Burak Gezer

Objective: The aim of this study is to conduct a detailed examination of cases of "Early Recurrence" encountered following lumbar disc herniation, and to compare the data obtained with findings in the existing literature. Materials and Methods: This retrospective study was conducted by analyzing the data of 856 patients who were operated for recurrent lumbar hernia in our hospital between 2012 and 2022. By expanding the definition of "early relapse" in the literature, inclusion and exclusion criteria were determined, and as a result, 43 patients who met the criteria were included in the study Results: The severity of symptoms was assessed based on patients' Visual Analog Scale (VAS) scores at baseline and during subsequent periods. Patients requiring reoperation within the first 12 months were divided into two main groups: those undergoing reoperation within the first 6 months and those undergoing reoperation between 6-12 months. However, no statistically significant difference was found between the two groups in terms of age, gender, comorbidities, and other determinants. Notably, patients undergoing surgery within the first 3 months were observed to be of advanced age. Conclusion: When comparing the data obtained from analyzing patients with "early recurrent lumbar disc herniation" with findings shared in the literature, we found that similar variables were not significant in our series. An interesting observation is that both full endoscopic and microscopic methods have similar early recurrence rates. This is particularly noteworthy because full endoscopic discectomy usually involves sequestrectomy, and the volume of the disk removed is typically minimal. Hence, our study suggests that the volume of the disk removed during surgery may not be as influential in the development of early recurrence as previously thought. These findings provide an important foundation for future research.

Aim: Posterior fossa epidural hematoma (PFEDH) in the pediatric age group is a very rare condition and the treatment method is still a matter of debate. The aim of this study is to evaluate the observation results in the management of pediatric patients with PFEDH in our tertiary care hospital and to investigate the importance of the relationship of the hematoma with the cerebral venous sinuses, which has not been investigated before in the literature, in the treatment decision. Materials and Methods: This is a retrospective study conducted at Selcuk University, Faculty of Medicine. All patients (≤ 17 years) diagnosed with PFEDH between January 2010 and May 2022 were included in this study. Demographic data, clinical signs, trauma type and symptoms at presentation, CT findings, type of treatment, and outcomes were collected. CT findings including hematoma thickness, hydrocephalus, presence of fourth ventricular compression, relation with cerebral venous sinuses and other associated brain injuries were evaluated. Results: The patient group consists of two girl and six boy. The most common cause of PFEDH was a fall from a height resulting in a blow to the back of the head in four patients. Vomiting was the most frequent presenting symptom. Four patients had a relation between cerebral venous sinuses and hematoma, and two of these patients underwent surgical treatment Conclusion: In addition to criteria such as hematoma thickness, GCS, hydrocephalus, and compression of the fourth ventricle, we determined that the relationship of hematoma with venous sinuses is a criterion to be evaluated.

Symptomatic Chiari type 1 malformation (CIM) patients may elect to be treated; however, choosing the optimum surgical method remains problematic: posterior fossa decompression with duraplasty (PFDD...

In humans, coronavirus disease 2019 (COVID-19) has a variable presentation ranging from mild self-limiting respiratory tract infections to severe acute respiratory distress syndrome. Methods: We present the case of a patient who developed acute epiglottitis after surgery for an intracranial tumour and was subsequently diagnosed with COVID-19. A 58-year-old female patient developed acute-onset respiratory distress on day 6 after intracranial surgery. Neck computed tomography revealed near-total airway obstruction due to severe edoema of the epiglottis and periepiglottis. The patient’s SARS-CoV-2 polymerase chain reaction test was positive. Viral respiratory tract panel and sputum and blood cultures were negative. She completed the antiviral and antibacterial treatment regimens recommended by the chest disease department. We conclude that epiglottitis can be an unusual manifestation of COVID-19.

Amaç: Nöronavigasyon ile intraserebral biyopsi sıklıkla daha derindeki ve ufak boyuttaki lezyonlarda kullanılan bir yöntem olduğu için hastalarda radyolojik ve nörolojik komplikasyonlar oluşturabilmektedir. Ayrıca minimal invaziv bir yöntem olduğu için kısıtlı doku örneği alınabilir ve buna bağlı histopatolojik tanı koyulmayabilir. Biz de bu çalışmayla nöronavigasyon ile intraserebral biyopsi sonuçlarımızın lezyon lokalizasyonuna ve boyutuna bağlı ne kadar etkilendiğini ortaya koymaya çalıştık. Materyal ve Method: 2016 ve Mayıs 2021 yılları arasında bu yöntem ile opere edilmiş 41 hastanın dosyaları retrospektif olarak incelendi. Çalışmaya çerçevesiz nöronavigasyon ile biyopsi alınan hastalar dahil edildi. Belirlenen parametreler lezyonların yerine, hassas bölgede olup olmamasına ve boyutlarına göre değerlendirildi. Bulgular: Çalışmaya dahil edilen 41 hastanın 26 (%63.41)' sının lezyonu hassas bölge, 15 (%36.58)' nin lezyonu ise hassas bölge dışı yerleşimliydi. Lezyon boyutları ortalama 34x27.76 mm idi. 38 (%92.68) hastanın doku örneklerine tanı koyulabildiği tesbit edildi. Operasyon sonrası çekilen kontrol BT' lerde 4 (%9.75) hastada radyolojik olarak komplikasyon görüldü. 3 (%7.31) hastada ise operasyon sonrası nörolojik komplikasyon mevcuttu. Cerrahiye bağlı mortaliteye rastlanmadı. Sonuç: Cerrahi öncesi iyi planlama ve radyolojik görüntülerin hem radyolog hem de cerrah tarafından iyi incelenmesi lezyonun hassas bölgede ve küçük boyutta olmasının getirdiği radyolojik ve nörolojik komplikasyon riskini azaltmaktadır. Hedef dokudan birden fazla kadrandan biyopsi alınması histopatolojik tanı için yeterli doku elde edilmesini sağlar ve doğru tanı koyulmasına çok daha fazla yardımcı olur.