E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 22, Issue 4 (2012)
Full Metin PDF
Review
Pages: 399-406
DOI: 10.5137/1019-5149.JTN.4427-11.1
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...
Pages: 407-410
DOI: 10.5137/1019-5149.JTN.4782-11.1
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...
Original Investigation
Pages: 411-415
DOI: 10.5137/1019-5149.JTN.4201-11.1
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...
Pages: 416-419
DOI: 10.5137/1019-5149.JTN.4297-11.1
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...
Pages: 420-426
DOI: 10.5137/1019-5149.JTN.4698-11.1
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...
Pages: 427-429
DOI: 10.5137/1019-5149.JTN.5234-11.1
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...
Pages: 430-434
DOI: 10.5137/1019-5149.JTN.5401-11.1
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, ...
Pages: 435-440
DOI: 10.5137/1019-5149.JTN.3863-10.1
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...
Pages: 441-447
DOI: 10.5137/1019-5149.JTN.5523-11.0
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...
Case Report
Pages: 448-451
DOI: 10.5137/1019-5149.JTN.2522-10.2
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...
Pages: 452-453
DOI: 10.5137/1019-5149.JTN.3096-10.2
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...
Pages: 454-457
DOI: 10.5137/1019-5149.JTN.3223-10.2
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,...
Pages: 458-460
DOI: 10.5137/1019-5149.JTN.3527-10.2
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...
Pages: 461-464
DOI: 10.5137/1019-5149.JTN.3566-10.1
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...
Pages: 465-468
DOI: 10.5137/1019-5149.JTN.3597-10.1
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 ...
Pages: 469-474
DOI: 10.5137/1019-5149.JTN.3632-10.2
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...
Pages: 475-477
DOI: 10.5137/1019-5149.JTN.3701-10.3
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...
Pages: 478-482
DOI: 10.5137/1019-5149.JTN.3713-10.1
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...
Pages: 483-488
DOI: 10.5137/1019-5149.JTN.3830-10.0
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...
Pages: 489-492
DOI: 10.5137/1019-5149.JTN.3857-10.0
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...
Pages: 493-495
DOI: 10.5137/1019-5149.JTN.3860-10.0
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...
Pages: 496-498
DOI: 10.5137/1019-5149.JTN.3861-10.0
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...
Pages: 499-501
DOI: 10.5137/1019-5149.JTN.3901-10.0
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...
Pages: 502-505
DOI: 10.5137/1019-5149.JTN.3916-10.1
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...
Pages: 506-509
DOI: 10.5137/1019-5149.JTN.3960-10.0
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...
Pages: 510-514
DOI: 10.5137/1019-5149.JTN.3961-10.1
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...
Pages: 515-520
DOI: 10.5137/1019-5149.JTN.3968-10.0
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...
Pages: 521-523
DOI: 10.5137/1019-5149.JTN.4011-10.0
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 ...
Letter to Editor