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Decompressive craniectomy for acute subdural haematoma: An overview of current prognostic factors and a discussion about some novel prognostic parametres

Kalayci, Murat | Aktunc, Erol | Gul, Sanser | Hanci, Volkan | Edebali, Nurullah | Cagavi, Ferda | Acikgoz, Bektas

Article | 2013 | JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION63 ( 1 ) , pp.38 - 49

Objective: To identify specific factors that can be used to predict functional outcome and to assess the value of decompressive craniectomy in patients with acute subdural haematoma. Methods: The retrospective study was done at the Zonguldak Karaelwas University Practice and Research Hospital, Turkey, and included 34 trauma patients who had undergone decompressive craniectomy for acute subdural haematoma from 2001 to 2009. At the 30th day of the operation, the patients were grouped as survivors and non-survivors. Besides, based on their Glasgow Outcome Scale, which was calculated 6 months post-operatively, the patients were divided . . .into two functional groups: favourable outcomes (4-5 on the scale), and unfavourable outcomes (1-3 on the scale). The characteristics of the groups were compared using SPSS 15 for statistical analysis. Results: One-month mortality was 38.2% (n=13) and 6-month total mortality reached 47% (n=16). Patients with higher pre-operative revised trauma score, Glasgow coma scale, partial anterial pressure of carbon dioxide, arterial oxygen pressure, Charlson co-morbidity index score, blood glucose level, blood urea nitrogen, and lower age had a higher rate of survival and consequently a favourable outcome. Higher platelet values were only found to be a determinant of higher survival at the end of the first month without having any significant effect on the favourable outcome. Conclusion: In patients of traumatic acute subdural haematoma whose Glasgow coma scale on arrival was Daha fazlası Daha az

Determination of the appropriate catheter length and place for needle thoracostomy by using computed tomography scans of pneumothorax patients

Akoglu, Haldun | Akoglu, Ebru Unal | Evman, Serdar | Akoglu, Tayfun | Denizbasi Altinok, Arzu | Guneysel, Ozlem | Onur, Ozge Ecmel

Article | 2013 | INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED44 ( 9 ) , pp.1177 - 1182

Introduction: The primary goal of this study was to compare the chest wall thicknesses (CWT) at the 2nd intercostal space (ICS) at the mid-clavicular line (MCL) and 5th ICS at the mid-axillary line (MAL) in a population of patients with a CT confirmed pneumothorax (PTX). This result will help physicians to determine the optimum needle thoracostomy (NT) puncture site in patients with a PTX. Materials and methods: All trauma patients who presented consecutively to A&E over a 12-month period were included. Among all the trauma patients with a chest CT (4204 patients), 160 were included in the final analysis. CWTs were measured at both . . .sides and were compared in all subgroup of patients. Results: The average CWT for men on the 2nd ICS-MCL was 38 mm and for women was 52 mm; on the other hand, on the 5th ICS-MAL was 33 mm for men and 38 mm for women. On the 2nd ICS-MCL 17% of men and 48% of women; on the 5th ICS-MAL 13% of men and 33% of women would be inaccessible with a routine 5-cm catheter. Patients with trauma, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 2nd ICS-MCL. Patients with trauma, lung contusion, sternum fracture, subcutaneous emphysema and multiple rib fractures would have thicker CWT on the 5th ICS-MAL. Conclusions: This study confirms that a 5.0-cm catheter would be unlikely to access the pleural space in at least 1/3 of female and 1/10 of male Turkish trauma patients, regardless of the puncture site. If NT is needed, the 5th ICS-MAL is a better option for a puncture site with thinner CWT. (C) 2012 Elsevier Ltd. All rights reserved Daha fazlası Daha az

Cerebellar infarction in childhood: Delayed-onset complication of mild head trauma

Oz I.I. | Bozay Oz E. | Şerifoğlu I. | Kaya N. | Erdem O.

