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Isolated C5 Vertebrae Dislocation with Trauma: An Extremely Rare Case of Isolated C5 Dislocation

Ozdogan, Selcuk | Kaya, Mustafa | Demirel, Nail | Duzkalir, Ali Haluk | Yaltirik, Cumhur Kaan

Article | 2017 | AMERICAN JOURNAL OF CASE REPORTS18 , pp.1256 - 1260

Objective: Rare disease Background: Total spondylolisthesis, or dislocation of 1 cervical vertebrae, is only caused by high-energy trauma and is usually fatal. Cervical spine fractures and dislocations often cause 3-column structural damage to the cervical spine, injury to the spinal cord, and precipitating alignment of the cervical vertebrae, as well as cervical instability, which are detrimental, show poor prognosis, and are associated with high rates of mortality rate and disability. Case Report: We report an extremely rare case of isolated C5 dislocation caused by falling out of a tree, with sudden tetraplegia. Conclusions: Tota . . .l spondylolisthesis or dislocation of 1 cervical vertebrae can be surgically treated with anterior approach because it is possible to completely remove the vertebra body, intervertebral disc, and bone fragments, to directly decompress the spinal cord with stabilization Daha fazlası Daha az

Encephalocraniocutaneous Lipomatosis: Haberland Syndrome

Ozdogan, Selcuk | Sayman, Ceyhun | Yaltirik, Cumhur Kaan | Duzkalir, Hanife Gulden | Kaya, Mustafa | Demirel, Nail | Duzkalir, Ali Haluk

Article | 2017 | AMERICAN JOURNAL OF CASE REPORTS18 , pp.1271 - 1275

Patient: Male, 11 Final Diagnosis: Haberland syndrome Symptoms: Seizure Medication: - Clinical Procedure: Medical treatment Specialty: Neurosurgery Objective: Rare disease Background: Encephalocraniocutaneous lipomatosis (ECCL) was first announced as a new type of ectomesodermal dysgenesis in 1970 by Haberland and Perou. ECCL was first described in 1970, and approximately 60 cases have been reported since then. The classic triad of ECCL are skin, ocular, and central nervous system involvement, including conditions such as unilateral porencephalic cyst, ipsilateral lipomatous hamartoma of the scalp-eyelids-eye globe, cortical atrophy . . ., cranial asymmetry, developmental delay, seizures, mental retardation, and spasticity of the contralateral limbs. The dermatological hallmark is a hairless fatty tissue nevus of the scalp called nevus psiloliparus. Case Report: An 11-year-old right-handed boy, born at full term, was referred to our clinic. His family had no consanguinity or history of neurocutaneous disease. The patient's physical examination revealed a large hairless lesion on the right frontoparietal scalp called nevus psiloliparus. Beginning from the birth, a dermolipoma (an uncommon benign tumor) was reported to have occurred on the conjunctiva, mostly ipsilateral in his right eye and present on the ipsilateral side of the neurological abnormalities shown on magnetic resonance imaging and computed tomography. The patient had muscle weakness in left upper and lower extremities. He had a mild form of mental retardation. Conclusions: There is no specific treatment for ECCL. Management of ECCL is usually symptomatic. Surgical correction of a cutaneous lesion can be performed for cosmetic improvement. An early diagnosis of ECCL allows for early symptom treatment and improved patient quality of life Daha fazlası Daha az

Spinal Tuberculosis Mimicking Failed Back Surgery

Ozdogan, Selcuk | Yaltirik, Cumhur Kaan | Duzkalir, Ali Haluk | Demirel, Nail | Kaya, Mustafa | Atalay, Basar

Article | 2018 | AMERICAN JOURNAL OF CASE REPORTS19 , pp.249 - 253

Objective: Challenging differential diagnosis Background: The aim of this study was to draw attention to rare spinal infections in recurrent failed spinal surgeries. Case Report: A 59-year-old female was admitted to the hospital for back pain, which was assessed as a 9 on the visual analogue scale (VAS); the patient reported tiredness and night sweats. She had an operation for L3-4 far lateral disc herniation four years ago. Then another operation for L4-5 disc herniation six months ago and immediately three months later she has an operation with L3-4-5 fixation again. She had hypothyroidism, diabetes mellitus, and hypertension. Her . . . daughter was cured of pulmonary tuberculosis 20 years ago. We performed an operation by L4-5 discectomy; all granulation formation with inflammatory processes were debrided and irrigated with antibiotics at levels of L3-5. The old fixation was controlled and replaced. Her back pain improved immediately after surgery; she had a score of 2 on the VAS. Two days after her surgery, our Infection Disease Department reported acid resistant bacillus (ARB+) in samples and began anti-tuberculosis medication. Conclusions: Spinal infections should always be taken into consideration in recurrent failed back surgeries Daha fazlası Daha az

Tumor Necrosis Factor-Alpha (TNF-alpha-308G > A) Polymorphism in High-grade Gliomas

Ozdogan, Selcuk | Yaltirik, Cumhur Kaan | Yilmaz, Seda Gulec | Kaya, Mustafa | Duzkalir, Ali Haluk | Demirel, Nail | Kafadar, Ali

Article | 2018 | IN VIVO32 ( 2 ) , pp.287 - 289

Background/Aim: High-grade gliomas (HGG) consist of anaplastic oligoastrocytomas, anaplastic oligo-dendrogliomas, anaplastic astrocytomas and glioblastoma multiforme. The present study aimed to evaluate TNF-alpha -308 G>A polymorphism in a Turkish population. Patients and Methods: This was a prospective case-control study that included 45 patients with HGG and 49 healthy individuals. All patients were operated for intracranial tumors and the pathology results consist of high grade (Grade3 and 4) glial tumors. Results: No significant differences were found between the HGG and control groups in terms of the median age (p=0.898). There . . . were no significant differences with regard to gender (p=0.577). The TNF genotype frequency comparison between patients and controls was not statistically significant (p=0.598). Conclusion: TNF genotype frequency comparison between the patients and controls was not statistically significant in the Turkish population tested. However, further studies are needed to evaluate the genotype and phenotype correlations in large cohorts of various ethnicities Daha fazlası Daha az

Clinical Results of Median Corpectomy in Cervical Spondylotic Patients with Myelopathy

Istemen, Ismail | Ozdogan, Selcuk | Duzkalir, Ali Haluk | Senturk, Salim | Yildirim, Timur | Okutan, Mehmet Ozerk

Article | 2016 | TURKISH NEUROSURGERY26 ( 1 ) , pp.90 - 96

AIM: To determine the factors in choosing the right surgical technique for patients with cervical spondylotic myelopathy. MATERIAL and METHODS: 60 patients were operated with anterior median corpectomy and anterior fusion for cervical myelopathy in Ankara Ataturk Education and Research Hospital between the years 2006-2011. All data were obtained from patient files retrospectively. Patients were evaluated in the preoperative and early postoperative stages and 45 days after discharge by referring to their neurological examinations, Japanese Orthopaedic Association (JOA) and Nurick scores and radiological findings. RESULTS: The average . . . age of the patients was 53.8 +/- 9.9 years (38-78) and 45 were male (75%) and 15 were female (25%). Diabetics made up 16.7% (n=10) of the group and nondiabetics 83.3% (n=50). Of the nondiabetic patients, the Nurick score on the first month after surgery was statistically lower than the preoperative and after 24 hours Nurick score ( Daha fazlası Daha az

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