Decompress(ve surgery or craniectomy (DC) is a treatment option, which should be considered when the intracranial pressure (ICP) cannot treated by conservative methods. The purpose of this study was to evaluate benefits decompressive in patients with intractable posttraumatic hypertension and patient selection criteria for management protocol. In study, 100 severe head injuries were involved. All according European Brain Injury Consortium (EBIC) guidelines assessed based on individual...

Background: Experimental models of traumatic brain injury (TBI), using a variety techniques and species, have been devised with the aim producing repeatable lesions resembling those found in head injuries. There are various TBI mentioned literature. In experimental trauma models, emphasis has placed on severe only few developed to study mild (MTBI). fact, MTBI is as an important problem injuries for neurosurgeons. Methods: Fifty-six male Sprague-Dawley rats were subjected weight-drop device,...

Thoracic complications of ventriculoperitoneal (VP) shunt are very rare. We report an unusual case VP intrathoracic migration, associated with symptomatic hydrothorax. The patient was successfully managed revision. reviewed the 10 cases reported in literature and discussed mechanism – tip migration.

Debate continues as to whether decompressive craniectomy (DC) is an effective treatment for severe traumatic brain injury (STBI). DC mostly used a second tier option. The aim of this study was determined early bilateral first option in patients with STBI.The compared two groups. Group 1 comprised 36 STBI whom control intracranial pressure (ICP) not achieved conservative methods according radiological and neurological findings. These underwent or unilateral treatment. 2 40 who treatment.Group...

After surgery for ruptured anterior communicating artery (ACoA) aneurysm, several patients who have achieved a favorable neurological outcome yet been observed to suffer from poor cognitive outcome. The aim of this study was explore the possible effects temporary clip applications on frontal lobe functions in with ACoA aneurysm.Forty were chosen among series cases underwent an early (within 96 h) after aneurysm bleeding. All them Hunt-Hess grade 1 or 2. Of 40 patients, clipping used 22...

This study aimed to compare serum and cerebrospinal fluid (CSF) S-100b protein levels after a severe head injury. The changes in CSF concentrations were investigated as indicators of brain damage for patients suffering from injuries.The sample included 48 with Glasgow Coma Scale scores 8 or below who had been admitted the authors' emergency service soon their injury occurred. Both blood samples taken within 1 11 hours admission, then 24, 48, 72 Samples using ventricular catheter. outcome was...

We investigated Glasgow Coma Scale (GCS) scores, intracranial pressure (ICP) and cerebral perfusion (CPP) changes, long-term clinical outcomes in patients with severe traumatic brain injury (STBI) associated bilateral non-reactive dilated pupils (BNDP) who underwent decompressive surgery (DS).The study group consisted of 28 (11 females, 17 males) BNDP from among 147 DS due to STBI our department.The mean GCS score was 4.96±1.20 at admission 4 preoperatively. Mean ICP non-surviving after...

This study aimed to identify caregiver burden (CB) and contributing factors CB for Parkinson's disease (PD) patients under Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) treatment, investigation the factors, affecting caregivers' quality of life (QoL).Twenty-four PD STN-DBS treatment their caregivers participated in this study. Unified Disease Rating Scale (UPDRS) was applied clinical assessment patients. Beck Depression Inventory-II (BDI), Hospital Anxiety (HADS), Minnesota Impulse...

Purpose We aimed to assess the long-term neurological outcomes and functionality QoL in patients undergoing decompressive craniectomy for severe traumatic brain injury, respectively.

Spasticity is associated with various neurological conditions. Intrathecal baclofen (ITB) one of the popular treatments for severe spasticity. In this paper we present our experience in treating 30 patients both spinal and supraspinal spasticity chronic infusion Baclofen to evaluate long term efficacy treatment on spasticity, disability pain, side effects intrathecal Baclofen.The medical records who underwent pump placement from 2000 2010 under Department Neurosurgery at University Akdeniz...

