spinal teratomas are rare. We report a case in a 23-year-old man in whom Magnetic Resonance Imaging (MRI) revealed an intradural extramedullary tumour between the fourth and fifth cervical levels with a dermal sinus tractus. Histological examination showed a variety of tissues, including ...


A COMBINED SURGICAL APPROACH TO A SUPRASELLAR ARACHNOID CYST WITH PRECOCIOUS PUBERTY
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Arachnoid cysts of the suprasellar region are quite rare. Precodous puberty may be one of the associated clinical findings of these lesions. In this paper, we present a case of suprasellar arachnoid cyst presenting with precodous puberty which was treated using by combined subfrontal and transcallo...


BIVENTRICULAR HYDROCEPHALUS SECONDARY TO OCCLUSION OF BOTH FORAMEN OF MONRO
[Abstract] [Similar Articles]

One patient with biventricular hydrocephalus secondary to obstruction of both foramen of Monro diagnosed by computed tomography is reported. The patient was treated by two ventricular catheters using a "T" connector. Recognition of this entity is important from both the therapeutic and prognostic st...


INTRASACRAL PERINEURAL CYST ASSOCIATED COMMUNICATING SYRINGOMYELIA
[Abstract] [Similar Articles]

In this report an unusual case of intrasacral perineural cyst assodated syringomyelia diagnosed with metrizamide myelography and spinal computed tomography is presented and the pathogenesis is discussed.


LYMPHANGIOMA OF THE SCALP
[Abstract] [Similar Articles]

Lymphangiomas are benign. congenital lesions that develop from sequestered lymphatic sacs. They usually occur in the neck and axilla. In this paper, we report a case of lymphangioma of the scalp on extremely rare location


RAPID GROWING ESTHESIONEUROBLASTOMA (CASE REPORT)
[Abstract] [Similar Articles]

Reported are the CT, clinical and histological features of a case of rapid growing esthesioneuroblastoma with intracranial extension. This tumour is most frequently reported to grow slowly inside the nasal cavities and can extend to the paranasal sinuses. The case investigated here occurred initiall...


RECTAL EXTRUSION OF A LUMBOPERITONEAL SHUNT CATHETER: CASE REPORT
[Abstract] [Similar Articles]

A case is presented in which the peritoneal end of a catheter extruded spontaneously through the rectum.


SUBARACHNOID HAEMORRHAGE DUE TO A SPINAL TUMOUR
[Abstract] [Similar Articles]

A 14 year old patient admitted to the neurosurgical clinic as subarachnoid haelorrhage (SAH) is discussed. After diognostic procedures which included the cerebral digital substraction angiography (DSA) and myelography, it was seen that the cause of the SAN was a mass lesion at thoracal (Th) 12level....


SUPRATENTORIAL SUBOCCIPITAL SUBDURAL HAEMATOMA Case Report
[Abstract] [Similar Articles]

A case of supratentorial suboccipital subdural haematoma (SSSH) is presented and discussed. This form of subdural haemotoma is very rare and only a few cases have been reported previously in the literature. This is an acute case of SSSH without any signs of neuropathology. On computerized tomography...


Computerized Tomography Demonstration of Purely Intracanalicular Acoustic Neuromas
[Abstract] [Similar Articles]

Three cases of purely intracanalicular acoustic neuromas not causing bony erosion and/or enlargement of the internal acoustic canal walls diagnosed accurately by temporal bone CT examinations are presented. lt is suggested that temporal bone CT scans done with the appropriate technique is a sufficie...


Hydranencephaly Caused By Herpes Simplex Virus Encephalitis A Case Report
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Hydranencephaly is a rare anomaly of the central nervous system (CNS) which characterised by absence of the cerebral hemispheres. The etiologic hypotheses are numerous and the causal injuries have been thought to be vascular occlusion, viral encephalitis and genetic abnormalities. In this report we ...


Klippel Trenaunay Syndrome With Occipital Infaret
[Abstract] [Similar Articles]

Klippel - Trenaunay syndrome is a congenital angiodysplasia characterized by varicose veins, cutaeous haemangiomas and bony and soft tissue hypertrophy. This report describes a case of Klippel- Trenaunay Syndrome with dilated tortuous vessels in the retina and left occipital infaret .


NEUROECTODERMAL APPENDAGE: A CASE REPORT AND REVIEW
[Abstract] [Similar Articles]

The human tail has long been an object of curiosity. Sporadic cases have been reported. We present a case of a tail like structure in an adult associated with an intradural dermoid tumour at Ll-L2. The dermoid tumour attached to the dorsal surface of the conus medullaris and cauda equina was exased ...


INTRAMEDULLARY SCHWANNOMA OF THORACIC SPINAL CORD CASE REPORT
[Abstract] [Similar Articles]

Intramedulary Localisation of schwannomas are rare. Only 36 cases have been reported up to 1991. In this report, sn additional case of intramedullary schwannoma treated surgically is presented.


MULTIPLE CAVERNOUS ANGIOMAS LOCATED IN THE CEREBRAL HEMISPHERES AND THE POSTERIOR FOSSA: A CASE REPORT AND REVIEW OF THE LITERATURE
[Abstract] [Similar Articles]

A case of multiple intracerebral cavernous angioma with brain stem and cerebellar lesions is presented with a six-year follow-up. Cerebral cavernous angiomas are rarely multiple and it is unusual to find in the brain stem and cerebellum. Lesions were demonstrated with computed tomography (CT) and ma...


TENSION PNEUMOCEPHALUS AND ACUTE SUBARACHNOID HAEMORRHAGE FOLLOWING TREATMENT FOR CHRONIC SUBDURAL HAEMATOMA: CASE REPORT
[Abstract] [Similar Articles]

This is a case of tension pneumocephalus with additional subarachnoid haemorrhage, occurring after chronic subdural haematoma. possible mechanisms as causative agents discussed.


MUTISM AFTER TOTAL REMOVAL OF AN EXOPHYTIC 'PONTINE GLIOMA
[Abstract] [Similar Articles]

Total absence of speech is not generally recognized as a possible complication of posterior fossa surgery. Only a few reports of cerebellar mutism have been published so far. In this paper, we present the case of a patient with a brain stem tumour. who developed mutism without any additional neurolo...


VERTEBRAL ARTERIOVENOUS FISTULA: REPORT OF TWO CASES
[Abstract] [Similar Articles]

Two cases of vertebral arteriovenous fistula (VAF) one caused by an angiographic catheter during coronary angiography and other due to a gunshot wound are presented. Preoperative and postoperative angiographic verification of the lesions was demonstrated. Both patients were treated by direct surgica...


CAVERNOLIS HEMANGIOMA OF THE FRONTAL BONE: A CASE REPORT
[Abstract] [Similar Articles]

The case of a 33-year-old man with a hemangioma involving the frontal sinus is reported. The patient presented with a gradually increasing hard lump over the forehead and frontal headaches. Characteristic changes on plain X-ray and computed tomography supported this diagnosis. The lesion was removed...


OCCIPITO-CERVICAL EXTRACRANIAL SCHWANNOMA TRANSFORMING INTO A MALIGNANT PERIPHERAL NERVE SHEATH TUMOUR (MPNST)
[Abstract] [Similar Articles]

Benign solitary schwannomas arise often from cranial nerves, but they may be located at any part of the body, especially in the face and neck region. A 17-year old woman was accepted in our clinic for an extracranially growing tumour at the occipito-cervical region. She had been operated twice in an...


MIGRATION OF THE DISTAL CATHETER OF A VENTRICULOPERITONEAL SHUNT INTO THE ABDOMINAL WALL CASE REPORT
[Abstract] [Similar Articles]

A case of migration of a Pudenz type peritoneal shunt catheter into the abdominal wall diagnosed with computed tomography is presented. This is a rare complication of ventriculoperitoneal shunt. It seems that a foreign body in the abdominal cavity and infection are the most important causal factors.


INFRATEMPORAL APPROACH FOR JUGULAR FORAMEN MENINGIOMA
[Abstract] [Similar Articles]

The properties of tumours of the jugular foramen are presented and the details of the infratemporal A approach, a new technique for neurosurgeons are discussed.


SPHENOID SINUS MUCOCELE WITH INTRA AND SUPRASELLAR EXTENSION - A DIAGNOSTIC DILEMMA
[Abstract] [Similar Articles]

A case of mucocele of the sphenoid sinus that presented with sellar and parasellar extension is reported. This rare entity should be considered in the differential diagnosis of lesions causing destruction of the sellar floor even if there is lack of historical or radiographic evidence of primary par...


OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT AS A RARE CAUSE OF MYELOPATHY AMONG TURKS: REPORT OF A CASE
[Abstract] [Similar Articles]

The case of a 63-year-old man who presented with Brown-Sequard syndrome plus posterior column deficits due to extensive ossification of the posterior longitudinal ligament is reported. Diagnostic evaluation included magnetic resonance imaging in addition to conventional techniques. The patient was s...


ISALATECL HYPAGLASSAL NERVE PALSY DUE TA CHARCLAMA
[Abstract] [Similar Articles]

Chordomas are rare tumorus arising from notochord remnants. Most cases are encountered in adult life, but rare cases have been reported in childhood. In this report. a six-year-old boy with a chordoma in the craniovertebral junction presenting with isolated hypoglossal nerve palsy is reported.


RUPTURE OF AN ANTERIOR CORNRNUNIEATING ARTERY ANEURSYRN AND CONEORNITANT COARETATION OF THE AORTA IN A CHILD FOLLOW UP OF THE SEEONDARY VASOSPASRN BY TRANSERANIAL DOPPLER
[Abstract] [Similar Articles]

A 10 year-old child presenting with subarachnoid haemorrhage secondary to the rupture of an anterior communicating artery aneurysm and concomitant coarctation of the aorta followed up by periodic transcranial doppler is reported and literature on the subject is briefly reviewed.


INTRA-EXTRACRANIAL MENINGIOMA
[Abstract] [Similar Articles]

Intracranial meningiomas rarely present extracranial manifestations. As new and more precise radiodiagnostic tools are designed. early diagnosed make such cases are extremely rare. We present a case with a large extracranial extension meningioma and typical radiological findings.


DISTAL POSTERIOR CEREBRAL ARTERY (CALCARINE) ANEURYSM
[Abstract] [Similar Articles]

A patient harboring a distal posterior cerebral artery aneurysm is presented. The aneurysm located on the right calcarine artery was totally excised. So far only two cases with such a distal aneurysm of PCA have been published. This very rare anatomic site for an aneurysm and the related literature ...


CHRONIC ENCAPSULATED INTRACEREBRAL HAEMATOMA: A CASE REPORT
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Encapsulated intracerebral haematoma (EICH) is an interesting and rare entity. In this paper: a chronic encapsulated intracerebral haematoma without vascular malformation is reported, Although the clinical course and radiological appearances suggested a brain tumour histopathological examination dem...


LIPOMAS OF THE CORPUS CALLOSUM A REPORT OF FOUR CASES
[Abstract] [Similar Articles]

Lipomas of the corpus callosum are rare congenital conditions. These lesions are often asymptomatic but may present as epilepsy, hemiplegia, dementia or headache. Computerized tomography and magnetic resonance imaging make the diagnosis of lipomas feasible at any site of the intracranial space, beca...


SUBCUTANEOUS CRANIAL MIGRATIAN OF A VENTRICULA PERITONEAL SHUNT: CASE REPORT
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We report another case of upward shunt migration in a newborn boy suffering from hydrocephalus caused by aqueduct stenosis. Several hypothesis trying to explain this dysfunction are presented. Measures to prevent this complication are suggested.


AORTIC COARTATION ASSOCIATED WITH MULTIPLE CEREBRAL ANEURYSMS
[Abstract] [Similar Articles]

A/21-year-old man presented with headache, left hemiparesis and hypertension. Xantochromic cerebrospinal fluid was obtained by lumbar puncture. Aortic coarctation and two aneurysms in the bifurcation of the left internal carotid artery and one in the bifurcation of the right internal carotid artery ...


POSTOPERATIVE LUMBAR PSEUDOMENINGOCELE
[Abstract] [Similar Articles]

Pseudomeningocele formation is a rare complication after lumbar disc surgery. In the present paper, we report a case of sympromatic postoperative lumbar pseudomeningocele diagnosed by magnetic resonance imaging and treated surgically.


SOLITARY INTRACRANIAL PLASMACYTOMA IN A CHILD REPORT OF A 7-YEAR-OLD GIRL
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A case is reported of large intracranial plasmacytoma arising from the dura mater and involving the dura of the left cerebral convexity, tentorium cerebelli and the dura of the posterior fossa in a 7year old girl is reported.


EPIDURAL HEMATOMAS IN INFANCY AND CHILDHOOD: REPORT OF 54 CASES
[Abstract] [Similar Articles]

We report a series of 54 children with traumatic epidural hematoma. All patients were admitted to the neurosurgery department of Cerrahpaşa Medical Faculty of Istanbul University between years 1982 and 1992. There were 5 infants (0-2 years old) in the series. In children (3 -15 years old, Epidural h...


MULTIPLE TUMOURS OF THE CENTRAL NERVOUS SYSTEM (CNS): TWO CASES
[Abstract] [Similar Articles]

Multiple tumours of the CNS are relatively rare and almost half are accompanied by Von Recklinghausen's disease. In this report two cases of multiple tumours of the CNS without Von Recklinghausen's disease are presented. Case 1 had five CNS tumours (two intracranial meningiomas at different sites, ...


CARCINOMA METASTASIS TO A CEREBRAL VASCULAR MALFORMATIAN: CAS E REPORT
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The association of a metastatic carcinoma with a cerebral vascular malformation is presented. Although metastases into slow growing, vascular intracranial tumors are occasionally reported, this association does not seem to be reported previously. This case supports the hypothesis that distribution o...


DISTAL POSTERIOR CEREBRAL ARTERY (P3) ANEURYSM: OCCIPITAL INTERHEMISPHERIC APPROACH (CASE REPORT)
[Abstract] [Similar Articles]

We report a case of a ruptured saccular aneurysm of the distal posterior cerebral artery (P3). The aneurysm was successfuly clipped through an occtpital interhemispheric approach and the patient was discharged without any neurological deficit. Aneurysms in this location are rarely encountered and th...


MICROSURGICAL REMOVAL OF A BALLOON EMBOLUS FROM THE MIDDLE CEREBRAL ARTERY CAUSED DURING ENDOVASCULAR TREATMENT OF CAROTID-CAVERNOUS FISTULA: CASE REPORT
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A complication of treatment of a carotid-cavernous fistula by detachable balloon technique is presented. During occlusion of the fistula, a balloon moved distally and occluded the middle cerebral artery. The patient underwent microsurgical embolectomy of the balloon and simultaneous closure of the f...


RECURRENT INTRASELLAR MENINGIOMA AF TER TOTAL EXCISION IN A WOMAN WITH HYPERPROLACTINAEMIA
[Abstract] [Similar Articles]

Intrasellar meningioma is a rare disease which is difficult to diagnose preoperatively. We describe an interesting case of intrasellar meningioma in a 39-year-old woman who presented with amenorrhea, galactorrhea and severe headaches for six months. An intrasellar mass was demonstrated by computed t...


MEDULLOMYOBLASTOMA A CASE REPORT
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A rare tumour occurring in the cerebellar midline and consisting of a mixture of medulloblastoma and mature and immature striated muscle is usually referred to as "medullomyoblastoma". The origin and nature of medullomyoblastoma are controversial. In this report, we describe the histological, and im...


INTRA ABDOMINAL COMPLICATIONS OF V-P SHUNTS
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The authors report two cases of rarely seen intra abdominal complications of ventriculo-peritoneal shunts (extrusion of abdominal catheter into the serotum and intestinal perforation). In each case, the treatment is outlined.


CERVICAL ROOT COMPRESSIAN DUE TO VERTEBRAL ARTERY LOOP
[Abstract] [Similar Articles]

A 62 year old man was admitted to hospital with the complaints of paraesthesia and aching in the lateral right arm. Neurological and radiological examination revealed cervical root compression due to vertebral artery loop. This is of interest since such a vascular anomaly is not mentioned in the lit...


SPINAL CORD HAEMANGIOBLASTOMA AND MR IMAGING
[Abstract] [Similar Articles]

Haemangioblastomas are true vascular neoplasms which progress inexorably to a atastrophic clinical situation if left untreated. They are mostly intramedullary tumours rarely seen in the extramedullary space. An unusual case with a solitary spinal cord haemangioblastoma located purely in the intradur...


EXTRANEURAL METASTASIS OF GLIOBLASTOMA MULTIFORME CASE REPORT
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The case of a 26-year-old man with extraneural metastasis from intracranial glioblastoma multiforme is presented. The patient was operated on three times in five years. After the second operation, metastasis occurred direct to the cranium and to the dura mater and remote metastasis to the left cervi...


SPINAL INTRA-EXTRAMEDULLARY EPIDERMOID ASSOCIATED WITH ABSCESS CASE REPORT
[Abstract] [Similar Articles]

Spinal epidermoids, with their well-known specific characteristics are usually subdural-extramedullary in location. In this report, a 3-year-old boy with intra-extramedullary epidermoid tumour associated with an abscess is presented. This is the first reported case of infected spinal epidermoid with...


INTERHEMISPHERIC EPIDERMOID TUMOUR INVOLVING LONGITUDINAL INTERHEMISPHERIC FISSURE
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In this paper, the authors describe a 39-year-old man admitted with the complaint of generalized convulsions, headache and amnesia. The radiological and neuropathological findings were interhemispheric epidermoid tumour, which is a rare location. The turnour was removed completely. The diagnosis and...


CEREBELLAR ARTERIOVENOUS MALFORMATION ASSOCIATED WITH MULTIPLE PICA ANEURYSMS : CASE REPORT
[Abstract] [Similar Articles]

A case of cerebellar arteriovenous malformation associated with three aneurysms of the posterior inferior cerebellar artery is reported. Theories concerning the aetiology of the combination of these lesions are reviewed and the problem of which lesion the priority of surgical management should be di...


CERVICAL INTRADURAL EXTRAMEDULLARY HYDATID CYST
[Abstract] [Similar Articles]

A case of intradural extramedullary hydatid cyst with spinal cord compression located in the cervical region is presented. The diagnosis was made preoperatively on the basis of MRI findings. Many cases of cranial or spinal extradural hydatid cyst have been reported in the literature but intradural e...


GIANT PRIMARY INTRADIPLOIC OCCIPITAL BONE EPIDERMOID TUMOUR: A CASE REPORT
[Abstract] [Similar Articles]

A case of giant intradiploic epidermoid cyst which eroded both tables of the skull and expanded especially to the posterior fossa is presented. Despite the large size of the lesion, the patient had only mild symptoms and left cerebellar signs. These slow growing, giant lesions are benign and can be ...


INTRAMEDULLARY SPINAL CORD METASTASIS: CASE REPORT
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A case of intramedullary metastatic cord tumour which originated from a bronchogenic caranoma is presented here with its rarity and difficulties in diagnosis.


MANAGEMENT OF MATERNAL HYDROCEPHALUS: A CASE REPORT
[Abstract] [Similar Articles]

During pregnancy, a cerebrospinal fluid (CSF) shunt operation may be necessary due to hydrocephalus. Although many authors have suggested that pregnancy in a patient with a ventriculoperitoneal (VP) shunt for maternal hydrocephalus. generally has anormal outcome. VP shunt malfunctions appear to be c...


OCCULT INTRASACRAL MENINGACELE ASSOCIATED WITH TETHERED CORD SYNDROME
[Abstract] [Similar Articles]

True occult intrasacral meningocele is a rare abnormality. A case associated with spinal cord tethering which was identified with magnetic resonance imaging (MRI) in an adolescent is presented. MRI's role in the diagnosis is discussed.


CT GUIDED FREE-HAND EVAEUATION OF AN INTRAEEREBRAL HAEMORRHAGE FOLLOWING THROMBOLYTIE THERAPY FOR MYOEARDIAL INFARCTION: A CASE REPORT
[Abstract] [Similar Articles]

Intracerebral haemorrhage as a complication of thrombolytic therapy for myocardial infarction is infrequent, but it is associated with grave prognosis. We report on a patient who had an intracerebral haemorrhage as a complication of thrombolytic treatment and advocate the CT guided free-hand removal...


ENDOSCOPIC PROCEDURES IN NEUROSURGERY: REPORT OF TWO CASE AND REVIEW OF THE LITERATURE
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Endoscopic systems have now been used with relatively low complication rates in numerous situations including the aspiration and resection of colloid cysts of the third ventricle, biopsy and resection of cystic and intraventricular tumours, evacuation of intracerebral haematomas, and a terminal thir...


INTRACRANIAL TOXOPLASMOSIS IN ACQUIRED IMMUNODEFICIENCY SYNDROME:
[Abstract] [Similar Articles]

A young male patient with symptoms of increased Intra Cranial Pressure (ICP) is reported. Contrast enhanced computed tomography (CT) revealed multiple intracranial masses evaluated as metastatic. During preparations for operation, the anti-human immunodeficiency virus (Anti-HIV) test was found to be...


MULTIFOCAL HAEMANGIOBLASTOMA ASSODATED WITH ERYTHROCYTOSIS A CASE REPORT AND REVIEW OF THE RELATED LITERATURE
[Abstract] [Similar Articles]

A 22 year old woman with a solid haemangioblastoma in the posterior fossa, cervicomedullary junction and spinal cord is reported. Preoperative magnetic resonans imaging (MRI) provided precise indications of the anatomical location and radiological features of the tumor that facilitated its partial r...


POST-TRAUMATIC TENSION PNEUMOORBITUS CASE REPORT
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Post-traumatic pneumoorbitus is generally a benign, self limiting condition. However, if a fracture produces ball-valve effect allowing air to enter but not leave the orbit, then extremely high intraorbital pressure and visual loss are possible. A 30- year old man with loss of vision because of tens...


SPINAL CORD EPENDYMAL CYST: A CASE REPORT
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In extreme rarity, spinal cord compression may be caused by intradural extramedullary cysts. One of these rare cysts, the ependymal cyst originates, from ectopic ependymal fragments situated parallel to the central canal development and may be seen anywhere in the spinal aids. Considering this rarit...


BRAINSTEM TUBERCULOMA: CASE REPORT
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Brainstem localizating for tuberculomas is rare. A case diagnosed and operated in our department was presented due to its localization property. He had 19 months of follow-up period and showed a certain amelioration.


CONJOINED LUMBOSACRAL NERVE ROOTS: REPORT OF TWO CASES
[Abstract] [Similar Articles]

Conjoined origin anomalies of lumbosacral nerve roots, if incorrectly interpreted, could be misdiagnosed as disc herniations on computed tomography (CT) and myelography. Anomalous L-5 and S-1 nerve roots appear infrequently. An underlying herniated disc may not be diagnosed because of unique anatomi...


MUTISM AFTER TOTAL REMOVAL OF MEDULLOBLASTOMA: CASE REPORT
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Mutism without any disorder of consciousness level and or cranial deficit following posterior fossa surgery is not common and there is no definitive aetiological hypothesis. Here we report a case of mutism in a 6-year- old patient after total removal of a posterior fossa medulloblastoma. Mutism wa...


RECONSTRUCTION OF AN EXTENSIVE SCALP DEFECT USING FREE RADIAL FOREARM FASCIOCUTANAEOUS FLAP REPORT OF A CASE
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Reconstruction of small and intermediate defects of the skull have already been done with a variety of techniques. However, scalp defects due to trauma, congenitallesions, and resection of neoplasms are often large and can be a technical challenge. The free flap reconstruction provides a reliable, s...


TRANSARTICULAR OCCIPITOCERVICAL SCREW FIXATION USING A POSTERIOR OCCIPITOCERVICAL HORSESHOE PLATE: CASE REPORT
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We report the use of a novel plate and screw system for posterior occipitocervical fixation in a case with neurological deficit due to basilar invagination. Using this technique, a more rigid fixation than sublaminar wiring can be achieved. In addition, upper cervical vertebrae which are laminectomi...


UNILATERAL TRANSVERSE SINUS APLASIA: A CASE REPORT
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A case of transverse sinus aplasia associated with torcular Herophili meningioma is presented. The agniography and magnetic resonance imaging findings are demonstrated.


ARTERIOVENOUS MALFORMATION AND PERSISTENT TRIGEMINAL ARTERY ASSOCIATION; CASE REPORT
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Persistent trigeminal artery that leads blood flow rostrocaudally between the primitive internal carotid artery and the parallel longitudinal neural plexus during embryogenic development, may sometimes be associated with other vascular anomalies due to the same congenital developmental cerebrovascul...


BILATERAL ASYINPTOMATIC SUBACUTE AND CHRONIC EPIDURAL HAEMATOMA OF THE POSTERIOR CRANIAL FOSSA
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Post traumatic bilateral posterior fossa epidural haematomas (PFEDH) are relatively rare. A case of bilateral symmetrical PFEDH one in the subacute and the other in the chronic phase is presented. The patient was managed conservatively. The case is discussed with the pertinent literature.


FRONTOETHMOIDAL SINUS MUCOCELES REPORT OF TWO CASES
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Mucoceles are chronic and benign lesions caused by accumulation and retention of mucus secretion in a sinus due to partial or complete occlusion of the oslium which causes progressive distention of the bony wall because of increased pressure. They occur most commonly in the frontal and ethmoidal sin...


ONE STAGE TRANSORAL ODONTOIDECTOMY AND POSTERIOR FIXATION IN ODONTOID FRACTURE; TECHNICAL NOTE
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In this paper, we report a traumatic atlanto-axial subluxation (odontoid peg fracture type II ) which is treated by one- stage transoral decompression and posterior fixation.


SINUS PERICRANII ASSOCIATED WITH EPILEPSY
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Sinus pericranii is a rare vascular lesion of the cranial vault. Abnormal diploic veins provide communication between the lesion and the intracranial venous sinus. Although sinus pericranii is well documented in the literature, we report a patient with sinus pericranii and epileptic seizures. To our...


SPINAL ARACHNOID CYST CAUSING HYDROCEPHALUS AND PARAPARESIS A CASE REPORT
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Arachnoid cysts of the spinal canal communicating with the subarachnoid space are benign lesions and generaııy asymptomatic. In this article we report a case of intradural arachnoid cyst presenting with hydrocephalus and paraparesis. The case is reviewed with pertinent literature.


SPONTANEOUS SPINAL EPIDURAL HAEMATOMA WITH SPONTANEOUS RESOLUTION DEMONSTRATED BY MAGNETIC RESONANCE IMAGING: CASE REPORT
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The source of bleeding in spontaneous spinal epidural haematoma has never been clear, but has been assumed to be venous. We report the seventh case of spontaneous spinal epidural haematoma with spontaneous resolution, which was demonstrated by magnetic resonance imaging.


THE RELATIONSHIP OF SEX DIFFERENCES TO THE ANATOMY OF THE CORPUS CALLOSUM IN THE LIVING HUMAN BEING
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The area of the midsagittal section of the corpus callosum, particularly in the region of the splenium was found to be greater in women than in men. The magnetic resonance imaging of seventy adults was examined and showed the same association previously observed, between sex differences and area of ...


VENTRICULAR EMPYEMA AND PYOCEPHALUS: A CASE REPORT
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Intracranial infections are among the complications of spinal dysraphism cases. Ventricular empyema and pyocephalus are those kinds of infections and are quite rare problems with limited reports in the literature. In this report, we present the evolution and management of a pyocephalus case and disc...


BRIGHT MIDDLE CEREBRAL ARTERY SIGN: AN EARLY INDICATION OF CEREBRAL INFARCTION ON COMPUTERIZED TOMOGRAPHY
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Early detection of acute infarct has been more important since the introduction of new therapeutic regimens such as thrombolysis. In cerebrovascular accidents, first mode of investigation is computed tomography to rule out the possibility of hemorrhage; it is possible to diagnose acute infarction in...


CHILDHOOD GLIO BLASTOMA MULTIFORME WITHOUT PERITUMORAL EDEMA
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Glioblastoma multiforme comprises 15-20 % of all intracranial tumours. It makes a peak between the fifth and seventh decades of life but it is rare in childhood. One of the radiological and clinical properhes of glioblastoma multiforme is perifocal vasogenic oedema associated with the tumour. In the...


CHILDHOOD MALIGNANT MENINGIOMA
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Childhood meningiomas, besides their rarity, grow fast, recur frequently and have a dismal prognosis when compared with adult rumors. A five year old patient presenting with headache, emesis and left hemiparesia was admitted to our hospital in 1990. On computerized tomography a 85x80x87 mm mass in t...


FRONTAL EPIDURAL METASTASIS OF FOLLICULAR THYROID CARCINOMA
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Papillary-follicular thyroid carcinoma usually remains localized to the thyroid bed, and in cases of metastasis, almost always involves the lungs, bones, or liver. Brain metastasis is rare and there has been no reported case of epidural metastasis of thyroid carcinomas in the literature up to date. ...


OSTEO BLASTOMA OF THE CERVICAL SPINE. HISTOPATHOLOGICAL AND RADIOLOGICAL CORRELATION
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This is the case report of an eight-year old boy with a benign osteoblastoma of the C3 vertebra. The clinical, radiological, gross and histopathological findings concerning the tumor are sufficiently characteristic and exclusive to justify the diagnosis of "osteoblastoma".


SYMPTOMATIC SUBEPENDYMOMA: CASES PRESENTING WITH DIFFERENT CLINICOPATHOLOGICAL FEATURES
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We report three examples of subependymoma presented as different clinicopathological aspects. One has an ependymomatous component, the second one is associated with craniopharyngioma. In third case, there is massive hemorrhage into the large subependymoma. The clinical and histopathological findings...


ARTERIOVENOUS MALFORMATION OF THE VEIN OF GALEN COEXISTENT WITH A STRAIGHT SINUS ANOMALY: THE ROLE OF TRANSCRANIAL DOPPLER ULTRASOUND IN DIAGNOSIS AND POSTOPERATIVE FOLLOW-UP
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The authors report a case of aneurysmal malformation of the vein of Galen associated with straight sinus anomaly (accessory straight sinus) in a 6-month-old infant presenting with clinical signs of hydrocephalus. The malformation was confirmed by computerized tomography, magnetic resonance imaging, ...


BILATERAL SUBDURAL EMPYEMA CAUSED BY SALMONELLA PARATYPHI A
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A 13 month old girl with bilateral subdural empyema that was shown to be caused by Salmonella paratyphi A is presented. Twenty-four cases of subdural empyema caused by Salmonella species/strains are reported in literature. Subdural empyema that is caused by Salmonella paratyphi A has not been descri...


CERVICAL INTRAMEDULLARY AND EXTRAMEDULLARY SCHWANNOMA
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A case of solitary cervical intra and extramedullary schwannoma diagnosed by magnetic resonance imaging and treated surgically is reported.


PRIMARY INTRASPINAI EXTRADURAI HYDATID DISEASE CAUSING RADICUIAR COMPRESSION
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Spinal hydatid disease is a rare entity and occurs most commonly as a result of direct extension from pulmonary lesions. Isolated intraspinal extradural location of the hydatid cyst is even rarer. We report a case of an isolated spinal extradural hydatid cyst presenting with radicular compression.


RAPID RESOLUTION OF ACUTE SUBDURAL HEMATOMA
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A patient with spontaneous resolution of an acute traumatic subdural hematoma within 6 hours is reported. The patient was discharged two days after admission in normal neurological condition. Previously published cases of acute subdural hematomas with rapid spontaneous resolution are reviewed and po...


SPONTANEOUS SPINAL EPIDURAL HEMATOMA
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We report a case of a spontaneous spinal epidural hematoma extending from T2 to T4 in a 21-year-old woman diagnosed by magnetic resonance imaging, and with complete recovery after immediate surgical treatment. Prognosis of spontaneous spinal epidural hematoma depends on two factors; severity of the ...


A CASE OF NEUROFIBROMATOSIS-2 ASSOCIATED WITH MULTIPLE SPINAL TUMORS
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Neurofibromatosis -2 is rare in all neurocutaneos disorders. We report a case in a 20-year old girl in whom magnetic resonance imaging revealed multiple supratentorial and infratentorial tumors associated with cervical extradural and thoracic intramedullary spinal schwannomas. This combination is ra...


GRANULOCYTIC SARCOMA PRESENTING AS EPIDURAL MASS WITH CORD COMPRESSION IN ALEUKEMIC PATIENT
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Granulocytic sareoma (GS), constituted by the immature cells of myeloid serial, is a rare, solid tumor. The tumor may be observed in the course of systemic myeloid leukemia. Occasionally, granulocytic sarcoma may be observed without findings of acute leukemia. Authors report a 17-year-old female who...


MENINGIOMA AND GLIOBLASTOMA ADJACENT IN THE BRAIN
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An unusual case of two primary brain tumors, meningioma and glioblastoma adjacent in the brain is presented. The cause of such combined tumors is uncertain. Simple coincjdence may be the likely explanation in most cases, because both meningiomas and gliomas are relatively common. Preoperatively, the...


MIXED VENOUS AND CAVEMOUS MALFONNATIONS OF THE BRAIN
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Vascular malformations with histopathological features of more than a single type of malformation present within the same lesion have been previously described. These lesions are very rare and named as mixed vascular malformations. In this report, we presented a case of mixed vascular malformation w...


PNEUMOEEPHALUS: A LATE COMPLICATION OF VP SHUNT DYSFUNETION
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In this article we reported pneumocephalus, which developed ten years after a ventriculoperitoneal shunt operation. The operation was performed to treat hydrocephalus secondary to stenosis of aqueduct . In this case, the cause of pneumocephalus was frontal sinus fistula that occurred as a result of ...


SHUNT NEPHRITIS
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Embolization and surgical therapy were planned for a patient with a vein of Galen aneurysm. First, ventriculo-atrial (VA) shunt placement was performed due to the prevailing hydrocephalus, which was secondary to the aneurysm. After the second embolization, the patient was discharged. Eight days late...


TRANSORAL APPROACH TO POTT'S DISEASE OF CERVICAL SPINE
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A rare case of tuberculosis of the upper cervical spine managed with transoral surgery is presented.


CONGENITAL DERMOID CYST OF THE ANTERIOR FONTANEL
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Congenital dermoid cysts of the central nervous system are rare lesions. Congenital dermoid cysts located over the anterior fontanel are reported in two Turkish infants. These two cases are examples of such a lesion in an infant of non-African descent.


IMPLANTATION METASTASIS OF AN ANAPLASTIC ASTROEYTOMAS AFTER STEREOTAXIC BIOPSY
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We report a case of local metastasis of an anaplastic astrocytomas in a six-year-old boy, occurring four months after a stereotaxic biopsy. In central nervous system, implantation metastasis after stereotaxic biopsy is a rare complication. The morphology of this particular dissemination is discussed...


LHERMITTE-DUCLOS DISEASE
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Lhermitte-Duclos disease is a rare disorder characterized by a slowly enlarging mass lesion in the cerebellum. A case of histopathologically confirmed Lhermitte-Duclos disease is reported and our findings are discussed.


PENINSULA SHAPED CRANIECTOMY FOR DELAYED HOLOCALVARAL SYNOSTOSIS
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Delayed holocalvarial synostosis is an uncommon form of craniosynostosis. We report in this article two children with delayed holocalvarial synostosis. Neurological examination was normal but skull X-rays showed diffuse digital impressio and synostosis of all calvarial sutures in both patients. The ...


FUNCTIONAL RECOVERY OF THE INJURED OPTIC CHIASMA AF TER OMENTAL TRANSPLANTATION
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The authors describe a woman with visual loss and epilepsy that were caused by removal of a meningioma on the right sphenoidal ridge in an operation 5 years prior to presentation. The patient started to improve neurologically after omental transplantation to the injured optic chiasma and right tempo...


OCCIPITAL CONDYLE FRACTURE: CASE REPORT
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Fracture of the occipital condyle is a very rare injury. Complaints in these cases vary from upper cervical pain to the multiple cranial nerve palsies. We report the case of a traffic accident victim who had occipital condyle fracture with no clinical symptoms about these fracture. A fracture of the...


Astroblastoma: Case Report and Review of Literature
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Astroblastoma is a rare and distinct type of aggressive glial tumor for which there is much confusion regarding the diagnostic criteria. We present a case of astroblastoma and review all relevant literature, aiming to discuss astroblastoma from the clinical, pathological, management, and prognosti...


Lateral Craniopharyngeal Canal: An Anatomical Cause of Spontaneous Rhinorrhea
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The aim of this report is to investigate the pathogenesis and surgical treatment of encephalocele located in the sphenoid sinus and presented with spontaneous rhinorrhea. The data of a patient with sphenoid sinus encephalocele was analyzed in association with the review of literature. The patient ...


Transdural Spread of Glioblastoma with Endonasal Growth in a Long-Term Survivor Patient: Case Report and Literature Review
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Glioblastoma (GBM) is the most aggressive primary tumor of the central nervous system (CNS) in adults. Its growth has been always described as locally invasive. This tumor rarely penetrates dura mater and invades extracranial structures. We present a case of GBM, which occurred in a 39-year-old ma...


