Biomedical subjects

S Mutluer

Publications and source records attributed to S Mutluer.

42 records · Page 3Linked to original sources

PubMed1993

Intracranial hydatid cysts in children.

Brain involvement in hydatid disease occurs in 1 to 2% of all Echinococcus granulosus infections. Fifty to 75% of intracranial hydatid cysts are seen in children. This study included 19 children who underwent surgery for intracranial hydatid cysts between January 1979 and September 1992. There were 12 boys and 7 girls, ages 3 to 16 years (mean, 8.1 yr). Headache and vomiting were the predominant symptoms. Papilledema was present in 16 patients, and 2 patients had secondary optic atrophy. A round, cystic lesion without perifocal edema and rim enhancement was detected on the computed tomographic scans of 13 patients. The cystic lesions with rim enhancement and perifocal edema were noted on the computed tomographic scans of 3 patients. Of these three patients, two subsequently had a recurrence. Total removal of the cyst without rupture was achieved in 12 patients. Only a 3-year-old boy in whom the cyst ruptured at surgery died. Seven patients in whom either the hydatid cyst ruptured at surgery or there was systemic hydatid disease received mebendazole therapy. Mebendazole seems to be effective in hydatid disease. Cerebral hydatid cysts should be removed in toto without rupture. The preoperative diagnosis is very important in planning surgery. When a cystic lesion is detected on computed tomographic scan, hydatid disease should be taken into consideration in countries where hydatid disease is endemic.

Adolescent↗

PubMed1992

A case of double-compartment hydrocephalus presenting with opisthotonus.

Double-compartment hydrocephalus, a rare shunt complication, is caused by occlusion of the aqueduct and the fourth ventricular outlets after shunting of the lateral ventricles. Dilation of the fourth ventricle causes brain-stem dysfunction and cerebellar signs. A case of double-compartment hydrocephalus presenting with opisthotonus is presented, and the relevant literature is reviewed.

Diagnosis, Differential↗

PubMed1983

A new understanding of dorsal dysraphism with lipoma (lipomyeloschisis): radiologic evaluation and surgical correction.

The spinal anomaly designated dorsal dysraphism with lipoma (lipomyeloschisis) consists of skin-covered, focal spina bifida; focal partial clefting of the dorsal half of the spinal cord; continuity of the dorsal cleft with the central canal of the cord above (and occasionally below) the cleft; deficiency of the dura underlying the spina bifida; deep extension of subcutaneous lipoma through the spina bifida and the dural deficiency to insert directly into the cleft on the dorsal half of the cord; variable cephalic extension of lipoma into the contiguous central canal of the cord; and variable ballooning of the subarachnoid space to form an associated meningocele. The variable individual expressions of the anomaly are best understood by reference to their archetypal concept. Careful analysis of radiographic and surgical findings in human lipomyeloschisis and correlation with an animal model of lipomyeloschisis indicate that plain spine radiographs and high-resolution metrizamide computed tomographic myelography successfully delineate the precise anatomic derangements associated with lipomyeloschisis and provide the proper basis for planning surgical therapy of this condition.

Adult↗

PubMedDate not supplied

Transorbital stab wound: a case report.

Stab wounds of the skull are uncommon. They are usually accidental in children. An apparently trivial wound may cause death due to vascular damage or infection. A 5-year-old boy presented with a nail in the left intraorbital region. He fell with a nail in his hand five hours prior to hospital admission. Computed tomographic scans displayed the nail penetrating the cranium through the left orbital roof and extending towards the left anterior clinoid process. The nail was removed under general anesthesia in the operating room. Meningitis developed two days after the removal of the penetrating object and responded well to antibiotics. The pertinent literature was reviewed.

Child, Preschool↗

PubMedDate not supplied

Antenatally diagnosed neonatal craniopharyngioma.

A case of neonatal craniopharyngioma diagnosed by fetal ultrasonography at 29 weeks and by magnetic imaging at 35 weeks of gestation is presented with clinical and neuroradiologic findings. This is a rare tumor and only 10 cases of neonatal craniopharyngioma have been previously reported .

Craniopharyngioma↗

PubMedDate not supplied

Cerebrospinal fluid shunt complications.

We report our experience with cerebrospinal fluid shunt procedures performed on 306 patients between 1983 and 1993. Patients were between the ages of one day and 15 years (average 14.9 months) on admission. Three hundred and thirty-six shunt placements and 274 revisions were done. The first complication occurred in the first postoperative month in 52 patients and within the first six months following surgery in 97 patients. Age was determined as a statistically significant factor in only infection and the slit ventricle syndrome (SVS). Shunt types and systems were not significant factors causing complications. The level of consciousness of the patients at the time of surgery influenced the rate of complications; patients with impaired consciousness at the time of surgery had higher complication rates than those operated on in a normal state of consciousness (41% and 8.5%, respectively).

Adolescent↗