E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 25, Issue 1 (2015)
Full Metin PDF
Turkish Neuro -Excursion
Original Investigation
Pages: 009-015
DOI: 10.5137/1019-5149.JTN.7450-13.1
AIM: The anatomic characters and applicability of the extended pterional transtemporal transtentorial (EPTT) approach versus the subtemporal
transtentorial (ST) approach for surgical treatment of petroclival tumors were evaluated.
MATERIAL and METHODS: Ten sides from five adult Chinese injected ca...
Pages: 016-020
DOI: 10.5137/1019-5149.JTN.8694-13.1
AIM: To present the magnetic resonance imaging (MRI) characteristics and clinical features of 12 patients with quadrigeminal cistern lipoma.
MATERIAL and METHODS: A series of 12 patients with quadrigeminal cistern lipoma were followed up between 2010 and 2013 at the Kayseri
Training and Research H...
Pages: 021-028
DOI: 10.5137/1019-5149.JTN.8987-13.1
AIM: We aimed to evaluate cerebral hemodynamic status of preoperative and postoperative revascularization treatment by oxygen extraction
fraction (OEF)-magnetic resonance imaging (MRI) in patients with severe cerebrovascular stenosis or occlusive disease.
MATERIAL and METHODS: This study enrolled ...
Pages: 029-035
DOI: 10.5137/1019-5149.JTN.8197-13.1
AIM: The endoscopic foraminal approach in foraminal, lateral and far-lateral disc hernias, is a contemporary minimal invasive approach. This
study was performed to show that the approach is possible with using the microscope without an endoscope, and even intervention on the
discs within the spina...
Pages: 036-042
DOI: 10.5137/1019-5149.JTN.9082-13.1
AIM: Cervical spine is the most kinetic segment of the whole vertebrae. The radiologic imaging methods concern with the morphologic
changes but give no functional data. At flexion, spinal cord strains, anterior osteophytic compression increases. At extension, spinal canal gets
narrower, cord short...
Pages: 043-052
DOI: 10.5137/1019-5149.JTN.9293-13.0
AIM: To investigate the effects of amifostine, a cytoprotective agent, on pathophysiological changes in vasogenic brain edema induced by an
experimental cold injury model and to compare these changes with dexamethasone.
MATERIAL and METHODS: A total of 138 rats divided into 6 groups. Brain water c...
Pages: 053-057
DOI: 10.5137/1019-5149.JTN.9752-13.1
AIM: Surgery is a treatment option for medically intractable epilepsy patients. Abnormalities in regional cerebral glucose metabolism, as
identified by 18-fluorodeoxyglucose positron emission tomography (FDG-PET) have predictive prognostic value in evaluating the outcome of
epilepsy surgery. This ...
Pages: 058-062
DOI: 10.5137/1019-5149.JTN.8540-13.2
AIM: This study evaluated the clinical and economic outcomes of ventriculoperitoneal shunt infections.
MATERIAL and METHODS: Patients diagnosed with ventriculoperitoneal shunt infections for the first time between 1 January 2007 and 31
December 2011 were included in this study. Demographic, clinic...
Pages: 063-068
DOI: 10.5137/1019-5149.JTN.9840-13.1
AIM: This study aimed to investigate the microsurgical anatomy of perforating arteries in the hypothalamic area, which are associated with
diabetes insipidus.
MATERIAL and METHODS: A total of 20 adult cadaver heads soaked in formalin were infused with red latex through the carotid artery and
vert...
Pages: 069-072
DOI: 10.5137/1019-5149.JTN.9849-13.1
AIM: Coagulation Factor XIII plays an important role in wound healing by stabilizing the fibrin clot. We hypothesized that Factor XIII
administration might promote the repair of cerebrospinal fluid leak sites and lead to resolution of the orthostatic headache in patients with
spontaneous intracran...
Pages: 073-077
DOI: 10.5137/1019-5149.JTN.10137-13.1
AIM: Although true posterior communicating artery (PCoA) aneurysms are rare, they are of vital importance. We reviewed 9 patients with this
fatal disease, who were treated with endovascular embolization, and discussed the meaning of endovascular embolization for the treatment
of true PCoA aneurysm...
