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Biomedical subjects

A Kulali

Publications and source records attributed to A Kulali.

13 recordsLinked to original sources
PubMed2000

Diagnostic steps and staged operative approach in Currarino's triad: a case report and review of the literature.

The Currarino triad is a combination of a presacral mass, a congenital sacral bony abnormality and an anorectal malformation. It mostly presents with constipation. Rectal examination, plain radiographs and magnetic resonance imaging are the main tools for the diagnosis. If the mass is a meningocele, colostomy and neurosurgical exploration should precede anoplasty due to the risk of meningitis. A 14-month-old female patient with anal stenosis, a sacral scimitar defect and an anterior meningocele is presented in this report.

Constriction, Pathologic↗
PubMed1996

Lumbar spinal surgery for sciatica due to intervertebral disc disease in the elderly.

This report reviews 36 patients aged 71 to 93 years who had lumbar spinal surgery for sciatica pain some with motor and or sensory disturbances and with no motor and sensory disturbances. Even though we found soft disc herniations, these patients should have a thorough circumferential decompression because of bony osteophytes and facet hypertrophy. Special attention is drawn to the removal of herniated discs associated with massive spondylotic degenerative changes.

Aged↗
PubMed1995

Microsurgical management of the lumbar intervertebral disc-disease.

One hundred consecutive patients operated on for sciatica pain using microsurgical techniques between April 1984 and February 1985 were evaluated retrospectively. This paper gives preoperative clinical data, end-result of surgery, rate of complications and true recurrent herniations. On the basis of the results, both soon after operation and at later follow-up (between three and five years) we feel encouraged to continue using this mode of operation. Complete or significant pain relief was achieved in 92% of patients; 93% were able to return to their preoperative normal physical activities. The frequency of complications was low.

Adolescent↗
PubMed1994

Giant calcified subdural empyemas.

We report two cases of chronic calcified and ossified subdural empyema diagnosed during surgery and operated on successfully using an extraordinary large osteoplastic craniotomy. After surveying the literature, we must emphasize the unusual occurrence of the chronic subdural empyemas presenting with calcification-ossification and large size as observed in both of our cases.

Adult↗
PubMed1994

Spinal tuberculosis with circumferential involvement of two noncontiguous isolated vertebral levels: case report.

We present a case of a 16-year-old boy with an atypical form of spinal tuberculosis, which circumferentially involved two noncontiguous vertebral levels without destruction of the adjacent vertebral bodies and intervertebral discs. The lesions caused paraplegia and loss of sphincter control, and they were confined to a single vertebra at each site; the findings more closely mimicked spinal malignancies. There was no evidence of pulmonary or other extrapulmonary tuberculous disease. The patient was successfully treated both surgically and medically using posterior decompression and a stabilizing procedure in combination with postoperative antituberculous therapy. Magnetic resonance imaging played a major role in determining the extent of the disease and the type of surgical procedure and in monitoring adequate medical treatment.

Adolescent↗
PubMed1992

Convexity meningioma associated with empty sella presenting as primary amenorrhea.

A case of a 30-year-old female seen for a convexity meningioma is presented. History and investigations revealed an empty sella turcica associated with primary amenorrhea. The removal of the convexity meningioma resulted in the disappearance of the amenorrhea and in the rise of plasma gonadotropins. The importance of the consideration of intracranial causes in patients who have a delayed puberty or the absence of a menstrual history is briefly emphasized in the light of literature.

Adult↗
PubMed1991

Single-table autogenous calvarial grafting for cranioplasty.

We present data from 12 patients with cranial defects restored with single-table calvarial autografts which comprised the outer table of the calvarium and which were removed from the same area on the opposite of the skull vault or immediately adjacent to the cranial defect. Trauma (nine patients), congenital malformation (two patients) and operation (one patient) accounted for the cranial defects. The follow-up period has been 6 to 30 months. No bone resorption or infection occurred during that time. Only in two cases was there slight depression at the recipient site; no revision was necessary.

Adolescent↗
PubMed1991

Primary calvarial ectopic meningiomas.

Meningiomas should be considered as a possible diagnosis when dealing with tumors of the head and neck, even though these lesions may be located outside the cranial cavity. We report three patients who harbored primary ectopic epidural meningioma arising in the right occipital, parietal and left frontal region protruding extracranially through destructed calvarium and also developing intracranially without dural involvement. The diagnostic value of CT scan is emphasized and the relevant literature on ectopic meningioma is reviewed.

Adult↗
PubMed1990

Relationship between chronic raised intracranial pressure and empty sella presenting hormonal disturbances.

The role of intracranial pressure in the development and maintenance of the primary empty sella has been pointed out in the literature previously. The hormonal changes and clinical features have been evaluated in a 30 year-old female patient examined for a convexity meningioma and a 20 year-old patient examined for chronic hydrocephalus caused by cured meningitis. Histories and investigations revealed an empty sella turcica associated with primary amenorrhoea and delayed puberty. The removal of the convexity meningioma resulted in loss of amenorrhoea and a rise in plasma gonadotrophins. The establishment of a ventriculo-peritoneal shunt did not bring about any changes in hormonal values and clinical features except the subjective headache disappeared. The importance of consideration of intracranial causes in patients who have delayed puberty or absence of menstrual history is briefly emphasized in light of the literature. Our data also demonstrated a correlation between an increase in intracranial pressure and a deficiency of hormonal secretion by the hypophysis.

Adult↗
PubMed1989

Subarachnoid haemorrhage with acute cauda symptom due to spinal tumour.

Massive spontaneous subarachnoid haemorrhage causing compression of the cauda equina is reported. The origin of haemorrhage is concluded to have been an intradural angioblastic meningioma of the filum terminale at the L 3/4. Our paper describes the course of this patient in respect of diagnostic problems and reviews 6 cases of spontaneous spinal subarachnoid haematoma due to SAH from a spinal tumour with acute compression of the adjoining nervous structures. The necessity of early diagnosis and proper operative treatment is stressed.

Cauda Equina↗