Occult Pulsatile Tinnitus in Association with a Prominent Vein of Hypoglossal Canal: Two Case Reports
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The pathway of the vein of hypoglossal canal has not been mentioned in venous origin pulsatile tinnitus. We wished to clarify the possible complications related to this venous variant. We described 2 rare cases of troublesome pulsatile tinnitus associated with prominent vein of hypoglossal canal, ...


Intracranial Demyelinating Pseudotumor: A Case Report and Review of the Literature
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Demyelinating pseudotumor is a rare inflammatory demyelinating disease of the central nervous system (CNS) that has a similar clinical presentation and computed tomography (CT) and magnetic resonance imaging (MRI) imaging findings as brain tumors or abscesses. Unlike brain tumors, demyelinating ps...


Drainage Vein Induced Hydrocephalus Caused by an Unruptured Arteriovenous Malformation in an Adult Presenting with Visual Loss
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Arteriovenous malformations (AVMs) commonly present with seizures and hemorrhage. Hydrocephalus associated with an unruptured AVM in an adult patient is exceedingly rare. A 37-year-old male patient presented with total visual loss in his right eye and severe impairment in his left eye. His evaluat...


Primary Leptomeningeal PNETs Mimicking TB Meningitis: A Case Report and Literature Review
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Primitive neuroectodermal tumors (PNETs) are easily detected, and the diagnosis made by neuroradiologic imaging. Leptomeningeal seeding is a common complication and carries a poor prognosis. Primary leptomeningeal PNETs are rarer and difficult to diagnose on magnetic resonance imaging (MRI) or cer...


Craniopharyngioma: A Case Report of Ectopic Recurrence
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Ectopic recurrence of craniopharyngioma is extremely rare. Two mechanisms have been proposed to explain this phenomenon: direct implantation along the previous surgical tract and dissemination via cerebrospinal fluid (CSF). We present a case of ectopic recurrence along the surgical route after tra...


Acute Subdural Hematoma Immediately After Extended Transsphenoidal Surgery for Craniopharyngioma
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We report the first case of postoperative acute subdural hemorrhage following extended transsphenoidal surgery (TSS). The patient was a 74-year-old woman with a cystic suprasellar craniopharyngioma with panhypopituitarism. Extended TSS resulted in complete tumor removal. However her consciousness ...


Imaging Findings of an Epidermoid Cyst with Malignant Transformation to Squamous Cell Carcinoma
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We report imaging findings of a 64-year-old male patient with a ruptured epidermoid cyst (EC) known to be constant over the 23-year follow-up and showing malignant transformation to squamous cell carcinoma (SCC). Computed tomography (CT) and magnetic resonance imaging (MRI) findings including diff...


Staged Bilateral Nucleus Caudalis DREZ Lesioning for Persistent Idiopathic Facial Pain: Exceptional Case Report
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Persistent idiopathic facial pain (PIFP) is a rare but challenging type of facial pain. How to manipulate such a problem becomes more contentious in cases with bilateral complaints. In situations when conventional treatments fail to reduce the pain, some treatment options like nucleus caudalis dor...


Meningioma Associated with Brain Aneurysm: Report of Two Cases
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The occurrence of brain tumors together with aneurysms has been considered as an uncommon phenomenon. However, its incidence may be underestimated. This coexistence is a diagnostic challenge, but also a therapeutic one as no consensus has been reached. We report two cases of a 71 and 67 years old ...


Perforation of Gastric Wall by Polymethylmethacrylate after Percutaneous Kyphoplasty: Case Report and Literature Review
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Kyphoplasty is a minimal invasive technique with a low rate of complications. To the best of our knowledge, perforation of gastric wall following kyphoplasty has not been described yet. We present a case that was operated for radical resection of esophageal carcinoma eleven years ago and who under...


Congenital Glioblastoma: Lessons Learned from a Rare Case with Unusual Presentation
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Congenital glioblastomas are uncommon tumors of infancy with unique molecular features and usually better prognosis compared to their pediatric and adult counterparts. A 15-day old newborn harboring a congenital glioblastoma undiagnosed at pregnancy presented to our emergencies with rapid neurolog...


Sinonasal Teratocarcinosarcoma: An Underdiagnosed Entity Posing Diagnostic Challenges
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Sinonasal teratocarcinosarcoma (SNTCS) is a rare malignancy of the nasal cavity and paranasal sinuses. Histologically, this tumor consists of mature and immature components of epithelial, mesenchymal and neuroectodermal origin, which may be present in varying proportions. This morphological hetero...


Surgical Resection of Idiopathic Distal Anterior Choroidal Artery Aneurysm Assisted by Frameless Stereotactic System Guidance: Case Report and Literature Review
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Idiopathic distal anterior choroidal artery (AChoA) aneurysms are particularly rare. Their diagnosis and treatment are difficult because of the particular characteristic of pathological anatomy. Our case mainly presented with intraventricular hemorrhage. His idiopathic aneurysm was located in the ...


Ancient Olfactory Schwannoma - Case Report and Literature Review
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Intracranial schwannomas are benign tumors that arise from Schwann cells. Since it is well known that optic and olfactory nerves do not have a Schwann cell sheath, schwannoma should not develop from these nerves. We report a very unusual case of a 73-year-old female who presented with generalized ...


Herpes Zoster Brachial Plexopathy: Direct Steroid Injection
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Herpes zoster (shingles) is a viral disease, characterized by painful skin eruptions and neuropathic sensory symptoms. Motor involvement and brachial plexus involvement in herpes zoster are rare conditions. Together with antiviral medication and pain therapy, palliative and supportive modalities t...


Gamma Knife Radiosurgery for Tumors of the Endolymphatic Sac
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Tumors of the endolymphatic sac are locally invasive temporal bone neoplasms. Radical surgical excision is the treatment of choice; however, the aggressive nature of these tumors can make total excision impossible. Recurrence is common in cases of incomplete resection. Gamma knife radiosurgery was...


Bilateral Thalamic Edema from Coexisting Choroid Plexus Arteriovenous Malformation and Sinus Thrombosis: Case Report
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Bilateral thalamic dysfunction secondary to venous congestion may result from either venous sinus thrombosis or high flow arteriovenous malformations or a combination of both. We present a case of bilateral thalamic edema resulting from concomitant choroid plexus arteriovenous malformation (AVM) a...


Optic Nerve Hemangioblastomas?A Review of Visual Outcomes
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Supratentorial hemangioblastomas (HBLs) are exceedingly uncommon. They account for less than 5% of all central nervous system HBLs. The commonest location is the cerebral cortex. Rarely, they can involve the visual pathway. Most of the reports have focused on the differential diagnosis, since depe...


Indocyanine Green Videoangiographic-Guided Cannulation of the Superior Ophthalmic Vein for Endovascular Treatment of Carotid-Cavernous Fistulas
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Direct exposure and cannulation of the superior ophthalmic vein (SOV) provides an alternative access to reach the cavernous sinus for carotid-cavernous fistula (CCF) embolization, when classic transvenous routes through the inferior petrosal sinus (IPS) or facial vein are not feasible. We have use...


Massive Skull Base Ameloblastic Carcinoma with Intracranial Extension
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Ameloblastic carcinoma (AC) is a rare and aggressive malignant epithelial odontogenic tumor that may arise either from the mandible (66.6%) or the maxilla (33.3%). Besides being formed de novo, the tumor can develop from a pre-existing ameloblastoma or odontogenic cyst. The clinical course of AC i...


Spontaneous Spinal Subarachnoid Hemorrhage with Residual Arachnoid Cyst: A Case Report
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Spinal subarachnoid hemorrhage is a rare condition that usually occurs because of secondary causes and idiopathic spontaneous ones are extremely rare. We report a 56-year-old woman who presented with severe headache, neck pain and urinary retention. Magnetic resonance imaging revealed subarachnoid...


Brief Report: Large Fusiform Aneurysm of a Circumflex Branch of the Posterior Cerebral Artery
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We report on a large fusiform aneurysm in a 20-year-old male with a history of cerebral palsy. Aneurysm location relative to four anatomical posterior cerebral artery segments dictates which approach should be used for treatment: pterional transsylvian, subtemporal, or parietooccipital interhemisp...


Management of Spinal Arteriovenous Fistulae with Intraarterial Indocyanine Green Angiography: A Case Report
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We describe herein intraoperative effectiveness of indocyanine green (ICG) video angiography to confirm dural arteriovenous fistulae. A 62-year-old man with a residual symptomatic dural arteriovenous fistula that was previously embolized at another institution is presented. On neurological examina...


Posterior Cervical Pedicle Screw-Rod/Plate Instrumentation Combined with Unilateral Open-Door Laminoplasty for the Treatment of Acute Cervical Spinal Cord Compression Injury: Report of Five Cases
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All patients were acute, multi-segment cervical spinal cord compression injury secondary to subaxial cervical spine fracture. These patients underwent emergency posterior cervical pedicle screw-rod/plate instrumentation combined with unilateral open-door laminoplasty. Well-placed pedicle screws an...


Cervical Hemilaminoplasty with Miniplates in Long Segment Intradural Extramedullary Ependymoma: Case Report and Technical Note
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The surgical approaches for spinal tumors, to a great extent, have been developed in accordance with the developments in medical technology. Today, many surgical techniques are implemented as anterior, anterolateral, posterior, posterolateral and combined approaches. Due to its low morbidity, the ...


Early Ectopic Recurrence of Craniopharyngioma in the Cerebellopontine Angle
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Ectopic recurrence of craniopharyngioma in the cerebellopontine angle after surgical resection of a suprasellar craniopharyngioma is rare. Thus, only 5 cases were reported with a delay ranging between 4 and 26 years after removal of the primary tumor. We report a unique case of ectopic recurrence ...


Spinal Intradural Primary Malignant Peripheral Nerve Sheath Tumor with Leptomeningeal Seeding: Case Report and Literature Review
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Spinal intradural primary malignant peripheral nerve sheath tumors (MPNST) are rare in patients without neurofibromatosis. Here we represent a 3-year-old girl of primary intradural spinal malignant peripheral nerve sheath tumor. The tumor was removed partially and MPNST was diagnosed in the histop...


Pituitary Apoplexy due to the Diagnostic Test in a Cushing"s Disease Patient
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Pituitary apoplexy is a medical condition that needs urgent diagnosis and treatment. It may occur spontaneously or may be precipitated by a variety of reasons including dynamic endocrine tests. Although pituitary apoplexy is usually seen in nonfunctional pituitary adenoma, it can also be seen in A...


Whipple Disease Presenting as Cystic Brain Tumor: Case Report and Review of the Literature
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Although neurological features are commonly encountered in Whipple"s disease (WD), presentation with purely neurological patterns is uncommon. Exclusive confinement to the central nervous system (CNS) is extremely rare. In these cases, the development of an isolated cerebral mass is exceptional. ...


Obstructive Hydrocephalus Caused by an Unruptured Arteriovenous Malformation Successfully Treated by Endoscopic Third Ventriculostomy After Shunt Dysfunction
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The authors report on a patient harbouring an unruptured cortical arteriovenous malformation (AVM), who had presented with obstructive hydrocephalus due to compression of the cerebral aqueduct by a large venous varix. A ventriculoperitoneal (VP) shunt was inserted in emergency. Due to its large vo...


Fatal Rupture of Dissecting Anterior Inferior Cerebellar Artery Aneurysm as an Unexpected Complication After Anterior Skull Base Surgery: A Case Report
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Aneurysm of the anterior inferior cerebellar artery (AICA) is a very rare entity, and the manifestation and manipulation of such aneurysms remain contentious. In this paper, we report a case where a successful surgery for an olfactory groove meningioma was performed and the patient discharged, but...


Ligamentum Flavum Buckling Causing Immediate Post-Operative Neurological Deterioration After an Anterior Cervical Discectomy: Case Report
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Neurological injury is a potential complication of anterior cervical discectomy (ACDF). Iatrogenic trauma, hypoxic-ischemic damage during surgery or epidural hematoma could cause neurological deterioration after surgery. This is the first case being reported of neurological deterioration after an ...


Traumatic Pseudoaneurysms of the Head in War Time: Report of Two Unusual Cases
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Intracranial or extracranial pseudoaneurysms due to penetrating head injuries with gunshot are very rare entities. As the pseudoaneurysms of the superficial temporal artery usually present with a pulsating mass lesion beneath the scalp, intracranial pseudoaneurysms are manifested with symptoms inc...


Course of Aggressive Somatotroph, Corticotroph and Mammotroph Tumors under Temozolomide: Report of Three Cases and Review of the Literature
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Treatment of aggressive pituitary tumors may be challenging. Temozolomide (TMZ) is a promising agent when conventional treatment methods fail. We present three patients with aggressive pituitary tumors with atypical morphology, who were resistant to conventional treatments and treated with TMZ. Th...


Ruptured Distal Accessory Anterior Cerebral Artery Aneurysm: A Case Report and Literature Review
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Aneurysms of the distal anterior cerebral artery (dACA) are rare, consisting only 2-6% of all intracranial aneurysms. dACA aneurysms are often associated with anomalies such as azygous, bihemispheric and triplication of ACA. Also, accessory anterior cerebral artery (accACA) is an anatomical varian...


Lumbosacral Epidural Primitive Neuroectodermal Tumor (PNET): Case Report and Literature Review
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The primitive neuroectodermal tumors (PNETs) of the spine are rare. They are usually intramedullary and reported in children. We herein report an epidural PNET of lumbosacral area presenting with the cauda equina syndrome in an adult. A 38-year-old woman presented to our emergency room with acute ...


Active Rebleeding of a Ruptured Middle Cerebral Artery Aneurysm During Diagnostic Catheter Angiography
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Rebleeding of cerebral aneurysms has been previously reported during diagnostic angiography. However, capturing the exact moment of active rebleeding of a cerebral aneurysm during angiography is extremely rare. Here, a case of a rebleeding middle cerebral artery aneurysm during diagnostic digital ...


Magnetic Resonance Imaging Distortion and Targeting Errors from Strong Rare Earth Metal Magnetic Dental Implant Requiring Revision
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Recently, the use of magnetic dental implants has been re-popularized with the introduction of strong rare earth metal, for example, neodymium, magnets. Unrecognized magnetic dental implants can cause critical magnetic resonance image distortions. We report a case involving surgical failure caused...


Xanthomatous Meningioma: A Case Report
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Meningioma is a neoplasm derived from meningothelial cells. Grade1 meningiomas consist of 9 different subtypes. One of the rare subtypes is metaplastic meningioma. Metaplastic meningioma could be defined as "xanthomatous meningioma" in the presence of prevalent xanthomatous changes. A 32-year-old ...


Phantom Radicular Pain Treated with Lumbar Microdiscectomy: A Case Report
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Phantom limb pain in amputee patients is not well defined in the literature. Also, there is still no clear information on the definition and treatment of phantom radicular pain, in which amputee patients have radicular pain. This phenomenon, called phantom radiculitis or phantom radiculopathy, has...


Metastatic Gallbladder Carcinoma in Meningioma: A Case Report
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Metastases from tumors to systemic cancers are rare. The most common intracranial recipient tumor is meningioma. Metastasis from gallbladder cancer has been previously reported from only one patient during autopsy. We present a case of a 72-year-old woman who underwent surgery for right frontal sk...


Cystic Chordoma of the Cavernous Sinus
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Chordomas are the tumors commonly involving base of skull which are predominantly solid in consistency. A cystic chordoma of the cavernous sinus is an extremely rare entity and has never been reported. We report a 26-year-old male presenting with gradually progressive right-sided sixth nerve palsy...


Orbital Arteriovenous Fistula around the Optic Nerve Treated by Transvenous Embolization
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Intraorbital arteriovenous fistula (AVF) is a very rare disease; therefore an optimal treatment strategy has not yet been established. Here we describe the use of high-resolution cone-beam computed tomography (CBCT) and selective angiography to visualize the detailed anatomy of orbital vessels. Th...


Supratentorial Embryonal Tumors in the Elderly: Diagnostic Pitfalls and Clinical Prognosis
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Supratentorial embryonal tumors are very rare malignant tumors of neuroectodermal origin, characterized by an aggressive clinical behavior. They occur prevalently in children. They have been sporadically described in adults and represent an even rarer occurrence in elderly patients, raising many i...


Embryonal Tumor with Multilayered Rosettes in a 3-Year-Old Girl: Case Report
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Embryonal tumor with multilayered rosettes (ETMR) is a new entity in the group of primitive neuroectodermal tumors of the central nervous system (CNS). It combines histopathological features of neuroblastoma and ependymoblastoma. This tumor occurs mostly in the first five years of life. A hallmark...


Neuronavigation-guided Endoscopic Endonasal Excision of Schwannoma-like Chordoma of Meckel’s Cave: A Case Report
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Chordomas are locally aggressive malignant tumors due to their recurrence potential and originate from embryonic notochord remnants. Chordomas can originate anywhere on the axial skeleton. They are extradural and spread by bone destruction. Chordomas are locally aggressive tumors that invade the d...


The Ivy Sign on Fluid Attenuated Inversion Recovery Images Related to Single-Photon Emission Computed Tomography Cerebral Blood Flow in Moyamoya Disease: A Case Report
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Moyamoya disease is an idiopathic progressive cerebrovascular steno-occlusive disorder characterized by the formation of numerous collaterals called Moyamoya vessels. Accurate evaluation of vascular status and cerebral blood flow (CBF) is needed for prompt treatment to prevent ischemic and/or hemo...


Coincidental FCoincidental Feeding Artery Aneurysm Presenting during Glioblastoma Surgery: A Case Report and Literature Revieweeding Artery Aneurysm Presenting during Glioblastoma Surgery: A Case Report and Literature Review
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The medical literature reports an association between cerebral neoplasms and aneurysm formation. Some related aneurysms are detected during preoperative screening, whereas others are detected during or after surgery. We report a patient with de novo cerebral feeding artery aneurysm that we managed...


Spinal Epidural Venous Angioma Presenting Symtomps of Lumbar Disc Herniation: A Case Report
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Spinal epidural venous angiomas are extremely rare. We report the case of a 60-year-old man who presented with disc herniation symptoms, complaining of pain in his left leg and numbness, especially at the base of the knee. On physical examination, the Lasègue test was positive at 45 degrees on th...


Large Hemorrhagic Cerebral Venous Infarction due to Deep Brain Stimulation Leads Placement. Report of 2 Cases
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The true incidence of hemorrhagic venous infarctions in deep brain stimulation (DBS) procedures is very difficult to determine. These hemorrhagic venous complications are very rare and often grouped as all hemorrhagic complications. We report the clinical cases of 2 patients with Parkinson’s dis...


PRESENTATION OF CHIARI I MALFORMATION AFTER CRANIOCERVICAL TRANMA: A CASE REPORT
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Reported is a unique case of Chiari I malformation with syringomyelia and medullar hemorrhage, which became symptomatic 4 days after a craniocervical trauma when the patient was doing neck exercises. The patient manifested respiratory arrest, tetraparesis, and persistent lower cranial nerve dysfunct...


TRANSORBITAL STAB WOUND FROM A SPEARGUN: A CASE REPORT
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Penetrating stab wounds of the skull rarely occur in civilians. In the absence of direct injury to the brainstem or laceration of a major intracranial vessel, the prognosis for these injuries is good. Transorbital stab wounds causing intracranial complications are more common in children than in adu...


INTRACRANIAL MESENCHYMAL CHONDROSARCOMA: INTRODUCING TWO CASES
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Intracranial mesenchymal chondrosarcomas, and especially those that originate from the dura mater, are very rare. This paper describes two cases of primary intracranial mesenchymal chondrosarcoma that originated from the right frontal dura mater and the left tentorium. The patients were both females...


HYPOTHALAMO-PITUITARY ABSCESS: A CASE REPORT
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We present a case of hypothalamo-pituitary abscess of unknown origin. The diagnosis of abscess was made during surgery. The difficulties in diagnosing and managing this entity are stressed.


PRIMARY OSSEOUS MALIGNANT FIBROUS HYSTIOCYTOMA OF THE SKULL: A CASE REPORT
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Malignant fibrous histiocytoma rarely affects the cranium. This report describes a case of primary osseous malignant fibrous histiocytoma of the temporal bone in a 58-year-old male patient. The tumor was thought to have originated in the inner table of the bone of the skull, with subsequent intracra...


AN UNUSUAL COMPLICATION OF SUBDURAL-PERITONEAL SHUNT
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A subdural-peritoneal shunt was placed in a geriatric patient who had a chronk subdural hematoma (CSH). After the procedure, a second CSH developed on the contralateral side, and this hematoma resorbed spontaneously without further intervention. This patient's treatment is discussed relative to the ...


DYSEMBRYOPLASTIC NEUROEPITHELIAI TUMOR: A CASE REPORT
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A 14-year-old male patient presented with the chief complaint of tremors in his left arm and leg, and a history of seizures since age 3. The patient had been diagnosed with partial epilepsy, and had been taking anticonvulsant medication for 6 years. He had been having four to five seizures a day in ...


PITUITARY TUBERCULOMA
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We report a rare case of pituitary tuberculoma. Surgery was performed via the pterional approach, and the lesion was totally excised. Based on the histopathological diagnosis, the patient underwent 9 months of triple-drug antituberculosis treatment with isoniazid, ethambutol and rifampin.


SCIATIC NERVE SCHWANNOMA IN A PATIENT WITH VON HIPPEL-LINDAU SYNDROME: CASE REPORT AND LITERATURE REVIEW
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Radiological examinations of a 21-year-old man with headache and gait abnormality revealed hemangioblastomas in both cerebellar hemispheres and in the cervical spinal cord. There were also other findings consistent with the diagnosis of von Hippel-Lindau syndrome (VHLS), but no retinal hemangioblast...


MULTIPLE HYDATID CYSTS OF THE AQUEDUCT OF SYLVIUS: A CASE REPORT WITH MRI STUDY
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One to two of all Echinococcus granulosus infections involve the brain, and the finding of a hydatid cyst in the aqueduct of Sylvius is extremely rare. We describe the case of a 10-year-old girl with a symptomatic hydatid cyst in the aqueduct of Sylvius. The patient exhibited signs of elevated intra...


LYMPHANGIOMA OF THE SKULL: A CASE REPORT
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Lymphangioma is a relatively common tumor of soft tissue, but a rare primary lesion of bone. Very few eases of skull lymphangioma have been reported to date. We describe a patient with solitary lymphangioma of the skull that was treated by total exeision and autogenous bone grafting. We also review ...


MONOSTOTIC FIBROUS DYSPLASIA OF THE TEMPORAL BONE: A CASE REPORT
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Fibrous dysplasia is a congenital, nonfamilial, metabolic disturbance that produces 2.5% of all osseous tumors, and more than 7% of all nonmalignant tumors in bone. Involvement of the temporal bone, however, is relatively rare. An 8-year-old girl presented with progressive hearing loss. She had a ma...


AN UNUSUAL PRESENTATION OF SOLITARY OSTEOCHONDROMA OF THE CERVICAL SPINE: CAS E REPORT
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Osteochondroma of the spine is a rare condition that may or may not be accompanied by neurological dysfunction. We report a case of cervical osteochondroma originating from the transverse process of the fifth cervical vertebra, and discuss the main clinical, pathological and radiological features th...


DESMOPLASTIC SUPRATENTORIAL NEUROEPITHELIAL TUMOR IN A 9-MONTH-OLD MALE INFANT: A CASE REPORT
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Desmoplastic infantile neuroepithelial tumors (DINTs) are superficially located supratentorial neoplasms that include masses known as "desmoplastic infantile gangliomas" (DIGs) and "desmoplastic infantile astrocytomas" (DIAs). Apart from the presence of ganglion cells in DIGs, these tumors and DIAs ...


LUMBAR SPINAL SUBDURAL HEMATOMA AS A COMPLICATION OF LUMBAR DISCECTOMY (CASE REPORT)
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This report describes the case of 49-year-old female patient who developed a lumbar spinal subdural hematoma as a complication of lumbar discectomy. We give the details of the case and review the relevant literature. Our conclusion is that spinal subdural hematoma should be considered a possible pos...


ACUTE EPIDURAL ABSCESS OF THE CERVICAL SPINE CAUSED BY STAPHYLOCOCCUS AUREUS: REPORT OF TWO CASES
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This report describes two cases of spinal epidural abscess. At presentation, both patients complained of cervical pain and weakness in the arms and legs. Their neurological examinations revealed quadriplegia and tetraparesis, respectively. In both cases, the definitive diagnosis was established preo...


CERVICAL OSTEOPHYTOSIS AS A RARE CAUSE OF DYSPHAGIA: A CASE REPORT
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Cervical osteophytes are frequently found in geriatric patients. Although it is uncommon to observe dysphagia induced by these osteophytes, this is an important and treatable condition. The diagnosis may be established using plain radiographs of the spine, esophagography, computed tomography, or mag...


DURAL ASTROEYTOMA: A CASE REPORT
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This report describes a case of 9-month-old boy with dural astracytoma. The patient presented with monoparesis on the side contralateral to the cranial tumor. Computerized tomography revealed a cystic mass in the frontal lobe, and this was treated with surgery alone. We review the clinical, radiolog...


INTRACRANIAL ARTERIOVENOUS MALFORMATION ASSOCIATED WITH MENINGIOMA: AN UNUSUAL CASE
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It is rare to find a cerebral arteriovenous malformation and a primary brain tumor in the same patient. A literature search revealed only 33 such cases. We report the case of a patient with an arteriovenous malformation and a meningioma in the same cerebral hemisphere, and discuss the clinical and r...


PRIMARY EWING'S SARCOMA OF THE CRANIUM: CASE REPORT
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Primary Ewing's sarcoma of the cranium is quite uncommon. Pre or peroperative recognition of this disease is important as it leads planning the surgical strategy which effects the prognosis. We present a case of primary Ewing's sarcoma originating from mastoid bone and invading petrous bone, occipit...


SUPRASELLAR ARAEHNOID EYST PRESENTING WITH AMENORRHEA AND GALAETORRHEA
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The authors report a case of large suprasellar arachnoid cyst in a 32-year-old woman. The patient presented with amenorrhea and galactorrhea, which were both caused by hyperprolactinemia. These are rare symptoms among the various endocrinologic features that can accompany suprasellar arachnoid eysts...


PRIMARY EOSINOPHILIC GRANULOMA OF THE OPTIC CHIASM: CASE REPORT
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It is extremely rare to see eosinophilic granuloma of the central nervous system without osseous or multisystemic involvement. Only two adult cases with isolated cranial nerve involvement have been reported to date. This report describes an adult patient with isolated eosinophilic granuloma of the o...


ISOLATED SELLAR TUBERCULOMA WITH A THICKENED PITUITARY STALK: CASE REPORT
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This report is of a patient with an isolated sellar tuberculoma with suprasellar extension in association with thickening of the pituitary stalk who presented with signs and symptoms of hypopituitarism. Magnetic resonance imaging showed a sellar mass with suprasellar extension associated with thicke...


Subcutaneous Granuloma Annulare of the Scalp in Childhood: A Case Report and Review of the Literature
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Granuloma annulare is a benign inflammatory skin lesion of unknown etiology that is usually seen in adults and children and subtypes of it includes localized granuloma annulare, generalized granuloma annulare, subcutaneous granuloma annulare and arcuate dermal erythema. Etiology and pathogenesis of ...


Huge Cavernoma With Massive Intracerebral Hemorrhage in a Child
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Cavernous malformations are benign vascular lesions of the central nervous system that lack intervening normal brain parenchyma. They can be seen almost anywhere that normal vasculature is available. Lesions are raspberry-like, thinwalled vascular sinusoids without smooth muscles containing hemoside...


Cavernous Hemangioma of Temporalis Muscle: Report of A Case and Review of the Literature
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Hemangiomas are tumors of vascular origin comprising approximately 7% of all benign tumors. Intramuscular hemangioma is a rare condition and hemangiomas of the head and neck make up less than 15% of intramuscular hemangiomas. Temporalis muscle is an uncommon location for intramuscular hemangioma and...


Enlargement of Postoperative Aqueductal Air Due to Elevated Body Temperature Case Report
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Pneumocephalus has been reported after posterior fossa surgery especially with procedures performed in the sitting position. The gravitational effect is the decisive factor in the development of pneumocephalus. The entrapped air in the aqueduct may enlarge due to several factors such as elevated bod...


Treatment Differences in Cases With Venous Angioma
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Venous angiomas were found to be the most common cerebral vascular malformations, composing 63% of such lesions in two autopsy series. Annual bleeding risk associated with venous angiomas is about 0.22 % per year. Venous angiomas are generally silent lesions because of their dynamic features, and ar...


Unrecognized Peripheral Nerve Lesions in a Traumatic Brain Injury Patient
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Patients with traumatic brain injury constitute a diagnostic challenge since peripheral nerve injuries may be overlooked due to cognitive dysfunction and priority given to life-sustaining measures. Electromyography may be helpful in the differential diagnosis of weakness and atrophy. Problems specif...


Ischemic Stroke Complicated by a Brain Abscess: A Case Report and Review of the Literature
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Ischemic stroke and brain abscess are life threatening, severe medical conditions requiring urgent and comprehensive evaluation. Brain abscess is a very rare and dangerous complication of ischemic stroke that can be treated successfully when diagnosed. Association of these two life threatening condi...


Removal of Clival Chordoma in an Adolescent Thorough Combned Pterional Transsylvian and Anterior Temporal Approach
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Extensive and aggressive surgical removal is treatment of choice for patients who have chordomas of the cranial base. Well-developed micro s u rgical techniques, as well as good surgical judgment learned from experience are essential to avoid major morbidity. A 14-year-old female presented with pro ...


MIXED-DENSITY SUBDURAL HEMATOMA ON CT: CASE REPORT AND REVIEW OF SUBDURAL HEMATOMA CLASSIFICATION
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Objective: Predicting the age of subdural hematomas on computed tomography (CT) scans is particularly significant for forensic reasons, and for understanding the lesion's natural history, pathogenesis, and morphology. A case of mixed-density subdural hematoma on CT is discussed, and the classificati...


CERVICAL INTRAMEDULLARY LIPOMA NOT ASSOCIATED WITH SPINAL DYSRAPHISM: CASE REPORT
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Intramedullary lipomas are slow-growing congenital tumors that are usually not amenable to complete resection. In this article, we present a rare case of cervical intramedullary lipoma not associated with spinal dysraphism.


TRAUMATIC OPTIC NEUROPATHY CAUSED BY BLUNT FOREHEAD TRAUMA: CASE REPORT
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A 28-year-old man sustained blunt forehead trauma in a traffic accident. He had a right orbital roof fracture and there was loss of vision in the right eye. At presentation, the visual acuity in the injured eye was light perception without projection, and there was a right afferent pupillary defect....


CERVICAL SYNOVIAL CYST: CASE REPORT
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Objective: The cervical synovial cysts are unusual extradural lesions which may cause radiculopathy or spinal cord compression. The aim of this paper is to describe a case of cervical synovial cyst and discusses the clinical, radiological, and pathological features of these rare lesions. Methods: A...


SYLVIAN ARACHNOID CYST ASSOCIATED WITH SPONTANEOUS SUBDURAL HEMATOMA: A CASE REPORT
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A 26-year-old male with a type II sylvian arachnoid cyst of the middle cranial fossa developed spontaneous subdural hemorrhage. The only presenting sign was headache. The hematoma was evacuated and during surgery it was noted that the cyst was communicating with the subarachnoid and subdural spaces....


SOLITARY LANGERHANS' CELL HISTIOCYTOSIS OF THE OCCIPITAL LOBE: A CASE REPORT
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Objective: Langerhans' cell histiocytosis is a disease that can involve many organs or remain localized to one organ. The hypothalamus is the most common site of solitary involvement of the central nervous system, and other locations have only been reported rarely. This report describes an unusual c...


RECONSTRUCTION WITH AUTOCLAVIZED DYSPLASTIC BONE GRAFT IN CRANIOFACIAL FIBROUS DYSPLASIA: A CASE REPORT
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Fibrous dysplasia is a congenital, benign and progressive disease of bone. It is characterized by the replacement of normal bone by fibro-osseous tissue and when craniofacial region is involved enlargement of the affected bones, neurovascular compression and facial deformities can be seen. Complete ...


MULTIFOCAL MEDULLOBLASTOMA: A SHORT REPORT
[Abstract] [Similar Articles]

Objective: Medulloblastoma is one of the most common primary tumor of the central nervous system in childhood and is uncommon in adulthood. They are usually unilocular. Multifocal localization in cerebellum is very rare and only 3 cases were found to be reported in the literature. The aim of this re...


RECURRENCE OF PRIMARY COSTAL ECHINOCOCCOSIS WITH SPINAL CORD COMPRESSION
[Abstract] [Similar Articles]

Primary hydatid disease of the rib is very rare, even in endemic areas. We describe a patient who presented with recurrent costal hydatid disease that caused spinal cord compression and progressive paraparesis 7 years after the initial cyst removal surgery. In the first operation, cysts were removed...


LUMBOSACRAL MENINGIAL HAMARTOMA AND HYPERTRICHOSIS: A CASE REPORT
[Abstract] [Similar Articles]

Objective: Ectopic meningiomas are rare tumors. In this paper, we describe a patient with lumbosacral meningeal hamartoma and hypertrichosis. Methods: An 18-year-old female with a red-violet skin lesion on her lower back was determined spina bifida at L5-S1 by x-ray. Magnetic resonance imaging sequ...


TRAUMATIC SUPERIOR ORBITAL FISSURE SYNDROME: CASE REPORT
[Abstract] [Similar Articles]

The superior orbital fissure syndrome (SOFS) is a very rare condition, especially due to trauma and it's therapeutic managements are still controversial. We present a case of SOFS and discus the timing and variety of surgical approaches. Although in most cases, a partial to complete spontaneous rec...


POSTTRAUMATIC DAMAGE TO THE INTERNAL CAROTID ARTERY: PSEUDO ANEURYSM PRESENTING WITH EPISTAXIS AND DIRECT CAROTID CAVERNOUS FISTULA
[Abstract] [Similar Articles]

Three cases of posttraumatic internal carotid artery pseudoaneurysms presenting with epistaxis and associated direct carotid cavernous fistulae in two of the patients are presented. The rare association of the two types of posttraumatic internal carotid artery damage as well as the method and outcom...


UNUSUAL CRANIOCEREBRAL PENETRATING INJURY: CASE ILLUSTRATIONS
[Abstract] [Similar Articles]

Missile injuries to the head account for the majority of penetrating wound of the brain. Low-velocity penetrating cranial injuries excluding gunshot wound are seen infrequently in civilian practice. Most cases result from industrial accidents, criminal assaults and self-inflicted injury. This repor...


PRIMARY BIVENTRICULAR OLIGODENDROGLIOMA
[Abstract] [Similar Articles]


BILATERAL DUPLICATION OF SUPERIOR CEREBELLAR ARTERY ASSOCIATED WITH FETAL POSTERIOR CEREBRAL ARTERY: CASE PRESENTATION
[Abstract] [Similar Articles]


RECONSTRUCTION OF THE CRANIOTOMY FLAP IN PATIENTS WITH BRAIN SWELLING: A TECHNICAL NOTE
[Abstract] [Similar Articles]

This technical note describes a surgical technique than can be used to reconstruct the craniotomy flap in cases of severe brain swelling. Extensive craniotomy with duraplasty and drilling of the inner table of the craniotomy bone flap are the main features of the method. In appropriate cases, this t...


RETAINED SURGICAL SPONGE AFTER HEMILAMINECTOMY: REPORT OF TWO CASES
[Abstract] [Similar Articles]

Lumbar discectomy is the most used operative technique at neurosurgery clinics around the world. The complications of lumbar disc operation include infections, dural tear, bleeding, vascular and intestinal injuries. Infectious complications of lumbar disc surgery are superficial and profound tissue ...


TETHERED SPINAL CORD, DIASTEMATOMYELIA, AND TERMINAL SYRINGOMYELIA IN AN ADULT (REPORT OF A CASE AND THE REVIEW OF THE LITERATURE)
[Abstract] [Similar Articles]

An unusual case of spinal dysraphism in a 74 year old woman is reported. Patient was presented with slight lumbar pain and diagnosed coincidentally. Neurological examination was normal. Magnetic resonance imaging (MRI) revealed tethered spinal cord, diastematomyelia, terminal syringomiyelia, and deg...


COEXISTENCE OF VENOUS ANGIOMA AND SACCULAR ANEURYSM
[Abstract] [Similar Articles]

A patient disclossed a saccular anterior communicating aneurysm and a frontobasal venous angioma was presented. Up to our knowledge this condition is rare and a common embryogenetic origin can not be hypothesized. It may have clinical significance during determination of the surgery.


ABERRANT REGENERATION OF THE THIRD CRANIAL NERVE IN A PATIENT WITH SEVERE HEAD INJURY
[Abstract] [Similar Articles]

Aberrant regeneration of the third cranial nerve is a well-known condition that can develop after head trauma or intracranial aneurysms. Horizontal gaze-eyelid synkinesis, pseudo-V on Graefe phenomenon, and limited elevation and depression of the eyelid with retraction of the globe are common signs ...


