E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 24, Issue 1 (2014)
Full Metin PDF
Original Investigation
Pages: 001-007
DOI: 10.5137/1019-5149.JTN.7945-13.1
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 ...
Pages: 008-012
DOI: 10.5137/1019-5149.JTN.6464-12.1
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...
Pages: 013-018
DOI: 10.5137/1019-5149.JTN.6936-12.1
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...
Pages: 019-024
DOI: 10.5137/1019-5149.JTN.7080-12.1
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: ...
Pages: 025-029
DOI: 10.5137/1019-5149.JTN.7120-12.1
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...
Pages: 030-037
DOI: 10.5137/1019-5149.JTN.7836-13.1
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...
Pages: 038-043
DOI: 10.5137/1019-5149.JTN.8016-13.2
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...
Pages: 044-047
DOI: 10.5137/1019-5149.JTN.8017-13.1
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...
Pages: 048-053
DOI: 10.5137/1019-5149.JTN.8431-13.0
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...
Pages: 054-062
DOI: 10.5137/1019-5149.JTN.8451-13.0
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 ...
Case Report
Pages: 063-066
DOI: 10.5137/1019-5149.JTN.5991-12.1
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...
Pages: 067-069
DOI: 10.5137/1019-5149.JTN.6226-12.1
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....
Pages: 070-074
DOI: 10.5137/1019-5149.JTN.6362-12.1
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...
Pages: 075-077
DOI: 10.5137/1019-5149.JTN.6783-12.1
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...
Pages: 078-081
DOI: 10.5137/1019-5149.JTN.6806-12.1
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...
Pages: 082-085
DOI: 10.5137/1019-5149.JTN.7048-12.0
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...
Pages: 086-089
DOI: 10.5137/1019-5149.JTN.7237-12.0
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...
Pages: 090-093
DOI: 10.5137/1019-5149.JTN.7389-12.1
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...
Pages: 094-097
DOI: 10.5137/1019-5149.JTN.7647-12.0
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 ...
Pages: 098-101
DOI: 10.5137/1019-5149.JTN.7615-12.2
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...
Pages: 102-107
DOI: 10.5137/1019-5149.JTN.7712-13.0
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...
Pages: 108-110
DOI: 10.5137/1019-5149.JTN.7817-13.0
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 ...
Pages: 111-116
DOI: 10.5137/1019-5149.JTN.7861-13.0
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...
Pages: 117-119
DOI: 10.5137/1019-5149.JTN.7904-13.0
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...
Pages: 120-122
DOI: 10.5137/1019-5149.JTN.7915-13.0
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...
Pages: 123-126
DOI: 10.5137/1019-5149.JTN.7928-13.0
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...
Pages: 127-130
DOI: 10.5137/1019-5149.JTN.7997-13.0
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....
Pages: 131-134
DOI: 10.5137/1019-5149.JTN.8021-13.0
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...
Pages: 135-139
DOI: 10.5137/1019-5149.JTN.8104-13.0
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...
Pages: 140-145
DOI: 10.5137/1019-5149.JTN.8134-13.0
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...
History
Pages: 146-149
DOI: 10.5137/1019-5149.JTN.6857-12.1
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...
Letter to Editor
Obituary