We report a patient with clinical and cytogenetic findings consistent DiGeorge-velocardiofacial syndrome aplasia of the left lung. To best our knowledge, this is first reported case associated unilateral lung aplasia. Gadolinium enhanced three-dimensional magnetic resonance angiography demonstrated right-sided aortic arch pulmonary artery agenesis.

A rare case of bilateral cerebellopontine angle (CPA) arachnoid cysts (ACs), accompanied by cerebellar tonsillar displacement toward the foramen magnum, is presented.A 45-year-old woman presented with progressive dysphagia, vertigo, and truncal ataxia. Magnetic resonance imaging revealed CPA ACs displacement.The right AC was excised via a suboccipital approach. Decompression magnum duraplasty were also performed.The reported here first ACs. excision cyst resulted in complete relief symptoms.

The aim of this study was to investigate the effects environmental light-dark changes on outcome mild traumatic brain injury (MTBI) using an experimental rodent model. functions endogenous and exogenous melatonin were also investigatedMild experimentally induced in 56 male Sprague-Dawley rats a weight-drop device. Animals divided into four groups 14 each as follows: (i) sham-operated (trauma only, normal day-night cycle), (ii) treated with (trauma+melatonin, (iii) darkness-induced (trauma+48...

Abstract: The incidence of Kaposi's sarcoma (KS) has increased in solid organ transplantation recipients. This type KS tends to be aggressive, involving lymph nodes, mucosa and visceral organs about half patients, sometimes the absence skin lesions. Brain involvement rarely been reported. A 16‐yr‐old Turkish boy underwent renal from his mother. immunosuppressive regimen included prednisolone, cyclosporin azathioprine. Fourteen months later azathioprine was changed cyclophosphamide (3...

To review both the surgical-related, and hardware-related adverse effects of deep brain stimulation (DBS) in a single center over last five years.All patients who underwent DBS electrode implantation at Akdeniz University Hospital during years participated this study. Demographic information (sex, age, diagnosis, duration between diagnosis surgery, comorbid disease) date surgery were collected from an electronic medical database. The classified into two: surgery-related effects, which...

Aim: To evaluate the effect of subthalamic nucleus deep brain stimulation (STN-DBS) on non-motor symptoms (NMS), sleep quality, and excessive daytime sleepiness in patients with Parkinson’s Disease (PD). Method: Sixteen PD patients, who had undergone bilateral STN-DBS surgery were enrolled. The assessed at baseline 12 months after using Unified Parkinson's Rating Scale (UPDRS), Questionnaire (PDQ-39), Beck Depression Inventory-II (BDI), Hospital Anxiety (HADS), Pittsburgh Sleep Quality Index...

To the Editor: I read with great interest article written by Münch et al. (2). found it instructive in its methodology and context of morphometric measurement. However, have reservations on some points, especially regard to patient selection. The authors state that initial Glasgow Coma Scale (GCS) scores 26 patients were 8 or above, decompression was performed most these patients. It is well known decompressive craniectomy a final step treatment should be applied when intracranial pressure...

It is aimed to report the effects of bilateral subthalamic nucleus deep brain stimulation (STN-DBS) on motor symptoms, neuropsychiatric and quality life in Parkinson's Disease (PD) patients.The results 22 patients with PD, who had undergone STN-DBS, were analyzed. The Unified Rating Scale (UPDRS) was applied assess patients' clinical characteristics before surgery 6-, 12-month follow-up after surgery. evaluated Questionnaire (PDQ-39). Neuropsychological tests including Minnesota Impulse...

on Intensive Care and Emergency Medicine seal is maintained by gentle pressure the TT keeping cuff pressing vocal cords.During percutaneous tracheostomy bougie remains in trachea.When ventilation through tube (cuff inflated) confirmed, are withdrawn.Throughout procedure, if difficulties occur, can be easily re-inserted using as a guide.Results Three different bougies were used: types (number used) Eschmann (29), size 10 Portex disposable (four) 12 (13).Three patients trauma cases: neutral...