FOREIGN BODY GRANULOMA MIMICKING RECURRENCE OF CONVEXITY MENINGIOMA
[Abstract] [Similar Articles]

In this report we presented a case of an intracranial foreign body granuloma found in a 54-yearold female patient 10 year after she underwent a craniotomy for a right fronto-temporal convexity meningioma. While recurrence of meningioma is well known, foreign-body granuloma is a very rare intracrania...


THE MC CUNE - ALBRIGHT SYNDROME: A CASE WITH GIANT MUCOCELE
[Abstract] [Similar Articles]

McCune-Albright syndrome is a specific category of fibrous dysplasia in which the majority of cases feature craniofacial involvement. Mucoceles sometimes accompany this rare condition. This report describes a patient with McCune-Albright syndrome who had a giant mucocele within the dysplastic fibrou...


PSEUDOTUMOR CYSTIC DEMYELINATING PLAQUE: REPORT OF TWO CASES
[Abstract] [Similar Articles]

The authors presented two patients with suggestive of intracranial cystic masses in magnetic resonance imaging whose neurologic deficits completely disappeared without surgical treatment. The first patient was a male teenager who experienced sudden neurologic deficits five years ago and MRI showed a...


BILATERAL STRIOPALLIDODENTATE CALCINOSIS: REPORT OF TWO CASES AND A REVIEW OF THE LITERATURE
[Abstract] [Similar Articles]

Objectives: Striopallidodentate calcinosis is a relatively rare pathological condition encountered in neurological practice that presents with a range of clinical symptoms. Often this lesion is first detected as an incidental finding on radiological examination. Patients and Methods: We report two...


MULTIDICIPLINARY APPROACH TO CAROTID BODY PARAGANGLIOMA: PREOPERATIVE PERCUTANEOUS EMBOLIZATION AND SURGICAL RESECTION
[Abstract] [Similar Articles]

This report describes a case of 28-year-old female with direct percutaneous embolization of a carotid body paraganglioma followed by surgical excision of the lesion. Preoperative angiographic embolization of such tumors has reduced intraoperative blood loss significantly and has caused shrinkage in ...


FRONTAL LOBE RADIONECROSIS FOLLOWING RADIOTHERAPY OF AN EXTRACRANIAL TUMOR
[Abstract] [Similar Articles]

Cerebral radionecrosis is uncommon but important complication of radiation therapy of extracranial and intracranial tumors.In this report we present a case who operated for squamous cell carcinoma of left eyelid and received radiotherapy a total dose of 5250cGy after operation 18 months before admis...


LUMBAR SYNOVIAL CYST: CASE REPORT
[Abstract] [Similar Articles]

Synovial cysts of the spinal canal are very rare. We report a case in which synovial cyst of a spinal facet joint in the lumbar region caused nerve root compression. The clinical picture of intraspinal synovial cyst can mimic many other conditions, and this lesion should always be included in the di...


A DIFFERENT OPERATIVE APPROACH FOR THE EXCISION OF AN INCIDENTAL SACRAL PERINEURAL CYST: CASE REPORT
[Abstract] [Similar Articles]

Perineural cysts are usual1y asymptomatic and rarely require surgical treatment. This report describes a case that required surgical removal and an innovative method of defect closure. A sacral foraminal perineural cyst was detected incidentally on magnetic resonance imaging in a patient with a symp...


GIANT CELL TUMOR OF THE TENDON SHEAT IN THE CERVICAL SPINE: CASE REPORT
[Abstract] [Similar Articles]

By this case report we will describe an unusual settlement of tenosynovial giant cell tumor. These lesions most often get origin from tenosynovium of the digits, knees or ankles. Rareley they can arise from bigger joints. In our case the patient had a tumor developed from the tendon sheat in the ser...


GUYON'S CANAL SYNDROME DUE TO TORTUOUS ULNAR ARTERY: A CASE REPORT
[Abstract] [Similar Articles]

Aims: To report of a case with Guyon's canal syndrome due to tortuous distal ulnar artery. Although ulnar nerve entrapment has been quite frequently reported due to posttraumatic false aneurysms, thrombosis, or true aneurysms of the distal ulnar artery in Guyon's canal, only one case has been report...


GIANT VERTEBRAL ARTERY ANEURYSM TREATED BY PROXIMAL LIGATION: CASE ILLUSTRATION
[Abstract] [Similar Articles]


LUMBAR DISC HERNIATION IN A 12-YEAR-OLD PATIENT: SHORT REPORT
[Abstract] [Similar Articles]


POSTERIOR EPIDURAL MIGRATION OF EXTRUDED LUMBAR DISC MIMICKING EPIDURAL MASS: CASE REPORT
[Abstract] [Similar Articles]

A 44-yr-old male patient was admitted with persistent low back pain of five days duration. Neurological examination and direct x-rays were normal but lumbar spinal Magnetic Resonance Imaging showed posterior epidural mass at the level of L3 vertebral corpus with peripheral contrast enhancement. Init...


EOSINOPHILIC GRANULOMA WITH ARACHNOID CYST: A CASE REPORT
[Abstract] [Similar Articles]

A 9-year-old boy was admitted with a right parietal local swelling and tenderness. Plain X-rays and computerized tomography scan showed an osteolytic lesion at the right parietal cranium and a giant arachnoid cyst at the left temporoparietal region. The lesion was removed, histological examination r...


B CELL IMMUNOBLASTİC LYMPHOMA OF CENTRAL NERVOUS SYSTEM: CASE REPORT
[Abstract] [Similar Articles]

Primary central nervous system lymphoma (PCNSL) is defined as the lymphoma effecting only spinal axis and cranium without systemic symptoms. PCNSL is very rare. Hystologic type of lymphoma that arising in the CNS is most commonly B cell lymphoma. In our study we reported a 47 years old female patien...


SUBEPENDYMOMA OF THE LATERAL VENTRICLES: REPORT OF TWO CASES
[Abstract] [Similar Articles]

Subependymoma is a rare benign tumor of the ventricular system. It was described as a distinct entity by Scheinker in 1945. The fourth ventricle is the most common location. Many cases are asymptomatic and discovered at autopsy. Symptomatic cases often present with hydrocephalus. We present two case...


Intraoperative Monitoring of A Patient With Craniovertebral Junction Meningioma
[Abstract] [Similar Articles]

Intraoperative monitoring is considered as a useful tool to prevent neurological damage during different neurosurgical procedures. Somatosensory evoked potentials (SEP) allow simultaneous assessment of several cortical and sub cortical centers. In this case presentation, we report intraoperative ...


Delayed Infection 6 Years After Spinal Instrumentation: A Case Report
[Abstract] [Similar Articles]

Infection is the major and important complication of spinal instrumentation generally requiring removal of the implant. Although findings of infection usually appear within a few months after operation, they may appear even after few years in some cases. A case with delayed postoperative infectio...


Intracranial Foreing Body
[Abstract] [Similar Articles]

Intracranial foreign bodies due to nonmissile intracranial penetrations occur rarely. Most of these penetrating injuries result from industrial accidents or criminal assaults. The complications which cause mortality in early stage are intracerebral hemorrhage, contusion, major vascular injury and...


Compressive Hyperextension Injury of C2-C3 Managed With Anterior Plate Fixation: Case Report
[Abstract] [Similar Articles]

We report a C2 tear-drop fracture of a 69–year-old patient which occurred after a fall. Although tear drop fractures of the subaxial cervical spine mostly develop due to a flexion type injury, the mechanism is often compressive hyperextension injury at the C2 vertebra. Rigid external stabil...


Diagnostic and Surgical Pitfalls of an Unusual Primary Central Nervous System Lymphoma
[Abstract] [Similar Articles]

BACKGROUND: Here we describe a case of PCNSL which was located peripherally as a single lesion and showed no evidence of pathological findings of lymphoma at the first biopsy. CASE DESCRIPTION: A 56-year-old man was admitted to the hospital with a talking disorder and attention deficit. The neur...


Intraradural Herniation of Intervertebral Disc at the Level of Lumbar 1-Lumbar 2
[Abstract] [Similar Articles]

Intradural disc herniation is a serious and rare complication of intervertebral disc rupture. The preoperative diagnosis of intradural disc herniation is still d i fficult despite new neuroradiologic investigation possibilities including computerized tomography and magnetic resonance imaging and it ...


Pituitary Adenoma Coexisting With a Suprasellar Arachnoid Cyst
[Abstract] [Similar Articles]

OBJECTIVE: Biochemical and radiological properties of sellar and parasellar lesions are quite similar in some instances. This leads to a difficulty in preoperative diagnosis. Here, a pituitary adenoma and a suprasellar arachnoid cyst in the same patient is presented, and possible etiopathogenetic...


Segmental Artery Pseudoaneurysm Associated With Thoracic Spinal Fracture
[Abstract] [Similar Articles]

Segmental artery pseudoaneurysm is a rare complication of spinal trauma. We present an unusual case of thoracic 11-12 segmental artery pseudoaneurysm caused by thoracal spine fracture. A 72-year-old man was admitted to our emergency department because of a car accident. Neurological examination reve...


Intracranial Symptomatic Giant Arachnoid Cyst of the Interhemispheric Fissure Presenting With Frontal Lobe Syndrome
[Abstract] [Similar Articles]

Symptomatic interhemispheric arachnoid cysts (ACs) are extremely rare lesions seen more frequently in the elderly. Only 13 cases of symptomatic interhemispheric ACs in the elderly have previously been reported. Herein, we describe a 70-year-old female with symptoms of vertigo, memory and behavior di...


The Importance of Evaluating All Seven Cervical Vertebrae in the Trauma Patient: A Case Report
[Abstract] [Similar Articles]

The cervical spine is injured in approximately 3% of major trauma patients and 10% of patients with serious head injury. We present a patient in whom an unstable cervical spine, without neurological deficit, resulting from a traffic accident was misdiagnosed as normal in the emergency room. Although...


A Fracture of Unilateral Pars Interarticularis of the Axis: A Case Report
[Abstract] [Similar Articles]

OBJECTIVE: To present a case of a fracture of the unilateral pars interarticularis of the C2. METHODS: There is confusion in the use of anatomic terminology of the pars interarticularis and pedicle of the C2 in literature. A fracture of the unilateral pars interarticularis of the C2 was diagnose...


Treatment Approaches for Abdominal Migration of Peritoneal Catheter of Ventriculoperitoneal Shunt
[Abstract] [Similar Articles]

Migration of peritoneal catheter into the abdominal cavity is rare. We have discussed and presented the treatment options in two cases with accompanying literature. Abdominal migration of peritoneal catheter appears as a result of shunt fracture and disconnection. The complaints on presentation i...


Transorbital Brain Injury By A Metallic Fragment: A Case Report
[Abstract] [Similar Articles]

Because of anatomical configuration of the orbit, the brain can be damaged by penetrating transorbital injuries. At first sight, this type of trauma can be thought of as a solitary eye trauma. In this paper, we report a case who suffered from brain injury by a metallic foreign body which passed i...


Thoracic Intradural Cystic Schwannoma: A Case Report
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Spinal schwannomas are benign tumors arising from spinal nerve root sheaths. These are the most common intradural exramedullary spinal tumous. Schwannomas are mostly solid or heterogenous solid tumors. Cystic schwannomas are rare lesions. We present a 27-year-old woman with an intradural extrame...


HIV Related Toxoplasmic Encephalitis Mimicking Multiple Metastasis: Case Report
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We report a case of toxoplasmic encephalitis (TE) in a young woman without prior history of human immunodeficiency virus (HIV) infection. She was referred to our clinic with a diagnosis of multiple metastases following cerebral magnetic resonance imaging (MRI) revealing multiple ring-enhanced mas...


Suprasellar Arachnoid Cyst: A 20- Year Follow-Up after Stereotactic Internal Drainage: Case Report and Review of the Literature
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Approximately 9 to 15% arachnoid cysts occur in the sellar or suprasellar region. The optimal management of symptomatic suprasellar cysts continues to pose a challenge to neurosurgeons. This case report describes a patient with a suprasellar arachnoid cyst who presented at the age of 3 and was fo...


Rapid Resolution of Acute Subdural Hematoma and Effects on the Size of Existent Subdural Hygroma: A Case Report
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The diagnosis and management of acute subdural hematoma is important in neurosurgery practice. Rapid spontaneous resolution of acute subdural hematoma within a few hours is seen rarely on the CT scan. We present a case that enlarged the existent subdural hygroma showing rapid resolution of acute ...


Idiopathic Recurrent Transverse Myelitis With Syringomyelia: A Case Report
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Idiopathic transverse myelitis is a monophasic demyelinating disease of the central nervous system (CNS) and its recurrence is a rare entity. Existence of syringomyelia in the spinal cord in inflammatory CNS disease is not usually encountered. This case study describes a 45-year-old man who was admi...


Sacral Window For the Surgery of L5 Neurofibroma: A Technical Note
[Abstract] [Similar Articles]

OBJECTIVE: To describe a way to increase the exposure for L5-S1 neurofibroma extending to presacral area. Summary of Background Data: Since the neurofibromas of L5-S1 level generally extend to the extraforaminal and presacral area, their resection is difficult compared to other lumbar levels. METH...


Spontaneously Resorbed Idiopathic Syringomyelia: A Case Report
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A 28-year-old female patient presented with severe neck and back pain in 2003. No abnormality was observed at neurological examination. Syringomyelia in the cervical region was determined at MRI. MRI examination of the cranial, thoracal and lumbosacral regions was normal. The patient refused surg...


Familial Syringomyelia in Two Siblings
[Abstract] [Similar Articles]

We report on syringomyelia of the thoracic spinal cord in two sisters without a Chiari or any other malformation. In both cases syringomyelia was determined by magnetic resonance imaging (MRI). Spinal MRI showed a syringomyelia between T6-T8 levels in the first sibling and between T7- T9 in the s...


A Rare Cause of &#8220;Foot Drop&#8221;: Spinal Epidural Brucella Granuloma
[Abstract] [Similar Articles]

Spinal epidural abscess is rare but serious medical condition which may cause permanent neurological deficits, or even death, if not treated. Staphylococcus aureus is the responsible microorganism in most spinal abscess cases. However, rarely other microorganisms like Brucella may be responsible....


Intermittent Priapism in Degenerative Lumbar Spinal Stenosis: Case Report
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BACKGROUND: Symptomatic lumbar spinal stenosis produces gradually progressive back and leg pain with standing and walking, relieved by sitting or lying. One of the uncommon symptoms is involuntary intermittent penile erection due to spinal canal stenosis. This symptom is very rare and often forg...


Transsellar Transsphenoidal Rhino-Oral Encephalocele
[Abstract] [Similar Articles]

Transsphenoidal encephaloceles are rare and the transsellar variety is the least common. We present a 1-year-old male patient with transsellar transsphenoidal encephalocele which herniated into the oral cavity through the congenital split palate. The patient was operated on using a combined trans...


Lumbar Radiculopathy Due to Unilateral Facet Hypertrophy Following Lumbar Disc Hernia Operation: A Case Report
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OBJECTIVE: To present a radiculopathy case due to unilateral facet hypertrophy developing three years after a lumbar disc hernia operation. CASE REPORT: A fifty two-year-old female patient, who had been operated on for a left L5-S1 herniated lumbar disc three years ago, was hospitalized and re-op...


Agenesis of the Left Internal Carotid Artery Associated with Anterior Communicating Artery Aneurysm: Case Report
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We present a rare case of agenesis of the left internal carotid artery in a 43-yearold woman, associated with an aneurysm of the anterior communicating artery and presenting with subarachnoid hemorrhage. The left internal carotid artery was not visualized on the left carotid angiogram. The left m...


Tarsal Tunnel Syndrome in a Patient on Long-Term Peritoneal Dialysis: Case Report
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Tarsal tunnel syndrome (TTS) is defined as the entrapment of the posterior tibial nerve in the tarsal tunnel of the ankle. The etiologies of tarsal tunnel syndrome are mainly the presence of a ganglion, osseous prominence with tarsal bone coalition, trauma, varicose veins, neurinoma, hypertrophy ...


Extraaxial Chloroma of the Cerebellopontine Angle
[Abstract] [Similar Articles]

A chloroma or granulocytic sarcoma is an extramedullary leukemia. It can be encountered at any anatomical location, but until now only three cases have been reported in the cerebellopontine angle. We present an 8-year old patient with an extraaxial chloroma of the cerebellopontine angle to highli...


Chronic Subdural Hematoma After Endoscopic Third Ventriculostomy
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Endoscopic third ventriculostomy (ETV) is an effective and rather safe treatment for noncommunicating hydrocephalus secondary to aqueductal stenosis and other obstructive pathologies. It has become a popular alternative to ventricular shunts for noncommunicating hydrocephalus. Although it is a sa...


Idiopathic Bilateral Trigeminal Neuralgia Treated by Bilateral Microvascular Decompression
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Idiopathic trigeminal neuralgia is the most common type of cranial neuralgia. Trigeminal neuralgia is a form of facial pain characterized by proximal lancinating pain confined to the somatosensory distribution of the trigeminal nerve. Bilateral trigeminal neuralgia is a rare situation with an inc...


Atypical Teratoid/Rhabdoid Tumors: Imaging Findings of Two Cases and Review of the Literature
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Atypical teratoid/rhabdoid tumor (AT/RT) is a malignant embryonal central nervous system (CNS) tumor, manifesting in children, and composed of rhabdoid cells, with or without fields resembling a classical primitive neuroectodermal tumor (PNET), epithelial tissue and neoplastic mesenchyme. Around...


Basilar Artery Aneurysm Associated with Behcet's Disease: A Case Report
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Vascular involvement is common in Behçet's Disease (BD). The venous system is often affected, while arterial system involvement is a rare occurrence. Intracranial aneurysm formation associated with BD is extremely rare. A 38- year-old male patient with BD under the follow-up of the Dermatology d...


Chronic Subdural Hematoma in Capoeira Sport
[Abstract] [Similar Articles]

Chronic subdural hematomas in young people is extremely rare and has some provoking factors such as V-P shunts, arachnoid cyst, anticoagulant drug usage, vigorous sports and coagulopathies. A static or dynamic mechanical load is almost always delivered to skull associated with either mild or seve...


A Case Report: A Noninfantile Desmoplastic Astrocytoma
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INTRODUCTION and CASE DESCRIPTION: Desmoplastic infantile astrocytomas (DIA) are rare intracranial tumors of infancy with distinctive clinical and radiological features. Despite their radiologically aggressive appearance they tend to follow a benign course with favorable prognosis even after sub...


Endovascular Treatment of Primary Infectious Aneurysm in Childhood: A Case Report
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Infectious aneurysms constitute 4% of all intracranial aneurysms. The microorganisms responsible are most commonly streptococcus viridans, staphylococcus aureus and combined bacterial infections. Nonetheless, cases with no reproduction in their cultures are rather frequent. A 6-year-old patient ...


Should We Operate all Extradural Spinal Arachnoid Cysts? Report of a Case
[Abstract] [Similar Articles]

Spinal canal extradural arachnoid cyst is an uncommon, expanding lesion which may communicate with the subarachnoid space. They may be either intra or extradural with intradural cysts being less common. Spinal arachnoid cysts are usually in the thoracic spine, and they may cause symptoms due to s...


Venous Outflow of the Brain after Bilateral Complete Jugular Ligation
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A case of a patient with bilateral internal, external, posterior external and anterior jugular vein ligations and excisions performed in the neck due to a larynx tumor is presented. Radical neck dissection is a standard otorhinolaryngological procedure in the management of head and neck cancer pa...


Arteriovenous Malformation Associated with Multiple Aneurysms Including Anterior Communicating Artery Aneurysm Located in the Third Ventricle: A Case Report
[Abstract] [Similar Articles]

Following the significant advances in neuroradiology, it has been now recognized that an intracranial arteriovenous malformation (AVM) lesion and vascular aneurysm(s) might coexist more often than estimated before. A58-yearold female seen due to a subarachnoid hemorrhage (SAH) was subsequently s...


Esophageal Carcinoma Metastasis to Cerebellum: A Case Report
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Esophageal carcinoma metastatic to the cerebellum and causing cerebellar compression is a rare entity. The authors report on the case of a 54-year-old woman in whom a metastatic cerebellar tumor secondary to esophageal carcinoma was treated. The patient presented with progressively increasing oc...


Dural Sinus Thrombosis Following Head Injury: Report of Two Cases and Review of the Literature
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Dural sinus thrombosis (DST) usually involves the sagittal, transverse and sigmoid sinuses and is more common in women due to pregnancy, puerperium and oral contraceptive use. Other etiologies include coagulopathies, infection and head injury. We have present two DST cases following head injury. ...


Frontal Bone and Epidural Tuberculosis
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Cranial bone and epidural tuberculosis is rare manifestation extrapulmonary tuberculosis. The incidence of tuberculosis of calvaria is on the rise in developing countries because of malnutrition, poor socioeconomic conditions, and immunodeficiency. We present the clinical features, radiology, hi...


Hereditary Neuropathy with Liability to Pressure Palsies in a Turkish Patient (HNPP): A Rare Cause of Entrapment Neuropathies in Young Adults
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Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant nerve disease usually caused by 1,5 Mb deletion on chromosome 17p11.2.2-p12, the region where the PMP-22 gene is located. The patients with HNPP usually have relapsing and remitting entrapment neuropathies du...


Protein S Deficiency, Epileptic Seizures, Sagittal Sinus Thrombosis and Hemorrhagic Infarction after Ingestion of Dimenhydrinate
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Congenital protein S deficiency is associated with an increased risk of venous thrombosis. A14-year-old boy presented with epileptic seizures and thrombosis of the superior sagittal sinus and frontal hemorrhagic venous infarction after ingestion of 50 mg of dimenhydrinate, an antiemetic drug. The...


Spontaneous Extrusion of Migrated Ventriculoperitoneal Shunt Catheter Through Chest Wall: A Case Report
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Ventriculoperitoneal (VP) shunt is the most commonly performed procedure for the management of hydrocephalus. VP shunt related complications remain a persistent problem in clinical practice. However, extrusion of components of shunt apparatus is very rare. Extrusion of ventriculo-peritonea l(VP) ...


A Rare Case of Massive NF1 with Invasion of Entire Spinal Axis by Neurofibromas: Case Report
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Neurofibromatosis type-1 (NF1) is a type of phakomatosis inherited in an autosomal dominant fashion. Also called ‘von Recklinghausen disease' or ‘peripheral neurofibromatosis', it comprises 90% of all neurofibromatosis (NF) cases. It is characterized by multiple peripheral nerve sheat...


Macrocephaly and Bitemporal Arachnoid Cysts not Associated with Glutaric Aciduria Type I in a Child
[Abstract] [Similar Articles]

A 45-month-old child who had bitemporal arachnoid cysts and macrocephaly unrelated to glutaric aciduria type 1 (GA 1) was reported. The patient was admitted to the emergency unit after head trauma at 11 months of age. CT and MRI showed bitemporal arachnoid cysts (BACs). Acylcarnitine profile was ...


Giant Distal Superior Cerebellar Artery Aneurysm: Case Report and Review of the Literature
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Aneurysms arising from the distal portion of superior cerebellar artery are infrequently seen. They are usually assumed to result from local arterial wall disruption like proximal supratentorial artery aneurysms. Depending on institutional facilities, these particular aneurysms can be treated eit...


MR Imaging in Aneurysmal Bone Cyst of the Orbit
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Aneurysmal bone cyst is a benign fibro-osseous lesion usually described in the long bones. Intraorbital aneurysmal bone cyst is a rare clinical entity with an entirely different outcome and prognosis as compared to the usual pediatric orbital tumors. The authors report magnetic resonance imaging ...


Cervical Intradural Lipoma with Associated Hemivertebra Formation at C6 Level: A Case Report
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INTRODUCTION and CASE DESCRIPTION: Intramedullary lipomas are rare tumours of the spinal cord and account for about 1% of all spinal neoplasms. These lesions can occur anywhere along the length of spinal cord, but are frequently localized to the lower thoracic and lumbosacral levels. The authors ...


Aplasia Cutis Congenita of the Scalp, Skull and Dura Associated with Adams-Oliver Syndrome
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A 1-day-old boy with the characteristics of Adams-Oliver syndrome was presented. Adams-Oliver syndrome has a wide spectrum of anomalies ranging from aplasia cutis congenita, cutis marmorata telangiectatica congenita and transverse limb defects to lethal anomalies. Our patient had aplasia cutis c...


Delayed Radial Nerve Palsy Due to Entrapment of the Nerve in the Callus of a Distal Third Humerus Fracture
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A 45-year-old male patient was referred for management of radial nerve palsy. His past medical history revealed that he had been injured in a car accident and broken his left humerus 4 months ago. Primary stabilization of the fracture has been achieved by the application of a long-arm plaster cas...


Vertebral Body Pneumatocyst in the Cervical Spine and Review of the Literature
[Abstract] [Similar Articles]

Apneumatocyst in the cervical spine is extremely rare and to our knowledge only a few reports have been published in the English literature. Although the etiology and natural course of vertebral body pneumatocyst is unclear, nitrogen gas accumulation is claimed. A 65-year-old-man was admitted to ...


Frontal Mucocele Presenting with Forehead Subcutaneous Mass: An Unusual Presentation
[Abstract] [Similar Articles]

Frontal mucocele usually presents with visual complaints like diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye-globe and proptosis. Very rarely it can present as a subcutaneous swelling. To the best of the authors' knowledge, o...


The Redundant Nerve Root Syndrome of the Cauda Equina
[Abstract] [Similar Articles]

The redundant nerve root syndrome is defined as the association of high-grade extradural lumbar spinal stenosis with large, elongated and tortuous nerve roots. Acquired elongation of nerve roots due to the mechanical trapping at the level of lumbar spinal stenosis is assumed to be the possible me...


Cervical Vertebral Osteomyelitis and Epidural Abscess Caused by Candida Albicans in a Patient with Chronic Renal Failure
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Although rare, the diagnosis of candidal vertebral osteomyelitis of the cervical spine should be considered in cases of quadriparesia occurring in hemodialysis patients. This disease leads to vertebral destruction and spinal cord compression. Candidal vertebral osteomyelitis constitutes a diagnos...


Temporalis Muscle Metastasis of the Uterine Leiomyosarcoma: A Case Report
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Leiomyosarcomas are malignant tumors of smooth muscle origin. These tumors are very rare in the head and neck region. The majority of leiomyosarcomas of the head and neck arise in the paranasal sinuses, oral cavity, jaws and superficial soft tissues like the scalp. A mass was observed in the righ...


Dog Bite Causing Ischemia and Neurological Deficit at the Upper Extremity: A Case Report
[Abstract] [Similar Articles]

We present a case with median and radial nerve injuries together with brachial artery occlusion after a dog bite that is seen rarely in the literature. A 26 year-old man was admitted to our emergency department with a complaint of dog bite and weakness of fingers at the left upper extremity. Ther...


A Rare Case of Pituitary Adenoma with Calcification: A Case Report
[Abstract] [Similar Articles]

Though craniopharyngioma remains the most common sellar suprasellar tumor with calcification, it can be seen very rarely in pituitary adenomas and Rathke's cleft cysts. Appreciation of the pattern of calcification in a sellar suprasellar lesion can give a clue to the nature of the lesion. The aut...


A Non-Bleeding Complex Intracerebral Giant Aneurysm Case: Case Report
[Abstract] [Similar Articles]

An intracranial aneurysm with a diameter larger than 25 mm is considered a giant aneurysm (GA), and represent about 3-5% of all aneurysms. They are divided into two forms, specifically saccular and fusiform. Fusiform aneurysms are rare, making up only 1% of all intracranial aneurysms. They freque...


Cervical Intradural Ventral Arachnoid Cyst Resected Via Anterior Corpectomy With Reconstruction: A Case Report
[Abstract] [Similar Articles]

Intradural arachnoid cysts are rare lesions that frequently arise posterior to the spinal cord in the thoracic spine region. Those located at the cervical spine level, anterior to the spinal cord are even rarer. The usual treatment of symptomatic intradural spinal cysts involves surgical removal ...


Iliocaval Arteriovenous Fistula Following Lumbar Disc Surgery: Endovascular Treatment with a Stent-Graft
[Abstract] [Similar Articles]

Arteriovenous (AV) fistulae, pseudoaneurysms, and lacerations may occur during disc surgery. AV fistula after lumbar disc surgery is rare. Early diagnosis and treatment of vascular complications associated with disc surgery is essential due to their high mortality and morbidity rates. We report a...


Chondromyxoid Fibroma of Frontal Bone: A Case Report and Review of the Literature
[Abstract] [Similar Articles]

Chondromyxoid fibroma is an unusual benign tumor of cartilaginous tissues that may be confused with other some malign tumors. It is rarely seen in the skull. A 45-year-old female was admitted with painless bony swelling in the forehead. Computerized tomography demonstrated a well-defined expansiv...


The Shrinking of an Anterior Sacral Meningocele in Time Following Transdural Ligation of its Neck in a Case of the Currarino Triad
[Abstract] [Similar Articles]

In this paper we present an adult patient with the Currarino triad, associated with six habitual abortuses and chronic constipation. Our aim is to report the effectiveness of a simple surgical technique in the treatment of anterior sacral meningocele in the Currarino Syndrome. The presentation of...


Gangliocytoma Associated with Focal Cortical Dysplasia in a Young-Adult: A Case Report
[Abstract] [Similar Articles]

Neoplasms and (non-neoplastic) focal dysplasias may coexist as a cause of seizures in both the developing and mature brain. Low grade neoplastic lesions (ganglioglioma/gangliocytoma) may present with seizures, and distinction of these lesions from focal cortial dysplasia is difficult on standard ...


Transient Lesion in the Splenium of the Corpus Callosum Due to Carbamazepine
[Abstract] [Similar Articles]

Keeping in mind that lesions located in the splenium of the corpus callosum can sometimes be temporary may help us avoid invasive diagnostic and therapeutic methods. Transient lesion in the splenium of the corpus related to using or withdrawal of antiepileptic drugs are rarely encountered. In thi...


Transmandibular Approach for Upper Cervical Pathologies: Report of 2 Cases and Review of the Literature
[Abstract] [Similar Articles]

In routine surgical practice, anterior approaches are not often used to treat upper cervical pathologies. Such lesions can be difficult to access surgically. This article describes 2 cases in which the transmandibular approach was used to address anterior upper cervical pathology. One case was a ...


Unusual Massive Spinal Metastasis of an Intracranial Oligodendroglioma
[Abstract] [Similar Articles]

Herein, we present a case of anaplastic oligodendroglioma with massive spinal metastasis in the first post-operative year without any residual tumor or recurrence in the primary tumor site. Along with the reported literature, our case highlights the importance of periodic radiological evaluation ...


Meningoencephalocele Formation after Nasal Septoplasty and Management of this Complication
[Abstract] [Similar Articles]

OBJECTIVE: Patients undergoing nasal septoplasty can face many complications. Some of these complications are rare but their results are life threatening. Being aware of this complication could prevent further problems such as enlargement of the bone and dural defect, herniation of the meninges a...


Isolated Spinal Neurocysticercosis with Clinical Pleomorphism
[Abstract] [Similar Articles]

Neurocysticercosis, involvement of the central nervous system by taenia solium, is one of the most common parasitic diseases worldwide. However, isolated spinal involvement by neurocysticercosis, either intramedullary or extramedullary, is uncommon. The authors report a case of C1-C2 intradural ...


Stab Injury of the Thoracic Spinal Cord: Case Report
[Abstract] [Similar Articles]

Stab injuries of the spinal cord are rare. We report a case of a 22-year-old male who was hospitalized because of a spinal cord injury resulting from a stab wound in the posterior thoracolumbar area. On admission, the patient had 2/5 muscle strength of the right leg (monoparesis) and hypoesthesia...


A Large Choroid Plexus Papilloma Removed by the Cerebellomedullary Fissure Approach. Case Report and Review of the Literature
[Abstract] [Similar Articles]

We report a case of large choroid plexus papilloma of the fourth ventricle in a 23-year-old woman. She presented with severe headache, dysphagia, and gait disturbances. Horizontal nystagmus, ataxic gait and quadriparesis were detected on initial examination. Imaging studies showed a large mass in...


CT-Guided Corticosteroid Injection as a Therapeutic Management for the Pyriformis Syndrome: Case Report
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The pyriformis syndrome is a rare entrapment neuropathy in which the sciatic nerve is compromised by the pyriformis muscle or other local structures. It is an important cause of buttock pain that may often be accompanied by sciatica. The pain is usually increased by muscular contraction, palpatio...


Tentorium Schwannoma Mimicking Meningioma: An Unusual Location
[Abstract] [Similar Articles]

A 60-year-old female was admitted to our clinic complaining of a long-lasting headache. Cranial magnetic resonance imagining examination of the patient revealed a 22x24 mm extra-axial, well-demarcated, mass lesion based on the left tentorium. The patient underwent a craniotomy and the tumor was t...


Spinal Schwannomatosis: Case Report of a Rare Condition
[Abstract] [Similar Articles]

Schwannomatosis is a rare tumour syndrome characterized by more than one schwannoma without any sign of neurofibromatosis (NF). A 22-year-old male patient was admitted with weakness in his extremities. Neurological examination revealed a tetraparesis syndrome below the C6 level. Magnetic resonan...


Spinal Subdural Hematoma: A Rare Complication of Spinal Anesthesia: A Case Report
[Abstract] [Similar Articles]

Spinal hematoma is an infrequently described complication of spinal anaesthesia. It has been described in the literature in patients with a deranged coagulation profile in the form of systemic diseases (e.g. chronic renal failure, liver failure) or anticoagulant therapy. Whatever the reason, it w...


Spontaneous Regression of Extruded Lumbar Disc Herniation: Report of Two Illustrative Case and Review of the Literature
[Abstract] [Similar Articles]

Although the first reported surgery for lumbar disc herniation was published many years ago, there still remains little agreement for the most effective treatment protocol for symptomatic cases. Many patients with extruded lumbar disc herniation require surgical intervention due to radiculopathy ...


Lumbar Spinal Chondroma Presenting with Radiculopathy: Case Report
[Abstract] [Similar Articles]

Chondroma is a very unusual cartilagenous neoplasm of the spine. Here we are present a case of spinal chondroma with radiculopathy. A 54-year-old female patient consulted with progressive low back pain and left femoral numbness. Lumbar spinal Magnetic resonance (MR) imaging studies showed an extr...


Extremely Delayed Renal Cell Carcinoma Metastasis Mimicking Convexity Meningioma
[Abstract] [Similar Articles]

Cerebral extra-axial metastases mimicking meningioma are extremely rare. Imaging characterictics may not always differentiate between meningioma and metastatic tumors. A 68-year-old-woman who had been operated for renal cell carcinoma 20 years ago presented with new symptoms of an intracranial ma...


Totally Cystic Intradural Extramedullary Schwannoma
[Abstract] [Similar Articles]

Totally cystic intradural extramedullary lesions are uncommon and form a different spectrum of conditions as compared to the commonly seen intradural extramedullary tumors. Spinal schwannomas are benign tumors arising from spinal nerve root sheaths and are the most common intradural extramedullar...


Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis of the Cervical Spine
[Abstract] [Similar Articles]

Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is a common disorder of unknown etiology that is characterized by ossification of the anterior longitudinal ligament of the spine and various extra-spinal ligaments. We present the case of a 54-year-old woman with progressive ...


Nasal-Subfrontal Giant Schwannoma
[Abstract] [Similar Articles]

Subfrontal schwannomas are rare lesions. They can be misdiagnosed as olfactory meningiomas or neuroblastomas. We report a case of giant schwannoma involving the anterior cranial fossa; the frontal and ethmoid sinuses and nasal cavities. The patient presented with a year-long history of increasin...


Posttraumatic Infarction in the Basal Ganglia after a Minor Head Injury in a Child: Case Report
[Abstract] [Similar Articles]

We present a case of posttraumatic infarction in the territory supplied by the lateral lenticulostriate artery after a minor head injury in a child. A 2.5-year-old child was admited to our emergency room after a head-on fall from a height of 50cm. He developed a right hemiparesis and he could not...


Ossified Chronic Subdural Hematoma with Armored Brain
[Abstract] [Similar Articles]

Ossified chronic subdural hematoma is a very rarely seen entity. We present here a 22-year-old male who had presented with severe headache consequent to brain compression caused by bifronto-parieto-temporal ossified subdural hematoma. We evaluated our method and surgical intervention in the light...


Primary Undifferentiated Ovarian Carcinoma Diagnosed by its Metastasis to Brain: An Unusual Case Report
[Abstract] [Similar Articles]

OBJECTIVES: Intracranial metastasis of ovarian tumours is rarely seen with an incidence 0.1- 5% but simultaneous diagnosis of primary undifferentiated carcinoma of the ovary and its CNS metastasis has not been published previously. MATERIAL and METHODS: A 56-year-old woman presented with headache...


Fatal Intratumoral Hemorrhage Following Ventriculo-peritoneal Shunt
[Abstract] [Similar Articles]

Ventriculo-peritoneal shunt, one of the most common surgical procedures performed by neurosurgeons all over the world has been associated with a number of complications; the most common being infection and mechanical failure. Most of these complications tend to increase morbidity with prolonged ...


