Murteza Cakir

Nöroşirurji, beyin ve sinir sistemi hastalıklarının tedavisinde kritik önem arz eden ve hayati değere sahip cerrahi işlemleri barındıran bir alandır. Bu cerrahi işlemler, beyin, omurilik, sinirler ve kafa ve boyun bölgesindeki diğer yapılar gibi karmaşık ve hassas bir anatomiyi içermektedir. Nöroşirurji, bu anatomik bölgeye yönelik çeşitli tedavi yöntemleri kullanarak hastalıkları, yaralanmaları ve anormallikleri tedavi etmek için planlanmaktadır. Bu tedavi süreci bireysel faktörlere bağlı farklılık göstermekle beraber zorlu bir iyileşme prosedürünü kapsamaktadır. Bu çalışma, nöroşirurji sonrası bireylerin karşı karşıya kaldığı durumlar neticesinde ağrı, anksiyete ve uyku durumlarına yönelik değerlendirme yapılması amacıyla ele alınmıştır. Nöroşirurji cerrahisi önem arz eden bir girişim olduğundan bireyler de bu süreçte kaygıyla beraber birçok olumsuz deneyim yaşamaktadırlar. Bu olumsuz deneyimler, cerrahi girişim sonrası gözlenen ağrı, anksiyete ve uyku bozuklukları olarak ele alınabilmektedir. Nöroşirurji sonrası ağrı, bireyler tarafından sıklıkla yaşanmaktadır. Bireyler açısından ağrı ve rahatsızlık duygusu, uykusuzluğun önemli nedenleri arasında yer almaktadır. Ağrının ve anksiyetenin sonucunda uyku bozuklukları ele alınmaktadır. Nöroşirurji cerrahisi sonrası bireyler anksiyete deneyimlemektedirler. Primer neden olarak yabancı bir ortamda bulunulması ve ciddi bir tedavi sürecinin beraberinde getirdiği zorlu serüven gösterilebilir. Ağrısı bulunan bireyin iyileşme sürecinde gecikmeler olacağı gibi bunun beraberinde gelen uykusuzluk durumunu takiben yorgunluk, bezginlik, dikkat dağınıklığı, mantık dışı hareketler, ağrıya karşı aşırı duyarlılık ve günlük yaşam aktivitelerinde aksamalar gözlenmektedir. Bu çalışmada ağrı, anksiyete ve uyku durumunun geniş bir yelpazede incelenmesi amaçlanmıştır.

Spinal injuries represent a significant public health issue with both individual and societal implications due to its potential to result in long-term or permanent disability and death. Today, notwithstanding the comprehensive elucidation of the mechanism of injury in its all aspects and breakthroughs in early diagnosis techniques and treatment, spinal injuries still retain their devastating nature. Although many agents hypothesized to possess neuroprotective and neuroregenerative properties have been demonstrated to be effective in the experiments, research involving human subjects is still in progress, offering promising developments. Methylprednisolone at a high dose is the most extensively investigated therapeutic for acute spinal injuries. Despite significant controversy, it remains a viable treatment option. It is anticipated that combining stem cell transplantation with multiple pharmacological agents will yield more favorable outcomes.

This case report details the unfortunate journey of a 59-year-old breast cancer survivor who developed secondary Retroperitoneal Fibrosis (RPF) in 2022. Despite diligent treatment efforts, her condition took a devastating turn when, in June 2023, she was diagnosed not only with persistent RPF but also with advanced liver, omental, and duodenal cancer. Tragically, her condition deteriorated rapidly, leading to her passing on day 41 following her presentation. This case underscores the challenges of diagnosing and treating RPF. It highlights the importance of considering cancer development in advanced RPF cases that do not respond to treatment, often leaving limited options for effective intervention.

