E-ISSN: 1019-5157
ISSN: 2651-5024
Vol. 25, Issue 3 (2015)
Full Metin PDF
Turkish Neuro -Excursion
Poems are essential in art and vital organs in literature. Similarly, surgery (and neurosurgery) is also regarded to be an art in medicine. From
Hippocrates to nowadays, there is a debate on whether medicine -especially surgery- is a kind of an art or a field of science or a combination of
both. T...
Review
Pages: 357-361
DOI: 10.5137/1019-5149.JTN.8990-13.1
The surgical treatment of spinal metastases is still controversial. Due to developments in diagnostic imaging there has been a great evolution in
minimally invasive surgical techniques for the spinal surgery. Most of the patients with spinal metastases are debilitated and under high risk of
major ...
Pages: 362-371
DOI: 10.5137/1019-5149.JTN.11086-14.1
Colloid cysts are usually located in third ventricle and are believed to be derived from either primitive neuroepithelium or endoderm. Patients
may remain asymptomatic for long time while some can present with paroxysmal headache, gait disturbance, nausea, vomiting, behavioral
changes, weaknesses ...
Original Investigation
Pages: 372-379
DOI: 10.5137/1019-5149.JTN.8440-13.0
AIM: The aim of this randomized study was to compare exercise program to control group regarding pain, back disability, behavioural
outcomes, global health measures and back mobility who underwent microdiscectomy operation.
MATERIAL and METHODS: Thirty patients who underwent lumbar microdiscectomy...
Pages: 380-388
DOI: 10.5137/1019-5149.JTN.9347-13.1
AIM: We examined the cavernous sinus invasion and tumor biological markers that influence the remission rate. Cavernous sinus (CS) invasion
was evaluated radiologically. Tumor biological markers consisting of the tumor cell growth parameter Ki-67 and the cancer cell vasculature
marker of vascular ...
Pages: 389-393
DOI: 10.5137/1019-5149.JTN.9656-13.1
AIM: Cases of failed back and spine surgery have increased significantly recently, which leads to patient hesitation in deciding about whether
to be operated on. In this article, we present a survey investigating refusal reasons for spinal surgery, and we emphasize the effect of failed
back surger...
Pages: 394-403
DOI: 10.5137/1019-5149.JTN.10298-14.2
AIM: To describe a modified technique for the treatment of single level, isthmic spondylolisthesis (IS)
MATERIAL and METHODS: Forty-two patients who underwent posterior lumbar interbody fusion (PLIF) with spinolaminar autologous
bone graft for the treatment of isthmic spondylolisthesis between May...
Pages: 404-409
DOI: 10.5137/1019-5149.JTN.10299-14.3
AIM: To understand the late anatomical results of surgically treated intracranial aneurysms (IA’s) and to investigate the incidence of recurrent,
de novo aneurysms, the natural history of residual aneurysms, and the morphological changes in temporarily clipped vascular segments.
MATERIAL and...
Pages: 410-418
DOI: 10.5137/1019-5149.JTN.10410-14.3
AIM: The aim of this study was to report our experience with a 64-channel computerized tomography (CT) scanner as the primary choice on
the detection of intracranial aneurysms. Comparison of intracranial aneurysms with the simulated images obtained via three-dimensional
computed tomography angiogr...
Pages: 419-424
DOI: 10.5137/1019-5149.JTN.11235-14.1
AIM: The surgical results for foramen magnum decompression (FMD) with and without duraplasty in Chiari Malformation type 1 (CM-1) were
compared retrospectively.
MATERIAL and METHODS: Thirty-nine cases of CM-1 with and without syringomyelia (SM) were included. There were 18 patients in the nondurap...
Pages: 425-431
DOI: 10.5137/1019-5149.JTN.11405-14.1
AIM: Prolonged exposure to stress mainly affects the cognitive functions of the brain by inducing neuronal damage mediated through
oxidative stress. Acorus calamus (AC) has long been used in Indian folk medicine for various central nervous system (CNS) abnormalities. Hence
the present study invest...
Pages: 432-437
DOI: 10.5137/1019-5149.JTN.11632-14.2
AIM: Midline anterior skull base meningiomas include olfactory groove meningiomas (OGMs), Tuberculum Sellae meningiomas (TSMs), and
planum sphenoidale meningiomas (PSMs). The main surgical challenge in treating these lesions is to excise the tumor totally without causing
mortality or morbidity. St...
Pages: 438-445
DOI: 10.5137/1019-5149.JTN.12001-14.1
AIM: To investigate the outcome of glioma resection surgery and changes of pyramidal tract (PT) for patients where PT is immediately adjacent
to the tumors, which were revealed by diffusion tensor imaging (DTI) based fiber tracking (FT) technique.
MATERIAL and METHODS: 40 patients enrolled. Preope...