Ruptured Blister-Like Aneurysm of Distal Internal Carotid Artery: A Distinct Entity
[Abstract] [Similar Articles]

OBJECTIVE: Blister-like aneurysms are small hemispherical bulges that usually originate from the anteromedial wall of the distal internal carotid artery and cause significant subarachnoid hemorrhage. It is very important to recognize this novel lesion as a different type of aneurysm than ordinary...


A Focal Cortical Dysplasia Case whose Seizure Focuses were Detected Using Interhemispheric Grid Electrode: A Technical Case Report
[Abstract] [Similar Articles]

We report an 18-year-old boy who presented with seizures at the age of 12 years. He had 3 different kinds of seizures, occurring 4 to 5 times a week, despite adequate antiepileptic treatment. Magnetic resonance imaging (MRI) showed deep paramedian focal cortical dysplasia in the left parietal lob...


Intraventricular Dysembryoplastic Neuroepithelial Tumor-Like Neoplasm with Disseminated Spinal Tumor
[Abstract] [Similar Articles]

Dysembryoplastic neuroepithelial tumor (DNT)- like lesions arise in extracortical locations and behave in a benign fashion similar to that of cortical DNTs. They usually come to attention by symptoms and signs of increased intracranial pressure rather than focal neurological impairment. Here we r...


Gunshot Injuries Due to Celebratory Gun Shootings
[Abstract] [Similar Articles]

Traditional shooting with guns often occurs and leads to unwanted gunshot injuries in areas where celebrations are held. Such injuries have been classified as celebratory gun shooting injury in the international disease classification system. CASE: An 8-year-old female patient presented with res...


Crossed Wernicke's Aphasia After Aneurysmal Subarachnoid Hemorrhage: A Case Report
[Abstract] [Similar Articles]

Crossed aphasia (CA) refers to aphasia occurring after right brain damage in right handers. In the literature, numerous CA cases following cerebral ischemia have been reported, but few met the criteria for a prompt diagnosis. The authors present the case of a 52-year-old woman with SAH caused by ...


Atypical Intracerebral Schwannoma Mimicking Glial Tumor: Case Report
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A rare case of a solitary schwannoma arising within parenchyma of the brain is reported. A 37–year old right-handed man presented with a 3- month history of progressive headaches, lethargy and vomiting. The initial diagnosis being considered was primary intracranial tumor, including high-gr...


Cardiac Decompensation in a Patient with Eisenmenger Syndrome Undergoing T5-T7 Levels Laminectomy in the Sitting Position
[Abstract] [Similar Articles]

Although several different anesthetic techniques have been employed for noncardiac surgery in Eisenmenger syndrome (ES), the best anesthetic technique is still controversial. A17-year-old male with ES and an epidural abscess at the T5- T7 levels was scheduled to undergo laminectomy in the sitting...


Symptomatic Foraminal Extradural Meningeal Cyst
[Abstract] [Similar Articles]

The authors described the case of a 39-year-old man with Klippel-Trénaunay syndrome, who had an extradural meningeal cyst expanding into intervertebral foramen of lumbar 2 and 3 vertebrae. The patient suffered from low back pain radiating to the left lower extremity. Magnetic resonance imaging re...


Spontaneous Syringomyelia Resolution at an Adult Chiari Type 1 Malformation
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We present a 41-year-old man with Chiari type 1 malformation and cervical syringomyelia. Although the tonsillar herniation persisted, his syringomyelia was almost completely resolved during an eleven-year time period without surgery.


Spontaneous Cervical Epidural Hematoma Causing Brown-Sequard Syndrome: Case Report
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OBJECTIVE: Spontaneously occurring epidural hematoma without any identified etiology is a rare phenomenon. These are often neurosurgical emergencies; therefore, prompt diagnosis and treatment are paramount. Because of the rarity of this condition, we illustrated its presentation, evaluation and m...


Post- traumatic Compound Elevated Fracture of Skull Simulating a Formal Craniotomy
[Abstract] [Similar Articles]

Fracture of the cranial bones following trauma is common. The fracture most commonly encountered in clinical practice is an undisplaced linear fracture of a skull bone or a depressed skull fracture. Compound elevated skull fracture, unlike depressed skull fracture is an extremely rare variety of ...


Endoscopic Transrostral- Transsphenoidal Approach to Petrous Apex Cholesterol Granuloma: Case Report
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Cholesterol granuloma (CG) of the petrous apex is an inflammatory reaction to the by-products of eroded marrow cavities secondary to chronic obstruction of air cells within the petrous pyramid. We report a case of cholesterol granuloma in the left petrous bone occurring in a 28-year-old woman wit...


Supratentorial High Grade Astroblastoma: Report of two Cases and Review of the Literature
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Astroblastoma is a rare glial tumor with uncertain histopathological origin and unpredictable clinical behavior. In this report, the authors present two cases of high grade intracerebral astroblastomas. Both tumors occurred in children as supratentorial, well-circumscribed, peripheral masses. The...


Circumferential Total Resection of Cervical Tumors: Report of Two Consecutive Cases and Technical Note
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To date, few studies have addressed the subaxial vertebrectomy technique and related anatomical landmarks in this method. Total spondylectomy is performed via piecemeal resection or en bloc removal in a one-stage procedure associated with stabilizing the spine and preserving neurological status. ...


Amyloidoma of the Temporal Bone and Upper Cervical Spine; Presentation of a Rare Clinical Entity with a Brief Literature Review
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The amyloidoses comprise a heterogeneous group of diseases characterized by the extracellular deposition of an insoluble protein complex in various tissues. Amyloidomas in bone are most common in patients with systemic amyloidosis and plasma cell dyscrasias. Decreased clearance of ß2 microglobuli...


Bilateral Internal Carotid Artery Hypoplasia and Multiple Posterior Circulation Aneurysms. Importance of 3DCTA for the Diagnosis
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We present a case with bilateral internal carotid artery hypoplasia and multiple posterior circulation aneurysms who was diagnosed following a subarachnoid hemorrhage. The patient was admitted to our clinic with a history of sudden and severe headache with short-term loss of consciousness and bei...


Aneurysmal Bone Cyst of the Sphenoid Bone Extending into the Ethmoid Sinus, Nasal Cavity and Orbita in a Child
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An aneurysmal bone cyst (ABC) typically involves the long bones of the extremities, thorax, pelvis, or vertebrae. Skull base involvement is rare. We describe the case of a 9-year-old girl with ABC of the skull base. The patient had presented with nasal obstruction and headache over a period of ap...


Monoradiculopathy and Secondary Segmental Instability Caused by Postoperative Pars Interarticularis Fracture: A Case Report
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Instability can develop after lumbar spinal surgery. What is also known as secondary segmental instability is one of the important causes of failed back syndrome. In this paper, we described a 45-year-old female patient who was diagnosed with secondary segmental instability caused by left L3 pars...


Late Brain Stem Radionecrosis Seventeen Years After Fractionated Radiotherapy
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The appearance of a new lesion several years after radiation treatment for a primary brain tumor may represent different kind of pathologies. We present a 24-year-old patient who suffered from right-sided hemiparesis and ataxic gait with a history of an operation due to left frontoparieal grade I...


Primary Spinal Hydatid Disease
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Primary spinal hydatid disease is rare. Spinal hydatid disease should be considered in the differential diagnosis of spinal cord compression syndrome in endemic countries and evaluated with imaging and serology. Our case was a 34- year-old man. The patient presented with progressive back pain for...


Spinal Chronic Subdural Hematoma Mimicking Intradural Tumor in a Patient with History of Hemophilia A: Case Report
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A22-year-old man with medical history of Hemophilia Awas admitted with a 3- month history of low back pain radiating to the right leg. Neurological examination revealed no abnormalities. Spinal magnetic resonance imaging (MRI) with gadolinium enhancement revealed an intradural extramedullary mas...


Effect of Vagal Nerve Stimulation in Dyke&#8211;Davidoff&#8211;Masson Syndrome with Refractory Generalized Seizures &#8211; Case Report
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We report a case of Dyke–Davidoff–Masson syndrome (DDMS) in whom left vagal nerve stimulation (VNS) resulted in worthwhile seizure reduction (Engel's Classification Class III). A 20-year-old woman with DDMS whose seizures were medically intractable was successfully treated using left ...


Infratentorial Subdural Empyema
[Abstract] [Similar Articles]

Infratentorial subdural empyema is a life-threatening rare complication of bacterial meningitis. Infratentorial subdural empyemas constitute only a small portion of all cases with intracranial infectious diseases. We present a 15-yearold boy with infratentorial subdural empyema. Empyema was diagn...


Multiple Intracranial Hydatid Cysts in a Boy
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Multiple hydatid cysts of the brain are uncommon and may be either primary or secondary. A 15-year-old boy with a huge mass of intracranial hydatid cysts (95x85x80 mm) is presented. The first manifestation was headache and vomiting, which was followed by symptoms of raised intracranial pressure. ...


A Rare Emergency Condition in Neurosurgery: Foot Drop Due to Paget's Disease
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Paget's disease is a chronic, focal skeletal disorder that usually affects the pelvis and spine. Spinal cases are generally asymptomatic; in the symptomatic cases, the neurological dysfunctions are related to non-compressive vascular defects, hemorrhage, sarcomatoid degeneration, spinal stenosis,...


A Rare But Fatal Case of Granulomatous Amebic Encephalitis with Brain Abscess: The First Case Reported from Turkey
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The incidence of protozoal and helminthic infestations of the central nervous system (CNS) is less than 1%, but these infestations tend to follow a fatal course. They are more common among children, the elderly and immunocompromised individuals. CNS infections due to Entamoeba histolytica have be...


Glioblastoma with Primitive Neuroectodermal Tumor-Like Features: Case Report
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Glioblastoma multiforme (GB) is the most aggressive, and the most frequent primary tumor of the brain in adults. Presence of less-differentiated areas which exhibit a small cell morphology and neural immunophenotype is quite uncommon in GBs. Tumor tissue which had been determined in the frontotem...


Occlusion of the Abdominal Aorta by Balloon Dilation Catheter Assisting Surgical Excision of a Sacrum Chordoma: Case Report
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Chordoma is known to be the most common primary tumor of the sacrum. Its surgery is challenging from many aspects. A large amount of bleeding is one of the biggest issues. A 52-year-old woman was admitted to our clinic with a huge mass at sacrum. The mass was diagnosed as chordoma after a needle ...


Hemifacial Spasm Caused by Vascular Compression of the Distal Portion of the Facial Nerve Associated with Configuration Variation of the Facial and Vestibulocochlear Nerve Complex
[Abstract] [Similar Articles]

It is generally accepted that hemifacial spasm (HFS) is caused by vascular compression at the root exit zone (REZ) of the facial nerve. We saw an HFS patient caused by vascular compression of the distal portion of the facial nerve associated with configuration variation of the facial-vestibulococ...


Delayed Intraventricular Tension Pneumocephalus Due to Scalp-Ventricle Fistula: A very Rare Complication of Shunt Surgery
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BACKGROUND: Although pneumocephalus and pneumoventricle are well known entities in neurosurgery practice, delayed intraventricular tension pneumocephalus following shunt surgery is extremely rare. CASE DESCRIPTION: A 60-year-old man presented with vomiting, drowsiness, walking difficulty, urinar...


Choroid Plexus Papillomas in two Siblings: Case Report
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Choroid plexus papilloma (CPP) is a rare, benign epithelial brain tumor of the nervous system seen particularly in infants. Familial cases are extremely uncommon. Some other form of malignant tumors was noted in the relatives of patients with CPPs, and some genetic defects regarding this coincide...


Intracranial Chronic Subdural Haematoma as a Complication of Epidural Anesthesia
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We report the case of a 39-year-old woman with unilateral intracranial chronic subdural haematoma that occurred after epidural anesthesia for excision of a skin scar, complicated by postdural puncture headache. The patient had no history of trauma, headache, coagulation abnormalities, or neurolog...


Osteoid Osteoma in the Thorasic Spine
[Abstract] [Similar Articles]

Osteoid osteoma is a benign skeletal neoplasm composed of osteoid and woven bone. The majority of the lesions arise in the cortex of long bones. Osteoid osteoma of the spine is a rare primary spine tumor and those located at the thoracal spine are even rarer. The usual treatment involves complete...


A Case of Ecchordosis Physaliphora Presenting with an Intratumoral Hemorrhage
[Abstract] [Similar Articles]

Ecchordosis physaliphora is a rare congenital, benign, hamartomatous, retroclival mass derived from notochordal tissue that is typically located intradurally in the prepontine cistern. Ecchordosis physaliphora is usually asymptomatic. In rare cases, ecchordosis physaliphora can be symptomatic due...


Intradiploic Meningioma Mimicking Calvarial Metastasis: Case Report
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Meningiomas are the most common benign intracranial neoplasms. Nearly 20% of all primary intracranial tumors are meningiomas. Primary intraosseous meningiomas are a subtype of the meningiomas that represents the most uncommon manifestation of meningiomas. Although rare, these tumors can be found...


Pure Ventral Midline Long Segment Schwannoma of the Cervicodorsal Spine: A Case Report
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Spinal intradural extramedullary schwannomas commonly occur posterolateral or anterolateral to the spinal cord. A case of a pure midline ventrally situated cervicodorsal extramedullary schwannoma in a 33-year-old female patient with subacute cord compression and sphincteric involvement is present...


Vertebral Artery Insult at the Transverse Foramina by Gun Shot Wounds: Report of Two Cases
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The vertebral artery (VA) is well protected through its course at the cervical transverse foramina and penetrating injuries of VAare mostly caused by gun shot wounds. The mechanism of injury in these wounds is described as the kinetic energy transferred by the bullet, which always depends on its ...


Gliosarcoma with Chondroblastic Osteosarcomatous Differentation: Report of Two Case with Clinicopathologic and Immunohistochemical Features
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Gliosarcoma is a rare tumor of the central nervous system characterized by a biphasic histological pattern. Our objective is to describe clinical, morphological and immunohistochemical features of two cases of gliosarcoma with chondroblastic osteosarcomatous differentiation and to discuss its pat...


Giant Cell Reparative Granuloma of the Axis
[Abstract] [Similar Articles]

Giant cell reparative granuloma (GCRG) is a rare, benign fibroosseous lession. It typically arises in the mandible and maxilla, and less frequently in the skull bones. We report a case of GCRG of the axis, which is the first to be reported in the literature. A 35-year-old man was admitted to our ...


Combined Anterior and Posterior Approach for Sacral/Retroperitoneal Hydatid Cyst Disease: Case Report
[Abstract] [Similar Articles]

Achieving complete resolution of spinal hydatid cyst disease is quite challenging when bone is involved. Many authors reported the poor outcome of posterior decompression and laminectomy for intraosseous spinal hydatid disease. In an attempt to avoid a similar poor outcome, hydatid cysts were rea...


Glioblastoma Multiforme Mimicking Arteriovenous Malformation
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Glioblastoma multiforme is the most common intracranial neoplasm of all primary central nervous system tumors. Glial tumors can present in different forms. Intracranial hemorrhage may occur in all central nervous system tumors to a varying degree and extent and may even be massive. A 58-year-old ...


Cervical Screw Missing Secondary to Delayed Esophageal Fistula: Case Report
[Abstract] [Similar Articles]

Although anterior surgical approaches to the cervical spine have become popular and safe in recent years, they also have some complications. We present a case of loss of an anterior cervical plate screw by the natural tracts. The patient was a 47- year-old woman who was operated on for cervical s...


An Unusual Presentation of Head Injury: Teeth in Brain
[Abstract] [Similar Articles]

Penetrating injuries other than gunshot wounds or low-velocity wounds to the head are extremely rare. We report the case of a 19 year old male who sustained a penetrating craniocerebral trauma following a road traffic accident. Noncontrast CT scan revealed three foreign bodies embedded in left fr...


Aplasia Cutis Congenita Associated with Multiple Congenital Anomalies: Case Report
[Abstract] [Similar Articles]

INTRODUCTION: Aplasia cutis congenita (ACC), is a rare anomaly presenting with a solitary scalp lesion of skin abrasion. Lesions can be multiple and on different surfaces of the body but are mostly seen on the scalp (%70) as a solitary lesion. As it is a rare disease, we aimed to describe our cas...


Cavernous Hemangioma Presenting as a Giant Cervical Mass: A Case Report
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Intramuscular hemangiomas of the head and neck are rare congenital vascular tumors and are sparsely reported. Hemangiomas account for approximately 7% of benign tumors and usually present as a mass that suddenly enlarges. Hemangiomas are mostly seen on the trunk and extremities, but can also appe...


Giant Craniocervical Junction Schwannoma Involving the Hypoglossal Nerve: Case Report
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OBJECTIVE: The authors present the case of a dumbbell-shaped schwannoma of the upper cervical spine involving the ventral rami of C-2 sensory root and rising through the foramen magnum up to the pontobulbar junction. The 27-year-old male patient complaining of hoarseness, imbalance and experienci...


Monostotic Fibrous Dysplasia of the Clivus: Imaging Findings
[Abstract] [Similar Articles]

Fibrous dysplasia (FD) is an uncommon benign disorder of unknown etiology. It most likely represents a disorder of normal bone development. The disease can involve any bone in the body. In the head and neck, the skull and facial bones are involved in 10–25% of cases of monostotic FD. Involv...


Spontaneous Resolution of Calcified Cephalhematomas of Infancy: Report of Two Cases
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Cephalhematoma (CH) is less commonly encountered problem of infancy with an incidence of 1 % however calcified CHs are seldom. The exact reason of calcification remains unclear. We report two cases of calcified CHs that developed as a complication of vacuum extraction during vaginal delivery. Cal...


Multilevel Primary Intraspinal PNETs in an Infant Associated with Hydrocephalus
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PNETs of the spinal cord are aggressive and local recurrence and/or leptomeningeal spread is common. Primary spinal PNETs are extremely rare and most cases involving the spinal cord are drop metastases from primary intracranial tumors by cerebrospinal fluid. Herewith, we present a 40-day-old infa...


Primary Intracranial Myxoma of the Lateral Skull Base: A Rare Entity in Clinical Practice
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Myxomas are rare benign tumors arising from mesenchymal tissues throughout the body. These tumors are usually seen in the atrium of the heart and the jawbone. Involvement of the skull base with intracranial extension is extremely rare, and only a few cases of primary intracranial myxomas have bee...


Regression of Neointimal Hyperplasia of an Intracranial Stent: 6 Years Follow-up of A Wide-Necked Aneurysm
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We present a case of wide-necked giant aneurysm located at the P1-P2 segment of the posterior cerebral artery. The initial goal for treatment of the aneurysm was hemodynamic flow redirection with subsequent thrombosis so the procedure and involved stent placement to the neck of the aneurysm witho...


The Treatment of Cerebral Salt Wasting with Fludrocortisone in a Child with Lissencephaly
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Hyponatremia is the most frequent electrolyte disorder in critically ill neurological patients. The major differential diagnoses in this situation are the syndrome of inappropriate antidiuretic hormone secretion, marked by inappropriate retention of free water, and cerebral salt wasting, characte...


Terminal Syringomyelia Mimicking an Intramedullary Tumor: Case Report
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In this report, the authors present a 14-year-old male patient admitted with progressive paraparesis and urinary incontinence that developed in a 3-month period. Thoracolumbar MRI revealed an intramedullary lesion starting from the level of the T10 vertebra and extending to fill the sacral spinal...


Pigmented Villonodular Synovitis of the Spine: Report of a Lumbar Case
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Pigmented villonodular synovitis is a benign proliferative disease of the synovial structures. This disease is most commonly seen in the extremities, and spinal involvement is extremely rare. In the relevant literature, 53 cases have been reported. We present a 66-year-old female patient with a l...


Post-Traumatic C7-T1 Spondyloptosis in a Patient without Neurological Deficit: A Case Report
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Traumatic cervical spondyloptosis has almost always been associated with disabling neurological deficit and we could only find one case without a neurological deficit reported in the literature. A 42 year old man suffering from severe neck pain following a high speed motor vehicle accident was ad...


Trigeminal Neuropathic Pain Following Honeybee Sting: A Case Report
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The neurological complications of bee venom poisoning vary from optic neuritis to pontine hematoma. However, to our best knowledge, trigeminal neuropathic pain secondary to bee sting has not been reported previously in the literature. We report the case of a 52-year-old male patient with right-si...


Cemento-Ossifying Fibroma Presenting as a Posterior Fossa Mass Lesion
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Cemento-ossifying fibromas are benign lesions of the jaw, which arise from the periodontal membrane. Histopathologically these are composed of fibrous tissues with calcified structures resembling bone and cementum. Surgical resection is the treatment of choice. They have rarely been reported in t...


Recurrent Lumbar Spinal Intradural Enterogenous Cyst: A Case Report
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Enterogenous cysts mostly present in the cervical and thoracic region of the spinal canal and have only rarely been observed in the lumbar region. We report here a case of a recurrent enterogenous cyst in the lumbar spinal canal. A24-yearold woman presented with lower back and left radicular leg ...


Pure Sensory Stroke Due to Bilateral Basal Ganglion Hemorrhage: A Case Report
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Bilateral simultaneous hypertensive intracerebral hemorrhages are extremely rare. The predisposing factors and pathophysiological mechanisms leading to the development of this picture are not well known. Possible mechanisms of simultaneous multiple hemorrhages include concomitant primary hemorrha...


Langerhans Cell Histiocytosis of the Cervical Spine in an Adult: A Case Report
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We present a case of a 47-year-old-woman with a complaint of cervical pain with paresthetic appearance on her left arm. She was treated with analgetics. Further radiological evaluation because of the persistent pain revealed an osteolytic destruction of the fourth cervical vertebra. The patient u...


A Rare Complication of Spinal Surgery: Cerebelllar Hemorrhage
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Remote cerebellar hemorrhage (RCH) after spinal surgery is encountered extremely rarely. A 64 year-old female patient developed symptoms of deteriorating consciousness and diplopia arising on the first postoperative day after recurrent spinal surgery. Cranial CT scan showed cerebral edema and ev...


Sacroplasty: Report of Three Cases
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AIM: Sacral stress fractures are rare fractures presenting themselves with low back and groin pain. These fractures can be treated effectively using sacroplasty. MATERIAL and METHODS: The clinical and radiological data of three cases that underwent sacroplasty for sacral stress fractures were re...


Clinical, Radiological and Endocrinological Findings in a Case of McCune-Albright Syndrome
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The McCune-Albright syndrome was described as a syndrome of polyostotic fibrous dysplasia, café au lait skin pigmentation, and autonomous endocrine hyperfunction in 1937. We report a 17-year girl with early menarche and accelerated growth for the past three years. The endocrinological examination...


Endoscopic Management of Posterior Fossa Arachnoid Cyst in an Adult: Case Report and Technical Note
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The authors report a case of large arachnoid cysts of the posterior fossa treated by endoscopic surgery. A 40-year-old man was admitted with a 3-month history of headache and progressive gait imbalance, with no significant medical history. At the time of admission, neurological examination reveal...


Chronic Ossified Epidural Hematoma After Ventriculoperitoneal Shunt Insertion: A Case Report
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Chronic calcified/ossified epidural hematoma is an uncommon complication of ventricular shunt surgery. There are only 4 cases related to valve-regulated shunt operations in the literature. It may be seen especially in young patients with chronic hydrocephalus, probably due to craniocerebral dispr...


Residue Bone Wax Simulating Spinal Tumour: A Case Report
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Bone wax is primarily used in case of bleeding of the diploic vessels of the bones in surgical procedures. It is useful in neurosurgical procudores because of its inert, nonreactive charecteristics. Bone wax is safe material and its use rarely leads to complications but there may be complications...


Total Resection of Inferiorly Located Sacral Chordoma with Posterior Only Approach: Case Report and Review of the Literature
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Chordoma is a primary sacral neoplasm of ectodermal origin and makes up %1- 4 of all primary bone tumors. It is usually present on the midline cerebrospinal axis and the most common locations are the spheno-clival region and the sacrum. The treatment of primary sacral tumors represents a challeng...


Bilateral Temporal Bone Xanthomas in Type II Hypercholesterolemia
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We present a very rare case of intracranial xanthoma with bilateral temporal bone involvement. The lesion caused destruction and remodelling in mastoid air cells. On the right side, cerebellar compression was obvious. The patient was operated on the symptomatic side and the lesion was totally rem...


Diffuse Cerebral Arteriovenous Malformation
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Diffuse cerebral arteriovenous malformation (AVM) is a rare disorder of the brain and defined as diffuse infiltration of brain by complex vascular structures. It is usually associated with hereditary syndromes and presented with hemorrhage or seizure. We report a 20-year-old male patient who pres...


A Long-Segment String of Bead- Like Schwannoma of Cauda Equina: A Case Report
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Spinal schwannomas are one of the most common intradural extramedullary spinal tumors. However, a string of bead-like intradural extramedullary schwannoma is highly uncommon. In the paper we present a case of a longsegment string of bead-like intradural extramedullary schwannoma of cauda equina ...


Multiple Middle Meningeal Artery Aneurysms Associated with Fistulous Galenic Arteriovenous Malformation: A Case Report
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Non-traumatic multiple saccular aneurysms of the middle meningeal artery are extremely rare lesions. In our case the patient was a 51-year-old woman admitted with complaints of progressive headache. Magnetic resonance imaging showed a dilatation of the vein of galen malformation. Cerebral angiogr...


Foreign Body within Sphenoid Sinus: Multidetector-Row Computed Tomography (MDCT) Demonstration
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Trans-nasal sphenoid sinus foreign body is a rare condition. We report a case of trans-nasal gun bullet within the sphenoid sinus with breach of the floor of the sella turcica. A 42-year-old soldier presented a few weeks after a gun battle with a history of headache. The skull x-ray demonstrated ...


A Case of Intracranial Hypotension Complicated with Hydrocephalus
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Aim: Intracranial hypotension may have variable clinical presentation. The imaging characteristics of intracranial hypotension are especially well depicted on magnetic resonance imaging studies. Although the clinical and radiological manifestations of spontaneous intracranial hypotension are incr...


Is Spontaneous Spinal Epidural Hematoma in Elderly Patients an Emergency Surgical Case?
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Spontaneous spinal epidural hematoma (SSEH) is a rare condition requiring urgent diagnosis and treatment. Patients with SSEH typically present with acute onset of severe back pain and rapidly develop signs of compression of the spinal cord. The authors present a case with spontaneous resolution o...


Syringomyelia and Intradural Extramedullary Tuberculoma of the Spinal Cord as a Late Complication of Tuberculous Meningitis
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Intradural extramedullary (IDEM) tuberculomas account for only 1% of all spinal tuberculomas. Concurrent IDEM tuberculoma and syringomyelia arising as a complication of tuberculous meningitis (TM) is extremely rare and only two cases have been reported to date. There is yet no report in the liter...


Cauda Equina Syndrome Caused by a Migrated Bullet in Dural Sac
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Cauda equina syndrome (CES) is a serious neurological condition and the most common cause is a central disc herniation. Migration of a bullet down the spinal canal is uncommon. In this report, the authors present an unusual case of cauda equina syndrome caused by a migrated bullet in dural sac. T...


Multiple Aneurysms Associated with Agenesis of Internal Carotid Artery
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Agenesis of internal carotid artery (ICA) is a rare anomaly. The contralateral dominant artery has a high incidence of aneurysms. A 50-year-old male patient had aneurysmal subarachnoid hemorrhage due to rupture of a paraclinoid aneurysm. He also had an anterior communicating artery (Acom) aneurysm...


Transfacial Approach, Pedicled Rhinotomy for a Clival Chordoma: A Technical Report
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Clival chordomas are frequently midline structures. Due to their critical location, invasive nature and aggressive recurrences, skull base chordomas are difficult to manage surgically. We present a case operated on with the pedicled transnasal and transfacial approach. The case presented with neur...


Spontaneus Resolution of a Traumatic Vertebral Artery Pseudoaneurysm
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Injuries of the vertebral artery are rare and are usually seen after penetrating or blunt cervical trauma. Vertebral artery injuries (VAI) have been reported in 0.5% of blunt trauma cases. These injuries can lead to hemorrhage, thrombosis, arteriovenous fistula or traumatic pseudoaneurysm in the e...


Intracerebral Hematoma Following Lumboperitoneal Shunt Insertion: A Rare Case Report
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Lumboperitoneal shunting is widely used for the surgical management of pseudotumor cerebri and other pathologies such as communicating hydrocephalus. Although it is a safe method, it could be associated with complications including subarachnoid hemorrhage, subdural and rarely intracerebral hematom...


Congenital Hypoplasia of the Posterior Arch of the Atlas: Case Report and Extensive Review of the Literature
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Congenital hypoplasia of the posterior arch of the atlas (C1), a developmental failure of chondrogenesis, is a rare anomaly and may range from partial clefts to total agenesis of the posterior arch. Ossification of the posterior arch usually occurs between the 3rd and 5th years of life. The incide...


Ossifying Fibroma of the Lumbar Spine: Case Report
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Ossifying fibroma of the vertebra is a very rare condition. We report a 16-year-old boy with ossifying fibroma of the third lumbar vertebra. Neurological and laboratory examinations demonstrated normal findings. Low-back pain, in the absence of radicular pain, was the presenting symptom. Plain rad...


Traumatic Intraventricular Hemorrhage with a Good Prognosis
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We report a 10-year-old girl with an isolated traumatic intraventricular hemorrhage following a traffic accident, who had a good prognosis. Her neurological examination upon arrival was normal and she had no complaint other than headache and vomiting. Computed tomography on admission showed a hemo...


Tumoral Calcinosis and Epidural Lipomatosis of the Lumbar Spine
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Lumbar spinal tumoral calcinosis and spinal epidural lipomatosis are rare conditions. We present a 70-year-old female patient with serology negative spondyloarthropathy who developed paresis due to tumoral calcinosis in the left facet joint between L5 and S1 levels and spinal epidural lipomatosis ...


CT Findings of a Th oracic Vertebral Hemangioma Presenting with Acute Neurological Symptoms
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Vertebral body hemangiomas are benign lesions and account for 4% of all spinal tumors. The most common histological type is cavernous hemangioma. These tumors generally locate in the vertebral body as a solitary lesion. Multiple lesions are seen in approximately 25-30% of vertebral hemangiomas. Mo...


Primary Brain Tumors Associated with Cerebral Aneurysm: Report of Three Cases
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The primary brain tumors associated with cerebral aneurysms are rare in neurosurgical practice. The present article constitutes an evaluation of the management of coexistent primary brain tumor and cerebral aneurysm. A retrospective study of three cases of primary brain tumor with cerebral aneurys...


Diencephalic Juvenile Pilomyxoid Astrocytoma with Leptomeningeal Dissemination
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Pilomyxoid astrocytoma (PMA) is a recently described neoplasm. PMA shares few features with pilocytic astrocytoma (PA), the most common central nervous system (CNS) tumor in the pediatric population, yet displays histological differences. Previous studies have shown that PMAs have more aggressive ...


Isolated Enchondroma of Atlas
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Compression at the craniovertebral junction because of tumors is not a very common entity. The commonest tumors present here are neurofibroma and meningioma. Any vertebral tumour can be present at this location. Benign bony tumors are very uncommon at this location and amongst these enchondromas a...


Apoplexy in Sellar Metastasis: A Case Report and Review of Literature
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Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision follow...


Giant Cystic Virchow-Robin Spaces with Adjacent White Matter Signal Alteration
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Perivascular spaces surround the small arteries and veins as they enter into the brain parenchyma from the subarachnoid spaces. Also called as Virchow-Robin spaces, these are prominent in the basal ganglia and high convexity white matter of the elderly. Occasionally VR spaces may get massively enl...


Existence of Two Separate Facet Joints on the Same Side: Case of a Congenital Anomaly
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We present a case that had two separate facet joints on the same side causing an intervertebral instability. The embryological pathogenesis of the congenital existence of two separate facet joints on the same side of the vertebra is not conclusively known. A 68-year-old woman presented with lower ...


Unilateral Hydrocephalus: Atypical Presentation of Intracranial Tuberculoma
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A 43-year-old male presented with 3-month history of low-grade fever and headache. Radiological investigations revealed unilateral hydrocephalus. Unilateral obstruction of the foramen of Monro due to chronic tubercular ependymal inflammation was suspected and endoscopic septostomy was planned. Tho...


Extraabdominal Desmoid Tumor Appearing Following Resection of Thoracolumbar Schwannoma
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The authors report the case of an adult female patient who developed a thoracic paraspinous desmoid tumor (aggressive fibromatosis) located just cranially to the incision scar of the previous surgery for resection of a spinal schwannoma. To the best of the authors' knowledge, this is the first rep...


Primary Fourth Ventricular Meningioma: Case Report and Review of the Literature
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Primary fourth ventricle meningiomas are extremely rare, and they are defined as meningiomas arising from the choroid plexus and lying strictly within the fourth ventricle. In this report we present a 61-year-old man with progressive worsening vertigo and gait disturbance, and new onset of diplopi...


Pure Peroneal Intraneural Ganglion Cyst Ascending Along the Sciatic Nerve
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Peroneal nerve entrapment is most commonly seen in the popliteal fossa. It is rarely caused by a ganglion. Intraneural ganglia, although uncommon and seldom cause serious complications, are well recognized and most commonly affect the common peroneal (lateral popliteal) nerve. Ganglionic cysts dev...


Anterior Tarsal Tunnel Syndrome Secondary to Missed Talus Fracture: A Case Report
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The anterior tarsal tunnel syndrome (ATTS) has first been described by Kopell and Thompson in 1963. The anterior tarsal tunnel is formed by the fascia lining the inferior extensor retinaculum and talus as well as the navicular bone. Many ATTS cases with various etiologies have been reported since ...


A New Entity: Chiari Zero Malformation and Its Surgical Method
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Recently, Iskandar et al described “Chiari Zero malformation” to characterize some kind of syringomyelia that exhibits classic Chiari-type symptoms with little to no herniation, but there is some dilemma about whether it is actually present. We presented a 38-year-old-man with a diagno...


Operative Illustrations of the Osborne's Ligament
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The cubital tunnel syndrome is widely considered as the second most frequent compression neuropathy in the upper extremities although the existence of a compressive cause has not been determined conclusively. As far as we know, operational photography of compression of the ulnar nerve at the elbow...


Thyrotropin Secreting Pituitary Adenoma Accompanying a Silent Somatotropinoma
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Thyroid stimulating hormone (TSH) secreting pituitary adenomas are rare tumors manifested as hyperthyroidism with goiter in the presence of elevated TSH. We present a case with pituitary adenoma secreting both TSH and growth hormone (GH) with the prominent clinical findings of hyperthyroidism but ...


Spinal Metastasis of Occult Lung Carcinoma Causing Cauda Equine Syndrome with Lumbar Spinal Stenosis
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AIM: Cancers that metastasize to the cauda equina are uncommon. Only seventeen cases were reported. Those from pulmonary squamous cell carcinoma was never been published to our knowledge. MATERIAL and METHODS: A 79-year-old male patient presented with low back pain since 1 year and severe sacral p...


Scissors in Brain: An Unusual Presentation of Tribal Culture in India
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AIM: To observe the neurological complications arising from various tribal practices and their management. Penetrating head injuries comprise only a small number of total head injuries. A penetrating head injury by deliberate attempt to treat an ailment is almost unheard of. MATERIAL and METHODS: ...


Elevated Skull Fractures in Pediatric Age Group: Report of Two Cases
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Elevated fractures of the skull, which are rarely reported in the literature, are always compound, have maximal neurological deficits at presentation and have been reported only in adults. We report two cases of elevated skull fractures in the pediatric age group, one of which was a simple elevate...


Bilateral Pneumothorax During Subdural-Peritoneal Shunting
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Pneumothorax is a very rare complication of ventriculoperitoneal shunting in children. We report a case of an iatrogenic bilateral tension pneumothorax during the placement of a subdural-peritoneal shunting. After the placement of peritoneal catheter, oxygen saturation of the patient quickly decre...


Avulsion Fracture of the Anterior Iliac Crest after Bone Graft Harvest: Case Report and Review of Techniques, Risk Factors and Treatment
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The anterior iliac crest is the harvest site preferred by many surgeons because of the quantity and quality of bone obtainable and the simplicity of harvesting techniques. Avulsion fracture of the iliac crest following bone grafting is an extremely rare occurrence. We present a case report of avul...


Cerebral Tuberculoma Mimicking High Grade Glial Tumor
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Tuberculosis has been an important public health problem in both developing and develop nations. Tuberculosis of the central nervous system is rare. Tuberculosis meningitis and tuberculoma are the two most important manifestations of tuberculosis of the CNS. Intracranial tuberculomas may be solita...


Pseudoaneurysm of the Superficial Temporal Artery Following Revision of a Middle Cerebral Artery Aneurysm Clipping: Case Report and Review of the Literature
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Pseudoaneurysms of the superficial temporal artery are mostly traumatic in origin. Here, a case of a superficial temporal artery aneurysm that emerged following a recraniotomy is presented. A 59-year-old woman was admitted with subarachnoid hemorrhage. She underwent a pterional craniotomy and clip...


