BACKGROUND: Acute subdural hematoma (ASDH) is a critical and often fatal condition, particularly in elderly patients receiving anticoagulant therapy.With growing global aging population, the incidence of traumatic brain injuries, including ASDH, projected to rise, presenting significant challenges clinical management.This study evaluates outcomes surgically treated ASDH aged 65 years older, comparing those who received therapy with did not.It also aims identify main risk factors for poor...

Giant intracranial meningiomas are a challenge for neurosurgeons because of their size and location in the cranium. Difficult tumor dissection encasement important neurovascular structures make them horrible nightmare. The aims this study to present our giant meningioma series compare experience using advanced surgical technology with current literature.The data patients diagnosis between 2014 2020 who underwent treatment were retrospectively reviewed. demographic, radiological,...

The objective of this study is to the anatomy lumbar plexus on human fetuses and establish its morphometric characteristics differences compared with adults. Twenty 10 fetal cadavers in different gestational ages genders were dissected. Lumbar spinal nerves, ganglions, peripheral nerves exposed. Normal anatomical structure variations investigated analyses performed. diameters increased from L1 L4. thickest nerve forming was femoral nerve, thinnest ilioinguinal longest through posterior...

Spontaneous spinal epidural hematoma (SSEH) is a rare condition requiring urgent diagnosis and treatment.Patients with SSEH typically present acute onset of severe back pain rapidly develop signs compression the cord.The authors case spontaneous resolution which extremely rare.We discuss man who presented to our clinic mild paraparesis at seventh day his symptoms.He had history poorly controlled hypertension hypercholestrolemia an antihyperlipidemic agent anticoagulation.His upper level...

Abstract BACKGROUND Deep-seated intracranial lesions are challenging to resect completely and safely. Fluorescence-guided surgery (FGS) promotes the resection of malignant brain tumors (MBTs). Classically, FGS is performed using microscope equipped with a special filter. neuroendoscopic deep-seated has not been reported yet. OBJECTIVE To evaluate feasibility, safety, effectiveness fluorescence-guided in MBTs. METHODS A total 18 patients high-grade glioma (HGG) metastatic tumor (MT) underwent...

BACKGROUND: External ventricular drainage (EVD) is a life-saving and emergent procedure in neurosurgery.However, infection the main problem patients with EVD.The present study aims to analyze rate of EVD investigate factors that contribute mortality rates. METHODS:The data who underwent between 2018 2019 were retrospectively analyzed this study.The demographic features recorded.The correlation age, gender, indication duration EVD, investigated. RESULTS:In study, 47 two years.Thirty (63.83%)...

Tethered cord syndrome (TCS) is a clinical condition presented with neurological and/or urological signs and findings. Increased hypoxic stress in the spinal secondary to traction or stretching pathophysiological mechanism of TCS. It usually observed childhood but adult cases were also reported. Its diagnosis treatment are always challenging. Magnetic resonance imaging, electrophysiological urodynamic studies main diagnostic tools for This may be primary previous surgeries such as...

BACKGROUND:We aim to present our series on pediatric head traumas and discuss results with the current literature. METHODS:The data of children who underwent treatment for trauma in department between 2010 2019 were retrospectively reviewed.Their clinical condition at admission, radiological findings, methods outcomes analyzed.RESULTS: Ninety trauma, 60 them male 30 female.The mean age was 6.6 years.Linear skull fracture seen 55 patients, while epidural hematoma 15 patients.Twenty patients...

Aims:To present our spinal intradural tumor series and to evaluate the reliability of electrophysiological assessment in patients treated for these tumors. Methods:We retrospectively evaluated data between 2010 2019.The demographic, surgical histological features were compared with their pre-and postoperative data.Somatosensory evoked potentials (SEP) used as test.Results: A total 69 was evaluated.Thirty-one them had extramedullary 38 intramedullary tumor.The mean age 48.3 years 26.3...

The aim of this study was to retrospectively evaluate patients who underwent surgery in our department for radial nerve lesions terms surgical outcomes.Thirty-eight were admitted with lesion. Twenty-seven the had entrapment neuropathy and 11 injury secondary other traumas. Various factors such as results, time intervention, mechanism, reconstruction technique analyzed.In all 27 operated neuropathy, a complete improvement wrist dorsal flexion detected at postoperative 3rd month. Seven lesion...

Aims:Split cord malformations (SCM) are congenital anomalies of the spine.The spinal is divided into two hemicords in vertical plane.With foot and spine deformities, skin lesions on midline, even at level lesion, back main signs SCM.It types as Type I (Diastometamyelia) 2 (Diplomyelia).We retrospectively reviewed our cases with SCM presented results.Methods:In department, 27 2012-2018 were surgically treated.Of these, 23 I, 4 II.In type SCM, bone septum was removed, assembled a single dura,...

Aim One challenge of malignant intracranial tumor (ICT) management is chemoresistance. Glutathione S-transferase (GST) and cytochrome p450 (CYP) are featured medicine degradation agents. MDR1, an outflow carrier, reduces drug accumulation into the multidrug-resistant cells. Our study aims to analyze GSTP, GSTM, CYP1A1, CYP1B1, MDR1 expressions in ICTs elicit their role on patient survival. Material methods were analyzed using immunostaining 149 samples from 141 patients with preoperative ICT...

Primary spinal glioblastoma is a very rare disease of cord with high morbidity and mortality.In this study, we presented two patients surgically treated for primary glioblastoma.The first case was 21-year-old male who has lesion at T9-T10 level in Magnetic resonance imaging (MRI) which subtotal resection performed.The second 22-year-old patient the canal between C3 andT1 MRI.The resected subtotally.The pathological diagnosis reported as both cases.Primary disease.Because its clinically...

Background and objectives: The pathophysiology of tethered cord syndrome (TCS) in children is not well elucidated. An inelastic filum terminale (FT) the main factor underlying stretching spinal TCS. Our study aimed to investigate expression glutathione-S-transferase (GST) fetal FT samples order understand relationship between this enzyme development Materials Methods: were obtained from ten with TCS (Group 1) histological immunohistochemical examinations performed. For comparison, fifteen...

Aims: Intracerebral hemorrhages (ICH) are usually seen in patients with stroke.In this pathology; ICH volume, location of the hemorrhage and expanding into ventricular system main factors affecting mortality respectively.Increase volume often results neurological deterioration.Our aim is to determine prognostic who underwent surgical treatment for ICH. Methods:We retrospectively evaluated 52 operated our department due which occurred spontaneously or were caused by other etiological between...

Objective: Although gunshot injuries to the spine and spinal cord are usually not fatal, but these associated with significant morbidities.The management of wounds (SGW) is controversial.Some surgeons prefer early surgery, while others recommend late if necessary.The aim this study was analyse results patients who underwent treatment for SGW discuss current literature.Materials Methods: A retrospective treated at a single institution conducted.The included total 32 over 10-year...

Intraoperative electrophysiological studies are increasingly used in spinal surgery. However, its use myelomeningocele (MMC) surgery is still not widespread. The aim of this study was to present our experience neural placode (NP) and nerve root stimulations newborns with open MMC.Eight underwent surgical treatment for thoracolumbar lumbosacral MMCs. neuromonitoring including free-running electromyography stimulation NP, roots, cord were performed all cases. Stimulation sites intensities...