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Biomedical subjects

S Sağlam

Publications and source records attributed to S Sağlam.

At least 19 recordsLinked to original sources
PubMed1998

A fatal acute subdural hematoma occurring after evacuation of "contralateral" chronic subdural hematoma.

Although chronic subdural hematomas (SDHs) are bilateral in about 20% of the cases, an acute SDH in one side associated with chronic SDH in "contralateral" side is an extremely rare and devastating condition. In this report, a case of "contralateral" acute SDH occurring after evacuation of chronic SDH in one side is presented. The clinical history, complaints, neurological and neuroradiological findings, and pathophysiological mechanisms of this uncommon entity are discussed and related literature is reviewed.

Acute Disease↗
PubMed1997

Giant schwannoma of the trigeminal nerve misdiagnosed as maxillary sinusitis. A case report.

A 24-year-old woman presented with left-sided ptosis, diplopia, sensory impairment on the left side of her face and diminished hearing in her left ear. The neurological findings were hypo-anesthesia in all three divisions of the trigeminal nerve, left-sided facial paralysis of the oculomotor and abducens nerves. Initially the condition was misdiagnosed as maxillary sinusitis and was treated with antibiotics. It seems that this presentation has not been previously described in commonly read English-language journals. In our case, the tumour was removed totally and the neuropathological diagnosis was schwannoma. The case report describes the presentation, investigations, management and outcome in this patient.

Adult↗
PubMed1996

Twenty-five years experience in the treatment of trigeminal neuralgia. Comparison of three different operative procedures in forty-nine patients.

A series of 49 patients with trigeminal neuralgia (TN) were treated by three different surgical procedures: (1) peripheral ablative procedures in 10 patients; (2) percutaneous rhizotomy in 17 patients and (3) intracranial rhizotomy (IR) in 22 patients. On the basis of surgical treatment, the concept that neurovascular compression is a mechanical factor in the aetiology of TN was supported in 14 to 18 patients who underwent posterior fossa exploration. The results support the conclusion that retromastoid craniectomy with IR is the procedure of choice for the majority of patients with TN.

Adult↗
PubMed1996

Factors affecting morbidity and mortality following surgical intervention in patients with intracranial meningioma.

BACKGROUND: Meningiomas usually grow slowly but they may cause recurrences despite surgical resection. The impact of clinical, neuroradiological and surgical characteristics on operative morbidity and mortality of patients operated on for intracranial meningioma was analysed. METHODS: A series of 450 patients operated on for intracranial meningiomas at the Department of Neurosurgery, Hacettepe University Hospital during the period 1964-1992 is reported. The surgical results were analysed with regard to intracranial site, extent of removal, histological type, and different time periods. Computed tomography (CT) and magnetic resonance imaging (MRI) facilitated the diagnosis and helped with the planning of treatment. RESULTS: Two hundred and ninety-two patients were examined with both CT and MRI. Overall mortality was 4% but showed a decline from 9% in the pre-CT era to 3% in the post-CT era and to 1% in the past 3 years. CONCLUSIONS: Operative mortality and recurrence rates are affected by the intracranial location of the tumour, histological type, and extent of tumour removal. Emphasis is also given to the importance of the introduction of the imaging techniques, and the microsurgical techniques with the Cavitron ultrasonic surgical aspirator (CUSA), laser, and/or bipolar coagulator which have further improved the operative mortality and recurrence rates.

Adolescent↗
PubMed1996

Giant intrasacral schwannoma forming a presacral mass: a report of an unusual cause of lumbosacral radiculopathy.

Schwannomas are extremely rare tumours deriving from cells within the neurilemma. The authors report a case of giant intrasacral schwannoma presenting in the presacral region. The tumour presented with a lumbosacral pain and it was removed totally by two-stage surgical intervention. When seen five years after the second surgical intervention, the patient was asymptomatic. The rarity of such cases prompted this report.

Humans↗
PubMed1995

Syringohydromyelia as a complication of Goldenhar syndrome.

Goldenhar syndrome is a multifocal developmental disorder consisting of ocular, auricular and vertebral anomalies. A case of Goldenhar syndrome is presented with a previously undescribed association with syringohydromelia. The pertinent literature is reviewed and possible mechanisms of the pathogenesis of syringohydromyelia in this syndrome are discussed.

Child↗
PubMed1995

Congenital nasal encephalocele: a review of 35 cases.

Congenital encephaloceles are rare lesions which are usually seen in the occipital region, in the West. They may rarely be seen in the frontal region and they have distinct diagnostic features, together with several other pathological conditions occurring in this region. In order to emphasize these points, a retrospective analysis of 35 cases which have been operated on in our clinic, is made in this study. The findings are compared with the data obtained from the literature.

Bone Transplantation↗
PubMed1994

Civilian penetrating spinal firearm injuries of the spine. Results of surgical treatment with special attention to factors determining prognosis.

In this study, the cases of 17 civilians with penetrating firearm injuries of the spinal cord treated between 1968 and 1990 at the Department of Neurosurgery, Hacettepe University Faculty of Medicine, were analyzed. Relevant literature was reviewed and compared with our study. The results of treatment and other factors determining mortality rate and prognosis were evaluated. Our study and the literature both appear to indicate that operative intervention is the mainstay of treatment.

Adolescent↗
PubMed1993

Vertebral hemangioma symptomatic during pregnancy--report of a case and review of the literature.

A spinal tumor complicating pregnancy is a rare condition. A 25-year-old woman who became paraplegic during the 35th week of her second pregnancy presented during the postpartum period. She underwent two surgical interventions, and the cord compression caused by a T5 vertebral body hemangioma with laminar involvement and extradural extension was relieved. The occurrence of vertebral hemangiomas during pregnancy is discussed; the radiological features with special reference to magnetic resonance imaging are outlined; and cases from the literature are reviewed.

Adult↗
PubMed1991

Dense epidermoid cyst of the cerebellopontine angle.

A case of epidermoid cyst in the cerebellopontine angle which appeared as a hyperdense mass on CT is presented with clinical and radiological features. The preoperative tentative diagnosis proved erroneous. The literature is reviewed on this exceptionally rare radiological finding of epidermoid cysts and highlights of preoperative diagnosis are discussed.

Adult↗
PubMed1991

Central neurofibromatosis. Case report and review of the literature.

An unusual case of central neurofibromatosis associated with a unilateral acoustic neuroma, multiple intracranial meningiomas, spinal neurofibroma and visceral involvement is presented. The progressive clinical course of this syndrome is described and discussed with a review of the relevant literature.

Brain Neoplasms↗
PubMed1990

Aneurysmal bone cyst of the frontal bone.

Aneurysmal bone cyst rarely affects the skull. We report two cases of aneurysmal bone cyst of the frontal bone. One of the cases is associated with pregnancy. The association of pregnancy with aneurysmal bone cyst and enlargement of the aneurysmal bone cyst during the pregnancy have been discussed.

Adult↗
PubMed1990

Wrestling causing paraplegia.

This report deals with 4 patients who had a spinal cord injury resulting from wrestling. The cause and the results are discussed.

Adolescent↗