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Turkish Neurosurgery

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https://www.readbyqxmd.com/read/29131236/chronic-subdural-hematoma-associated-with-arachnoid-cyst-of-the-middle-fossa-surgical-treatment-and-mid-term-results-in-fifteen-patients
#1
Ahmet Murat Müslüman, Barış Özöner, Atilla Kirçelli, Songül Meltem Can, Adem Yilmaz, Ayça Kaldirimoğlu, Balkan Şahin
AIM: We report the neurological and radiological features, surgical management and Mid-term outcome in a series of patients with chronic subdural hematoma (CSDH) and associated ipsilateral arachnoid cyst (AC) of the middle fossa. MATERIAL AND METHODS: Between August 2004 and August 2012, 453 patients were treated with diagnosis of CSDH in our clinic. Of those, 15 patients had ipsilateral arachnoid cyst in the middle fossa. A single burr hole craniostomy was performed to drain the hematoma and the AC left intact at first in 14 patients, one patient had no surgical intervention...
October 18, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29131235/anatomical-variations-of-brachial-plexus-in-fetal-cadavers
#2
Alparslan Kirik, Senem Ertuğrul Mut, Mehmet Kadri Daneyemez, Halil İbrahim Seçer
AIM: The plexus brachialis is a complex structure with anatomical variations and connections with neighboring tissues. These variations may cause disparity in the motor and sensorial innervations of the upper extremity. The knowledge of anatomy and probable variations are important for performing surgical procedures in the neck, shoulder and axilla. This study was planned to demonstrate the anatomical variations of infantile brachial plexus. MATERIAL AND METHODS: A total of 20 plexus brachialis from 11 fetal cadavers were dissected and examined microscopically...
October 18, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29131234/the-role-of-triangular-vertebral-canal-shape-in-surgical-management-of-patients-with-lumbar-spinal-stenosis-a-cross-sectional-study
#3
Huseyin Bozkurt, İsmail Kaya, Bilge Oztoprak
AIM: We assessed 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 center included 61 consecutive patients who had undergone surgical treatment for LSS. By comparing pre- and postoperative data, the role of triangular VCS in pain severity [assessed using a visual analog scale (VAS)], pain-related findings, and postoperative satisfaction of patients was examined...
October 18, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29131233/comparison-of-tof-mra-contrast-enhanced-mra-and-subtracted-cta-from-ctp-in-residue-evaluation-of-treated-intracranial-aneurysms
#4
Tolga Turan Dündar, Ayşe Aralaşmak, Hüseyin Özdemir, Mehmet Hakan Seyithanoğlu, Ömer Uysal, Hüseyin Toprak, Serkan Kitiş, Erdinç Özek, Alpay Alkan
AIM: To compare effectiveness of contrast-enhanced MRA (CE-MRA), 3D-Time-of-flight MRA (3D-TOF-MRA) and subtracted CTA from CTP (sub-CTA) in residue evaluation of intracranial aneurysms treated either with coiling or clipping. MATERIAL AND METHODS: Sixteen treated aneurysms, which were evaluated with three methods within two weeks after the operation, were enrolled. The success of each imaging techniques in demonstration of residue aneurysm and nearby vessels was compared by Fisher\'s Exact Test...
October 18, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091253/morphometric-study-of-the-human-brainstem-and-its-neurovascular-relations
#5
Bianca Aurora Szabo, Raluca Pascalau, Vlad Adrian Padurean
AIM: The brainstem is a very complex segment of the central nervous system because it has a high density of nuclei and tracts with vital functional roles. This explains the considerable difficulty of surgery for lesions located in or around the brainstem. Our paper aims 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, which were harvested with respect to the topographic anatomy...
October 2, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091247/targeting-grp78-as-a-basis-for-enhanced-glioma-cells-killing-by-anti-tfr-antibody
#6
Xue Wen, Xiaoping Cheng, Si Wu
AIM: Studies have shown that chemotherapeutic drugs induced endoplasmic reticulum (ER) stress in glioblastoma cells. In our previous study, we have demonstrated anti-TfR monoclonal antibody 7579 enhanced the anti-tumor effects of chemotherapeutic drugs on human glioma cells in vitro. In our study, we therefore investigated whether the anti-TfR antibody alone or the combination of anti-TfR antibody with chemotherapeutic drug would lead to increased ER stress. MATERIAL AND METHODS: We detected ER stress after cells were treated with anti-TfR mAb or/and Nimustine by western blot analysis...