Pages: 078-084
DOI: 10.5137/1019-5149.JTN.10175-13.1
AIM: Bacitracin is one of the most frequently used agents for the topical irrigation of the cerebral cortex. The aim of this study is to investigate
whether bacitracin has histopathological and ultrastructural effects when applied topically to the cerebral cortex.
MATERIAL and METHODS: Twenty-eigh...
Pages: 085-089
DOI: 10.5137/1019-5149.JTN.10359-14.2
AIM: Brain edema developing due to central nervous system trauma is still a significant reason of mortality and morbidity. There is still
no definite approach for the medical treatment of brain edema despite many clinical and laboratory studies in recent years. We therefore
investigated the effect...
Pages: 090-099
DOI: 10.5137/1019-5149.JTN.10447-14.1
AIM: The objective of this study was to investigate the antifibrotic effect of parenteral administration of alpha-lipoic acid (ALA), which has been
reported to reduce fibrosis in the liver, oral mucosa, and peritoneum, in laminectomized rabbits as a potential candidate for the prevention of
peridu...
Pages: 100-110
DOI: 10.5137/1019-5149.JTN.10708-14.1
AIM: The effectiveness and risk of cerebral arteriovenous malformations (AVMs) treatment with Onyx embolization combined with Gamma
Knife surgery (GKS) were rarely reported. In the present study, we analyzed the radiographic and clinical outcomes of combined Onyx
embolization and GKS for cerebral ...
Pages: 111-116
DOI: 10.5137/1019-5149.JTN.11276-14.1
AIM: In this study, our aim was to examine if matrix metalloproteinase expressions (MMP-1, MMP-2, MMP-3) in patients operated with a lumbar
disc hernia diagnosis are different in terms of clinical and neuroradiological findings.
MATERIAL and METHODS: The study included 80 patients treated with mic...
Pages: 117-120
DOI: 10.5137/1019-5149.JTN.11549-14.0
AIM: The aim of this study was to evaluate effectiveness and safety of epidural anesthesia in elective lumbar microdiscectomy surgery.
MATERIAL and METHODS: Twenty-seven patients (78%, female), who were admitted for single level simple microdiscectomy surgery
between May 2012 and December 2013 in ...
Pages: 121-125
DOI: 10.5137/1019-5149.JTN.11788-14.0
AIM: To explore clinical features and surgical treatment of asymptomatic meningiomas (AMs).
MATERIAL and METHODS: Clinical materials of 122 patients with AMs treated surgically were analyzed retrospectively and the associated
literatures were reviewed.
RESULTS: There were 39 males and 83 females ...
Article With VideoClip
Pages: 126-131
DOI: 10.5137/1019-5149.JTN.12829-14.0
The natural history of Moyamoya disease (MD) is variable. Moyamoya disease in children mostly presents with progressive ischemic
complications and in adulthood it tends to present with hemorrhage. Surgical strategies depend on augmenting cerebral blood flow to the
anterior cerebral circulation. Re...
Case Report
Pages: 132-136
DOI: 10.5137/1019-5149.JTN.8102-13.1
The extent of the slice thickness in spinal axial and sagittal magnetic resonance imaging (MRI) is limited. We therefore, propose the idea of
using coronal MRI to better delineate lumbar far lateral disc herniations. Six patients with coronal MR images who underwent surgery are
presented in this s...
Pages: 137-140
DOI: 10.5137/1019-5149.JTN.7826-13.2
Schwannomas, also known as neurilemmomas, are generally benign peripheral nerve sheath tumors developing from Schwann cells. Peripheral
nerve sheath tumors account for less than 8% of soft tissue neoplasms. Schwannomas are characterized by a slow-growing and non-infiltrating
pattern. We report a 2...
Pages: 141-145
DOI: 10.5137/1019-5149.JTN.8247-13.1
Vertebral artery injury including thrombosis, arteriovenous fistula (AVF), pseudo-aneurysm and hemorrhage may be iatrogenic or due to
penetrating or blunt trauma. Although mostly asymptomatic, vertebral artery injury may also present with vertebrobasilar insufficiency
findings, cephalgia, radicula...