Ulnar Nerve Entrapment in Guyon's Canal Due to Recurrent Carpal Tunnel Syndrome: Case Report
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Guyon's canal syndrome is a compression neuropathy of the ulnar nerve entrapment at the wrist. Compression of the ulnar nerve at the wrist by a ganglion, lipomas, diseases of the ulnar artery, fractures of the hamate and trauma are common etiologcal factors. Unlike Guyon's canal syndrome, carpal t...


Myogenic and Melanotic Differentiated Medulloblastoma: Case Report
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Medulloblastoma is the most common malignant tumor of childhood and usually arises from the cerebellar vermis. Several histological types of medulloblastoma have been described. Myogenic and melanotic differentiated medulloblastoma are seldom seen. We present a case diagnosed as myogenic medullobl...


Polytetraf luoroethylene Sponge Syringosubarachnoid Shunt
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Syringomyelia is condition in which a cyst or cavity forms inside the spinal cavity. Its management always remains a difficult. A variety of surgical techniques have been used in management of syringomyelia. Syringosubarachnoid shunt remains an effective method in management of syringomyelia. Shun...


Posterolateral Extrusion of C7-D1 Intervertebral Disc Associated with Intradiscal Hematoma
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A case of an extruded cervical intervertebral disc at C7-D1 level with intradiscal hematoma in a 68-year-old male patient is presented. MR imaging showed a posterolateral extradural hemorrhagic lesion at C7-D1 level. It was suggestive of an epidural hematoma or a bleed within a neoplasm. A posteri...


Treatment of Primary Aspergilloma of the Central Nervous System in a Diabetic Immunocompetent Patient with Surgical Resection and Voriconazole: A Case Report and Review of the Literature
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Fungal infections of the central nervous system (CNS) are uncommon and occur mainly in immunocompromised patients. We describe a case of central nervous system aspergilloma without any evidence of systemic or paranasal foci in a diabetic but otherwise immunocompetent 71-year-old female treated suc...


Congenital Cavernous Hemangioma of the Skull
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Calvarial cavernous hemangiomas (CHs) comprise 0.2% of benign neoplasms of the skull and frequently occur in the second and fourth decades. Their occurrence in infancy is extremely rare and they can initially be misdiagnosed as cephal hematoma or caput succadeneum that can occur due to the birth t...


Extreme Elongation of the Transverse Processes of the Fifth Lumbar Vertebra: An Unusual Variant
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The fifth lumbar vertebra has massive transverse processes that are continuous with the pedicle and encroach the body of the vertebra. These processes are mainly meant for the attachment of the iliolumbar ligament. With increasing age, the iliolumbar ligament can undergo secondary degenerative cha...


Lhermitte - Duclos Disease with Syrinx: Case Report and Literature Review
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BACKGROUND: Lhermitte-Duclos disease is typified by a hamartomatous lesion of the cerebellum. It is usually seen in females. The usual presentation is of raised intracranial pressure along with cerebellar signs. CASE REPORT: We report an 18-year-old female patient who presented to us with history ...


The Association of Chiari Type III Malformation and Klippel-Feil Syndrome with Mirror Movement: A Case Report
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Basically Chiari type III malformation is a combination of encephalocele with of brain stem and cerebellar abnormality. Although Klippel-Feil syndrome may be associated with other congenital anomalies, this syndrome is mainly associated with varying degrees of cervical vertebral fusion anomalies. ...


Primary Sacral Lymphoma: A Case Report and Review of the Literature
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AIM: Primary sacral lymphoma is rare. It usually presents in elderly males as low back ache and radiculopathy. Case report: We hereby report a case of primary sacral lymphoma in a 53-year-old male who presented with low back pain. Imaging showed a sacral lesion which on histopathology proved to be...


Intraosseous Meningioma Mimicking Osteosarcoma in an Adolescent: A Case Report
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Intaosseous meningiomas (IM) are the one of the less frequent benign tumors of the skull. The etiology of IM has not been cleared yet. The frontoparietal and orbital regions are the most common locations for IM. The average age for IM diagnosis is 50.5. A 16-year-old girl with a right frontopariet...


Pneumorrhachis Associated with Bronchial Asthma, Subcutaneous Emphysema and Pneumomediastinum
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Pneumorrhachis is defined as the presence of air in the epidural space or subarachnoid space. The air may migrate along fascial planes from the posterior mediastinum, through the neural foramina, and into the epidural space. Pneumorrhachis is rare, and even more so in the paediatric population. Pn...


Subtentorial Subdural Empyema: Report of Two Cases and Review of the Literatures
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Subtentorial subdural empyema is a rare form of intracranial suppuration. We present two cases treated at our department within the last 11 years. The common source was an ear infection. Both patients presented with headache, fever, vomiting and stiff neck. Only one patient had disturbed conscious...


Recurrent Cerebral Arteriovenous Malformation with a Posterior İnferior Cerebellar Artery Aneurysm
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AIM: Cerebral arteriovenous malformations (AVMs) are congenital lesions which rarely recur after complete microsurgical excision. MATERIAL and METHODS: This case report presents a 35-year-old woman who had been referred with a hemorrhagic AVM five years ago. This patient has recently undergone micr...


The Importance of Early Diagnosis and Appropriate Treatment in Grisel's Syndrome: Report of Two Cases
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Grisel's syndrome designates subluxation of atlanto-axial joint unrelated to trauma or bone disease. Atlanto-axial subluxation is seen after the upper neck inflammatory processes of head and neck region. Moreover, this rare clinical entity has been observed after various otolaryngological surgical...


Percutaneous Ct-Guided Treatment of Recurrent Spinal Cyst Hydatid
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The involvement of spinal column in cyst hydatid disease is rare and hard to treat. The gold standard treatment is total removal of the cysts without rupture. However, recurrence after surgery is almost inevitable and reoperations carries technical difficulties and higher morbidity. We present a 6...


A Case of Primary Diffuse Leptomeningeal Gliomatosis Predominantly Involving the Cervical Spinal Cord and Mimicking Chronic Meningitis
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Gliomas may rarely arise in the leptomeninges without any evidence of intraaxial involvement. A case of primary diffuse leptomeningeal gliomatosis (PDLG) histologically diagnosed as oligoastrocytoma is presented. A 50-year-old woman presented with nausea, vomiting and headache. Magnetic resonance ...


Plasmocytoma of the Skull Vault
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AIM: Plasma cell tumours include solitary plasmocytoma, multiple plasmocytoma and multiple myeloma. Herein we report a case of plasmocytoma of the skull. CASE HISTORY: A 49 year-old-man suffered from amnesia, irritability and a rubbery swelling which was gradually increased approximately to 4-5 c...


Cerebral Contusion as a Rare Cause of Foot Drop: Case Report
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A 74-year-old woman, taking anticoagulant therapy for chronic heart failure, presented to our emergency room with left dorsiflexion weakness 8 hours from after multitrauma. A detailed neurological examination revealed only 0/5 strength in the left foot dorsiflexion without any upper motor neuron s...


Does Ventricular Opening Promote Remote Cerebellar Haemorrhage?
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Cerebellar haemorrhage after supratentorial craniotomy is a rare complication Because of its significant morbidity and mortality rates, being aware of this complication is important for early diagnosis. In a 30-year-old male with multiple intracranial cavernomas, remote cerebellar haemorrhage (RCH...


Aneurysmal Bone Cyst of Clivus and C1 C2: Case Report and Review of Literature
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Aneurysmal bone cyst are benign rapidly expanding bone destructive lesions of any bone. They are common in the metaphysis of long bones but 10-30% involve the spine. Cervical region involvement is uncommon. We report a case of aneurysmal bone cyst of clivus C1 and C2 with minimum symptoms. Involve...


Characterization of an Intracranial Neurothekeoma: Case Report
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AIM: Neurothekeomas are benign tumors of presumed neural sheath origin. They are primarily found in superficial soft tissues, located in the upper portion of the body. Here, we report a case of intracranial neurothekeoma. RESULTS: A 37-year-old female presented at our clinic with sudden-onset left...


Angiosarcoma of Skull in a Pregnant Woman: Case Report and Review of the Literature
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Angiosarcoma is a rare tumor of bone that uncommonly involves the skull. Primary neoplasms of the skull represent 2.6% of primary neoplasms of bone. We wish to report a case of angiosarcoma of he skull in an 18-year-old pregnant woman who presented with a rapidly growing left frontotemporal mass. ...


Cerebral Abscesses in Behcet's Disease: A Case Report
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Behçet's disease is a multisystem relapsing inflammatory disorder of unknown cause. Neurological involvement is one of the most serious causes of long-term morbidity and mortality in Behçet's disease. Cerebral abscess is very rare in literature. A 45-yr-old man with Behçet's disease manifesting fo...


Chronic Subdural Hematoma after Endoscopic Third Ventriculostomy: A Case Report and Literature Review
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Chronic subdural hematoma is a very rarely observed complication after endoscopic third ventriculostomy (ETV). A 21-year-old male patient was admitted to our clinic with complaining of headache, weakness and tremor. The fundoscopic examination revealed slightly indistinct border of the papilla and...


Endoscopic Management of a Lower Clival Chondroid Chordoma: Case Report
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We report herein a case of lower clival chondroid chordoma, focusing on the surgical procedure of endoscopic endonasal surgery. A 36-yearold woman presented with progressive headache, right shoulder pain, and right hypoglossal nerve palsy. Computed tomography (CT) and magnetic resonance (MR) imagi...


Ossifying Pituitary Adenoma Co-existing with Astrocytoma and Pituitary Adenoma Associated with Gangliocytoma: Two Unusual Conditions
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Bone formation in pituitary adenoma is an extremely rare finding. Only five previous cases have been published. This is the sixth case report of an ossifying pituitary adenoma and the first case report of a pituitary adenoma with bone formation coexisting with WHO grade II astrocytoma. MRI imaging...


Giant Cerebral Cavernous Hemangiomas: A Report of Two Cases and Review of the Literature
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Giant cerebral cavernous malformations (GCM) are rare vascular anomalies. They occur predominantly as solitary lesions in the supratentorial compartment. They are usually not associated with any other vascular malformations. Clinical Presentation GCM are common in the second decade, affecting fema...


Recurrent Chemical Meningitis in Craniopharyngioma without Reduction in Size of Cyst: Case Report of Two Cases and Review of the Literature
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Chemical meningitis is a rare phenomenon due to rupture of a craniopharyngioma cyst; it develops because of presence of cholesterol crystals in cyst fluid secreted by the squamous epithelium lining of the cyst. Spontaneous rupture of the cyst may present with or without meningitis, depending upon ...


Programmable Valve Shunts: Are They Really Better?
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Programmable valve shunts allows selection of opening pressure of shunt valve. In the presented article, a unique complication pertaining to programmable shunts has been discussed. A 5-year-old boy who had tectal plate low grade glioma with obstructive hydrocephalus was managed with Codman program...


Incidental Traumatic Pseudoaneurysm of the Middle Meningeal Artery: Case Report and Literature Review
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Traumatic pseudoaneurysm of the middle meningeal artery is rare and is associated with high mortality. Skull fracture is usually an associated feature of this entity. An elderly male was brought to our hospital in a stage of coma. The details of ictus were not known. The Glasgow coma scale score w...


Transcranial Approach for Spontaneous CSF Rhinorrhea due to Sternberg's Canal Intrasphenoidal Meningoencephalocele: Case Report and Review of the Literature
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One type of congenital intrasphenoidal meningoencephalocele is remnant of lateral craniopharyngeal (Sternberg's) canal. We present a case of a 23-year girl with 10-month history of right side CSF rhinorrhea. CT scan, MRI revealed congenital meningoencephalocele and CSF leak from middle fossa to ri...


Optochiasmatic Tuberculomas: A Vision-Threatening Paradoxical Response in Tuberculous Meningitis
[Abstract] [Similar Articles]

The single main cause of death from infectious diseases worldwide is tuberculosis, which is more prevalent in developing countries. Tuberculous meningitis (TBM) is a severe form of TB in which morbidity and mortality depend upon the stage of presentation. Intracranial brain parenchymal tuberculoma...


Holocord Ependymoma
[Abstract] [Similar Articles]

Intramedullary tumors affecting the entire cord from the cervicomedullary junction to the conus are termed “holocord tumors”. Ependymomas are the most frequent intramedullary tumor in adults. Holocord ependymoma is an exceedingly rare condition. An extensive review of the literature re...


Malignant Peripheral Nerve Sheath Tumour of Scalp with Extradural Extension: Case Report
[Abstract] [Similar Articles]

Malignant peripheral nerve sheath tumours are uncommon aggressive soft tissue sarcomas that originate from peripheral nerves or cells associated with the nerve sheath. Scalp malignant peripheral nerve sheath tumours are extremely rare and the role of multimodality management is unclear. We report ...


Vertex Epidural Hematoma with Bilateral Abducent Nerve Palsy: Case Report and Literature Review
[Abstract] [Similar Articles]

Epidural hematomas which are located at the vertex are rarely seen and form a small percentage of total epidural hematomas. Tearing in the superior sagittal sinus is the usual cause of an epidural hematoma located in the vertex. The clinical features of this entity are non-specific; hence, localiz...


An Unusual Ventriculoperitoneal Shunt Complication: Spontaneous Knot Formation
[Abstract] [Similar Articles]

This article aims to describe an extraordinary complication of a ventriculoperitoneal shunt system that formed a knot spontaneously and lead to a shunt malfunction. A 3-year-old male patient was operated due to posttraumatic hydrocephalus. After an uneventful follow-up period of 34 months, he pres...


Neuroendoscopic Foraminoplasty for Bilateral Idiopathic Occlusion of Foramina of Monro
[Abstract] [Similar Articles]

We report the safety and efficacy of bilateral foraminoplasty of Monro in a patient with partial occlusion of right Monro and complete occlusion of the left one. A 38-year-old man who underwent a ventriculoperitoneal shunt three years ago, and shunt revision surgery twice, presented with hydroceph...


The Association of Sphenoidal Encephalocele and Right Anophthalmia with Septo-Optic Dysplasia: A Case Report
[Abstract] [Similar Articles]

Septo-optic dysplasia (SOD) is an extremely rare congenital anomaly, characterized with optic nerve hypoplasia and absence of septum pellucidum and/or pituitary dysfunction. In addition to classical findings of SOD, we report for the first time an 11-year-old boy, with encephalocele extending to t...


Simultaneous Cranial Subarachnoid Hemorrhage and Spinal Subdural Hematoma
[Abstract] [Similar Articles]

We report a rare case of simultaneous cranial subarachnoid and spinal subdural hematoma (SDH) in a 42–year-old man who was on Warfarin therapy after cardiac bypass surgery. Computed tomography at presentation revealed a cranial subarachnoid hemorrhage, and spinal Magnetic Resonance Imaging (...


Cauda Equina Paraganglioma with Ependymoma- Like Histology: A Case Report
[Abstract] [Similar Articles]

Paraganglioma affecting the cauda equina region is very rare and can be misinterpreted as an ependymoma which is more common at this site. A 38-year-old woman with a paraganglioma in the cauda equina is presented. MRI revealed a well-circumscribed, intradural, extramedullary tumor nodule with the ...


Urinary Incontinence Triggered by Stretching Exercises
[Abstract] [Similar Articles]

A 47-year-old female patient who experienced urinary urgency after having stretching exercises of her legs is presented. Stretching of the legs are thought to be responsible for conus medullaris tethering which in turn causes urinary complaints. What is interesting in this case is that her complai...


A Craniocervical Teratoma with an Encephalocele- Like Appearance
[Abstract] [Similar Articles]

Teratomas are rare congenital tumors. Teratomas frequently occur in adult ovaries, but can be located primarily in the sacrococcygeal zone and intracranial compartment in newborns. Teratomas are rare in the head and neck region. Teratomas arise following a sequence of cells derived from more than ...


Thoracic Meningioma Masquerading as Chronic Abdominal Pain
[Abstract] [Similar Articles]

Chronic abdominal pain without a structural or metabolic gastroenterological etiology can be extremely challenging to diagnose. Patients presenting with an associated radicular pattern of pain may alert the clinician to a possible structural neurological cause of the symptoms. We present the case ...


Acute Interdural Hematoma Mimicking Epidural Hematoma: A Case Report
[Abstract] [Similar Articles]

Intracranial hematoma rarely presents between two dural layers of pachimeninges. Here, we present a case of an interdural hematoma with similar appearance to an epidural hematoma. A 51-year-old man presented with a left temporal contusion following a motor vehicle accident. After craniotomy and co...


Carotid Agenesis with Intercavernous Anastomosis
[Abstract] [Similar Articles]

Agenesis of internal carotid artery (ICA) is rare. Association of agenesis with abnormal arterial communication between the cavernous segment of the carotid arteries is extremely rare. We present a case of a middle-aged woman who presented with sudden onset severe holocranial headache. She was inv...


Brain Abscess Caused by Gemella Morbillorum: Case Report and Review of the Literature
[Abstract] [Similar Articles]

We describe a rare case of cerebral abscess in an immunocompetent 67-year-old male with Gemella morbillorum as the causative agent. Gemella morbillorum is an aerobic gram positive coccus and is deemed to be a normal inhabitant of the oral cavity. The aim of this report is to introduce Gemella morb...


A Case of Glioblastoma Multiforme with Long Term Survival: Can We Predict the Outcome?
[Abstract] [Similar Articles]

Glioblastoma Multiforme (GBM) presents a major challenge for a neurosurgeon as the most common primary malignant tumour of the central nervous system. The median life span after the diagnosis still remains between 6 months to 1 year even after gross total excision of the tumour. However, few patie...


Cerebellar Low-Grade Oligoastrocytoma Presenting with Subarachnoid Haemorrhage
[Abstract] [Similar Articles]

Subarachnoid haemorrhage (SAH) associated with intra-axial tumours is extremely uncommon and is usually seen in association with intratumoural bleed. Tumours located near the ventricle or subarachnoid spaces have a higher propensity for SAH compared to intraparenchymal lesions. Low-grade tumours r...


Solitary Lumbar Osteochondroma Presenting with Foot-Drop: A Case Report
[Abstract] [Similar Articles]

Although osteochondroma is the most common benign bone tumor, the lumbar spine is anuncommon localization for solitary osteochondroma. Solitary lumbar osteochondromas rarely affect the neurological structures, because most of the lesions grow out of the spinal canal. We report a 48-year-old patien...


Primary Osteoma of the Orbit with Atypical Facial Pain: Case Report and Literature Review
[Abstract] [Similar Articles]

Osteoma is a benign, slowly growing tumor that mainly occurs in the bones and cavities of the middle third of the face, representing the most frequent benign tumor of the paranasal sinuses (3). It rarely originates primarily from the orbit. Most of these lesions develop in the fourth to fifth deca...


A Retained Wood Penetrating the Superior Orbital Fissure in a Neurologically Intact Child
[Abstract] [Similar Articles]

Transorbital intracranial injuries due to a wooden foreign body traversing superior orbital fissure is an extremely rare condition. A 9-year-old boy was struck by a tree branch in the left eye while playing in the garden two months ago. On physical examination, the patient had only a hypertrophic ...


Echinococcus Alveolaris: Presenting as a Cerebral Metastasis
[Abstract] [Similar Articles]

Echinococcus multilocularis (EM) is caused by the larval stage of the tapeworm. The main endemic regions for human alveolar echinococcosis are Central Europe, Russia, Turkey, Japan, China, Eastern France, North America. EM is an endemic disease in Turkey and especially common in the eastern Anatol...


Giant Intramedullary Epidermoid Extending from the Brain Stem to the Upper Thoracic Spinal Cord
[Abstract] [Similar Articles]

Epidermoid cysts are benign tumors originating from ectoderm remnants. Most epidermoid cyst cases are intracranial. Spinal epidermoid cysts are uncommon and most of the reported cases are in the thoracic and lumbar spine. Occurrence of intramedullary epidermoid cysts in the cervical spine is extre...


Solitary Fibrous Tumor of the Tentorium: A Case Report
[Abstract] [Similar Articles]

The authors describe the clinical and pathological features of a solitary fibrous tumor of the tentorium, a rare location for the tumor in the CNS. A 52-year-old lady presented to the neurosurgical services with headache of four months and vertigo of one and a half months duration. On examination,...


Sutural Diastasis Caused by Pseudotumor Cerebri
[Abstract] [Similar Articles]

The diagnosis of pseudotumor cerebri is based on the triad of: (1) papilloedema, (2) elevated intracranial pressure with a normal cerebrospinal constituency and (3) normal central nervous system imaging studies. However, the diagnosis of pseudotumor cerebri is not always straightforward. We report...


Infratentorial Oligodendroglioma in a Child: A Case Report and Review of the Literature
[Abstract] [Similar Articles]

Oligodendrogliomas are the tumors of normal glial cells of brain called oligodendrocytes. They represent a small proportion of childhood brain tumors and are infrequently encountered in the posterior fossa. CT scan and MRI are very helpful for the preoperative management of oligodendrogliomas. How...


Should We Resect all Multiple Intraspinal Extradural Arachnoid Cysts? A Case Report
[Abstract] [Similar Articles]

Multiple spinal extradural arachnoid cysts (SEACs) are relatively rare lesions, which may cause symptoms due to spinal cord compression. Radical resection of multiple SEACs during one-stage surgery is the primary treatment for the rare lesion, because of its effective and safe operation. Here, we ...


Primary Cerebellopontine Angle Melanoma: A Case Report and Review
[Abstract] [Similar Articles]

Primary melanomas at the cerebellopontine (CP) angle are extremely rare and considered a diagnostic dilemma. With only 16 prior cases reported so far, there is not enough material in world literature. We report a 29-year-old male who presented with vertigo, headache and features of lower cranial n...


Primary Intracerebral Malignant Fibrous Histiocytoma Mimicking a Meningioma
[Abstract] [Similar Articles]

We describe herein a patient with primary intracerebral malignant fibrous histiocytoma (MFH) to demonstrate this very rare central nervous system tumor. A 42-year-old male was admitted to our institute with the complaints of headache and speech impairment. Magnetic resonance imaging (MRI) revealed...


Intramedullary Neurenteric Cyst of the Conus Medullaris without Associated Spinal Malformation: A Case Report and Review of the Literature
[Abstract] [Similar Articles]

Spinal neurenteric (NE) cysts are rare congenital anomalies that may occur either alone or in the context of a complex malformative disorder. They are usually intradural-extramedullary lesions. Intramedullary NE cysts not associated with other congenital anomalies are very rare and only a few case...


Endovascular Coil Embolization of Parent Artery for Giant Intracranial Basilar Artery Dissection: A Case Report
[Abstract] [Similar Articles]

Isolated dissection of the basilar artery (BA) is rare and still a big challenge regarding treatment. The suitable therapeutic strategies for dissection of the BA remain controversial. We report the case of a young patient with a giant unruptured dissection of the BA successfully treated by endova...


Long-Term Benefit of Bilateral Subthalamic Deep Brain Stimulation on Camptocormia in Parkinson's Disease
[Abstract] [Similar Articles]

We report the case of a 63-year-old female with a long history of severe Parkinson's disease (PD) and subsequent onset of debilitating camptocormia who underwent successful bilateral subthalamic nucleus deep brain stimulation surgery (STN DBS). The literature and previous reports are reviewed. The...


Central Nervous System B-Cell Lymphoma in Multiple Sclerosis
[Abstract] [Similar Articles]

The differential diagnosis of multiple sclerosis is extensive and it can be challenging to diagnose initially in the absence of pathognomonic clinical features. Furthermore, these patients can also develop other diseases during their course of treatment, which usually lasts for many years. Some co...


Intramedullary Spinal Cord Involvement from Metastatic Gastric Carcinoma: A Case Report
[Abstract] [Similar Articles]

Intramedullary spinal cord metastasis (ISCM) is a rarely seen complication of cancer. We report a case of ISCM from gastric cancer. A 42-yearold male presented with a rare intramedullary spinal cord metastasis from gastric carcinoma manifesting as rapidly worsening motor and sphincter disturbances...


Primary Amenorrhea due to Empty Sella: An Underestimated Entity
[Abstract] [Similar Articles]

We report a 16-year-old girl who had stunted growth and primary amenorrhea presenting with headache and vomiting. MRI of brain showed posterior fossa dermoid cyst with hydrocephalus and empty sella. Growth hormone (GH), Leutinizing hormone (LH) and Follicular stimulating hormone (FSH) were grossly...


Fat Graft Migration Causing Recurrent Cervical Cord Compression
[Abstract] [Similar Articles]

AIM: Fat graft migration following spinal cord surgery is an uncommon problem. Only few cases of fat graft migration causing cauda equine syndrome, recurrent sciatica, and root compression following lumbar spine surgery have been reported. We report a case of fat graft migration causing symptomati...


A New Variant Nummular Headache: Large Diameter Accompanied with Bitrigeminal Hyperalgesia and Successful Treatment with Carbamazepine
[Abstract] [Similar Articles]

Nummular headache (NH) is defined as a focal head pain that is exclusively felt in a small area, which is typically 1-6 cm in diameter. Neurological examinations are normal in all patients, but this report describes a new variant. A patient was identified who presented with focal head pain that wa...


Coexistence of Spinal Teratoma of the Conus Medullaris and Arteriovenous Malformation in an Adult: A Case Report
[Abstract] [Similar Articles]

The coexistence of spinal teratoma of the conus medullaris and arteriovenous malformation (AVM) is exceptional, which has not been reported previously in the literature. The precise mechanism of the coexistence of these conditions is not known, however, the dysembryonic origin of spinal cord terat...


Adeloye-Odeku Disease: An African Disease in the Indian Child?
[Abstract] [Similar Articles]

The “Adeloye-Odeku disease” or congenital dermoid cysts over the anterior fontanelle, is a rare congenital disorder of children initially described in Nigeria. It has been rarely reported in the Indian population (3 cases in 2 reports). These rare lesions are operated on by neurosurgeon...


Retropharyngeal Hematoma Secondary to Whiplash Injury in Childhood: A Case Report
[Abstract] [Similar Articles]

Whiplash Associated Disorders (WAD) has been reported as an adult phenomenon. Whiplash injury has classically been described as a cervical soft tissue hyperextension- flexion injury after a trauma such as a rear end impact car crash, contact sport injuries, blows to the head from a falling object ...


Hyponatremic Seizure Due to Huge Abdominal Cerebrospinal Fluid Pseudocsyt in a Child with Ventriculoperitoneal Shunt: A Case Report
[Abstract] [Similar Articles]

Placement of ventriculoperitoneal(VP) shunt is a worldwide accepted procedure for treatment of hydrocephalus. This procedure have various intra-abdominal complications, of which pseudocyst formation is a rare one. Common presentations of this complication are abdominal mass, abdominal pain, intest...


Epidermoid Cyst Inside Anterior Sacral Meningocele in an Adult Patient of Currarino Syndrome Manifesting with Meningitis
[Abstract] [Similar Articles]

The Currarino triad, also known as the “Currarino Syndrome”, is a rare complex of congenital caudal anomalies including three main features; a sacral bony deformity, anorectal malformations, and a presacral mass. We present an extremely uncommon case of Currarino syndrome in adulthood ...


Endoscopic Transphenoidal Approach for Fibrous Dysplasia of Clivus, Tuberculum Sellae and Sphenoid Sinus; Report of Three Cases
[Abstract] [Similar Articles]

AIM: Fibrous dysplasia is a benign disease in which medullary bone is replaced by fibro-osseous tissue, and causes distortion and overgrowth of the involved bone and represents about 3% of all bone tumors. There is variability in the manifestation of Fibrous Dysplasia lesions with imaging techniqu...


Cervical Intradural Glass Fragment: A Rare Cause of Neuropathic Pain
[Abstract] [Similar Articles]

Intradural foreign bodies after penetrating injuries are seen very rarely. Limited number of cases of glass fragments in the spinal canal were reported previously. Migration of foreign bodies and delayed onset of neurological symptoms due to foreign bodies were also reported. In this report a 33-y...


Tenosynovial Giant Cell Tumor in the Cervico-Thoracic Junction
[Abstract] [Similar Articles]

Tenosynovial giant cell tumor (TGT) rarely arises from the posterior coloumn of the cervical spine. Most lesions of TGT involve the tendon sheath and joint lining of the small joints of the fingers and hands, and consecutively the knee, ankles and feet, and hips. Rate of extra-articular presentati...


An Iron Rod Stuck in the Right Motor Cortex
[Abstract] [Similar Articles]

Non-missile intracranial injuries caused by foreign bodies are quite uncommon in civilian practice. Nails, knives, screwdrivers and sewing needles are the most commonly reported agents. The authors report a unique case of an adult male patient who suffered a penetrating craniocerebral injury cause...


Intracranial Sewing Needles in an Adult Patient
[Abstract] [Similar Articles]

A 37-year-old patient is reported with intracranial sewing needles, which were located in the right frontal lobe. Both clinical and radiological findings suggested that these needles must have been introduced in infancy before the closure of anterior fontanelle during an unsuccessful homicide. Usu...


Dural Metastases in Chronic Myeloid Leukemia Presenting as Subdural Hematoma
[Abstract] [Similar Articles]

Subdural hematoma (SDH) has been reported in 0.5–4% of all intracranial metastatic tumors. Chronic SDH has been reported in intracranial metastases from both solid and haematological malignancies. Here we report recurrent SDH in a patient with chronic myeloid leukaemia (CML) following dural ...


Late Calcification and Rupture: A Rare Complication of Ventriculoperitoneal Shunting
[Abstract] [Similar Articles]

A 10-year old boy who had undergone a ventriculoperitoneal (V/P) shunt because of hydrocephalus at 10 days of age was doing well until 20 days ago, when he began to experience headache and seizures. CT scan reveraled dilated lateral ventricles and calcification at the shunt site. X-rays showed an ...


Large Hemorrhagic Colloid Cyst in a 35-Year-Old Male
[Abstract] [Similar Articles]

Colloid cysts are rare benign tumors of the third ventricle with diverse clinical presentation, which vary from incidentally found cysts to acute death. An uncommon hemorrhage in these cysts is a life threatening complication which can cause obstructive hydrocephalus with acute deterioration of th...


The Temporal Association of Sphenoid Sinus Mucosal Thickening on MR Imaging with Pituitary Apoplexy
[Abstract] [Similar Articles]

AIM: Pituitary apoplexy is an infrequent but potentially devastating complication in patients with pituitary adenomas. Previous studies have cited an association between MR visualized sphenoid sinus mucosal thickening and apoplexy. However, uncertainties still remain on the significance and tempor...


Multifocal Spinal Meningeal Melanocytoma: An Illustrated Case Review
[Abstract] [Similar Articles]

Primary melanocytic tumors of the central nervous system are rare. In this article the authors describe a case of C1C2 intradural extramedullary melanocytoma in a 43-year-old patient who presented with neck pain. C1-3 laminectomy was performed followed by excision of the lesion and an adjoining sa...


Concomitant Tubercular and Fungal Cerebellar Abscess in an Immunocompromised Girl
[Abstract] [Similar Articles]

Concomitant tubercular and fungal cerebellar abscess is rare and we report the first concomitant recurrent multi-lobulated tubercular and fungal cerebellar abscess in an immunocompromised girl with Histiocytosis-X. She presented with cerebellar abscess history diagnosed during the ongoing treatmen...


Unusual Magnetic Resonance Imaging Appearance of Multiple Cystic Lesions in Glioblastoma Multiforme
[Abstract] [Similar Articles]

The differential diagnosis of multiple ring-enhancing intraaxial lesions includes neoplastic, infectious, inflammatory, demyelinating and vascular lesions. We report a case of a 41-year-old man who presented with a brief history of left lower extremity weakness and sensory loss. Magnetic resonance...


Primary Ewings Sarcoma of Cavernous Sinus in an Infant: A Case Report and Review of Literature
[Abstract] [Similar Articles]

Ewing's / peripheral primitive neuroectodermal tumor (pPNET) of the cavernous sinus are extremely uncommon. We present clinical, radiological, pathological findings of Ewing's / pPNET involving the cavernous sinus in an eleven-month-old infant presenting with proptosis and 6th nerve palsy. MRI Con...


Bilateral Globus Pallidus Internus Deep Brain Stimulation in Parkinson's Disease with Periodic Limb Movement Disorder
[Abstract] [Similar Articles]

Deep brain stimulation for Parkinson's disease is a well-established therapeutic intervention for refractory disease. The main nuclear targets are the subthalamic nucleus and the globus pallidus internus. Periodic limb movements are often an associated condition in patients with Parkinson's diseas...


Application of an Antibiotic Crescent-Shaped Polymethylmethacrylate Strut in Thoracic Vertebral Tuberculosis
[Abstract] [Similar Articles]

Spinal tuberculosis accounts for up to 50% of all cases with musculoskeletal tuberculosis. In patients needing surgical treatment, the use of anterior instrumentation offers the theoretical advantage of more complete debridement and decompression, safer mobilization and reliable deformity correcti...


Nerve Sheath Myxoma (Neurothekeoma) of Cerebellopontine Angle: Case Report of a Rare Tumor with Brief Review of Literature
[Abstract] [Similar Articles]

Nerve sheath myxoma (neurothekeoma) are rare benign nerve sheath tumors, usually arising in the skin of the head and neck region and upper extremities in young females. To the best of author's knowledge only two cases of intracranial neurothekeoma have been published in the English literature. The...


Acquired Cerebral Hemiatrophy: Dyke-Davidoff- Masson Syndrome - A Case Report
[Abstract] [Similar Articles]

A rare syndrome, Dyke-Davidoff-Masson Syndrome (DDMS), with a diagnostic conundrum, and the way it was solved is presented. A 13-yearold boy presented with recurrent seizures for the past 10 years. He had been treated with anticonvulsant medication which was satisfactory at first but later the sei...


Primary Writing Tremor Responds to Unilateral Thalamic Deep Brain Stimulation
[Abstract] [Similar Articles]

Primary writing tremor is a task associated tremor which occurs during and interferes with handwriting. Considered in most cases to be a nonprogressive disorder, a number of patients are significantly debilitated by the disease. The pathophysiology of the disorder is not fully understood, but felt...


Pallidal Deep Brain Stimulation in a 5-Year-Old Child with Dystonic Storm: Case Report
[Abstract] [Similar Articles]

A 5-year-old child had a medical history of epilepsy and a newly presented mental retardation with a life-threatening dystonic storm. Neuroimagings showed bilateral calcification of the pallidum. Several treatment modalities were performed, but the symptoms showed no significant improvement. The p...


Microvascular Decompression for Hemifacial Spasm Due to Four Offending Vessels: A Case Report
[Abstract] [Similar Articles]

A 65-year-old woman presented with left facial involuntary movement and facial palsy for eight years. Brain magnetic resonance image (MRI) and magnetic resonance angiography (MRA) revealed multiple vascular compression of facial nerve root exit zone (REZ). Standard retromastoid suboccipital cranie...


Cerebral Hernia Caused by a Thoracic Surgery for Multiple Schwannomas in a Patient with Neurofibromatosis Type 2
[Abstract] [Similar Articles]

Schwannoma is a benign nerve sheath tumor composed of Schwann cells. A solitary schwannoma in the thorax is not rare, but a patient with Neurofibromatosis type 2 (NF2) and multiple thoracic schwannomas is extremely rare. We report the case of a 27-year-old woman with NF2 and two large schwannomas ...


Dural Carotico-Cavernous Fistula: Pre and Postembolization Appearances of Bone-Subtracted CT Angiography
[Abstract] [Similar Articles]

Digital subtraction angiography (DSA) is the best method of evaluating carotid cavernous fistulas (CCF). DSA, however, has the disadvantage of being an invasive procedure. Computerized tomography (CT) angiography which is noninvasive, have been shown to provide more information about the size and ...


Intracranial Blastomycosis Presenting as an Enhancing Cerebellopontine Mass
[Abstract] [Similar Articles]

Isolated Blastomyces dermatitidis infection of the central nervous system is an uncommonly encountered entity. If left untreated it can be fatal; thus accurate diagnosis in a timely manner is critical. A 37-year-old white male presented with a severe headache. An MRI scan revealed a rightsided enh...


Spondylocostal Dysostosis Associated with Type I Split Cord Malformation and Double Nipple on One Side: A Case Report
[Abstract] [Similar Articles]

Jarcho Levin syndrome is a rare genetic disorder characterized by multipl vertebral and costal anomalies at birth. Jarcho Levin syndrome includes two phenotypic groups: spondylothoracic dysostosis and spondylocostal dysostosis. The prognosis of spondylothoracic dysostosis has worse than spondyloco...


Brown Tumors of the Anterior Skull Base as the Initial Manifestation of True Normocalcemic Primary Hyperparathyroidism: Report of Three Cases and Review of the Literature
[Abstract] [Similar Articles]

Brown tumor is a bone lesion secondary to hyperparathyroidism of various etiologies. Skeletal involvement in primary hyperparathyroidism secondary to parathyroid adenoma is very uncommon and brown tumor has become extremely a rare clinical entity. Hyperparathyroidism is usually associated with hig...


