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Biomedical subjects

Goksin Sengul

Publications and source records attributed to Goksin Sengul.

6 recordsLinked to original sources

Neurenteric cyst of the upper cervical spine: excision via posterior approach.

Neurenteric cyst of the cervical spine is an uncommon congenital lesion and usually associated with many craniocervical anomalies. Solitary neurenteric cyst of the upper cervical spine is very rare. Surgery is the main treatment method. An 11-year-old female child presented with the symptoms of neck pain that radiated to both shoulders and arms. Magnetic resonance imaging of the patient showed a cystic mass lesion ventral to the spinal cord and lying at the level from C1 to C3. She underwent surgical resection via a posterior approach and complete cyst resection was performed. Although removal of a neurenteric cyst through a posterior approach may result in spinal cord injury, this method is easier and safer than the anterior approach, especially in children.

Cervical Vertebrae↗

Triple occipital meningoceles in a newborn. Case report.

The coexistence of three cranial meningoceles in a single patient is an extremely rare event. Multiple cranial meningoceles have not been reported in the literature. The rare case of a newborn with three distinct occipital meningoceles, of which one was rudimentary, is presented. Diagnostic tools and treatment options are also reviewed.

Diagnosis, Differential↗

Spinal intramedullary ependymal cyst and tethered cord in an adult. Case report.

Spinal intramedullary ependymal cysts are extremely rare. Fourteen cases have been reported in the literature, and only one was associated with another congenital lesion. The authors describe the case of a 33-year-old man in whom an intramedullary ependymal cyst and filar lipoma were present. These lesions were diagnosed using magnetic resonance imaging and were treated surgically. Pathological examination confirmed the diagnosis. At 6 months postsurgery, there was no evidence of recurrence.

Adult↗

Sphenoid sinusitis disguised by precocious puberty.

Isolated sphenoid sinusitis in childhood is a rare clinical entity which is often very difficult to diagnose, hence, it can easily be misdiagnosed. The rarity of this entity is related to the absence at the sinus in children and the lack of development in patients with sinopathology. The first presentation of this disorder might be disguised by another disease. We present a case sphenoid sinusitis in ten years old girl where precocious puberty and slight headache were the main symptoms. Surgical drainage and antimicrobial treatment were administered. Clinical features, diagnostic tools and treatment options for this entity are discussed.

Anti-Infective Agents↗

Acute interhemispheric subdural hematoma due to hemodialysis: case report.

BACKGROUND: Acute interhemispheric subdural hematoma (AISH) is an extremely limited complication in patients on maintenance hemodialysis. Diagnostic difficulties result from a fact that symptoms of acute hematoma such as headache, nausea, vomiting, apathy, sleepiness, paresthesia and seizures may also suggest dysequilibrium syndrome, dialytic dementia as well as hypertensive encephalopathy. CASE DESCRIPTION: A case of acute interhemispheric subdural hematoma during long-term dialysis is presented. CONCLUSION: AISH caused by hemodialysis is a very important complication. It is sometimes difficult to differentiate from dysequilibrium or dialysis dementia. Clinicians must pay closer attention on neurological examination of hemodialyzed patient. Surgical treatment must be as prompt as possible because of the possible sudden worsening of the patient's clinical condition.

Adult↗