Pages: 146-153
DOI: 10.5137/1019-5149.JTN.8759-13.1
Chordomas located primarily in the sellar region are uncommon, and may be misdiagnosed non-functioning pituitary adenoma. Furthermore,
the association of a persistent primitive trigeminal artery (PPTA) with an intrasellar chordoma is extremely rare, and no similar cases have
been reported in the l...
Pages: 154-157
DOI: 10.5137/1019-5149.JTN.8877-13.0
Proximal ligation of the internal carotid artery (ICA) with high-flow bypass is one of the surgical strategies for treating large, unclippable
ICA aneurysms. We encountered a rare case of recanalization of a large ICA aneurysm that disappeared after high-flow bypass surgery, and
subsequently reapp...
Pages: 158-161
DOI: 10.5137/1019-5149.JTN.9057-13.1
We report the case of a large dissecting aneurysm of the anterior cerebral artery revealed by cerebral infarction in 38-year-old man. The volume
and aspect of the aneurysm initially led us to the diagnosis of saccular aneurysm. Given the complete thrombosis, the risk of bleeding was
low and antith...
Pages: 168-173
DOI: 10.5137/1019-5149.JTN.9579-13.4
Angiographically occult arteriovenous malformations (AOAVMs) are poorly understood. AOAVMs include spontaneous regression of cerebral
AVMs. Here we discuss spontaneous angiographical regression of cerebral arteriovenous malformations (SRAVM). We present the case of
a 34-year-old male patient with ...
Pages: 162-167
DOI: 10.5137/1019-5149.JTN.9303-13.4
Paraganglioma (PG) is a rare tumor of the dispersed neuroendocrine system. PG derives from the embryonic sympathetic and parasympathetic
nervous system. Paraganglioma is a neoplasm of the dispersed neuroendocrine system that affects a variety of anatomic sites, mainly the head
and neck. It occurs ...
Pages: 174-176
DOI: 10.5137/1019-5149.JTN.9907-13.1
With an incidence rate of 15-20%, meningiomas are one of the most common brain tumors among benign intracranial tumors. They are
distributed as follows in intracranial localizations: parasagittal and falx (25%), convexity (18%), sphenoid wing (18%), parasellar (12%), posterior
fossa (10%), intrave...
Pages: 177-179
DOI: 10.5137/1019-5149.JTN.9956-13.1
Salivary gland tumors constitute 3% of tumors in the body. Salivary gland tumors constitute 4% to 10.80% of all tumors in the head and
neck tumors and most of them originate from the parotid gland. Most salivary gland tumors are benign. Basal cell adenocarcinoma is a rare
salivary gland tumour. Mo...
Pages: 180-185
DOI: 10.5137/1019-5149.JTN.10043-13.0
A ruptured wide-necked basilar trunk aneurysm is uncommon in patients with moyamoya disease. The optimal treatment is unclear. We report
a safe and beneficial treatment modality for moyamoya disease with aneurysms located in the posterior circulation.
A 37-year-old man presenting with subarachnoid...
Pages: 186-189
DOI: 10.5137/1019-5149.JTN.10051-13.0
Sinus histiocytosis with massive lymphadenopathy or Rosai-Dorfman disease (RDD) is a reactive condition of unknown etiology, characterised
by a proliferation of histiocytes exhibiting emperipolesis of lymphocytes and plasma cells. It usually presents as bilateral painless cervical
lymphadenopathy....
Pages: 190-192
DOI: 10.5137/1019-5149.JTN.10407-14.3
Unexpected bleeding from the dural sinus can sometimes occur when performing a dural opening during microvascular decompression.
We conducted dural opening safely by performing indocyanine green (ICG) videoangiography before making a dural incision. We introduce
two specific cases in which surgery...
Pages: 193-196
DOI: 10.5137/1019-5149.JTN.10618-14.2
The “trephined” syndrome is a relatively rare complication after a large skull bone defect, consisting of a sunken skin above the bone defect
with neurological symptoms such as severe headaches, mental changes, focal deficits, or seizures. Emerging data show improvements in
the patient...