October 2, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091245/intracranial-epidermoid-lesions-our-experience-of-38-cases
#7
Lal Rehman, Iram Bokhari, Shamim Ul Siddiqi, Veejay Bagga, Muhammad Masood Hussain
BACKGROUND: The clinical outcome following surgical resection of intracranial epidermoid lesions is not well documented. We describe a case series evaluating the clinical presentation and outcome following surgery in patients diagnosed with these lesions. MATERIALS AND METHODS: A retrospective study conducted over a 4-year period. RESULTS: A total 38 patients who underwent surgery for intracranial epidermoid lesions were identified. Of these, 20 were supertentorial and 18 were infratentorial lesions...
October 2, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091254/evaluation-of-morphologic-and-morphometric-characteristic-of-foramen-transversarium-on-3-dimensional-multidetector-computed-tomography-angiography-mdcta
#8
Ayfer Metin Tellioglu, Yasemin Durum, Mustafa Gok, Ayse Gizem Polat, Can Zafer Karaman, Sacide Karakas
AIM: The aim of this study was to investigate the size and variations of the foramen transversarium (TF). In addition, to study the anatomical variations of vertebral artery entering the transverse foramen of the cervical vertebrae. MATERIAL AND METHODS: The images of 141 (90 males, 51 females) patients aged between 18-79 years (mean: 52.7 years) were analyzed. As a result, 987 cervical spines (C1-C7) and 1974 foramen transversariums were individually evaluated...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091252/difficulties-of-distal-catheter-insertion-of-ventriculoatrial-shunting-in-infants-and-little-children
#9
Hakan Erdogan, Adnan Altun, Enis Kuruoglu, Ahmet Hilmi Kaya, Adnan Dagcinar
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 problems faced during open surgical procedures based on the present authors' experience. MATERIAL AND METHODS: We conducted a retrospective analysis on 18 infants and children who underwent VA shunt insertion at the Department of Neurosurgery, Ondokuz Mayıs University School of Medicine Hospital between 2005 and 2012...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091251/simulated-effects-of-perianeurysmal-bone-on-a-cerebral-aneurysm-a-case-study
#10
Fuyu Wang, Zhe Xue, Zhenghui Sun, Jinli Jiang, Chen Wu, Bainan Xu
AIM: Perianeurysmal structures can affect the hemodynamics and geometric evolution of intracranial aneurysms. The purpose of this study was to use computational models to explore the influence of contact with perianeurysmal bone on an intracranial aneurysm. MATERIAL AND METHODS: A cerebral middle aneurysm in contact with an anterior clinoid process was selected. Two anatomic models were constructed from computed tomography angiography images: a non-contact model with elasticity of the entire aneurysm wall and a contact model with rigidity of the part of the aneurysm wall contacting bone...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091250/functional-hemispherectomy-for-adult-rasmussen-encephalitis-a-case-report-and-literature-review
#11
Qun Wang, Zhanpeng Zhu, Guangming Wang, Lichao Sun, Jiqing Qiu
BACKGROUND: Rasmussen encephalitis (RE) is a rare and severe brain disorder associated with unilateral hemispheric atrophy, manifesting as severe refractory epilepsy, hemiplegia, defects of motor and speech functions, and cognitive impairment. Treatment of RE, especially in adult patients, is extremely challenging. Herein, we report the case of an adult patient with RE who was treated with a functional hemispherectomy and achieved a favorable prognosis. CASE REPORT: A 29-year-old woman presented with a 24-year history of epileptic seizures...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091246/study-on-mirnas-expression-for-the-invasion-of-pituitary-adenomas
#12
Guoqiang Yu, Hongyun Wang, Shengyuan Yu, Chuzhong Li, Jiwei Bai, Songbai Gui, Yazhuo Zhang, Peng Zhao
AIM: To explore the possible invasive effect of four microRNAs in invasive pituitary adenomas. MATERIAL AND METHODS: Based on our previous studies, several in silico algorithms, and relative literatures, 30 Han Chinese patients with invasive pituitary adenomas and 30 with non-invasive pituitary adenomas were involved in this research. The proteins related to invasion underwent immunohistochemical staining, including basic fibroblast growth factor (FGF2), pituitary tumor transforming gene (PTTG), cyclin B1 (CCNB1), survivin, focal adhesion kinase (FAK), and microvessel density (MVD)...