Purpose: Understanding the descriptive characteristics of traumatic spinal injuries such as etiology, epidemiology, mortality and their associations with mortality may facilitate the diagnosis and management of spinal traumas. Moreover, its incidence can be reduced through eliminating preventable causes. The present study aimed to assess the descriptive characteristics of spinal traumas and the conditions associated with mortality in our country. Materials and methods: Our study was conducted retrospectively in the emergency service of a tertiary care hospital. Data of patients visiting to our hospital’s emergency room between 2020 and 2023 with spinal trauma, were obtained from the hospital information management system by scanning electronic patient records for inclusion in the study. Results: A total of 1835 patients were included in our study, of which 427 (23.3%) were female and 1408 (76.7%) were male. The most common complaint of the included patients who presented to the emergency room was observed as falls (n꞊1112). 52.8% (n=968) of those patients with special traumas had other concomitant injury. 3.7% (n=68) of the included patients resulted in death. Conclusion: Falls are the most common cause of special traumas in our country and concomitant head trauma and thoracic trauma are closely associated with mortality. While men are more frequently presented to the emergency room with special trauma, there has been no difference between both sexes in terms of mortality rate. Moreover, the most common vertebral fractures after spinal trauma occur in the parts of the corpus and spinous processes of the lumbar vertebrae.

This study was conducted to evaluate the protective impacts of green tea extract (GT) against cypermethrin-induced (CYP) neurotoxicity parameters such as acetylcholinesterase activity, oxidative stress, immune response, histopathology, apoptos...

Objective: Deep brain stimulation (DBS) is a treatment method that uses electrodes to stimulate the brain, affecting brain activity and potentially causing medical conditions. It is commonly used to treat Parkinson's disease, essential tremor, dystonia, epilepsy, Tourette syndrome, and obsessive-compulsive disorder. This bibliometric study examines advanced bibliometric parameters in articles published since 2000, focusing on trends in publishing organizations, countries, funding sources, international collaborations, and trend keywords. Materials and Methods: We have searched the Web of Science database to find articles on DBS which published since 2000. The search was performed by using the MESH keywords releated to "Deep brain stimulation". Results: This study presents a comprehensive analysis of 4,601 articles on Deep Brain Stimulation (DBS) from 2000 to 2023, focusing on publication trends, properties, funding, country contributions, and international collaborations. Noteworthy findings include a peak of 413 publications in 2020 and 14,992 citations in 2021. The overall trajectory demonstrates a significant increase in scientific output, with an average of 31.9 citations per article. Publication properties reveal diverse access categories, including 66 Early Access and 2,136 Open Access articles. The majority of records are in the Science Citation Index Expanded (93.980%). Clinical Neurology dominates research topics with 63.464% representation. Funding sources highlight major contributions from the USA, Germany, and China. The USA leads in research output, while the University of Toronto tops institutions. Major journals include "Stereotactic and Functional Neurosurgery" and "Movement Disorders." Keyword analysis emphasizes common themes like "deep brain stimulation" and "Parkinson's disease." International collaborations involve researchers from 75 countries, with the USA leading in total link strength. This study contributes valuable insights into the global landscape of DBS research. Conclusion: This analysis highlights the dynamic nature of Deep Brain Stimulation research, highlighting global collaboration and diverse topics, emphasizing the crucial role of key countries, institutions, and journals.

Background: We aimed to investigate the efect of Extracorporeal Shock Wave Therapy (ESWT) applied to patients with hemiplegia on somatosensory data, spatiotemporal parameters, posture, and muscle tone. Methods: This was a double-blind, randomised, controlled trial. Patients were randomised within pairs to either the experimental (ESWT) group (n=20) or the control group (n=20). All patients participated in the same conventional stroke rehabilitation program for 60 minutes of treatment a day, 5 times a week for 6 weeks (30 sessions). Patients assigned to the ESWT group received additional ESWT over the plantar fascia 3 days/week for 6 weeks. Timed Up and Go (TUG) test, Modified Ashworth Scale (MAS) score, Posture Assessment Scale for Stroke Patients (PASS), spatiotemporal parameters, Semmes–Weinstein monofilament (SWM) test, and vibration sensation test (VST) were performed in all participant before and after treatment. Results: In the ESWT and control groups, statistically, significant diferences were obtained in the posttreatment analysis than pre-treatment. Significant diferences were found in foot angle, step cycle duration, swing phase, cadence, gait cycle distance, and VST values after ESWT treatment (P < .01). Conclusion: When combined with a neurological rehabilitation program, it was determined that ESWT applied to the plantar face of the foot in individuals with hemiplegia increased somatosensory functions and was more successful in developing postural control and balance. Cite this article as: Deniz G, Bilek F, Gulkesen A, Cakir M. Extracorporeal shock wave therapy with low-energy flux density treatment applied to hemiplegia patients on somatosensory functions and spatiotemporal parameters. Eurasian J Med., 2024;56(1):61-68.