Article | 2016 | Iranian Journal of Child Neurology10 ( 3 ) , pp.82 - 85

Objective Cerebellar ischemic infarction is a rare complication of minor head trauma. Vertebral artery dissection, vasospasm or systemic hypo perfusion can cause infarct. However, underlying causes of the ischemic infarct cannot be explained in nearly half of cases. The accurate diagnosis is essential to ensure appropriate treatment. Here we report a five yr old boy patient of cerebellar infraction after minor head trauma, admitted to emergency serves of Bulent Ecevit University, Turkey in 2013. We aimed to remind minor head trauma that causes cerebellar infarction during childhood, and to review the important points of the diagnosi . . .s, which should be keep in mind. © 2016, Iranian Child Neurology Society. All rights reserved Daha fazlası Daha az

Conservative approach to isolated cricoid cartilage fracture [İzole krikoid kartilaj kırıgına konservatif yaklaşım]

Çinar F. | Evren C. | Ugur M.B. | Çorakçi S. | Erdem C.Z.

Article | 2012 | Ulusal Travma ve Acil Cerrahi Dergisi18 ( 6 ) , pp.539 - 541

Isolated cricoid fracture is encountered rarely during the clinical follow-up. A 71-year-old female patient was referred to emergency service with complaints of fall from height, and urgent tracheotomy was performed due to dyspnea. During the examination, isolated fractures of the cricoid cartilage were identified. With the conservative approach, the patient remained symptom-free and was discharged after decannulation.

Neuroprotective effects of Ganoderma lucidum polysaccharides against traumatic spinal cord injury in rats

Gokce E.C. | Kahveci R. | Atanur O.M. | Gürer B. | Aksoy N. | Gokce A. | Sargon M.F.

Article | 2015 | Injury46 ( 11 ) , pp.2146 - 2155

Introduction Ganoderma lucidum (G. lucidum) is a mushroom belonging to the polyporaceae family of Basidiomycota and has widely been used as a traditional medicine for thousands of years. G. lucidum has never been studied in traumatic spinal cord injury. The aim of this study is to investigate whether G. lucidum polysaccharides (GLPS) can protect the spinal cord after experimental spinal cord injury. Materials and methods Rats were randomized into five groups of eight animals each: control, sham, trauma, GLPS, and methylprednisolone. In the control group, no surgical intervention was performed. In the sham group, only a laminectomy w . . .as performed. In all the other groups, the spinal cord trauma model was created by the occlusion of the spinal cord with an aneurysm clip. In the spinal cord tissue, caspase-3 activity, tumour necrosis factor-alpha levels, myeloperoxidase activity, malondialdehyde levels, nitric oxide levels, and superoxide dismutase levels were analysed. Histopathological and ultrastructural evaluations were also performed. Neurological evaluation was performed using the Basso, Beattie, and Bresnahan locomotor scale and the inclined-plane test. Results After traumatic spinal cord injury, increases in caspase-3 activity, tumour necrosis factor-alpha levels, myeloperoxidase activity, malondialdehyde levels, and nitric oxide levels were detected. After the administration of GLPS, decreases were observed in tissue caspase-3 activity, tumour necrosis factor-alpha levels, myeloperoxidase activity, malondialdehyde levels, and nitric oxide levels. Furthermore, GLPS treatment showed improved results in histopathological scores, ultrastructural scores, and functional tests. Conclusions Biochemical, histopathological, and ultrastructural analyses and functional tests reveal that GLPS exhibits meaningful neuroprotective effects against spinal cord injury. © 2015 Elsevier Ltd. All rights reserved Daha fazlası Daha az

Clinical diagnosis of chorioretinitis sclopetaria in a patient presenting without a history of trauma

Koban Y. | Ayar O. | Koç M. | Karayol S.

Article | 2019 | Gazi Medical Journal30 ( 1 ) , pp.65 - 67

Chorioretinitis sclopetaria is a rare and unique manifestation of ocular trauma caused by high-velocity objects that pass adjacent to, but do not penetrate the globe. In these patients, anamnesis is very helpful for diagnosis and it is not expected that a patient could completely forget the trauma as these traumas are generally severe. Diagnosis can be difficult in the case of patients who do not state trauma in anamnesis as in our case. It is crucial to recognize the pathognomonic fundus findings in this rarely seen condition because these findings are invaluable in the absence of history of trauma. In this case report, we describe . . . a case of chorioretinitis sclopetaria who was injured with a ball-bearing (BB) gun in childhood and did not realize. © Copyright 2019 by Gazi University Medical Faculty Daha fazlası Daha az

Effect of nitric oxide synthase inhibitors in acute lung injury due to blunt lung trauma in rats [Siçanlarda künt akciğer travmasina bağli akut akciğer hasarinda nitrik oksit sentaz inhibitörlerinin etkisi]

Akgül A.G. | Şahin D. | Temel U. | Eliçora A. | Dillioğlugil M. | Kir H.M. | Özsoy Ö.D.