Dumbbell-Shaped Primitive Neuroectodermal Tumor Mimicking Trigeminal Schwannoma: A Case Report and Review of Literature
[Abstract] [Similar Articles]

Primitive neuroectodermal tumor (PNET) is presumably of neural crest origin, and cases of supratentorial PNET in adult are extremely rare. We reported a case of PNET presenting as a dumbbell-shaped tumor at the middle cranial fossa of skull base mimicking trigeminal schwannoma both clinically and ...


Thoracic Spinal Epidural Angiolipoma: Report of Two Cases and Review of the Literature
[Abstract] [Similar Articles]

AIM: Spinal angiolipoma is a benign uncommon neoplasm composed of mature lipocytes admixed with abnormal blood vessels, and accounts for only 0.14-1.2% of all spinal tumors. MATERIAL and METHODS: Retrospective data analysis. RESULTS: We report two cases of a 64-year-old woman and a 65-year-old ma...


Reversible Focal Radiological Changes due to Non-Convulsive Status Epilepticus of the Right Parietooccipital Lobe
[Abstract] [Similar Articles]

We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Compute...


Hemifacial Spasm and Recurrent Stroke Due to Vertebrobasilar Dolichoectasia Coexisting with Saccular Aneurysm of the Basilar Artery: A Case Report
[Abstract] [Similar Articles]

We describe a patient presented with sequential events of hemifacial spasm, cerebral infarction and fatal subarachnoid hemorrhage. All of them are seemingly separate entities. Radiological examination revealed that the cause was vertebrobasilar dolichoectasia (VBD) coexisting with a giant saccular...


Transoral Protrusion of a Peritoneal Catheter Due to Gastric Perforation 10 Years after a Ventriculoperitoneal Shunting: Case Report and Review of the Literature
[Abstract] [Similar Articles]

Various complications following ventriculoperitoneal (VP) shunting have been reported but transoral protrusion of peritoneal catheter is a very rare situation. This case is the first adult with a transoral VP shunt protrusion in available literature. A 47-year-old female with pseudotumor cerebri a...


Vertebral Arteriovenous Fistulae (AVF) in Neurofibromatosis Type 1: A Report of Two Cases
[Abstract] [Similar Articles]

Spontaneous vertebral arteriovenous fistulae (AVF) associated with neurofibromatosis Type 1 (NF-1) is a rare occurrence in the previous reports. We presented two female NF-1 patients with a diagnosis of cervical vertebral AVF treated with endovascular approach. The fistula in the first case was su...


Contralateral Acute Subdural Hematoma after Surgical Evacuation of the Initial Hematoma: Two Case Reports and Review of the Literature
[Abstract] [Similar Articles]

Remote intracranial hemorrhages after craniotomy or craniectomy may rarely develop. As the sparse literature on this phenomenon has focused on contralateral intraparenchymal and epidural clots, only seven cases of postoperative contralateral acute subdural hematomas have been reported in the liter...


Iatrogenic Major Vascular Injury During Lumbar Discectomy: Report of Three Cases
[Abstract] [Similar Articles]

Iatrogenic vascular injury rarely occurs during lumbar disc surgery and can be fatal if it is not recognized instantly. In this paper we aim to introduce three iatrogenic vascular injuries that occurred during the lumbar disc surgery. The first case was consulted because of the sudden hypotension ...


Intradural Disc Herniation - A Case Report
[Abstract] [Similar Articles]

Intradural disc herniation is a rare entity that occurs most commonly in the lumbar spine particularly at L4-L5 region. Most often it is diagnosed intraoperatively in a case of simple intervertebral disc herniation. Contrast enhanced MRI is mandatory for pre operative diagnosis. We describe a case...


Pure Intraventricular Origin of Gliosarcoma &#8211; A Rare Entity
[Abstract] [Similar Articles]

Gliosarcomas (GS) are high grade, rare tumours. Radiologically they are seen as a surfacing lesion, often having a thick dural attachment located within the parenchyma of the brain. We report a very unusual case of an intraventricular non-parenchyhmal gliosarcoma in a 60-yearold female. Magnetic r...


Concurrent Repair of Orbital Shallowness with Craniosynostosis Surgery: Two Late Cases of Simultaneous Orbital Decompression
[Abstract] [Similar Articles]

Early closure of cranial sutures results in various types of cranial vault deformities, named craniosynostosis. Although mostly associated with syndromic cases, bony orbit deformities such as exorbitism can be seen with various types of craniosynostosis. This condition can be associated with papil...


The Usefulness of Intraoperative Mobile Computed Tomography in Severe Head Trauma
[Abstract] [Similar Articles]

With modern technology, intraoperative computed tomography scans are being used in neurosurgical operative rooms. A case of severe head trauma is reported to underline how intraoperative computed tomography can improve the treatment of traumatic lesions, without changing the operative setup, with ...


Endoscopic Approach to Cavernous Sinus Aneurysm
[Abstract] [Similar Articles]

Aneurysms protruding into sellae may mimic pituitary tumors by compressing adjacent cranial nerves. Carotid-Cavernous aneurysms are rarely associated with mortality, and surgical intervention is recommended especially for neuro-ophthalmologic progression. In this report we presented a 51-year-old ...


Interscapular Pharyngocutaneous Fistula: An Extreme Complication of Cervical Stabilization Surgery
[Abstract] [Similar Articles]

Pharyngeal and esophageal perforations are rare during cervical spine surgery but can cause significant morbidity. Pharyngeal or eosephageal perforations can occur by several mechanisms and the management of pharyngeal or eosephageal perforation’s treatment may become difficult. We report a ...


Cervical Myelopathy Due to Chronic Overshunting in a Pediatric Patient: Case Report and Review of the Literature
[Abstract] [Similar Articles]

We present a rare cause of cervical myelopathy produced by an engorged suboccipital epidural venous plexus due to chronic cerebrospinal fluid (CSF) overdrainage. A 17-year-old boy with obstructive hydrocephalus due to a retrocerebellar cyst and secondary implantation of a ventricloperitoneal shunt...


Two-Stage Multilevel Cervical Spondylectomy for Aneurysmal Bone Cyst
[Abstract] [Similar Articles]

Aneurysmal bone cyst is a benign tumor-like bony lesion with a propensity to develop in the pediatric population. It generally involves one vertebral level when localized to the spine. The degree of resection correlates highly with fewer recurrences. En bloc spondylectomy is the procedure of choic...


Metal External Ventricular Drainage Catheters in the Treatment of Persistent Ventriculitis &#8211; An Old Story Made New: Technical Note and Preliminary Results
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AIM: Conventional ventricular catheters have proven to be ineffective in the drainage of the cerebrospinal fluid in the long run in terms of infection rates. Consequently, the development and clinical evaluation of new catheters is urgently needed. MATERIAL and METHODS: We implanted a ventricular ...


Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst
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Hydatid disease is a life-threatening parasitic infestation caused by Echinococcus granulosus. Infection with E. granulosus typically results in the formation of hydatid cysts in liver, lungs, kidney and spleen. Majority of the intracranial cysts are secondary and solitary. Multiple primary cerebr...


Isolated Intracranial Rosai-Dorfman Disease: Report of Two Cases and a Review of the Literature
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Rosai-Dorfman disease (RDD) is a rare but well-recognized idiopathic histioproliferative disease affecting the systemic lymph nodes. It is characterized by an unusual proliferation of histiocytic cells. Intracranial localization is a rare manifestation of RDD. The clinical and radiological differe...


Compound Elevated Skull Fracture: A Clinical Series of Three Patients with a Review of the Literature
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Aim: Compound elevated fracture of the skull is an unusual variety of fracture of the cranial vault that has been rarely described in the currently available literature. The authors describe three such patients with post-traumatic compound elevated skull fracture. The pertinent literature is revie...


Thoracic Vertebral Hemangioma Causing Paraplegia in Klippel-Trenaunay-Weber Syndrome: Case Report
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Vertebral hemangiomas are the most common tumours of the vertebral column. Generally, these tumours are asymptomatic but some patients complain of back pain and develop neurologic symptoms due to extraosseous extension. Vertebral hemangiomas can extend extradurally causing neurological impairment ...


A Case of Adult Onset Medulloblastoma During Maintenance Chemotherapy for Anaplastic Astrocytoma One Year After Radiotherapy
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Multiple primitive intracranial tumors with different histological characteristics are uncommon. Although coexistence of a medulloblastoma with glial tumors has been reported in children, medulloblastoma is rarely found in adults, especially those older than 40 years of age. We present an extremel...


Acromegaly Associated with Mixed Pituitary Adenoma-Gangliocytoma and Rathke's Cleft Cyst
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Gangliocytoma of the pituitary gland is a rare lesion that often occurs in combination with pituitary adenomas and the exact origin is the subject of discussion. We report a rare case of an intrasellar mass of combined gangliocytoma/ pituitary adenoma coexistent with Rathke’s cleft cyst. A 5...


Traumatic Pseudoaneurysm of the Superficial Temporal Artery: A Case Report
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Pseudoaneurysms of superficial temporal artery are very rare and commonly occur as a result of blunt trauma. There are several methods for the diagnosis, but the diagnosis can be accurately made only from a history and physical examination. A 27-year-old man presented with a painless pulsatile mas...


Multiple Spinal Cord Melanoma: Case Report with Emphasis on the Difficult Preoperative Diagnosis
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Primary spinal melanoma (PSM) is rare and usually occurs in the cervical and thoracic regions. Here, we present a case of multiple spinal cord melanoma located at the level of cervical and upper thoracic spine in a 24-year-old male. The patient underwent a T6–T7 thoracic laminectomy and gross-tota...


Craniovertebral Junction Melanocytoma: A Case Report
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Melanocytomas are rare melanocytic tumors of the central nervous system and its presence at the foramen magnum is extremely rare. We report a case of a 55-year-old male presenting with progressive quadriparesis over one year. Imaging showed a well-defined intradural extramedullary lobulated mass a...


Intracerebellar Hemispheres Schwannoma: A Case Report
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Brain parenchyma schwannoma is a rare intracranial tumor, and especially rare in cerebellar hemisphere. In this report, a case of cerebellar schwannoma in a 52-year-old woman, was studied by computed tomography (CT), magnetic resonance image (MRI) and PET-CT. This tumor was totally removed by surg...


Moyamoya Disease with Posterior Communicating Artery Aneurysm: A Case Report
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In moyamoya disease (MMD), subsequent aneurysm in the proximal part of the posterior communicating artery (PcomA) is extremely rare. We report the case of a middle-aged female patient with MMD, who presented with a ruptured wide-necked aneurysm at the proximal part of the developed PcomA that conv...


A Case of Chordoma Invading Multiple Neuroaxial Bones: Report of Ten Years Follow Up
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Aim: Chordoma is a rare, slow-growing primary malignant tumor of the axial skeleton, arising from the embryonic cells of primitive notochord. Chordomas may arise at different sites of the vertebral column simultaneously or more probably they may metastasise along the neural axis insidiously. Recur...


Ganglioglioma Mimicking the Cerebral Abscess in Advanced Age: A Case Report
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Ganglioglioma is one of the rare mixed neuronal glial tumors of the central nerve system. It is responsible for 0.4 – 2% of the intracranial tumors observed in infants and young matures. Its most common localization is the supratentorial region. Typically, the first symptom is epilepsy. Due ...


Coma due to Malplaced External Ventricular Drain
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Ventriculostomy or external ventricular drain (EVD) placement by free-hand technique has a high malplacement rate. It is a blind procedure that often requires multiple attempts and revisions. To date, no neurological complication due to EVD malplacement has been reported in the literature. In this...


Emergency Management of an Acute Tension Pneumocephalus Following Ventriculoperitoneal Shunt Surgery for Normal Pressure Hydrocephalus
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Tension pneumocephalus is a rare and life threatening complication of intracranial surgical procedures, and requires immediate recognition and surgical intervention. Tension pneumocephalus following ventriculoperitoneal shunt surgery is extremely rare and commonly seen as a delayed complication. T...


Fatal Intracranial Hemorrhage as the Initial Presentation of Acute Lymphocytic Leukemia: A Case Report
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Hemorrhagic complications of acute leukemia are well described and are a common cause of mortality in these patients. However, to our knowledge, fatal intracerebral hemorrhage (ICH) as an initial presentation of acute lymphocytic leukemia (ALL) has only been reported once. We report a case of prev...


Primary Pineal Glioblastoma: A Case Report
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Glioblastoma is very rare in the pineal region. We report a case of glioblastoma in this region. This is the 18th case of primary glioblastoma in the pineal region and the second case that survived over two years according the literature. A 60-year-old man admitted with headache and ataxia that co...


Orbital Eosinophilic Granuloma in a Child: A Case Report
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Eosinophilic granuloma is a rare disease belonging to the Langerhans’ cell histiocytosis group. It accounts for only 1% of all tumor-like lesions of bone. A 6-year-old girl presented with proptosis, and a mass and pain in her right eye. Cranial computerized tomography and magnetic resonance ...


Hemangioblastoma of the Filum Terminale Associated with Von Hippel-Lindau Disease: A Case Report
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We report a 41-year-old man who presented with low back pain, lower extremity paresthesia, urinary retention and constipation. Magnetic resonance imaging showed a vascular intradural-extramedullary lesion at the second lumbar vertebral level. His medical history revealed that he had undergone surg...


Intra-Arterial Injection of Indocyanine Green in Cerebral Arteriovenous Malformation Surgery
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Surgical microscope-integrated intraoperative angiography with intra-venous injection of indocyanine green (ICG) has been widely used during bypass or aneurysm surgery. Instead of intra-venous injection of ICG, we describe a case of intraoperative video angiography with intra-arterial injection of...


Surgical Management of Symptomatic T8 Vertebral Hemangioma: Case Report and Review of the Literature
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Vertebral hemangiomas are benign vascular lesions of the vertebral column; only 0.9-1.2% of all vertebral hemangiomas cause spinal cord compression. We report a 34-year-old female who was admitted to the neurosurgery clinic with a history of back pain, poor quality of life and easy fatigability fo...


Coexistence of Trifid and Bifid Median Nerve in a Patient with Bilateral Carpal Tunnel Syndrome
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Carpal tunnel syndrome is the most common upper extremity neuropathy in the wrist that may be associated with anatomic variations of median nerve. Trifurcation of the median nerve has been very rarely reported in the literature. We report coexistence of bilateral median nerve variation in the wris...


ANEURYSMAL BONE CYST OF THE BASIOCCIPUT AS AN INTRACRANIAL SPACE OCCUPYING LESION
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Subdural Hematoma Associated with Skull and Dural Metastasis of Gastric Carcinoma: A Case Report
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Skull bone metastasis from the gastric cancer is a rare. We reported a 52-year-old male proven to have stomach cancer and who underwent subtotal gastrectomy 5 months previously. Within the past 2 weeks, he experienced headache and dizziness followed by weakness of the left lower limb. A diagnosis ...


Spinal Epidermoid Cyst Formation After Spinal Fracture Operation: A Case Report
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Acquired spinal epidermoid cysts are extremely rare. There are only a few reports on the formation of epidermoid cysts after lumbar puncture or spinal trauma. In this report, we present a patient who was diagnosed with epidermoid cyst after operation for spinal fracture. This 43-yearold female suf...


Video-Assisted Thoracoscopic Surgery for Migration of a Kirschner Wire in the Spinal Canal: A Case Report and Literature Review
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Orthopedic wires and pins are regularly used for the treatment of dislocations and bone fractures. Migration of these metallic fixation devices into the spinal canal is an uncommon complication. We present a 35-year-old man who underwent thoracic spinal canal migration of a Kirschner wire. The pat...


Rathke's Cleft Cyst with Non-Hemorrhagic Rupture Resulting in Alteration of Signal Intensity for a Short Period: A Case Report
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In a case of 23-year-old female with Rathke’s cleft cyst (RCC), unusual changes with size and morphology on computed tomography (CT) and magnetic resonance images (MRI) were noted in a short period of 3 weeks after spontaneous rupture. The CT noted that the intracystic isodensity was changed...


A Rare Case of Intracerebral Hemorrhage due to Arteriovenous Malformation Located at Petrous Portion of the Temporal Bone
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Primary intraosseous arteriovenous malformations (AVM) are not infrequently encountered. We report a case of intraosseous arteriovenous malformation arising in the left temporal bone. A 51-year-old male patient presented with loss of conscious. Computerized tomography displayed hematoma measuring ...


&#8216;Double Skull' Appearance due to Calcifications of Chronic Subdural Hematoma and Cephalhematoma: A Report of Two Cases
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Chronic subdural hematomas and cephalhematomas are known to become calcified in some patients. We present interesting cases of cephalhematoma in a child and calcified chronic subdural hematoma in an elderly lady with both getting calcified. The first patient was a 7 months male with calcified ceph...


Blue Rubber Bleb Naevus Syndrome and Chiari Malformation: High Risk of Peroperative Haemorrhage
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Blue rubber bleb naevus syndrome is an uncommon disorder whereby patients possess cutaneous vascular malformations. Cranial malformations have been rarely reported in the literature. We report the first ever case of a patient with blue rubber bleb naevus syndrome (BRBNS), who was found to have a s...


Free Floating Ventricular Shunt Catheter Between Lateral Ventricles: A Case Report of an Unusual Ventriculoperitoneal Shunt Complication
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Ventriculoperitoneal (VP) shunt proximal tip disconnection is rarely seen as a shunt complication. Shunt dysfunction and hydrocephaly can develop due to this disconnection. Presented here is a case of a disconnection of the ventricular catheter from the shunt valve, which passed between both later...


Multiple Extracranial Metastases from Secondary Glioblastoma: A Case Report and Review of the Literature
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Glioblastoma represents extreme anaplasia in astrocytic tumors. In spite of this aggressiveness, extracranial metastasis of glioblastoma is very rare and has been documented in only a few patients in the literature. In this article, a 30-year-old woman with secondary glioblastoma associated with e...


Primary Glioblastoma of the Medulla Spinalis: A Report of Three Cases and Review of the Literature
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Primary spinal glioblastoma multiforme (spinal GBM) is not a very common entity. This paper presents an outline of this rare neoplasm, its clinical presentation, course, management and outcome and reports a 3-case series of spinal GBM. In this 3-case series with spinal GBM, one of the patients was...


Brain Abscess Developing in a Non-Operated Spontaneous Intracerebral Haemorrhage: A Case Report and Literature Review
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Brain abscesses are a rare but potentially lethal neurological lesions, generally occurring after septic episodes in immunodeficient patients or complicating neurosurgical procedures. Even though they are known complications of surgically treated intracerebral haemorrhages (ICH), the presence of a...


Variable Origin and Ramification Pattern of the Lateral Femoral Cutaneous Nerve: A Case Report and Neurosurgical Considerations
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Variations in the anatomy of the lateral femoral cutaneous nerve (LFCN) have been reported in the literature. LFCN is vulnerable to injury during several surgical operations, therefore any surgeon intervening in the area should be familiar to its topographic variability. Lesion of the nerve leads ...


Third Ventricle Herniation into the Sphenoid Sinus Following Endoscopic Transnasal Transsphenoidal Fenestration of Rathke's Cleft Cyst
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Rathke cleft cyst (RCC) is an uncommon albeit benign sellar lesion with an incidence rate of between 2 to 33%. RCCs are usually asymptomatic except in the large cases whit suprasellar extension. We herein describe a unique case of RCC, which presented with severe visual loss owing to massive herni...


Mutation in the HTRA1 Gene in a Patient with Degenerated Spine as a Component of CARASIL Syndrome
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AIM: To show the mutation in HTRA1 gene in a patient suffering from CARASIL syndrome with degenerated spine as a component of the disease. MATERIAL and METHODS: We identified a family that one of the members had CARASIL syndrome in eastern Turkey and collected venous blood from available persons....


Anterior Corpus Callosotomy Combined with Anterior Temporal Resection with Amygdalohippocampectomy: Outcome in a Patient with Congenital Bilateral Perisylvian Syndrome
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Congenital bilateral perisylvian syndrome (CBPS) is characterized by epilepsy, cognitive deficits, pseudobulbar palsy and diplegia of the facial, pharyngeal and masticatory muscles. Epilepsy has been described in nearly 90% of affected patients. The epilepsy is usually severe and pharmacoresistant...


Transethmoidal Encephalocele After Reduction of High Intracranial Pressure in Aqueductal Stenosis
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Acquired non-traumatic transethmoidal encephaloceles are very infrequent lesions that are generally caused by a tumor or hydrocephalus. As far as we know, there is no reported case of encephalocele after CSF diversion in the literature. We present a 25-year-old woman with hydrocephalus due to aqui...


Long-Term Disseminated Recurrence in Spinal Hydatid Cyst: A Case Report
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The spinal column is rarely affected by hydatid cyst; however, when involved, it has higher rates of recurrence particularly in case of osseous and paravertebral extensions. We report a 36-year-old patient. The patient was operated previously for hydatid cyst through laminectomy 13 years ago. Afte...


Typical Trigeminal Neuralgia by an Atypical Compression: Case Report and Review of the Literature
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AIM: Trigeminal neuralgia is a disabling form of facial pain that causes a considerable discomfort and a marked reduction in the quality of life. Although neurovascular compression is often associated with trigeminal neuralgia, other intracranial pathologies can result in compression along the ner...


A Rare Case of Chordoma and Craniopharyngioma Treated by an Endoscopic Endonasal, Transtubercular Transclival Approach
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Co-occurrence of different brain tumors is rarely observed, being more frequent in patients affected by genetic syndromes like phacomatoses. Different histological types of intracranial lesions may present at different times in the clinical history of the patient or, more rarely, they may occurr a...


Extradural Spinal Arachnoid Cyst Occurring in a Child: A Case Report
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Extradural archnoid spinal cysts are rare lesions. Their localization is usually the thoracic spine. Clinically, they are a cause of spinal cord and/ or nerve roots compression. The diagnosis is made by magnetic resonance imaging (MRI). The pathophysiology is not well known and seems to be differe...


Manic Episode Following Deep Brain Stimulation of the Subthalamic Nucleus for Parkinson&#8217;s Disease: A Case Report
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AIM: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established therapy for patients with Parkinson’s disease (PD) associated with motor complications of long term L-dopa treatment. MATERIAL and METHODS: Here we report two cases with DBS- induced manic episode, focusing ...


Epidural Hematoma Associated with Spinal Fracture in Diffuse Idiopathic Skeletal Hyperostosis
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The authors describe the clinical findings, radiographic appearance and surgical treatment of a spinal epidural hematoma (SEH) associated with spinal fracture in diffuse idiopathic skeletal hyperostosis (DISH). An 81-year-old male patient injured after falling from a 2.5 m tree presented with seve...


Solitary Juvenile Xanthogranuloma in Cervical Spine: Case Report and Review of the Literature
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Solitary juvenile xanthogranuloma (JXG) in the spinal column is extremely rare. Here, we report and characterize the case of xanthogranuloma of the upper cervical spine. A 18-year-old male presented with neck pain for 3 months, along with progressive quadriparesis and sensory loss of 2 months dura...


Excessive External Drainage of CSF Might Aggravate Bacterial Ventriculitis
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Bacterial ventriculitis is one of the most difficult diseases of neurosurgery, if not controlled well in the early stage, it will cause empyema, adhesion and separated infectious ventricle locules inside the ventricle. Few studies focus on the relationship between external drainage volume and the ...


Treatment Strategy and Follow-up Evaluation for an Unruptured Anterior Communicating Artery Aneurysm Associated with Pseudo-Occlusion of the Internal Carotid Artery Using Computational Fluid Dynamics Simulations
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Basic research on cerebral aneurysms using computational fluid dynamics (CFD) simulations has recently progressed. We describe a clinical case with the use of CFD simulations. A 76-year-old woman had an unruptured anterior communicating artery aneurysm associated with pseudo-occlusion of the inter...


Piriformis Syndrome: A Case with Non-Discogenic Sciatalgia
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Piriformis syndrome is a clinical picture of non-discogenic sciatica caused by compression of the sciatic nerve by the piriformis muscle. It has variable etiologies and the patho-physiology is not fully understood. The major etiology was known to be the spasm, edema and inflammation of the pirifor...


Sciatic Nerve Schwannoma: Case Report
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Schwannomas are common, truly encapsulated and benign peripheral nerve sheath tumors. Their occurrence in extracranial locations is rare. Schwannomas most commonly occur in adults between 20 and 50 years of age. Their symptomatology usually mimics sciatic pain due to herniated disc. The most commo...


Iatrogenic Pneumothorax After Ventriculoperitoneal Shunt: An Unusual Complication and a Review of the Literature
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A patient received a ventriculoperitoneal shunt operation for hydrocephalus after subarachnoid hemorrhage. Postoperative computed tomography incidentally revealed asymptomatic pneumothorax caused by a shunt tube passing through the thoracic space. The patient was observed without removal of the tu...


A Curative Treatment Option for Complex Regional Pain Syndrome (CRPS) Type I: Dorsal Root Entry Zone Operation (Report of Two Cases)
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Complex Regional Pain Syndrome Type I (CRPS-I) is a debated health problem concerning its pathophysiology and treatment strategies. A 12-year-old boy and a 35-year-old woman were diagnosed with CRPS-I at different times. They had previously undergone various types of interventions with no success....


Cervico-Occipital Meningioma in a 5-Year-Old Child: A Case Report
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AIM: Childhood meningiomas are scarce in clinical practice with an incidence ranging from 0.4 to 4.6% of all pediatric central nervous system (CNS) tumors. Cervico-occipital meningiomas account for 3.7% of childhood meningiomas and are slightly more frequent in male. RESULTS: A 5-year-old female p...


Spinal Intradural Malignant Peripheral Nerve Sheath Tumor in a Child with Neurofibromatosis Type 2: The First Reported Case and Literature Review
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Spinal intradural malignant peripheral nerve sheath tumors (MPNSTs) in children are extremely rare, with only five reported cases in the literature. A 9-year-old female with neurofibromatosis type 2 (NF-2) presented with right hip pain and severe weakness of bilateral legs for 3 months. Magnetic r...


Successful Treatment of a Very Rare Angiosarcoma Involving the Lumbar Spine Via En-Bloc Resection and Radiotherapy: Case Report
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Angiosarcomas are rare malignant vascular tumors that comprise only approximately 2% of all soft tissue sarcomas. They are mainly located in the head and neck area and spinal involvement is particularly very uncommon, reported only in occasional case reports or as single cases as part of a clinica...


Primary Extradural Spinal Ganglioneuroblastoma: A Case Report
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We report a case of ganglioneuroblastoma of the spinal cord in a 25-year-old man. Clinical history was short with paraparesis and bladder involvement. The MRI picture was that of an extradural solid tumor with extension to both intervertebral foramina, more suggestive of nerve sheath tumour rather...


A Spinal Dermoid Cyst with Spontaneous Rupture into the Syrinx Cavity: A Case Report
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Dermoid cysts are rare benign congenital tumors comprising 1.1 % of the spinal tumors, with lumbosacral region and cauda equina being the common sites. Many cranial cases with spillage of cyst contents into the subarachnoid space have been reported. We report an extremely unusual case of symptomat...


Gliosarcoma Occurrence After Surgical Clipping of Aneurysm &#8211; Coincidence or Causal Relationship?
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Gliosarcoma is relatively rare brain tumor of glial and sarcomatous origin. The occurrence of this highly malignant brain tumor in the vicinity of the clipped aneurysm has not been reported in the literature. The authors report a case of 37-year-old man who developed sudden onset severe headache. ...


Ulnar Nerve Compression at the Elbow Caused by the Epitrochleoanconeus Muscle: A Case Report and Surgical Approach
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Cubital tunnel syndrome is the second most common peripheral nerve compression syndrome. It is the most common peripheral neuropathy of the ulnar nerve. The surgical treatment of the cubital tunnel syndrome is widely described in the literature, however the variations of the standard muscular anat...


Cyberknife Radiosurgery for Cranial Plasma Cell Tumor
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Cranial and intracranial involvement by myelomatous disease is relatively uncommon. Furthermore, systemic manifestations of multiple myeloma are present in the majority of these cases at the time of symptom onset. The authors report the case of a patient with serial appearance of multiple intracra...


Unusual Posttraumatic Delayed Cerebrospinal Fluid Rhinorrhea due to Gunshot Wound
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Delayed posttraumatic cerebrospinal fluid rhinorrhea (CSFr) without meningitis is considered to be relatively rare. However, even years after trauma, recurrence or delayed onset of CSFr and meningitis due to CSFr are possible. In this article, a case of delayed CSFr from the sphenoid sinus without...


Sacral Canal Myeloid Sarcoma as Initial Manifestation of Granulocytic Leukemia: Mrı Features and Differential Diagnosis (with a Case Report)
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Myeloid sarcoma initially occurring in the sacral canal is often misdiagnosed as other pathological tumors on MRI due to the lack of a definite history or clinical evidence of granulocytic leukemia. Here, we report a case of 24-year-old male patient with myeloid sarcoma misdiagnosed radiologically...


Bronchogenic Cyst of the Craniocervical Junction: A Case Report
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Intracranial bronchogenic cysts (BCs) are uncommon, and BCs at the craniocervical junction are extremely rare. These lesions are most frequently encountered in the cervico-thoracic region of the spine. Their pathogenesis is still poorly understood. Regardless of the surgical approach, the aim of s...


Dural Plasmacytoma Mimicking Meningioma
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Plasma cell tumors are characterized by a monoclonal proliferation of immunoglobulin-secreting plasma cells. Dural infiltration of plasma cells without involvement of the parenchyma, leptomeninges or skull is a rare event. We present a 34-year-old man presenting with hallucination and amnesia. Mag...


Complete Spontaneous Thrombosis and Recanalization of a Ruptured Posterior Cerebral Artery Aneurysm
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Complete spontaneous thrombosis followed by recanalization of non-giant aneurysms is a rare event that can be discovered incidentally on advanced neural images. In this case report, the authors described a woman who presented with subarachnoid hemorrhage (SAH) and left posterior cerebral artery (P...


Mount Meningioma with Tumor Cap
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The association between meningioma and hyperostosis of adjacent calvarium is well established. However, the cause of hyperostosis is still not certain. Various authors in the past have tried to explain this phenomenon by preceding trauma or by bone irritation by the tumor without bone invasion, wh...


Penetrating Gunshot Wound to the Head: Transotic Approach to Remove the Bullet and Masseteric-Facial Nerve Anastomosis for Early Facial Reanimation
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INTRODUCTION: Gunshot wounds to the head (GSWH) account for the majority of penetrating brain injuries, and are the most lethal. Since they are rare in Europe, the number of neurosurgeons who have experienced this type of traumatic injury is decreasing, and fewer cases are reported in the literatu...


Epilepsy as the First Presentation of Arterial Tortuosity Syndrome in a Young Girl: A Case Report
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Arterial tortuosity syndrome (ATS) is an extremely rare autosomal recessive connective tissue disorder characterized by tortuosity and elongation of all major arteries. We report a clinical case of a girl with this rare condition, who initially presented with epilepsy. DSA or MRA revealed a severe...


One-Step Endovascular Treatment of Bilateral Traumatic Carotid&#8208;Cavernous Fistulae with Atypical Clinical Course
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Traumatic carotid-cavernous fistula (TCCF) is a rare neurovascular pathologic entity. The bilateral form occurs even rarer and given the potential risk for both optic tracts presents an urgent indication for quick and effective treatment. We present a patient with a bilateral Barrow type A TCCF wi...


Primary Cerebellopontine Angle Rathke's Cleft Cyst: Case Report
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We report a case of 25-year-old man presenting with a 2-year history of decreased hearing and tinnitus on the right side. Neurological examination revealed profound right retrocochlear sensorineural hearing abnormality, mild right facial spasm and positive Romberg sign. Magnetic resonance imaging ...


Unusual Pain due to Unilateral Facet Degeneration at the C1-2 Level
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AIM: Neck pain is a common problem that may result from abnormalities in the soft tissues, bones and joints of the spine. However, upper neck and occipital pain syndrome due to unilateral idiopathic arthrosis of a C1-2 lateral articulation is a very rare condition. MATERIAL and METHODS: We describ...


Simultaneous Bilateral Hypertensive Putaminal or Thalamic Hemorrhage: Case Report and Systematic Review of the Literature
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Simultaneous multiple hypertensive intracranial hemorrhage is rare, and its mechanism is unclear. We report a case of simultaneous hypertensive bilateral thalamic hemorrhage. A 58-year-old man presented with sudden mild right hemiparesis. Computed tomography 1 hour after the onset showed bilateral...


Primary Bone Non-Hodgkin Lymphoma of the Cervical Spine: Case Report and Review
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Primary bone lymphomas (PBL) account for approximately 3% of all malignant tumors and are commonly found in the femur or pelvis. Only 1.7% of the PBLs are found in the spine. We report the case of a 73-year-old male complaining of cervical pain with progressive loss of strength and frequent falls....


Intracranial Basal Cell Carcinoma with Extensive Invasion of the Skull Base
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Intracranial invasion of basal cell carcinoma is very rare. A case of a 71-year-old male patient is presented with extensive invasion of middle and posterior fossae, with nearly complete destruction of the petrous bone, involving cerebellopontine angle and cranial nerves by recurrent basal cell ca...


Robotic Assisted Sacroplasty: A Case Report
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AIM: Sacral insufficiency fracture is an important cause of lower back and groin pain among the osteoporotic population. Diagnosis and treatment of SIFs are challenging. Currently, surgical treatment includes sacroplasty under C-arm fluoroscopy or computed tomography. Both techniques have a risk o...


Bubble Over the Head: Adeloye-Odeku Disease in a Turkish Child-Case Report
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Adeloye-Odeku disease is composed of dermoid cyst over anterior fontanelle, first described in 1971. We present an 11-year-old girl with a soft, fluctuant swelling over bregma. The lesion content was isointense to cerebrospinal fluid on both T2W and FLAIRW images. There was a lytic area under the ...


Gamma Knife for Obsessive Compulsive Disorder: Can It be Detrimental?
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Functional neurological disorders (FND) have been a challenge to treat both for neurologists and neurosurgeons. Various ablative as well as non-ablative techniques have been used to treat these disorders. Gamma knife radiosurgery (GKRS) is also being practised to treat refractory obsessive- compul...


Coil Embolization of Intracranial Aneurysms with Ipsilateral Carotid Stenosis: Technical Considerations
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Simultaneous occurrence of carotid atherosclerotic disease and ipsilateral cerebral aneurysm is known because of common risk factors. When interventional neuroradiologists encounter such cases, issue of ‘in which order to treat these lesions ‘ is raised. If carotid artery disease is tre...


Retreatment of Recanalized Aneurysms After Y-stent-assisted Coil Embolization with Double Enterprise Stents: Case Report and Systematic Review of the Literature
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It is necessary to consider possibility of recanalization and retreatment after coil embolization for cerebral aneurysms. There is concern that retreatment for recanalized aneurysms after Y-stent-assisted coil embolization may be difficult because of double stents, especially in Y-stents with doub...


One-Stage Operation for Rare Multiple Mirror Intracranial Aneurysms: A Case Report and Literature Review
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Although intracranial multiple aneurysms are not uncommon, multiple mirror aneurysms are relatively rare. A few isolated cases have been described. However, to the best of our knowledge, 3 pairs of pure symmetrical mirror aneurysms in one patient have not been reported yet. We present a case of mu...


Fragmentation to Epidural Space: First Documented Complication of Gelstix<sup>TM</sup>
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The knowledge of minimal invasive spinal surgery has increased greatly in recent years. A current issue is the hydrogel implant inserted through nucleus pulposus. In this paper we present a case in which the hydrogel implant was found to be fragmented into the spinal canal at follow up. The patien...


Spinal Arachnoid Cysts Associated with Syringomyelia: A Review of the Literature and Report of a Case
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Syringomyelia is a not infrequent pathology that develops related to changes in cerebrospinal fluid dynamics due to many etiological factors. The development of syringomyelia through a spinal arachnoid cyst is quite rare and has been defined in only 31 cases in the literature. A case due to thorac...


Antibiotic-Impregnated Polymethylmethacrylate as an Anterior Biomechanical Device for the Treatment of Cervical Discitis and Vertebral Osteomyelitis: Technical Report of Two Cases
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AIM: To evaluate the feasibility of this novel surgical approach for treatment of cervical discitis and vertebral osteomyelitis. MATERIAL and METHODS: This is a report of two patients who underwent anterior cervical decompression for discitis and vertebral osteomyelitis (DVO) with cervical spine r...


A Rare Pattern of Angiogenesis in Meningiomas: Glomeruloid Microvascular Proliferation
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Glomeruloid microvascular proliferation (GMP) is a localized proliferation of vascular endothelial cells resembling a renal glomerule. The nature of cells participating in the formation of these structures remains unclear. While it is a characteristic feature of glioblastoma, it is rarely seen in ...


A Rare Case of Chondroma of Falx Cerebri
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The chondroma originated in falx cerebri and dural convexity is very rare, less than 30 cases reported so far. Here, we report a case of 26-yearold male, with a huge mass at fronto-parietal falx cerebri, who was misdiagnosed as parafalcine meningioma on preoperative MR imaging. After surgery, the ...


