E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 21, Issue 4 (2011)
Full Metin PDF
Original Investigation
Pages: 449-453
DOI: 10.5137/1019-5149.JTN .3518-10.2
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 ...
Pages: 454-460
DOI: 10.5137/1019-5149.JTN .4012-10.1
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 ...
Pages: 461-466
DOI: 10.5137/1019-5149.JTN .4028-10.3
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...
Pages: 467-470
DOI: 10.5137/1019-5149.JTN .4057-10.1
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 ...
Pages: 471-476
DOI: 10.5137/1019-5149.JTN .4165-11.2
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...
Pages: 477-482
DOI: 10.5137/1019-5149.JTN .4204-11.1
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...
Pages: 483-488
DOI: 10.5137/1019-5149.JTN .4288-11.1
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...
Pages: 489-493
DOI: 10.5137/1019-5149.JTN .4293-11.0
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 ...
Pages: 494-498
DOI: 10.5137/1019-5149.JTN .4277-11.2
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...
Pages: 499-503
DOI: 10.5137/1019-5149.JTN .4353-11.1
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...
Pages: 504-515
DOI: 10.5137/1019-5149.JTN .4372-11.1
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...
Pages: 516-521
DOI: 10.5137/1019-5149.JTN .4394-11.1
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...
Pages: 522-526
DOI: 10.5137/1019-5149.JTN .4390-11.0
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...
Pages: 527-533
DOI: 10.5137/1019-5149.JTN .4431-11.1
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...
Pages: 534-538
DOI: 10.5137/1019-5149.JTN .4456-11.1
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...
Pages: 539-544
DOI: 10.5137/1019-5149.JTN .4473-11.2
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 ...
Pages: 545-548
DOI: 10.5137/1019-5149.JTN .4305-11.1
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...
Pages: 549-554
DOI: 10.5137/1019-5149.JTN .4525-11.1
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...
Pages: 555-558
DOI: 10.5137/1019-5149.JTN .4552-11.1
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...
Pages: 559-566
DOI: 10.5137/1019-5149.JTN .4553-11.1
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...
Pages: 567-574
DOI: 10.5137/1019-5149.JTN .4474-11.1
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...
Pages: 575-581
DOI: 10.5137/1019-5149.JTN .4639-11.1
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...
Pages: 582-590
DOI: 10.5137/1019-5149.JTN .4656-11.1
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...
Pages: 591-598
DOI: 10.5137/1019-5149.JTN .3570-10.2
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...
Pages: 599-605
DOI: 10.5137/1019-5149.JTN .4736-11.0
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 ...
Pages: 606-612
DOI: 10.5137/1019-5149.JTN .4739-11.2
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...
Pages: 613-617
DOI: 10.5137/1019-5149.JTN .3749-10.1
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...
Pages: 618-624
DOI: 10.5137/1019-5149.JTN .4985-11.0
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...
Pages: 625-629
DOI: 10.5137/1019-5149.JTN .4524-11.1
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...
Pages: 630-633
DOI: 10.5137/1019-5149.JTN .4954-11.1
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...
Pages: 634-640
DOI: 10.5137/1019-5149.JTN .4974-11.0
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...
Case Report
Pages: 641-644
DOI: 10.5137/1019-5149.JTN .2907-10.1
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...
Pages: 645-647
DOI: 10.5137/1019-5149.JTN .2950-10.1
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...
Pages: 648-650
DOI: 10.5137/1019-5149.JTN .2979-10.0
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...
Pages: 651-654
DOI: 10.5137/1019-5149.JTN .2989-10.1
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 ...
Pages: 655-658
DOI: 10.5137/1019-5149.JTN .2994-10.1
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. ...
Pages: 659-662
DOI: 10.5137/1019-5149.JTN .3001-10.1
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...
Pages: 663-665
DOI: 10.5137/1019-5149.JTN .2677-09.2
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...
Pages: 666-668
DOI: 10.5137/1019-5149.JTN .3018-10.1
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...
Pages: 669-673
DOI: 10.5137/1019-5149.JTN .3035-10.1
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...
Pages: 674-679
DOI: 10.5137/1019-5149.JTN .3059-10.2
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...
Pages: 680-684
DOI: 10.5137/1019-5149.JTN .3120-10.1
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...
Pages: 685-687
DOI: 10.5137/1019-5149.JTN .3308-10.1
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...
Thanks to Reviewers