Article | 2019 | Turkish Journal of Thoracic and Cardiovascular Surgery27 ( 1 ) , pp.63 - 72

Background: This study aims to investigate the effects of blunt lung trauma performed in experimental rat model on lung tissue and blood as well as proinflammatory cytokines, oxidant-antioxidant enzymes and histopathological parameters after Ngamma-nitro-L-arginine methyl ester and N-iminoethyl-L-ornithine administration. Methods: The study included 50 adult male Wistar albino rats (weighing 350 to 400 g). Rats were randomly allocated into four groups. Except in the control, moderate-level pulmonary contusion was created in all other groups. Intraperitoneal saline solution was performed in groups 1 and 2, 25 Ngamma-nitro-L-a . . .rginine methyl ester in group 3, and 20 N-iminoethyl-L-ornithine in group 4. Blood and lung tissues were studied biochemically and histopathologically. Results: Best outcomes were recorded statistically significantly in groups with administration of Ngamma-nitro-L-arginine methyl ester and N-iminoethyl-L-ornithine when malondialdehyde response, mucous and histopathological values were examined. Significant improvement was detected in superoxide dismutase values in the group with administration of competitive nitric oxide synthase inhibitor Ngamma-nitro-L-arginine methyl ester. Nitric oxide values were substantially decreased in N-iminoethyl-L-ornithine group, while no significance was detected. Conclusion: Free oxygen radicals and lipid peroxidation played a role in pulmonary contusion after blunt lung trauma. According to biochemical and histopathological outcomes, effects of inflammation were decreased and protective effects were formed with administration of both Ngammanitro- L-arginine methyl ester and N-iminoethyl-L-ornithine. © 2019 Turkish Society of Cardiovascular Surgery.Amaç: Bu çalişmada deneysel siçan modeli üzerinde uygulanan künt akciğer travmasinin akciğer dokusu ve kandaki etkileri ile Ngammanitro- L-arginin metil ester ve N-iminoetil-L-ornitin uygulamasini takiben proenflamatuvar sitokinler, oksidan-antioksidan enzimler ve histopatolojik parametreler araştirildi. çalişma plani: çalişmaya 50 erişkin erkek Wistar albino siçan (ağirlik 350-400 g) dahil edildi. Siçanlar rastgele dört gruba ayrildi. Kontrol dişindaki diğer tüm gruplarda orta şiddette pulmoner kontüzyon oluşturuldu. Grup 1 ve 2'ye intraperitoneal salin solüsyonu, grup 3'e 25 Ngamma-nitro-L-arginin metil ester, grup 4'e 20 N-iminoetil-L-ornitin uygulandi. Kan ve akciğer dokulari biyokimyasal ve histopatolojik açidan incelendi. Bulgular: Malondialdehit yaniti, müköz ve histopatolojik değerler incelendiğinde, en iyi sonuçlar istatistiksel olarak anlamli şekilde Ngamma-nitro-L-arginin metil ester ve N-iminoetil-L-ornitin uygulanan gruplarda kaydedildi. Yarişmali nitrik oksit sentaz inhibitorü Ngamma-nitro-L-arginin metil ester uygulanan grupta süperoksit dismutaz değerlerinde anlamli iyileşme saptandi. Nitrik oksit değerleri N-iminoetil-L-ornitin grubunda oldukça düşük idi ancak anlamlilik saptanmadi. Sonuç: Künt akciğer travmasi sonrasi pulmoner kontüzyonda serbest oksijen radikalleri ve lipid peroksidasyon rol oynadi. Biyokimyasal ve histopatolojik sonuçlara göre, enflamasyon etkileri hem Ngamma-nitro- L-arginin metil ester hem N-iminoetil-L-ornitin uygulamasi ile azaldi ve koruyucu etkiler oluştu. © 2019 Turkish Society of Cardiovascular Surgery Daha fazlası Daha az

Is cystatin C a reliable renal marker in trauma? [5]

Can M. | Demirtaş S. | Polat O. | Yildiz A.

