E-ISSN: 1019-5157 ISSN: 2651-5024
Turkish Neuro -Excursion
Review
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...
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...
Original Investigation
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...
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...
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...
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),...
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...
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...
AIM: To investigate clinical factors that may influence the decision to preserve or remove the bone flap during the craniectomy surgery for patients of traumatic brain injury. MATERIAL and METHODS: Clinical data from 2256 TBI patients were quantitatively analyzed and scored based on multiple clini...
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 ...
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...
AIM: Autophagy is an important process that balances cellular protein synthesis and degradation and is involved in many physiological and pathological conditions. However, the precise role of autophagy has not yet been defined in the model of spinal cord injury (SCI). MATERIAL and METHODS: Here, w...
AIM: To compare anterior pituitary functions between subjects with total and partial primary empty sella (PES) and to assess whether all cases with PES need endocrinological evaluation. MATERIAL and METHODS: Eighty-one subjects with PES (34 total and 47 partial) were included in the study. Basal a...
AIM: The aim of this study was to evaluate patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery. MATERIAL and METHODS: The study was performed on 66 ASA class I-II patients with one level lumbar disc herniation (LDH). In this prospective study, patients were assig...
AIM: To explore the feasibility and effectiveness of early microsurgical therapy for acute hydrocephalus resulting from a ruptured intracranial aneurysm. MATERIAL and METHODS: Forty patients with Hunt-Hess grades II-III were assigned to group A; 27 patients with grades IV-V formed group B. The pa...
AIM: To investigate the changes of cerebrospinal fluid (CSF) cystatin C (CC) levels associated with the postoperative ischemic conditions and prognostic outcome in patients with aneurysmal subarachnoid hemorrhage (SAH). MATERIAL and METHODS: The study group consisted of 40 patients with microsurgi...
AIM: To demonstrate the incidence of screw misplacement and revision rates in a group of 72 patients that underwent pedicle screw fixation for spinal pathologies using the conventional, fluoroscopy-guided open technique. MATERIAL and METHODS: Data from 72 consecutive patients with spinal instabili...
Case Report
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 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...
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...
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...
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...
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...
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 ...
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 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 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....
Letter to Editor