E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 24, Issue 4 (2014)
Full Metin PDF
Turkish Neuro -Excursion
Pages: 445-450
Pages: 451-452
Review
Pages: 455-465
DOI: 10.5137/1019-5149.JTN.8940-13.0
AIM: The term kyphosis is used to describe the spinal curve that results in an abnormally rounded back. Kyphosis may develop due to trauma,
developmental anomalies, degenerative disc disease, inflammatory diseases, and infectious diseases and also iatrogenic. The aim of this paper
is to review the...
Pages: 466-470
DOI: 10.5137/1019-5149.JTN.9218-13.1
It has been claimed that 85% of the neck injuries caused by car accidents are the result of rear-end collisions. This type of injury is called
a whiplash injury, and its mechanisms are not completely understood due to the limited ability to diagnose them using X-ray or MRI.
Biomechanical studies i...
Original Investigation
Pages: 471-477
DOI: 10.5137/1019-5149.JTN.8038-13.1
AIM: Piriformis syndrome is a rare neuromuscular disorder that occurs when the piriformis muscle compresses or irritates the sciatic nerve. The
treatment of piriformis syndrome includes injections into the piriformis muscle around the sciatic nerve. These invasive approaches have been
used with va...
Pages: 478-483
DOI: 10.5137/1019-5149.JTN.8335-13.1
AIM: High cervical spinal cord injury is associated with high morbidity and mortality. Traditional treatments carry various complications
such as infection, pacemaker failure and undesirable movement. Thus, a secure surgical strategy with fewer complications analogous to
physiological ventilation ...
Pages: 484-493
DOI: 10.5137/1019-5149.JTN.8738-13.1
AIM: The aim of this study was to better define the microsurgical anatomy of the supra/parasellar region and describe variations of the
anterior clinoid process (ACP).
MATERIAL and METHODS: Fifteen formalin-fixed cadaver heads and 25 dry skulls were used to define the microsurgical anatomy of the ...
Pages: 494-497
DOI: 10.5137/1019-5149.JTN.8830-13.1
AIM: To compare the rates of recurrence of chronic subdural hematoma following surgical evacuation by one of two methods, namely, using
frontal and parietal burr holes without a drain or a single parietal burr hole with the addition of a subdural drain.
MATERIAL and METHODS: This was a randomized ...
Pages: 498-505
DOI: 10.5137/1019-5149.JTN.8980-13.0
AIM: Sacral fractures are generally seen together with pelvic ring fractures. They can also develop in isolated form rarely. Instability is observed
in these fractures in rates reaching 30%.
MATERIAL and METHODS: Spinopelvic stabilization was applied to 10 cases with pelvic fractures together with...
Pages: 506-511
DOI: 10.5137/1019-5149.JTN.9006-13.1
AIM: The formation of epidural fibrosis adjacent to the dura mater after posterior spinal surgery is a normal reaction of the body to surgery.
Extensive epidural fibrosis is one of the important causes of postlaminectomy syndrome. Etanercept inhibits tumor necrosis factor-alpha
and decreases fibro...
Pages: 512-518
DOI: 10.5137/1019-5149.JTN.8951-13.1
AIM: Robotic spine surgery techniques provide reduced pedicle screw malposition and radiation exposure during surgery. The aim of this
study is to review clinical and radiological results of robotic spine surgery.
MATERIAL and METHODS: The preoperative, intraoperative and postoperative data for 27...
Pages: 519-524
DOI: 10.5137/1019-5149.JTN.9043-13.2
AIM: Astrocytes and extracellular matrix molecules have important roles in regulating synaptic functions between neurons in the central
nervous system. However, under pathological conditions, these constituents are activated to form glial scar that is thought to be harmful for
neuronal regeneratio...
Pages: 525-531
DOI: 10.5137/1019-5149.JTN.9101-13.1
AIM: To compare mean cerebrospinal fluid (CSF) volume in the aqueduct by using phase-contrast magnetic resonance imaging for the patients
with idiopathic normal pressure hydrocephalus (INPH) and atrophic dilation (AD) to investigate the efficacy of this technique in predicting
surgery.
MATERIAL a...
Pages: 532-537
DOI: 10.5137/1019-5149.JTN.9505-13.0
AIM: An evaluation of treatment methods and outcomes for coccygodynia cases that do not respond to conservative treatment.
MATERIAL and METHODS: Local anesthetic and steroid injections were applied in 32 coccygodynia cases that did not respond to conservative
treatment (average of 15 months). Cocc...
Pages: 538-545
DOI: 10.5137/1019-5149.JTN.9517-13.0
AIM: To explore the clinical value of combining pyramidal tract mapping, microscopic-based neuronavigation, and intraoperative magnetic
resonance imaging (iMRI) in the surgical treatment of epileptic foci involving sensorimotor cortex.
MATERIAL and METHODS: We retrospectively analyzed 69 patients ...