Letter | 2006 | Clinical Chemistry and Laboratory Medicine44 ( 4 ) , pp.510 - 511

[No abstract available]

Radial Nerve Neuropathies: A Retrospective Study

Demiryurek, Bekir Enes | Emre, Ufuk | Demirel, Esra Aciman | Tascilar, F. Nida | Atasoy, H. Tugrul | Ortancil, Ozgur | Korucu, Osman

Article | 2015 | ISTANBUL MEDICAL JOURNAL16 ( 3 ) , pp.116 - 118

Objective: Radial nerve neuropathy is a rare neuropathy between upper extremity entrapment neuropathies developed because of various etiological factors. This study aimed to retrospectively evaluate patients referred to our EMG laboratory with a diagnosis of radial nerve neuropathy. Methods: In the study, the files of 41 patients who referred to our electromyography (EMG) laboratory with the radial nerve lesion diagnosis between 2004 and 2013 were retrospectively investigated. Results: Forty-one patients were included in this study. Of the patients, 36 were male (87.8%), five were female (12.2%), and the mean age was 42.36 +/- 15.21 . . .. Of the patients, 39% were referred by Orthopedics, 34.1% by Neurology, 24.4% by Physical Therapy and Rehabilitation, and 2.4% by Plastic and Reconstructive Surgery departments to our laboratory. Studying the relationship between the shape of nerve injury for etiological reasons shows that the humerus and radius fractures occur most frequently after falling. Conclusion: Therefore, the variety of etiological factors leading to the radial nerve lesions is remarkable. The higher incidence in male patients may be associated with more common factors such as trauma and work accidents in this gender. The electrophysiological examinations can provide valuable contributions to the diagnosis and follow-up of radial nerve neuropathy. On examining the EMG results of patients, the findings consistent with axonal lesion of radial nerve in the spiral grove after the triceps muscle were the most common (34.1%). The average recovery time of the patients could not be recorded because of the referred patients from other centers and the lack of control visits of the patients. It was found that five of the 10 patients contacted by phone had complete recovery, and there was no recovery in the other five patients Daha fazlası Daha az

Imaging findings of splenic emergencies: a pictorial review

Unal, Emre | Onur, Mehmet R. | Akpinar, Erhan | Ahmadov, Javid | Karcaaltincaba, Musturay | Ozmen, Mustafa N. | Akata, Deniz

Review | 2016 | INSIGHTS INTO IMAGING7 ( 2 ) , pp.215 - 222

Reduction of isolated zygomatic arch fractures using dental instrument: Report of 2 cases and review of the literature

Korkmaz Y.T. | Coskun U. | Durmuslar M.C. | Zor Z.F. | Hocaoglu T.P. | Altintas N.Y.

Article | 2016 | Journal of the Pakistan Medical Association66 ( 3 ) , pp.345 - 347

To assess the effectiveness of a dental instrument for reduction of isolated zygomatic arch fractures. Two patients were admitted to our clinic representing isolated unilateral zygomatic arch fracture. The common presenting complaints were pain, swelling and difficulty in mouth opening. Fractures were confirmed with plain radiography and computerized tomography. The fractures were reduced with upper buccal sulcus approach by dental instrument. Patients achieved satisfactory maximum mouth opening within 10 days. At follow up after 6 months, there was complete healing without any complication. This procedure is cost effective, time sa . . .ving, safe and effective to manage isolated zygomatic arch fractures under local anaesthesia with satisfactory outcomes. © 2016, University of Economics - Prague. All Reserved Daha fazlası Daha az

Median nerve injury due to high-pressure water jet injection: A case report and review of literature

Unal A. | Emre U.

Article | 2009 | European Journal of Trauma and Emergency Surgery35 ( 4 ) , pp.411 - 413

High-pressure injuries that occur accidentally are potentially destructive injuries that often affect the nondominant hands of young men. A variety of products such as paint, gasoline, grease, fuel oil, cement, thinner and solvents have been reported as destructive agents. High-pressure water jet injection injuries to soft tissues have rarely been reported. In this study, we present the first case of median nerve injury due to high-pressure water jet injection by a water spray gun. © 2009 Urban & Vogel.

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