Pages: 446-452
DOI: 10.5137/1019-5149.JTN.12592-14.1
AIM: Ethylene vinyl alcohol copolymer (EVOH), its organic solvent dimethyl sulfoxide (DMSO), and N-Butyl 2-Cyanoacrylate (NBCA) are widely
used in neurovascular embolization procedures and yet with potential risk of cytotoxicity. The aim of this study was to evaluate the toxic effect
of EVOH-DMSO,...
Pages: 453-460
DOI: 10.5137/1019-5149.JTN.12852-14.2
AIM: Catechin is a type of polyphenol, along with epicatechin, epigallocatechin, and epigallocatechin-gallate (EGCG). This study aims to
investigate the effect of EGCG, a major metabolite of catechin, which is the principle bioactive compound in green tea, on rats with peripheral
nerve injury.
MA...
Pages: 461-468
DOI: 10.5137/1019-5149.JTN.13481-14.1
AIM: Perception, definition and tolerance of pain vary individually because of its subjective character. This study aimed to determine the
perception differences between patients with mechanical low back pain (MLBP) and their physicians regarding the assessments of the patients’
pain severit...
Case Report
Pages: 469-474
DOI: 10.5137/1019-5149.JTN.8314-13.0
The coexistence of cerebral aneurysm and pituitary adenoma has been described previously. Most of such cases harbor functional tumors and
anterior circulation aneurysms, with very rare cases of posterior circulation aneurysms.
In this report, we present a case of subarachnoidal hemorrhage due to r...
Pages: 475-478
DOI: 10.5137/1019-5149.JTN.8361-13.0
Giant cell tumor is an uncommon but most aggressive benign tumour of the spine with unpredictable outcome and challenging treatment.
Spinal giant cell tumors located above the sacrum are rare and treatment recommendations are still unclear. We report a rare case of this lesion
in an adult and disc...
Pages: 479-484
DOI: 10.5137/1019-5149.JTN.7854-12.1
Glomus tumors are very infrequent in the spine. The lesions can grow intraosseously along the entire spinal axis. A single female presenting
with back pain from the upper thoracic spine is reported on. Removal of this lesion may require reconstruction of the anterior column with
posterior fixation...
Pages: 485-487
DOI: 10.5137/1019-5149.JTN.9995-13.1
Sildenafil is a drug used in the treatment of male impotence. Few cases of spontaneous intracerebral hemorrhage following the use of sildenafil
have been cited in the literature. A 42-year-old man was admitted to the emergency outpatient clinic of İstanbul Educational and Research
Hospital after s...
Pages: 488-492
DOI: 10.5137/1019-5149.JTN.10153-13.1
In this study, we try to present our experience of transaqueductal removal of the fourth ventricular neurocysticercosis (FVNCC) with a
flexible neuroendoscope. Three cases of the fourth ventricular cysticercosis were transaqueductally removed with FUJINON EB-270P flexible
neuroendoscope through a ...
Pages: 493-495
DOI: 10.5137/1019-5149.JTN.10496-14.1
We report a 66-year-old man with 2-month history of dizziness and 1-month history of diplopia. Cranial magnetic resonance imaging (MRI)
disclosed two solid masses, one in the right lateral ventricle and another in the fourth ventricle. A surgical biopsy was performed on the basis
of safety. The di...
Pages: 496-499
DOI: 10.5137/1019-5149.JTN.10542-14.1
Rosai-Dorfman Disease involves histiocytic proliferation of the lymphatic system. Extranodal disease involving the central nervous system is
uncommon. Furthermore, the combination of this disease entity with Langerhans cell histiocytosis is an even rarer phenomenon that has only
recently been high...
Pages: 500-502
DOI: 10.5137/1019-5149.JTN.10523-14.1
A 73-year-old female patient who had severe neuropathic pain due to sciatic nerve hypertrophy with the Klippel-Trenaunay Syndrome has
been presented. Localized hypertrophic neuropathy is in one region and characterized by concentric proliferation of Schwann cells around
the axon. It is very rare i...
Pages: 503-507
DOI: 10.5137/1019-5149.JTN.11212-14.1
We describe a supra-diaphragmatic ectopic pituitary adenoma that was safely removed using the extended endoscopic endonasal approach,
and discuss the value of three-dimensional (3D) endoscopy and intra-operative magnetic resonance imaging (MRI) to this type of procedure.
A 61-year-old-man with bit...
Systematic Review
Pages: 508-512
DOI: 10.5137/1019-5149.JTN.12347-14.0
Aretaeus of Cappadocia is considered as one of the greatest medical scholars of Greco-Roman antiquity after Hippocrates. He presumably
was a native or at least a citizen of Cappadocia, a Roman province in Asia Minor (Turkey), and most likely lived around the middle of the
second century (AD) His e...