A Wandering Intravascular Scalpel Fragment After Lumbar Discectomy: A Case Report
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Vascular complications after lumbar discectomy are rarely seen. We present a unique and potentially life-threatening postoperative complication from this procedure. A 27-year-old man was admitted to our emergency vascular unit 1 day after a lumbar discectomy, during which a scalpel blade fragmente...


Pial Arteriovenous Fistulas Associated with Multiple Aneurysms Presenting as Intracerebral Hemorrhage: A Case Report
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Intracranial pial arteriovenous fistulas (AVFs) associated with multiple aneurysms of the main feeding arteries are very rare cerebrovascular lesions. We report a unique case of pial AVFs associated with four aneurysms of the feeding anterior cerebral artery (ACA) which presented as intracerebral ...


Cerebral Infarction Caused by Pituitary Apoplexy: Case Report and Review of Literature
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Pituitary apoplexy followed by cerebral infarction is rare. In this report, we present a 42-year-old man who had been diagnosed of pituitary adenoma presented with a sudden onset of unconsciousness, left hemiplegia and right ptosis. Investigations revealed the development of pituitary apoplexy. Th...


Extracranial Spheno-Ethmoidal Sinus Meningioma: Case Report
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Extracranial meningiomas of the paranasal sinus are the rare tumors of unclear etiology. We report a case of primary extracranial meningioma arising from the roof of the sphenoid sinus. A 60-year-old female presented with 5-month history of right visual disturbance. Imaging studies showed a mass i...


A Case of Fatal Late Vasospasm in a Patient with a Recurrent, Supratentorial Rhabdoid Primitive Neuroectodermal Tumor: Possible Molecular Implications
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We report the case of a 44-year-old man who experienced a fatal and untreatable delayed vasospasm after resection of a recurrent temporal IV grade primitive neuroectodermal tumor (PNET). The histological analysis demonstrated a rare rhabdoid variant of the tumor with a diffuse myxoid degeneration;...


A Case of Primary Dural Lymphoma: Diffuse Large B-Cell Type
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Primary leptomeningeal lymphoma is very rare disease that is a subtype of primary central nervous system (CNS) lymphoma. Primary dural lymphoma is a subentity of primary leptomeningeal lymphoma and arises from the dura mater without systemic disease. A 47-year-old woman presented with an indolent ...


Primary Diffuse-Type Tenosynovial Giant Cell Tumor of the Spine: A Report of 3 Cases and Systemic Review of the Literature
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Three patients with spinal primary diffuse-type tenosynovial giant cell tumor (DTGCT) received surgical treatment in our department between 2002 and 2012. All 3 patients were female and aged 23, 33, and 44 years. The mean time from symptom onset to diagnosis was 17 months (range, 5–24 months...


Adenoid Cystic Carcinoma in the Cavernous Sinus Diagnosed with the Endoscopic Endonasal Approach
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A 42-year-old woman presented with right oculomotor, abducens, and trigeminal palsy. Neuroimaging revealed a small lesion in the right cavernous sinus mimicking meningioma. Because the symptoms gradually worsened, the patient underwent an endoscopic endonasal transsphenoidal surgery for tumor biop...


Hemangiopericytoma of the Cervicothoracic Spine: A Case Report and Literature Review
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A case of hemangiopericytoma in the cervicothoracic spine is reported. A 43-year-old man was admitted to our hospital with pain in the scapular region radiating to the left upper extremity, numbness, and weakness of the legs. Magnetic resonance image revealed an intraspinal, extradural mass at the...


Reversal of Paraplegia After Anterior Decompression in a Patient Underwent Posterior Decompression and Fusion for Thoracic Ossification of Posterior Longitudinal Ligament
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This report describes a rare clinical entity, thoracic myelopathy due to ossification of the posterior longitudinal ligament (OPLL), and its management. A 40-year-old woman presented with thoracic myelopathy due to OPLL, extending from T2–T9. We performed a posterior laminectomy and instrum...


Intraventricular Lymphoplasmacyte-Rich Meningioma: A Case Report
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Lymphoplasmacyte-rich meningioma (LPM) is one of the rarest variants of meningioma and those LPMs that arise in the intraventricular space are even rarer. LPMs are classified as grade I (benign) tumors with a low proliferative rate and diagnosis is made through the histological identification of h...


Pituitary Atypical Adenoma or Carcinoma Sensitive to Temozolomide Combined with Radiation Therapy: A Case Report of Early Identification and Management
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Pituitary carcinoma is extremely rare and difficult to diagnose early. Here we present a case of highly suspected pituitary malignant adenoma with early chemotherapy and radiation. A 30-year-old woman was admitted for headache and impaired vision, MRI found a sellar mass. Since there was no distur...


Pituitary Stone: A Case Report and Review of the Literature
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A 39-year-old male without any significant complaints or symptoms presented with a calcified lesion located at the sellar region. Total removal of the lesion has been achieved via an endoscopic endonasal transsphenoidal approach. Histopathological examination of the lesion revealed a pituitary sto...


An Unusual and Complex Congenital Heart Disease in a Patient with a Ruptured Cerebral Aneurysm
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A 38-year-old woman had complex, congenital heart anomalies, including double-outlet right ventricle with mitral atresia, severe left ventricle hypoplasia, atrial septal defect, and severe pulmonary stenosis, for which she had not received appropriate treatment. She presented to our institution wi...


Leptomeningeal Dissemination of Pilocytic Astrocytoma in a 17-Year-Old Boy
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Pilocytic astrocytoma with leptomeningeal dissemination is a rare phenomenon and can be associated with obstructive hydrocephalus and an unfavorable prognosis. Herein, we report a seventeen-year-old boy with a history of ventriculo-peritoneal shunt insertion due to severe hydrocephalus who present...


Lumbar Intraosseous Schwannoma: Case Report and Review of the Literature
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Intraosseous schwannomas of the mobile spine are extremely rare. To our knowledge, only 21 cases have been reported in the literature. In this report, we present a case of schwannoma involving the lumbar spine, with a review of the literature and discussion of this rare tumor. A 44-yearold male pr...


Intraventricular Pleomorphic Xanthoastrocytoma: A Case Report
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Pleomorphic xanthoastrocytoma (PXA), an uncommon glial neoplasm, typically affects adolescents and young adults and accounts for less than 1% of all astrocytic neoplasms. The authors present a case of PXA located entirely in the third ventricle in a 24-year-old male patient. The patient presented ...


Intracranial Dural Metastasis Presenting as Chronic Subdural Hematoma: A Case Report and Review of Literature
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Intracranial dural metastasis presenting as chronic subdural hematoma is a relatively rare clinical scenario. There are different theories explaining the formation of subdural hematoma in such cases. In this report we present a case of chronic subdural hematoma in a 44-yearold lady who did not hav...


Far Lateral Disc Herniation Evaluated by Coronal Magnetic Resonance Imaging: Case Series
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The extent of the slice thickness in spinal axial and sagittal magnetic resonance imaging (MRI) is limited. We therefore, propose the idea of using coronal MRI to better delineate lumbar far lateral disc herniations. Six patients with coronal MR images who underwent surgery are presented in this s...


A Rare Type of Peripheral Nerve Sheath Tumor: Radial Nerve Schwannoma
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Schwannomas, also known as neurilemmomas, are generally benign peripheral nerve sheath tumors developing from Schwann cells. Peripheral nerve sheath tumors account for less than 8% of soft tissue neoplasms. Schwannomas are characterized by a slow-growing and non-infiltrating pattern. We report a 2...


Vertebrojugular Arteriovenous Fistula and Pseudoaneurysm Formation due to Penetrating Vertebral Artery Injury: Case Report and Review of the Literature
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Vertebral artery injury including thrombosis, arteriovenous fistula (AVF), pseudo-aneurysm and hemorrhage may be iatrogenic or due to penetrating or blunt trauma. Although mostly asymptomatic, vertebral artery injury may also present with vertebrobasilar insufficiency findings, cephalgia, radicula...


Intrasellar Chordoma Associated with a Primitive Persistent Trigeminal Artery
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Chordomas located primarily in the sellar region are uncommon, and may be misdiagnosed non-functioning pituitary adenoma. Furthermore, the association of a persistent primitive trigeminal artery (PPTA) with an intrasellar chordoma is extremely rare, and no similar cases have been reported in the l...


Recanalization of a Large Supraclinoid Carotid Aneurysm Via Elicited Vertebral Artery-Internal Carotid Artery Anastomosis: A Case Report
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Proximal ligation of the internal carotid artery (ICA) with high-flow bypass is one of the surgical strategies for treating large, unclippable ICA aneurysms. We encountered a rare case of recanalization of a large ICA aneurysm that disappeared after high-flow bypass surgery, and subsequently reapp...


Radiological Pitfalls of a Large Intracranial Dissecting Aneurysm
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We report the case of a large dissecting aneurysm of the anterior cerebral artery revealed by cerebral infarction in 38-year-old man. The volume and aspect of the aneurysm initially led us to the diagnosis of saccular aneurysm. Given the complete thrombosis, the risk of bleeding was low and antith...


Spontaneous Angiographic Regression of Cerebral Arteriovenous Malformations: Angiographic Disappearance is not the Real Cure
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Angiographically occult arteriovenous malformations (AOAVMs) are poorly understood. AOAVMs include spontaneous regression of cerebral AVMs. Here we discuss spontaneous angiographical regression of cerebral arteriovenous malformations (SRAVM). We present the case of a 34-year-old male patient with ...


Lumbar Intradural Paragangliomas: Report of Two Cases
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Paraganglioma (PG) is a rare tumor of the dispersed neuroendocrine system. PG derives from the embryonic sympathetic and parasympathetic nervous system. Paraganglioma is a neoplasm of the dispersed neuroendocrine system that affects a variety of anatomic sites, mainly the head and neck. It occurs ...


Primary Intraosseous Meningioma Mimicking Osteosarcoma: Case Report
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With an incidence rate of 15-20%, meningiomas are one of the most common brain tumors among benign intracranial tumors. They are distributed as follows in intracranial localizations: parasagittal and falx (25%), convexity (18%), sphenoid wing (18%), parasellar (12%), posterior fossa (10%), intrave...


Basal Cell Adenocarcinoma of the Parotid Gland with Rare Scalp Metastasis: A Case Report
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Salivary gland tumors constitute 3% of tumors in the body. Salivary gland tumors constitute 4% to 10.80% of all tumors in the head and neck tumors and most of them originate from the parotid gland. Most salivary gland tumors are benign. Basal cell adenocarcinoma is a rare salivary gland tumour. Mo...


Combined Extracranial-Intracranial Bypass Surgery with Stent-Assisted Coil Embolization for Moyamoya Disease with a Ruptured Wide-Necked Basilar Trunk Aneurysm: A Case Report
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A ruptured wide-necked basilar trunk aneurysm is uncommon in patients with moyamoya disease. The optimal treatment is unclear. We report a safe and beneficial treatment modality for moyamoya disease with aneurysms located in the posterior circulation. A 37-year-old man presenting with subarachnoid...


Isolated Intracranial Rosai-Dorfman Disease Involving the Meninges: Report of a Rare Case
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Sinus histiocytosis with massive lymphadenopathy or Rosai-Dorfman disease (RDD) is a reactive condition of unknown etiology, characterised by a proliferation of histiocytes exhibiting emperipolesis of lymphocytes and plasma cells. It usually presents as bilateral painless cervical lymphadenopathy....


Indocyanine Green Videoangiography for Vessel Identification and Preservation Prior to Dural Opening for Microvascular Decompression
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Unexpected bleeding from the dural sinus can sometimes occur when performing a dural opening during microvascular decompression. We conducted dural opening safely by performing indocyanine green (ICG) videoangiography before making a dural incision. We introduce two specific cases in which surgery...


Can Cranioplasty be Effective in Improving Cognitive and Motor Function in Patients with Chronic Disorders of Consciousness? A Case Report
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The “trephined” syndrome is a relatively rare complication after a large skull bone defect, consisting of a sunken skin above the bone defect with neurological symptoms such as severe headaches, mental changes, focal deficits, or seizures. Emerging data show improvements in the patient...


Management of Consecutive Development of Ruptured Intracranial Mycotic Aneurysms: Case Report
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Intracranial mycotic aneurysm (MA), also known as intracranial infectious aneurysm, is a rare type of intracranial aneurysm. However, it carries a high mortality rate of 80% when ruptured and 30% even when unruptured. Here we report a 22-year-old male patient who consecutively developed two ruptur...


Total Resolution of Large Scalp Swelling due to Calvarial Tuberculosis with Medical Management Only: Case Report and Review of the Literature
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Calvarial tuberculosis is rare. It presents with single or multiple discharging sinus or a localized focal scalp swelling with overlying skin discoloration. Usually subgaleal collection is associated with evolution of sinus formation in different stages. However, extensive scalp swelling spreading...


Skull Base Fracture Involving the Foramen Spinosum &#8211; an Indirect Sign of Middle Meningeal Artery Lesion: Case Report and Literature Review
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Skull base fractures comprise a relatively common finding among trauma patients. Before the widespread use of computed tomography (CT), these lesions used to be misdiagnosed. Currently, with improved imaging technology, diagnosis of skull base fractures is no longer cumbersome. On the other hand, ...


Thoracic Epidural Blood Patch for Spontaneous Intracranial Hypotension: Case Report and Review of the Literature
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Spontaneous intracranial hypotension (SIH) is caused by spinal leakage of cerebrospinal fluid (CSF). Treatment is directed at sealing the site of leak, which is often difficult to localize. We present a case of near fatal SIH that was treated with thoracic epidural blood patching. A 47-yearold mal...


Subdural Extramedullary Melanotic Schwannoma of the Thoracic Spinal Cord: A Case Report
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Melanotic schwannoma is a rare “Schwann” cell tumor characterized by the deposition of melanin in the cell cytoplasm. Melanotic schwannoma varies greatly in terms of morphology and clinical manifestations. Here, we describe a patient with subdural extramedullary melanotic schwannoma of...


Pure Lymphocytic Infundibuloneurohypophysitis Caused by the Rupture of Rathke's Cleft Cyst: Report of 2 Cases and Review of the Literature
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The major symptoms that are caused by Rathke’s cleft cysts (RCCs) are visual disturbances, headaches, and endocrine insufficiencies. Among these symptoms, the endocrine insufficiencies are thought to result from the spreading of inflammation that is induced by the cyst contents onto the pitu...


Intracranial Giant Tuberculoma Mimicking Brain Tumor: A Case Report
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Tuberculomas are small tumor-like lumps that can be seen, usually in large numbers, in central nervous system involvement of tuberculosis. Giant tuberculomas that are big enough to cause symptoms of compression are also encountered, though rarely. When they are really large, tuberculomas may resul...


Multi-Level, Bilateral Pedicle Fractures: Case Report
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Bilateral pedicle fracture is an extremely rare entity and few cases have been reported in literature. A case of bilateral multi-level pedicle fractures involving four lumbar vertebrae is being presented. Bilateral pedicle stress fracture at L1 - L4 was observed in a 61-year-old woman presented wi...


Minimally Invasive Treatment of Biventricular Hydrocephalus Caused by a Giant Basilar Apex Aneurysm via a Staged Combination of Endoscopy and Endovascular Embolization: A Case Report
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Biventricular hydrocephalus caused by a Giant Basilar Apex Aneurysm (GBAA) is a rare finding that presents unique and challenging treatment decisions. We report a case of GBAA causing a life-threatening biventricular hydrocephalus in which both the aneurysm and hydrocephalus were given definitive ...


Pituitary Macroadenoma Coexistent with a Posterior Circulation Aneurysm Leading to Subarachnoidal Hemorrhage During Transsphenoidal Surgery
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The coexistence of cerebral aneurysm and pituitary adenoma has been described previously. Most of such cases harbor functional tumors and anterior circulation aneurysms, with very rare cases of posterior circulation aneurysms. In this report, we present a case of subarachnoidal hemorrhage due to r...


Giant Cell Tumor of the Sixth Thoracic Vertebra: Case Report
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Giant cell tumor is an uncommon but most aggressive benign tumour of the spine with unpredictable outcome and challenging treatment. Spinal giant cell tumors located above the sacrum are rare and treatment recommendations are still unclear. We report a rare case of this lesion in an adult and disc...


Embolization in the Treatment of an Intraosseous Glomus Tumor in the Upper Thoracic Spine Complicating Compression Myelopathy: A Case Report and A Literature Review
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Glomus tumors are very infrequent in the spine. The lesions can grow intraosseously along the entire spinal axis. A single female presenting with back pain from the upper thoracic spine is reported on. Removal of this lesion may require reconstruction of the anterior column with posterior fixation...


Subarachnoid and Intracerebral Hemorrhage After Alcohol Ingestion and Illicit Use of Sildenafil
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Sildenafil is a drug used in the treatment of male impotence. Few cases of spontaneous intracerebral hemorrhage following the use of sildenafil have been cited in the literature. A 42-year-old man was admitted to the emergency outpatient clinic of İstanbul Educational and Research Hospital after s...


Endoscopic Transaqueductal Removal of Fourth Ventricular Neurocysticercosis: Report of Three Cases
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In this study, we try to present our experience of transaqueductal removal of the fourth ventricular neurocysticercosis (FVNCC) with a flexible neuroendoscope. Three cases of the fourth ventricular cysticercosis were transaqueductally removed with FUJINON EB-270P flexible neuroendoscope through a ...


Multifocal Lateral and Fourth Ventricular Primary Central Nervous System Lymphoma: Case Report and Literature Review
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We report a 66-year-old man with 2-month history of dizziness and 1-month history of diplopia. Cranial magnetic resonance imaging (MRI) disclosed two solid masses, one in the right lateral ventricle and another in the fourth ventricle. A surgical biopsy was performed on the basis of safety. The di...


Co-Occurrence of Intracranial Rosai-Dorfman Disease and Langerhans Histiocytosis of the Skull: Case Report and Review of Literature
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Rosai-Dorfman Disease involves histiocytic proliferation of the lymphatic system. Extranodal disease involving the central nervous system is uncommon. Furthermore, the combination of this disease entity with Langerhans cell histiocytosis is an even rarer phenomenon that has only recently been high...


Sciatic Nerve Hypertrophy with Klippel-Trenaunay Syndrome: A Case Report
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A 73-year-old female patient who had severe neuropathic pain due to sciatic nerve hypertrophy with the Klippel-Trenaunay Syndrome has been presented. Localized hypertrophic neuropathy is in one region and characterized by concentric proliferation of Schwann cells around the axon. It is very rare i...


Extended Endoscopic Endonasal Surgery Using Three-Dimensional Endoscopy in the Intra-Operative Mrı Suite for Supra-Diaphragmatic Ectopic Pituitary Adenoma
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We describe a supra-diaphragmatic ectopic pituitary adenoma that was safely removed using the extended endoscopic endonasal approach, and discuss the value of three-dimensional (3D) endoscopy and intra-operative magnetic resonance imaging (MRI) to this type of procedure. A 61-year-old-man with bit...


Emergency Superficial Temporal Artery to Middle Cerebral Artery Bypass After Intravenous Administration of Tissue Plasminogen Activator for Stroke
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Intravenous tissue plasminogen activator (IVtPA) is effective for the treatment of acute stroke. Although IVtPA is easily administered and is effective in many cases, the clinical condition of some patients can worsen after the initiation of thrombolytic therapy due to sustained cerebrovascular in...


Surgical Resection of a Complex Multiple Scalp Avf without Preoperative Embolization: A Case Report
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Complex multiple arteriovenous fistula (AVF) of the scalp is an extremely rare disease and the traditional treatment is either endovascular embolization or surgical resection with preoperative endovascular embolization. Here, a 34-year-old male with pulsating mass and multiple tortuous vessels in ...


Rapid Clinical Course of Multiple Metastatic Cerebral Angiosarcoma
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Central nervous system (CNS) angiosarcoma, both primary and secondary, is an exceptionally rare malignant tumor. The behaviour of angiosarcoma is one of rapid progression with early metastatic spread but as with all sarcomas, the primary site may not clinically evident by the time metastases devel...


Gradual Growth of Spontaneous Dissecting Aneurysm of the Extracranial Internal Carotid Artery After Aneurysmal Subarachnoid Hemorrhage
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Spontaneous dissecting aneurysm of the extracranial internal carotid artery is uncommon, and simultaneous onset of multiple dissecting aneurysms is rare in patients without congenital or traumatic risk factors. A few reports suggest that extracranial internal carotid artery dissecting aneurysms ca...


Remote Multiple Intraparenchymal Hemorrhages Following Aneurysmal Clipping of the Anterior Communicating Artery: A Case Report and Literature Review
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Remote intraparenchymal hemorrhage after clipping of a ruptured aneurysm is rare. The pathogenesis is variable, and the therapeutic strategies remain controversial, because the natural history is unclear. Here we report a woman with subarachnoid hemorrhage (SAH), who had an aneurysm of the anterio...


Spontaneous Regression of Lumbar Disc Herniation After Weight Loss: Case Report
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Diagnosis, treatment, and surgery for lumbar disc herniations have existed for over a century. However, during the last three decades, there have been many new developments in imaging techniques, surgical procedures, physical medicine, and rehabilitation. In light of this, the most effective and a...


Clinical and Angiographical Delayed Cerebral Vasospasms After Uncomplicated Surgical Clipping of Unruptured Intracranial Aneurysms: Illustrated Review and Two Case Reports
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From January 2007 to April 2012, we performed 2427 surgical clippings for unruptured intracranial aneurysms (UIAs). Among these patients, two cases showed symptomatic and angiographic cerebral vasospasm in the delayed post-operative period without a complicated event. Additionally, we reviewed fou...


Surgical Position, Cause of Extracranial Internal Carotid Artery Dissection, Presenting as Pourfour Du Petit Syndrome: Case Report and Literature Review
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Dissection of the internal carotid artery is a rare cause of stroke overall, but causes 22% of strokes in younger patients. A common clinical presentation is as Claude Bernard Horner syndrome. We report a craniotomy with 30 degrees rotation of the neck (standard position) in a patient with no majo...


Spontaneous Shrinkage of a Suprasellar Arachnoid Cyst Diagnosed with Prenatal Sonography and Fetal Magnetic Resonance Imaging: Case Report and Review of the Literature
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Arachnoid cysts (AC’s) are congenital anomalies that occur within the cerebrospinal fluid (CSF) cisterns and major cerebral fissures. Suprasellar AC’s comprise 5 – 12.5% of all the lesions. Despite being commonly reported, their etiology and pathogenesis still remain unclear. In this report, we pr...


Intraoperative Neurophysiological Evidence of Hydrogen Peroxide-Induced Stroke in Insular Tumor Surgery
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Hydrogen peroxide (H2O2) is commonly used as a haemostatic agent in all type of surgeries. Some adverse effects have been described related to its use. However, only very few cases are published in the literature of a stroke associated with the application of this agent directly to the brain. We p...


Successful Transarterial Embolization of a Posttraumatic Fistula Between a Posterior Communicating Artery Aneurysm and the Cavernous Sinus: A Case Report
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Posterior communicating artery (PCoA) aneurysm-cavernous sinus fistulae are an extremely rare complication of head injury . The treatment of PCoA aneurysm-cavernous sinus fistulae has not been well described. A 27-year-old man was admitted with a retroocular bruit and blurred vision of the left ey...


Intracranial Extracranial Huge Meningioma: Report of a Case
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Meningioma accounts for 15% to 20% of all intracranial neoplasms. Intracranial meningioma is a common brain tumor but huge meningiomas with extracranial extensions are extremely rare. Various symptoms, including neurological deficits and epileptic seizures are very frequent in these cases. Surgery...


Lhermitte-Duclos Disease Treated Surgically in an Elderly Patient: Case Report and Literature Review
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A 75-year-old man with Lhermitte-Duclos Disease (LDD) manifesting as progressive headache is presented. Magnetic resonance imaging demonstrated a right cerebellar mass lesion with the characteristic “tiger-striped appearance”. A mild mass effect was evident at the medulla oblongata, ac...


Hydranencephaly: Considering Prolonged Survival and Treatment by Endoscopic Choroid Plexus Coagulation
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Arachnoid collapse is a previously unreported complication of endoscopic choroid plexus coagulation (ECPC) treatment of hydranencephaly and is demonstrated in this case report. The variable anatomy found in hydranencephaly supports the use of ECPC as the preferred treatment option. However, the sa...


The Contribution of Three-Dimensional Computerized Tomographic Angiography in the Head Positioning of the Patients with Middle Cerebral Artery Aneurysms
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Surgical intervention is a gold standard technique for ruptured and unruptured middle cerebral artery bifurcation aneurysm. Before surgical intervention it is necessary to know the three-dimensional shape, surgical position, projection and position of the aneurysm and the course of the parent arte...


5-Aminolevulinic Acid-Induced Fluorescence in Cerebellar Primary Central Nervous System Lymphoma: A Case Report and Literature Review
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5-Aminolevulinic acid (5-ALA)-induced fluorescence-guided resection is a widely used procedure for patients with malignant gliomas. However, the clinical application of 5-ALA for surgery in primary central nervous system lymphoma (PCNSL) is uncommon. Here, we present a case of PCNSL treated using ...


Solitary Metastasis of Renal Cell Carcinoma to the Third Ventricle Mimicking a Colloid Cyst: Case Report
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Colloid cysts are the most common third ventricle lesions and metastasis to this area is rare. We presented a case of solitary metastasis from a renal cell carcinoma to the third ventricle choroid plexus mimicking a colloid cyst. A 53-year-old man, who had a history of renal cell carcinoma 12 year...


Massive Hemorrhage from the Posterior Ethmoidal Artery during Transsphenoidal Surgery: Report of 2 Cases
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Nasal bleeding is a major complication that can occur during and after transsphenoidal surgery (TSS) for intra- and suprasellar tumors. In most cases, the cause of this bleeding can be attributed to a branch of the maxillary artery called the sphenopalatine artery, injury to which can lead to life...


Bilateral Internal Carotid Artery Occlusion as a Cause of Intraventricular Hemorrhage due to Pial Collateral Vessels
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In patients with high-grade atherosclerotic stenosis or occlusion of the extracranial cerebral arteries, subarachnoid hemorrhage (SAH) may occur, potentially due to rupture of fragile dilated pial collateral vessels. This association has been well described in Moyamoya disease. There are only few ...


Moyamoya Disease Associated with Recurrent Right Thalamic Haemorrhage and Hydrocephalous: A Case Report
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Moyamoya disease, a rare chronic, progressive cerebrovascular disease leads to occlusion of intracranial internal carotid arteries and its proximal branches. We report a case of a 51-year-old female who presented with recurrent thalamic bleed and intraventricular haemorrhage nine years apart in th...


Bipartite Atlas with Os Odontoideum with Block Cervical Vertebrae: A Case Report with Emphasis on the "Overlooked" C1 Lateral Masses
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Though rare, a variety of bipartite atlas has been described. However, little has been mentioned about the hypoplastic C1 lateral masses in these cases. An unusual case of bipartite atlas, with hypoplastic lateral masses, os odontoideum and block vertebrae has been described with the surgical chal...


Locally Aggressive De Novo Spinal Fibromatosis: Case Report and Review of the Literature
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Fibromatosis is a benign lesion, which originates from proliferating fibroblasts. Although fibromatosis is a benign tumor, it is locally aggressive and invasive. Spinal presentation of fibromatosis is very rare, and case reports are the only source of the clinical knowledge. Herein, we describe th...


Lumbar Epidural Varicose Vein: Early Neurological Improvement and Late Radiological Full Recovery with Surgery; The Importance of Magnetic Resonance Imaging in Follow-Up
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A lumbar epidural varicose vein is a rare clinical condition that can lead to neurological deficits. 3 types of lumbar epidural varicose veins were described according to the magnetic resonance imaging (MRI) findings: Type 1 is a thrombosed dilated epidural vein, type 2 is a non-thrombosed dilated...


Hemorrhagic Epidermoid Cyst in Cerebellar Vermis
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Intracranial epidermoid cysts are usually located in the paramedian regions with characteristic imaging features. Intracystic hemorrhage is rarely reported with most in the cerebellopontine angle area. We described a case of hemorrhagic epidermoid cyst in cerebellar vermis. The patient was a 21-ye...


Metastatic Adenocarcinoma of Unknown Primary in the Bilateral Cerebellopontine Angles: Case Report and Review of the Literature
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Metastatic adenocarcinoma in bilateral cerebellopontine angles (CPA) is rare. We report a case and review the current literature in order to enhance recognition of metastatic adenocarcinoma in the cerebellopontine angle. A 44-year-old man was referred to the hospital with rightsided diminished hea...


Intradural Cement Leakage After Percutaneous Vertebroplasty
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Intradural cement leakage after percutaneous vertebroplasty (PV) is a rare clinical picture. We report a 64-year-old woman with osteoporotic compression fracture of the L2 vertebral body developing monoparesis and monoparesthesia after PV. The diagnosis of intradural cement collection with spinal ...


Cervical Primary Ewing's Sarcoma in Intradural and Extramedullary Location and Skip Metastasis to Cauda Equina
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Ewing’s Sarcoma (ES) is a rare malignant tumor that commonly arises from skeletal bone but rarely has an extraskeletal origin. Intradural ES is rare in childhood and adulthood. Intradural metastasis is very rarely encountered in clinical observations. There are only two reports of intradural...


Macrocerebellum: Volumetric and Diffusion Tensor Imaging Analysis
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Macrocerebellum is a rare entity characterized by an enlarged cerebellum. We describe a case of a 48-month-old child with macrocerebellum. We performed serial volumetric analysis [total brain volume (TBV) and cerebellar volume] over a period of 4 years. We analyzed the white matter microstructure ...


Tophaceous Gout of the Lumbar Spine: Case Report and Review of the Literature
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Tophaceous gout has classically been described as an affliction of the extremities. It has however been reported as early as 1947 to involve the spinal column. We report a 63-year-old male, previously scheduled for Anterior Cervical Discectomy and Fusion to correct an existing cervical myelopathy ...


Cerebral Hemodynamic Evaluation of Parent Artery Occlusion for Giant Intracranial Aneurysm in Patients who Tolerated Balloon Test Occlusion: Two Case Reports
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Parent artery occlusion is an effective treatment for giant intracranial aneurysms that cannot be clipped directly by surgery in patients who tolerate balloon test occlusion. However, concern remains that impaired hemodynamics after parent artery occlusion may cause delayed ischemic events in the ...


Endovascular Stenting of an Extracranial-Intracranial Bypass Stenosis: A Technical Note
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The use of an extracranial-intracranial (EC-IC) bypass has been a choice to improve the safety of parent vessel occlusion during the management of aneurysm. However, the prognosis and subsequent patency of bypass graft are variable and have seldom been managed by endovascular treatment. A 38-year-...


Malignant Peripheral Nerve Sheath Tumor Manifesting as Severe Buttock Pain
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A 28-year-old woman presented with complaints of severe buttock pain exacerbating for 2 weeks. Physical examination found numerous café-au-lait macules and axillary freckles. Neurological examination revealed sensory loss at the S3-S5 dermatome and significant vesicorectal dysfunction. Magnetic re...


Foramen Magnum Dural Arteriovenous Fistula Treated by a Microsurgical Technique Combined with a Feeder Occlusion Using Transarterial Coil Embolization
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The treatment of dural arteriovenous fistulas (DAVFs) at the foramen magnum remains controversial by reason that DAVFs appearing from the foramen magnum represent only a minority of spinal DAVFs. We present our treatment for an asymptomatic patient suffering from a foramen magnum DAVF. A 53-year-o...


Intrasellar Clear Cell Meningioma Mimicking Invasive Pituitary Adenoma: A Case Report and Review of the Literature
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The authors report on a 55-year-old man with complaints of intermittent pulsatile headache for 6 months, vision loss of the right eye and diplopia for 2 months. A magnetic resonance image (MRI) showed a large heterogeneously enhanced intrasellar mass lesion, occupying the entire hypophyseal fossa ...


Cerebral Venous Sinus Thrombosis with Internal Jugular Venous Thrombosis in a Male Patient with Nephrotic Syndrome
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Cerebral venous sinus thrombosis with internal jugular vein thrombosis is not reported as a complication in nephrotic syndrome. We report a 40-year-old male with nephrotic syndrome, who had headache during his hospitalization. Conventional diagnostic tests showed extensive thrombosis at the proxim...


Solitary Fibrous Tumor of the Orbit: A Case Report and Review of the Literature
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Solitary fibrous tumor (SFT) is a rare, benign, spindle cell tumor that is most commonly found in the visceral pleura. The orbit is one of the most common extrapleural sites of occurrence. Though they can be seen in any age, they typically present in adults with proptosis as the prominent symptom....


Association of Craniovertebral Junction Anomalies, Klippel-Feil Syndrome, Ruptured Dermoid Cyst and Mirror Movement in One Patient: A Unique Case and Literature Review
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The Klippel-Feil syndrome (KFS) has been reported to be associated with intracranial neoplasms, most frequently epidermoid or dermoid cysts. To our knowledge, however, patients who present with a posterior fossa dermoid cyst (DC) and KFS are extremely rare with only 24 previously reported cases in...


Gynecomastia and Hyperprolactinemia Secondary to Advanced Allergic Fungal Rhinosinusitis in a Pediatric Patient
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Hyperprolactinemia is a rare entity in the pediatric population. The most common causes of hyperprolactinemia include drug use, hypothyroidism and renal insufficiency, though rarely a pituitary or sellar mass is discovered. We present an immunocompetent pediatric patient who presented with gynecom...


Biphasic Pulmonary Blastoma Associated with Cerebral Metastasis
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Pulmonary blastoma is a very rare malignant tumor of the lungs. A biphasic pulmonary blastoma was histologically diagnosed by a characteristic finding as it was mainly constituted of immature tumor tissue that had both epithelial and mesenchymal components. We present a case of a 68-year-old man w...


Intracranial Hemangiopericytoma in a Child: A Case Report with Magnetic Resonance Spectroscopy Findings
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Hemangiopericytoma is a hypervascular soft tissue sarcoma with a predilection for the extremities. It has two clinical types according to the age of presentation: Infantile hemangiopericytoma (1 years). The intracranial location is very rare and accounts for only 0.4-1% of all primary brain tumors...


Temporal Dermoid Cyst with Unusual Imaging Appearance: Case Report
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Intracranial dermoid cysts are benign, slow growing tumors derived from ectopic inclusions of epithelial cells during closure of neural tube. These lesions, accounting for less than 1% of intracranial tumors, have characteristic computed tomography (CT) and magnetic resonance imaging (MRI) appeara...


Trigeminal Neuralgia as an Unusual Isolated Symptom of Pituitary Adenoma: Case Report and Review of the Literature
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Pituitary adenomas account for approximately 10% of intracranial tumors and 5% are locally invasive. Cavernous sinus invasion by pituitary tumors presents mostly with cranial nerve palsies, especially involving the third, fourth and sixth cranial nerves, which is well documented in the literature....


Post-Traumatic Tension Pneumocephalus: Series of Four Patients and Review of the Literature
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Tension pneumocephalus is an uncommon and life-threatening neurological condition. It requires emergent and immediate attention to prevent fatal complications. Head injury is the most common cause of tension pneumocephalus. Air can gain access into the cranium either through a fracture involving p...


The Penumbra System for the Treatment of Acute Ischemic Stroke: Report of Two Cases
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Mortality associated with the occlusion of large vessels in acute ischemic stroke is particularly high despite best available medical therapy. Early and safe revascularization of the primary occlusion is correlated with good clinical result. We report two patients with acute ischemic stroke in who...


Image-Guided Endoscopic Endonasal Transmaxillary Transpterygoid Approach to Meckel's Cave
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The aim of this report was to summarize our preliminary experience on the resection of tumors located in Meckel’s cave via the endoscopic endonasal transmaxillary transpterygoid approach with image-guided system and to investigate the feasibility and efficacy of this approach. Two patients w...


Bilateral Thalamic Glioma: Case Report and Review
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Bilateral thalamic glioma is extremely rare and the incidence cannot be adequately expressed. We present the case of a 72 years old male suffering from the rapid deterioration of cognitive function to moderately severe dementia in a short period of time. Magnetic resonance studies demonstrated a b...


Familial Aggregation of Chiari Malformation: Presentation, Pedigree, and Review of the Literature
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This article reports the largest familial aggregation of Chiari malformation in a single family to date as reported in the literature. This study is a retrospective case series of a family of whom five individuals have a confirmed case of Chiari malformation and three additional individuals have C...


Familial Idiopathic Cranial Neuropathy in a Chinese Family
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Cranial neuropathy is usually idiopathic and familial cases are uncommon. We describe a family with 5 members with cranial neuropathy over 3 generations. All affected patients were women, indicating an X-linked dominant or an autosomal dominant mode of inheritance. Our cases and a review of the li...


Spontaneous Intracerebral Hematoma in Low-Grade Glioma After 14 Years of Follow-Up
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We are reporting the case of a 53-year old woman presenting to our hospital with a hemorrhagic low-grade glioma (LGG). She was admitted to a nearby general hospital where she had presented with aphasia, right hemiplegia and change of mental status. Computer tomography (CT) images showed a left tem...