September 26, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29105726/complications-of-2-level-dynamic-stabilization
#13
Mert Ciplak, Tuncer Suzer, Salim Senturk, Onur Yaman, Mehdi Sasani, Tunc Oktenoglu, Atilla Yilmaz, Deniz Ufuk Erbulut, Ali Fahir Özer
AIM: A retrospective chart and a radiographic review. Evaluation of postoperative complications, clinical improvements and radiological parameters in patients who underwent surgery using a dynamic system for 2-level lumbar stabilization. We aimed to investigate the postoperative complications, such as screw loosening, screw breakage and ASD, in patients who underwent surgery with 2-level dynamic stabilization systems. MATERIALS AND METHODS: Dynamic lumbar systems enable the stabilization of unstable degenerative spines, while preventing fusion-related complications, such as adjacent segment disease(ASD) and pseudarthrosis...
September 25, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091255/spontaneous-intracystic-haemorrhage-of-an-arachnoid-cyst-associated-with-a-subacute-subdural-hematoma-a-case-report-and-literature-review
#14
Evren Aydogmus, Tufan Hicdonmez
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 in the left side. ACs account for 1% of all intracranial space-occupying lesions. ACs are a potential risk factor for subdural haematoma in all age groups following a traumatic head injury. Although an intracystic haemorrhage of AC without evidence of a head trauma is very rare, it may particularly develop in children and young adults who spend much more time engaged in games and forced physical exercise...
September 20, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091248/multiple-intracranial-aneurysms-concurrent-with-a-clinoid-meningioma-a-case-report
#15
Xiangyang Zhou, Zhengbin Din, Hong Liu, Yimin Li
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 post communicating artery (PcomA). Immediately after radiographically establishing a diagnosis of multiple aneurysms and to reduce the risk of rebleeding, we performed a microscopic surgery to clip the aneurysms using a left frontotemporal approach. During the surgery, an unexpected clinoid meningioma was detected and simultaneously resected...
September 20, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29091249/the-potential-value-of-adipose-tissue-derived-rat-mesenchymal-stem-cells-mscs
#16
Huajiang Dong, Gang Li, Hong-Jun Ding, Yuechen Luo, Mingliang Zhao, Ling Lin
No abstract text is available yet for this article.
September 17, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29044454/the-role-of-telovelar-approach-in-fourth-ventricular-surgery-a-new-perspective
#17
Ehab Eissa
OBJECTIVE: Evaluation the efficiency of the telovelar approach for 4th ventricular lesions through identifying and preserving neurovascular structures. METHODS: Forty cases of fourth ventricular tumours using the telovelar approach Results: It provides adequate exposure in all cases. The brainstem and posterior inferior cerebellar artery (PICA) were early identified and preserved in all cases. Potential tumour attachment was observed at the floor of the fourth ventricle in twenty two (55%) cases, 5 of them were brain stem glioma...
August 31, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29044453/burr-hole-craniostomy-irrigation-with-and-without-drainage-during-surgical-treatment-of-chronic-subdural-hematoma-a-retrospective-study-of-87-cases
#18
Wenming Wang, Hua Liu, Jian Yang
AIM: To evaluate the surgical treatment of a chronic subdural haematoma (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 hospital. A total of 87 patients underwent surgery: 57 were treated via burr-hole irrigation with postoperative drainage (Group BD) and 30 were treated via irrigation without drainage (Group BI)...
August 31, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29044452/effects-of-alpha-lipoic-acid-on-motor-function-and-antioxidant-enzyme-activity-of-nerve-tissue-after-sciatic-nerve-crush-injury-in-rats
#19
Sarper Kocaoğlu, Özgür Aktaş, Oğuzhan Zengi, Azmi Tufan, Feyza Karagöz Güzey
AIM: Background: Alpha lipoic acid (ALA) that is a strong antioxidant drug is tried for both protection and treatment of various diseases of central and peripheral nervous systems. MATERIAL AND METHODS: Material and Methods: Protective effects of ALA on crush type peripheral nerve injury were evaluated. 28 Sprague-Dawley rats were divided into four groups: In Group 1, sciatic nerve was only explored. Sciatic nerve crush injury was performed after serum physiologic injection intraperitoneally in Group 2, and after ALA injection in Groups 3 and 4...
August 31, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29044451/pediatric-intracranial-germinoma-use-chemotherapy-first
#20
Anselm Lee, Timothy Lee, Tuck Loong Yang, Kim Shang Lee
No abstract text is available yet for this article.
August 31, 2017: Turkish Neurosurgery
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