Pages: 546-548
DOI: 10.5137/1019-5149.JTN.9527-13.0
AIM: In surgeries involving clamping, opening and repairing the carotid artery such as carotid endarterectomy (CEA) and proximal anastomosis
at radial artery (RA) grafting, back-bleeding, often due to insufficient occlusion of the ascending pharyngeal artery (APA), must be avoided.
In 96% of cases...
Pages: 549-557
DOI: 10.5137/1019-5149.JTN.9605-13.1
AIM: We aimed to show the effects of neuronavigation and intraoperative imaging systems on the surgical outcomes of orbital tumors.
MATERIAL and METHODS: Seventeen patients who underwent surgical treatment for orbital tumors by transcranial and transnasal
approaches between 2008 and 2013 were anal...
Pages: 558-564
DOI: 10.5137/1019-5149.JTN.11444-14.0
AIM: We present a series of 16 patients who underwent occipitocervical fixation with occipital bone hooks used as a substitute for occipital
screws for the treatment of occipitocervical instability.
MATERIAL and METHODS: In this technique; instrumentation was started following the decompression wi...
Pages: 565-570
DOI: 10.5137/1019-5149.JTN.11179-14.0
AIM: The aim of the present study was to analyze our experience with a new liquid embolic agent, Squid, for the treatment of cerebral vascular
lesions.
MATERIAL and METHODS: We present 28 patients who were treated with two formulations of Squid (Squid 18 and Squid 12). The lesions
included 16 art...
Case Report
Pages: 571-573
DOI: 10.5137/1019-5149.JTN.8612-13.0
Intracranial invasion of basal cell carcinoma is very rare. A case of a 71-year-old male patient is presented with extensive invasion of middle
and posterior fossae, with nearly complete destruction of the petrous bone, involving cerebellopontine angle and cranial nerves by recurrent
basal cell ca...
Pages: 574-578
DOI: 10.5137/1019-5149.JTN.8596-13.0
AIM: Sacral insufficiency fracture is an important cause of lower back and groin pain among the osteoporotic population. Diagnosis and
treatment of SIFs are challenging. Currently, surgical treatment includes sacroplasty under C-arm fluoroscopy or computed tomography. Both
techniques have a risk o...
Pages: 579-582
DOI: 10.5137/1019-5149.JTN.9050-13.0
Adeloye-Odeku disease is composed of dermoid cyst over anterior fontanelle, first described in 1971. We present an 11-year-old girl with a
soft, fluctuant swelling over bregma. The lesion content was isointense to cerebrospinal fluid on both T2W and FLAIRW images. There was a
lytic area under the ...
Pages: 583-586
DOI: 10.5137/1019-5149.JTN.9244-13.0
Functional neurological disorders (FND) have been a challenge to treat both for neurologists and neurosurgeons. Various ablative as well as
non-ablative techniques have been used to treat these disorders. Gamma knife radiosurgery (GKRS) is also being practised to treat refractory
obsessive- compul...
Pages: 587-592
DOI: 10.5137/1019-5149.JTN.9165-13.1
Simultaneous occurrence of carotid atherosclerotic disease and ipsilateral cerebral aneurysm is known because of common risk factors. When
interventional neuroradiologists encounter such cases, issue of ‘in which order to treat these lesions ‘ is raised. If carotid artery disease is tre...
Pages: 593-597
DOI: 10.5137/1019-5149.JTN.9288-13.0
It is necessary to consider possibility of recanalization and retreatment after coil embolization for cerebral aneurysms. There is concern that
retreatment for recanalized aneurysms after Y-stent-assisted coil embolization may be difficult because of double stents, especially in Y-stents
with doub...
Pages: 598-601
DOI: 10.5137/1019-5149.JTN.9152-13.1
Although intracranial multiple aneurysms are not uncommon, multiple mirror aneurysms are relatively rare. A few isolated cases have been
described. However, to the best of our knowledge, 3 pairs of pure symmetrical mirror aneurysms in one patient have not been reported yet.
We present a case of mu...
Pages: 602-605
DOI: 10.5137/1019-5149.JTN.9328-13.1
The knowledge of minimal invasive spinal surgery has increased greatly in recent years. A current issue is the hydrogel implant inserted through
nucleus pulposus. In this paper we present a case in which the hydrogel implant was found to be fragmented into the spinal canal at follow
up. The patien...
Pages: 606-612
DOI: 10.5137/1019-5149.JTN.8700-13.0
Syringomyelia is a not infrequent pathology that develops related to changes in cerebrospinal fluid dynamics due to many etiological factors.
The development of syringomyelia through a spinal arachnoid cyst is quite rare and has been defined in only 31 cases in the literature. A case
due to thorac...
Pages: 613-617
DOI: 10.5137/1019-5149.JTN.9380-13.0
AIM: To evaluate the feasibility of this novel surgical approach for treatment of cervical discitis and vertebral osteomyelitis.
MATERIAL and METHODS: This is a report of two patients who underwent anterior cervical decompression for discitis and vertebral
osteomyelitis (DVO) with cervical spine r...
Technical Report
Pages: 618-622
DOI: 10.5137/1019-5149.JTN.8609-13.1
AIM: Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting
and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a
new technique des...