Leptomeningeal Dissemination of Intraventricular Rhabdoid Meningioma: Imaging Findings
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A 20-year-old male patient was admitted to our clinic with a 1-year history of headache. The patient’s systemic-neurological examination and laboratory findings were normal. Computed tomography and magnetic resonance imaging were performed. Imaging findings showed calcified intraventricular ...


A Rare Parasitic Infection: Primary Intradural Extramedullary Hydatid Cyst
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Echinococcus granulosus infrequently induces spinal hydatid cysts, and intradural hydatid cysts are extremely rare among these spinal hydatid cysts. We report a 30-year-old man with a history of progressive back pain caused by a previous back injury. Magnetic resonance imaging revealed a spinal in...


Stent-Assisted Coil Embolization of a Transverse-Sigmoid Sinus Diverticulum Presenting with Pulsatile Tinnitus
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When tinnitus is pulse-synchronous, a vascular etiology is suggested. We present a case of persistent and troublesome pulsatile tinnitus caused by a transverse-sigmoid sinus diverticulum that was endovascularly treated with stent-assisted coiling. A 39-yearold woman presented with a 4-year history...


Lung Cancer Metastasis to the Spine
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In patients affected by malignant tumors, spinal column metastases are frequent. The incidence varies between 30% and 70%. Lung cancer is the second most frequent cancer invading the spine in women, following breast cancer. All patients are under risk of symptomatic spinal cord compression. The pr...


Fahr&#8217;s Syndrome Associated with Multiple Intracranial Aneurysms: A Case Report
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Fahr’s Syndrome is characterized by the presence of intracerebral, bilateral and symmetrical calcifications located in bilateral basal ganglia, thalamus, and cerebellum. The etiology is not exactly known. The authors reported a very rare case who had Fahr’s Syndrome and intracerebral a...


Systematic Approach for Anterior Corpectomy through a Transthoracic Exposure
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While several approaches have been suggested for performing a transthoracic corpectomy of the thoracolumbar spine, the steep learning curve and high risk of operative morbidity often dissuades its use clinically. As a result, posterior approaches have been more frequently used, though transthoraci...


Letter to Editor

(80)
Perseus-The Protector of Mankind: Mesenchymal Stem Cell Transplantation may be a Promising Treatment for Neurological Diseases
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Critique of the Case Report on Multiple Intracranial Aneurysms Concurrent with a Clinoid Meningioma
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Microvascular Decompression for Hemifacial Spasm without the Use of Neuromonitoring and Fix Retraction: A Single-Center Experience
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Letter to Editor: Impact of Obesity on Subarachnoid Hemorrhage-Induced Cerebral Vasospasm: An Experimental
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Critical Appraisal and Recommendations on the Use of Neuroendoscopic Surgery for Hypertensive Brainstem Hemorrhage
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COVID-19 Vaccine Related Cervical Radiculitis and Parsonage-Turner Syndrome: Comment
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Comment on Collegiate Neurosurgery in Disaster and Mass Medical Emergencies: Lessons Learned from Mexico
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Does Really Level of Transforaminal Epidural Steroid Injection Affect the Treatment Outcome?
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Cell-Free Therapy may Experience More Rapid Advancement “Pretended Bystander Effects” in Cell-Based Therapy for Treating Diseases
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Suggestions for "14-3-3zeta Positive Cells Show More Tumorigenic Characters in Human Glioblastoma"
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"DTI-Based Neuronavigation Guided Eloquent Area Glioma Resection with Awake Craniotomy: Supra- Functional Resection of Eloquent Area Gliomas" by Akay A et al
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Letter to the Editor Regarding the Article on "Turkish Board of Neurological Surgery"
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Timing of Shunt Insertion in Children with Neural Tube Defects and Hydrocephalus: A Clinical Study
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Association of Surgical Hematoma Evacuation vs Conservative Treatment with Functional Outcome in Patients With Cerebellar Intracerebral Hemorrhage
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Serum Lactate Levels are Associated with Glioma Malignancy Grade
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Blood Pressure Control and Clinical Outcomes in Acute Intracerebral Haemorrhage: A Preplanned Pooled Analysis of Individual Participant Data
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Inadvertent Error: Evaluation of Bevacizumab for the Treatment of Epidural Fibrosis by Immunohistochemical Staining for CD105 and Osteopontin
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Letter to the Editor: Neurocutaneous Melanosis in Infancy: Always a Dismal Prognosis?
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Cisterns as Vital Structures: Byzantine Cisterns and Subarachnoid Cisterns
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The Combination of N-methyl-D-aspartate Receptor Antagonists and MSCs Therapy may have a Multiplier Effect in Spinal Cord Injury
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Primary Cerebellopontine Angle Rathke's Cleft Cyst: Case Report
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Comment on Minimally Invasive Surgical Approach for Treatment of Chronic Subdural Hematoma, Outcome in 1079 Patients
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Safe Cervical ICA Control for Clipping Clinoid-Ophthalmic Segment ICA Aneurysms
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Letter to Editor: Blood Urea, Creatinine, and Glucose Levels in Traumatic Brain Injury
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Are Malignant Stroke-Like Lesions With Mass Effect in MELAS Iatrogenic?
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Reply to: Predictive Values of Serum Biochemical Markers and Apparent Diffusion Coefficient on Delayed Encephalopathy After Acute Carbon Monoxide Poisoning
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Re: A New Hope in the Treatment of Intraventricular Hemorrhage in Preterm Infants: Mesenchymal Stem Cells
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Comment on: The Factors Associated with Carpal Tunnel Syndrome Severity
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A New Hope in the Treatment of Intraventricular Haemorrhage in Preterm Infants: Mesenchymal Stem Cells
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Response To: Comment on: The Factors Associated with Carpal Tunnel Syndrome Severity
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Comment on: The Effects of Rehabilitation Following Anterior Cervical Microdiscectomy and Fusion Surgery
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Deep Brain Stimulation of the Subthalamic Nucleus and the Postoperative Levodopa Response?
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Comment on: Silent Pulmonary Thromboembolism in Patients Undergoing Craniotomy for Brain Tumor
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SARS-CoV-2 RNA in Cerebrospinal Fluid does not Necessarily Indicate Encephalitis
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Letter regarding the article entitled: 'Normal Pressure Hydrocephalus Overshadowed by Traumatic and Degenerative Spinal Diseases: A New Assessment Proposal'
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Is Subthalamic Nucleus Deep Brain Stimulation Efficacious in Treating Axial Symptoms in Patients with a Suboptimal Levodopa Response?
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Retraction Request Letter
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Retracted Article: https://neurosurgery.dergisi.org/abstract.php?lang=en&id=2190


DOUBLE TRANSPLANTATION IN PARKINSON' S DISEASE
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SUBCUTANEAUS CRANIAL MIGRATIAN OF A VENTRICULA-PERITANEAL SHUNT
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PUBLICATIONS FROM TURKEY
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CORRESPONDENCE
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ONE-STAGE ODONTOIDECTOMY AND POSTERIOR FIXATION
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Pulsed Radiofrequency and Coccygodynia
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Spontaneous Intracranial Hypotension (SIH) Following Soccer Game: Potential Role of MRI in the Treatment Response
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Endoscopic Transaqueductal Removal of Neurocysticercosis
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Addendum to Spinal Schwannomatosis: Case Report of a Rare Condition
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Author's Reply to "Is It Safe to Evaluate Pedicle Screw Position with Postoperative Tomography"
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Can the Part of the Abducens Nerve Encased in the Tumor be Reconstructed Entirely by Diffusion Tensor Imaging?
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Surgical Value of Neurocysticercosis
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Pharmacological Venous Thromboembolism Prophylaxis in Meningioma Patients: Should it be Earlier than in Clinical Practice?
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In Reply: Pharmacological Venous Thromboembolism Prophylaxis in Meningioma Patients: Should it be Earlier than in Clinical Practice?
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Concern and Usefulness of Intratumoral Injection of Ethyl Alcohol for Devascularization of Intracranial Tumors
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Pediatric Intracranial Germinoma: Use Chemotherapy First
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The Potential Value of Adipose Tissue-Derived((rAT)) Mesenchymal Stem Cells (MSCs)
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Occipital Condyle-C1 Complex Screw for Fixation of Basilar Invagination Patients with Atlas Assimilation
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How Can Mesenchymal Stem Cells Penetrate the Blood Brain Barrier?
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Comment on the Geometry of the Circle of Willis Anatomical Variants as a Potential Cerebrovascular Risk Factor
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The Hope for Pandora's Box: Mesenchymal Stem Cells for Promoting Angiogenesis in Stroke and Traumatic Brain Injury
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Meeting Prometheus: The Mechanism of MSC-Based Therapies; Cell Replacement or â "Pretended Bystander Effects"?
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Spontaneous Re-ossification of a Large Calvarial Defect in an Older Child<br>Çocuk Hastada Geniş Kalvarial Defektin Spontan Reossifikasyonu
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Spinal Dysraphisms of the Cervicothoracic Region in Childhood
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Nerve Conduction Studies in Our Recent Study
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Perioperative Complications of Intraventricular Neuroendoscopy
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Aplasia Cutis Congenita of the Scalp
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Metamizole is not as Safe as We Think or Assume
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The Effects of Analgesia-Sedation on the Immune System Before and After Cerebral Digital Subtraction Angiography
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Systematic Reviews in Neurosurgery - The Ongoing Quest for Quality
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Role of Transcranial Doppler in Traumatic Brain Injury
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Re: Pure Peroneal Intraneural Ganglion Cyst. Hindsight is 20/20
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Concomitant Existence of Giant Epidural Supra and Infratentorial Metastatic Osteosarcoma
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Transoral Surgical Approach for Atlantoaxial Cervical Synovial Cysts
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A Case of Vocal Cord Paralysis Secondary to Vertebral Artery Dolichoectesia: A Rare Presentation
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Virtual Reality Implementation in Neurosurgical Practice: The &#8220;Can't Take My Eyes Off You&#8221; Effect
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During the last few years, virtual reality (VR) has been increasingly implemented in the neurosurgical practice. The scope of this paper is to briefly outline the educational role of this novel technology in training surgeons. At the same time, the ability of VR workstations such as the Dextroscop...


Management of Brain Abscess
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Differential Diagnosis of Carpal Tunnel Syndrome
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Fluoroscopy for Transpedicular Screw Placement in Scoliosis: What is the Best Method of Measuring Radiation Exposure?
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Chronic Subdural Hematoma: Drainage versus No Drainage
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Is It Safe to Evaluate Pedicle Screw Position with Postoperative Tomography?
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Authors' Reply to “Pituitary Atypical Adenoma or Carcinoma Sensitive to Temozolomide Combined with Radiation Therapy: A Case Report of Early Identification and Management”
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Small Tips for Treatment Principles in Coccygodynia
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Special Article

(2)
Honoring the Mentors from 2024: A Tribute to Their Legacy
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The concept of a mentor represents one of the most important pillars of medical training. It constitutes one of the oldest and noblest arts that has contributed to the growth of this specialty for generations. Mentorship is the essential way to transmit knowledge and values to future generations, ...


Reviewer's Side
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Systematic Review

(3)
Evaluation of Drugs with Selective Inhibitors Targeting the Anti-Apoptotic Protein B-cell Lymphoma 2 (BCL-2) with Pro-Apoptotic and Antineoplastic Activities in Grade IV Glioblastoma
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AIM: To systemically review the efficacy, safety, and clinical applications of B-cell lymphoma 2 (BCL-2) family inhibitors such as venetoclax (ABT-199), navitoclax (ABT-263), and obatoclax (GX15-070) across different malignancies. MATERIAL and METHODS: A systematic search was conducted in the PubM...


In Memorium: Professor Hizir Alp, 1933 - 2020
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Aretaeus of Cappadocia and His Treatises on Diseases
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Aretaeus of Cappadocia is considered as one of the greatest medical scholars of Greco-Roman antiquity after Hippocrates. He presumably was a native or at least a citizen of Cappadocia, a Roman province in Asia Minor (Turkey), and most likely lived around the middle of the second century (AD) His e...


Technical Note

(33)
Mixed Reality Assisted Navigation Guided Microsurgical Removal of Cranial Lesions
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AIM: To demonstrate the possible use of mixed reality (MR) technology in neurosurgery for multiple purposes, including preoperative planning, training, and three-dimensional (3D) navigation. MATERIAL and METHODS: Using magnetic resonance imaging (MRI) and computed tomography (CT), 3D holographic i...


Basilar Artery Stenosis: Technical Tips to Prevent and Treat Hemorrhage during Angioplasty
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To describe the strategies and techniques to improve the outcomes in intracranial hemorrhage during endovascular procedures, a case of a 60-year-old male with symptomatic basilar artery stenosis who underwent balloon angioplasty procedure following an iatrogenic basilar artery hemorrhage, is prese...


Identification of Decompressive Craniectomy Patients with Refractory ICP using Burst Suppression Ratio and Novel Subgaleal qEEG: A Technical Note
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Decompressive hemicraniectomy (DHC) can improve outcome in patients with elevated intracranial pressure (ICP) refractory to medical therapy. However, this transition point for treating refractory ICPs with DHC is unclear as ICPs can often be controlled with escalating doses of medical management. ...


Novel Hybrid Operating Table for Neurovascular Treatment
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The integration of interventional and surgical techniques is requiring the development of a new working environment equipped for the needs of an interdisciplinary neurovascular team. However, conventional surgical and interventional tables have only limited ability to provide for these needs. We h...


Microvascular Anastomosis Using Only 2-Throw Reef-Knots: A Technical Note
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In macrosurgery creating a knot with at least three throws is an established practice. The potential disadvantages of this practice in microsurgery include the following: the direction of the cut ends interfere with the suture line, unbalanced nature of knot disturbs the apposition of delicate ves...


Application of Individualized 3D-Printed Artificial Vertebral Body for Cervicothoracic Reconstruction in a Six-Level Recurrent Chordoma
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AIM: To present the surgical planning, manufacturing and implantation of an individualized 3D-printed prosthesis for cervicothoracic reconstruction in a six-level recurrent chordoma. MATERIAL and METHODS: A 40-year-old female patient with recurrent cervicothoracic chordoma was admitted in our cent...


A Simple Technique for Removing Broken Pedicle Screws
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Removing a broken pedicle screw is not always easy. Different methods and tools have been developed to remove the broken screw. Preserving the pedicle is an advantage for re-instrumentation. The head of the broken screw can be modified with the aid of a high-speed drill and the screw can be remove...


Craniotomy with Ridges: A Time and Cost-Efficient Technique for Unwavering Fixation of Bone Flap
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After advent of the power driven tools, the ease of surgeons and pace of surgery has been enhanced. Nowadays, most of the neurosurgeons are tend to use the motorized drills for elevating a bone flap to make a craniotomy. The bone cutting by the craniotome is wide and nonbeveled, which mandates the...


The Supracerebellar Transtentorial Approach in the Prone Position
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The mediobasal temporal region (MTR) is a deep part of the brain covered by eloquent structures. In certain cases, accessing this region is challenging. According to the literature, the supracerebellar transtentorial (SCTT) approach provides safe access to the MTR. Since this approach was introduc...


Reattachment of the Temporalis Muscle After Frontoorbital Advancement in Craniosynostosis Surgery
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Craniosynostosis surgery may result in temporal hollowing occasionally. Overexpansion of the normal side and undergrowth of the affected side exacerbate the problem in unilateral cases (like unicoronal synostosis). Temporalis muscle lies in the temporal fossa, and it is usually severed or detached...


An Alternative Endovascular Technique for Vein of Galen Aneurysmal Malformation Treatment: Etylene Vinyl Alcohol Co-Polymer Embolization via Double-Lumen Balloon Microcatheter
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AIM: To present an alternative endovascular treatment option for the vein of Galen aneurysmal malformation by ethylene-vinyl alcohol copolymer embolization via a double-lumen balloon microcatheter. MATERIAL and METHODS: A female patient was suspected with the vein of Galen aneurysmal malformation ...


Volume Rendering Technique (VRT) for Planning and Learning Cranio-Vertebral Junction (CVJ) Surgeries: Technical Note
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AIM: To present the application of volume rendering technique (VRT) of computed tomography (CT) scan in cranio-vertebral junction (CVJ) surgeries. MATERIAL and METHODS: The authors used VRT images of CT scan in patients of congenital CVJ anomalies who were subjected to various surgeries through m...


Endoscopic Transorbital Approach to the Cavernous Sinus Lateral Compartment (Anatomical Cadaver Study)
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AIM: To determine whether the endoscopic transorbital (ETO) approach could be an alternative and a safer route to access the cavernous sinus (CS) lateral compartment. MATERIAL and METHODS: ETO technique was studied on 3 cadavers and 6 CSes of these cadavers. Endoscopic dissection was visualized w...


Solitaire AB Stent Deployment for Treatment of Basilar Apex Aneurysm via the Posterior Communicating Artery
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AIM: To report the retrograde technique of horizontal stenting through the PCoA using a Solitaire AB stent. MATERIAL and METHODS: A self-expandable stent was deployed from one posterior cerebral artery to the opposite, across the neck of a ruptured wide-neck basilar apex aneurysm. RESULTS: The te...


Angiographic Angular Adjustment: Matching Angiographic Views and Surgical Findings to Estimate the Actual Arterial Anatomy in Surgery for Intracranial Aneurysm - Technical Note
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AIM: To describe a simple technique of angular adjustment of cerebral angiographic views that makes them similar to the surgical field under the operation microscope. MATERIAL and METHODS: The technique of angular adjustment consists of three steps: 1. Upside-down 180-degree rotation of the stand...


Intentional Staged Clipping Following Previous Coil Embolization of Ruptured Aneurysm with a Branch Arising from the Neck: Technical Note
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AIM: To present a substitute strategy for clipping: coil embolization of the ruptured aneurysm followed by intentional, staged clipping. CASE DESCRIPTION: We treated five cases of ruptured intracranial aneurysms with branches arising from the neck. The mean aneurysm diameter was 4.4 mm. In the ac...


Fully-Endoscopic Resection of Deep-Seated Pilocytic Astrocytoma Under 5-Aminolevulinic Acid Fluorescence Guidance: A Technical Note
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AIM: To improve the extent and safety of resecting these deep-seated tumors, we report a novel procedure of minimally invasive endoscopic resection of deep-seated pilocytic astrocytomas under the guidance of 5-aminolevulinic acid (5-ALA) fluorescence undescribed until now. CASE DESCRIPTION: A 53-...


Microvascular Patch Graft Angioplasty of the Common Carotid Arteries in Rats
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AIM: To provide a training model for microvascular patch graft angioplasty of the common carotid arteries (CCAs) in rats. MATERIAL and METHODS: Using male Sprague-Dawley rats (n=20), an oval-shaped arterial patch 3 mm in length and 1.2 mm in width was prepared from a segment of left CCA, and a lin...


CT-Based Intraoperative Navigation for Quick Identification of the Stylomastoid Foramen During Hypoglossal-Facial Nerve Anastomosis
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AIM: To present the ability of standard intraoperative neuronavigation to reliably identify the stylomastoid foramen, thus providing a quick and effective recognition of the facial nerve at its exit from the skull base. MATERIAL and METHODS: We describe the technical nuances of this procedure by p...


Tightening Continuous Suture Loops in Microvascular Anastomosis with a Microneedle
[Abstract] [Similar Articles]

AIM: To present a technique for tightening continuous suture loops in microvascular side-to-side anastomosis with a microneedle. MATERIAL and METHODS: The technique for tightening continuous suture loops with a microneedle was presented in side-to-side microvascular anastomosis in chicken thighs a...


Micromirrors in Neurosurgery: Technical Overview and Benefits Assessment
[Abstract] [Similar Articles]

AIM: To weight the benefits and limitations of intraoperative use of micromirrors in neurosurgery. MATERIAL and METHODS: Surgical cases where micromirrors were employed were retrospectively selected from the surgical database of five different surgeons in different hospitals. Complications directl...


Total En Bloc Spondylectomy of C7 Vertebrae for Primary Bone Tumors: The Efficacy of Autologous Sternal Structural Grafts
[Abstract] [Similar Articles]

AIM: To evaluate the efficacy and safety of total en bloc spondylectomy with autologous sternal structural graft, subaxial pedicle screws, and 5.5 mm titanium rods in primary bone tumor surgery. MATERIAL and METHODS: From January 2019 to February 2020, two patients with lower cervical spine (C7) p...


Two-Step Effective Onyx Embolization from the Occipital Artery for the Treatment of Intracranial Dural Arteriovenous Fistula: A Technical Note
[Abstract] [Similar Articles]

AIM: To report our experience and the technique of two-step effective Onyx embolization from occipital artery (OA) for the obliteration of dural arteriovenous fistulas (DAVFs) with OA feeders. MATERIAL and METHODS: The medical records of patients with intracranial DAVFs treated with trans-arterial...


Single Step Resection-Reconstruction Using Precurved Titanium Mesh of a Giant Intradiploic Meningioma Mimicking Bone Malignancy: Technical Note
[Abstract] [Similar Articles]

Intradiploic meningiomas are rare neoplasms, often mistaken for metastases or malignant bone tumors. Surgical management can be challenging, considering their diffusive bony invasion. Two main critical decisions need to be taken: the timing for cranial vault reconstruction and the choice of the ad...


In-situ Cranioplasty after Microvascular Decompression: A Technical Note
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Cranioplasty is not only performed for cosmetic reasons but also for physiological requirements to balance the cerebral hemodynamics and to protect the brain from external traumas. Methyl methacrylate is one of the most preferred materials for cranioplasty. It is usually prepared out of the surgic...


A Modified Mini-Pterional (Subfrontal-Suprapterional) Approach to MCA Bifurcation Aneurysms with Minimal Dissection of the Temporal Muscle
[Abstract] [Similar Articles]

There are a number of different surgical approaches in middle cerebral artery (MCA) aneurysm surgery. Evolution from the classical pterional approach towards smaller modified approaches took place over the years. In the present report, we describe a new modified approach in the treatment of MCA an...


Stepwise Removal of the Fused Midline Parietal Bone to Avoid Superior Sagittal Sinus Injury in Infants with Sagittal Synostosis
[Abstract] [Similar Articles]

This work describes a simple technique for the safe removal of the midline parietal bone with the synostotic sagittal suture in infants with sagittal synostosis to avoid dural tearing and bleeding from the superior sagittal sinus. The technique consists of stepwise removal of the midline parietal ...


Endoscopic Endonasal Transclival Resection of the Upper Clival Meningioma
[Abstract] [Similar Articles]

In recent years, endoscope use for the excision of brain stem lesions or those localized to the anterior part of the brain stem has started. In this paper, a case of upper clival meningioma resected through the endoscopic endonasal transclival route has been presented with illustrations, and live ...


Real-time Video-Streaming to Surgical Loupe Mounted Head-Up Display for Navigated Meningioma Resection
[Abstract] [Similar Articles]

Wearable technology interfaces with normal human movement and function, thereby enabling more efficient and adaptable use. We developed a wearable display system for use with intra-operative neuronavigation for brain tumor surgery. The Google glass headup display system was adapted to surgical lou...


A New Technique for the Surgical Treatment of Atlantoaxial Instability: C1 Lateral Mass and C2-3 Transfacet Screwing
[Abstract] [Similar Articles]

Atlantoaxial instability is a special entity that may be caused by many disorders such as trauma, tumor, arthritis, congenital malformation and infection. Atlantoaxial fixation is needed to provide stability, prevent neurological deficits and correct deformity. The aim of this report is to introdu...


Customised Cranioplasty Implant for Decompressive Craniectomy Patients ? A Technical Note
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Cranioplasty is a commonly performed procedure following decompressive craniectomy. The patients are usually young earning persons and increasing cost of treatment is difficult to bear especially in low and middle income countries. A variety of options are available for cranioplasty ranging from a...


"Reverse J Shaped" Skin Flap and Cranial Bone Groove for Shunt Hardware: A New Technique for Patients with Fragile Skin
[Abstract] [Similar Articles]

Shunt systems are not perfect devices and can cause severe complications. Complications may originate from problems related to the valve, the patient, or the surgery and are more common in neonates, infants, especially preterm, by reason of the special characteristics of these patients. We, theref...


Inverted (Buried) Reef Knot in Microsurgery - A Technical Note
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In side to side anastomosis and end to end (one way up) microvascular anastomosis, the back wall of the vessel is sutured first with inverted/buried knots. A common mistake made by surgeons during this step is the formation of a granny knot. In inverted suturing, cut ends of granny knot points ins...


Turkish Neuro -Excursion

(24)
Surviving the Big One: Turkish Neurosurgical Society's Innovative Disaster Management Model for Istanbul Earthquake
[Abstract] [Similar Articles]

The Turkish Neurosurgical Society (TNS) played a pivotal role in providing critical medical support during the Kahramanmaraş earthquake. Recognizing the urgent need for neurosurgeons, our team collaborated with various institutions to address material shortages and meet medical requirements. Howev...


From Ibni Sina (Avicenna) to Present, History of International Fellowship and Observership: University of Wisconsin-Madison Experience
[Abstract] [Similar Articles]

Since the inception of the International Fellowship (IF) Program in the Department of Neurological Surgery at the University of Wisconsin-Madison in 2006, training has been provided to 219 residents, neurosurgeons, and medical students from 18 countries and five continents. These IFs took a long a...


Cisterns as Vital Structures: Byzantine Cisterns and Subarachnoid Cisterns
[Abstract] [Similar Articles]

Water is essential for life. It is needed not only to survive but also to sustain daily life activities. The maintenance of daily life activities related to hygiene as well as prevention of epidemic diseases and accidents involving fire was as important in the past as today. Powerful empires built...


A Brief Look from the Neurosurgical Perspective into the Philosophy of Science
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Philosophy meaning ?love of wisdom? is a research product of people who think, produce ideas, and transfer these ideas to each other. The philosophy of science questions the concept of ?scientific knowledge? and analyzes the procedures and observations for a logical explanation of facts from a sci...


Teamwork in Cranial Base Surgery: A Feasible Task or a Utopian Dream
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In the past decade or perhaps a little earlier than that the concept of teamwork evolved among the circles of surgeons especially among those involved in complicated and time consuming surgeries. Skull base surgeries were one of those surgeries where the role of teamwork was acutely felt owing to ...


Evaluation of the Medicolegal Process in Neurosurgical Practice with A Scenario
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The main purpose of medicine is to protect humans from diseases and its complications. Patients may be at risk in the course of diseases or during medical and surgical treatments, which can have undesirable consequences, including death. These risks, which are accepted by all medical authorities a...


Minimalism in Art, Medical Science and Neurosurgery
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The word "minimalism" is a word derived from French the word "minimum". Whereas the lexical meaning of minimum is "the least or the smallest quantity necessary for something", its expression in mathematics can be described as "the lowest step a variable number can descend, least, minimal". Minimal...


Biology and Architecture: Two Buildings Inspired by the Anatomy of the Visual System
[Abstract] [Similar Articles]

Architectural production has been influenced by a variety of sources. Forms derived from nature, biology and live organisms, had often been utilised in art and architecture. Certain features of the human anatomy had been reflected in design process in various ways, as imitations, abstractions, int...


Median Nerve Injury from the Eye of an Artist: Gladiators
[Abstract] [Similar Articles]

Artists use their work to help us understand the universe. With their creations, we can rest our souls, find some solutions to problems, and even explore new dimensions. A 19th-century artist, Gérôme, has depicted a gesture used to ask for mercy as a benediction sign in two of his works of art d...


Church of Divine Wisdom: Hagia Sophia
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Egocentric, Thief and/or Murderer: Damage to the Ventromedial Prefrontal Cortex Interferes with Normal Social and Moral Functioning, But When?
[Abstract] [Similar Articles]


Does Brain Activity Differ Between The Genders?
[Abstract] [Similar Articles]


The Blue Interpretation of Art: The Blue Mosque
[Abstract] [Similar Articles]


Being a Neurosurgery Specialist and a Resident
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Which Is More Important for a Surgeon: Brain or Hand?
[Abstract] [Similar Articles]


Turkish and Islamic Art Museum: The Palace of Grand Vizier Ibrahim Pasha
[Abstract] [Similar Articles]


Alterations in Plasma Metabolites During Acute Sleep Deprivation
[Abstract] [Similar Articles]


Cerebral Organoids will Play an Essential Role in Understanding the Development of the Brain
[Abstract] [Similar Articles]


Art of Neurosurgery
[Abstract] [Similar Articles]


Nikola Tesla, Humble Genius
[Abstract] [Similar Articles]


Byzantium Period Water Architecture and a Masterpiece in Istanbul: The Big Basilica Cistern
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Edirne Sultan Bayezid II Hospital
[Abstract] [Similar Articles]


Unesco World Cultural Heritage of Edirne: Selimiye Mosque Complex
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Neurosurgery in Turkish Poetry: Three Poets, Two Poems and Two Neurosurgeons
[Abstract] [Similar Articles]

Poems are essential in art and vital organs in literature. Similarly, surgery (and neurosurgery) is also regarded to be an art in medicine. From Hippocrates to nowadays, there is a debate on whether medicine -especially surgery- is a kind of an art or a field of science or a combination of both. T...


Perspective

(1)
Dynamic Stabilization: A Game-Changer in Disc Herniation Surgery
[Abstract] [Similar Articles]

AIM: To evaluate the effectiveness of dynamic stabilization as an alternative to traditional fusion surgery for the treatment of lumbar disc herniation and degenerative disc disease, focusing on its impact on segmental stability and patient outcomes. BACKGROUND: Back pain is a prevalent global hea...


Historical Perspective

(3)
Some Interesting Points of Competition of X-Ray using during the Greco-Ottoman War in 1897 and Development of Neurosurgical Radiology: A Reminiscence
[Abstract] [Similar Articles]

AIM: To investigate the competition of radiologic development between Turkey and Greece during the Greco-Ottoman War when the first application of X-Ray took place. MATERIAL and METHODS: A literature review was conducted, and we searched the published papers about X-Ray using during the Greco-Tur...


Untold Story of an Intercontinental Pioneering Neurosurgeon: Vahdettin Turkman, M.D.
[Abstract] [Similar Articles]

AIM: To present one of neurosurgery?s earliest pioneers, Dr. Vahdettin Turkman, who contributed to neurosurgical practice globally from east to west (Iraq, Tukey, England, Germany and the United States) in the early 1960s. MATERIAL and METHODS: This paper is the result of numerous interviews condu...


Application of Dural Suturing in Reconstruction of Sellar Floor for Cerebrospinal Fluid Leakage During Neuroendoscopic Intranasal Approach Surgery: A Meta-Analysis
[Abstract] [Similar Articles]

AIM: To assess the safety and efficacy of utilizing dural suturing as an adjunctive procedure for saddle floor reconstruction in patients undergoing endoscopic surgery in the sellar region. MATERIAL and METHODS: According to the PRISMA guidelines, we searched the literature on sellar floor reconst...


History

(5)
History of Spine Deformity in Turkey
[Abstract] [Similar Articles]

Spine deformities are among the most important spinal disorders, affecting health-related life quality. Although there are some studies in past centuries, most spine deformity-related studies and research has started in the last century. Many surgical techniques, performed between 1960 and 1990, m...


How Cranial Shapes Led to Contemporary Ethnic Classification: A Historical View
[Abstract] [Similar Articles]

In the medical literature, various ethnic terms such as Caucasian or Mongolian,are sporadically cited to indicate the relationship between certain disorders and the geographical origin of individuals. Few scientists recognize that those definitions stem from a medical thesis written by the German ...


A Short History of the Microsurgery Training and Research Laboratory at Gulhane Military Medical Academy
[Abstract] [Similar Articles]

Microsurgical techniques have played a crucial role in the development of neurosurgery and microsurgical education has an involuting role to gain surgical competence in neurosurgery. Microsurgery laboratory at Gulhane Military Medical Academy (GMMA) was established in 1985 by Prof. Erdener Timur...


Dr. Rollas: A Humble and Persistent Man
[Abstract] [Similar Articles]

Dr. Zinnur Rollas is the founder of the Department of Neurosurgery at the Gulhane Military Medical Academy (GMMA). He was educated in the United States and returned to Turkey in order to practice neurosurgery. He is also the first surgeon who performed pediatric neurosurgical procedures at GMMA. D...


A Giant in Turkish Neurosurgery: Prof. Dr. Aykut Erbengi (1929-2013)
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Case Illustration

(6)
Dorsal Arachnoid Web and Scalpel Sign: A Diagnostic Imaging Entity
[Abstract] [Similar Articles]

A case of 60-year-old woman with idiopathic syringomyelia and progressive myelopathy by dorsal arachnoid web is presented. One focal indentation along the dorsal surface of the spinal cord at the T3 vertebral body level revealed the scalpel sign, a radiological entity diagnostic of a dorsal thorac...


Solitary Spinal Dural Syphilis Granuloma Mimicking a Spinal Meningioma
[Abstract] [Similar Articles]

Dural granuloma is extremely rare. To our knowledge, there has no case reported solitary spinal dural syphilis granuloma worldwide so far. Here we report our findings in a 49-year-old woman, who presented with 10-year progressive left lower-limb numbness and two weeks of right lower-limb numbness....


Mature Cystic Teratoma of Skull Base and Attached to the Wall of Third Ventricle
[Abstract] [Similar Articles]

An 18-year-old man was admitted with a 1-month history of headache and disturbed visual acuity. Neurological examination revealed a visual field defect of bilateral inferotemporal areas. The endocrinological examination was normal. Magnetic resonance imaging (MRI) revealed a large cystic lesion in...


Intramedullary Spinal Cord Metastasis of Renal Cell Carcinoma 6 Years Following the Nephrectomy
[Abstract] [Similar Articles]

Intramedullary spinal cord metastasis is an uncommon manifestation of systemic tumor. We present a case of metastatic mass inside the thoracic spinal cord 6 years after nephrectomy because of renal cell carcinoma. The parenchymal lesion was resected totally and the histologic examination confirmed...


A Right Middle Cerebral Artery Infarct After Frontal Eosinophilic Granuloma Resection in an 8-Year-Old Boy with Factor V Leiden
[Abstract] [Similar Articles]

Stroke in children is relatively uncommon. We describe an 8-year-old boy diagnosed with primary eosinophilic granuloma (EG) of the frontal bone. After excision of the EG, the postoperative course was eventful. The patient had an acute right middle cerebral artery (MCA) infarct and had been comatos...


Spontaneous Resolution of Bilateral Chronic Subdural Hematoma
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Technical Report

(3)
Fractionated Gamma Knife Radiosurgery for Optic Nerve Tumors: A Technical Report
[Abstract] [Similar Articles]

AIM: The main purpose of this report is to demonstrate the effects of fractionated radiosurgery regimens in the management of optic gliomas MATERIALS and METHODS: Two patients suffering from progressive loss of vision due to optic nerve gliomas were treated with Gamma Knife radiosurgery in three...


Posttraumatic Syringomyelia: A Technical Note
[Abstract] [Similar Articles]

AIM: Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a new technique des...


Application of Three-Dimentional Computerized Tomographic Angiography in the Planning of Pterional Scalp Incision to Preserve the Superficial Temporal Artery
[Abstract] [Similar Articles]

A standard pterional scalp incision is commonly used in the surgical treatment of lesions located at the cranial base. There is a close relationship between the superficial temporal artery and a pterional scalp incision. Standard pterional scalp incision is widely used in the aneurysm surgery of t...


Article With VideoClip

(4)
Gross Total Resection of Large Cervical Intramedullary Ependymoma: Demonstration of Microsurgical Techniques
[Abstract] [Similar Articles]

In adolescents and young adults, ependymomas are the most common intramedullary tumors in the spinal cord.These tumors arise from ependymal cell lining the ventricles and spinal canal. The clinical presentation of intramedullary ependymomas are variable and nonspecific. They usually present with d...


A Difficult Endoscopic Third Ventriculostomy Procedure: Perforation of a Thick Liliequist Membrane with High Basilar Artery Location
[Abstract] [Similar Articles]

Endoscopic Third Ventriculostomy (ETV) is a minimally invasive and safe method used in the treatment of obstructive hydrocephalus. However, arterial bleeding episodes that arise from narrowing of the safe perforation area due to a higher location of the basilar artery (BA) may have tragic conseque...


Surgical Treatment of Adult Moyamoya Disease with Combined STA-MCA Bypass and EDAS: Demonstration of Technique in Video Presentation
[Abstract] [Similar Articles]

The natural history of Moyamoya disease (MD) is variable. Moyamoya disease in children mostly presents with progressive ischemic complications and in adulthood it tends to present with hemorrhage. Surgical strategies depend on augmenting cerebral blood flow to the anterior cerebral circulation. Re...


Treatment of Supraclinoid Internal Carotid Artery Iatrogenic Pseudoaneurym with Extracranial-to- Intracranial Bypass and Trapping: Demonstration of Technique with Video Presentation
[Abstract] [Similar Articles]

Intracranial pseudoaneurysms (IP) represent about 1% of all patients presenting with an intracranial aneurysm. In true intracranial aneurysms, the intima, internal elastic lamina, and media are disrupted, but the adventitia is intact. In pseudoaneurysms, there is disruption of all three layers of ...