3,249 results match your criteria: "Adıyaman University Faculty of Medicine Department of Neurosurgery Adıyaman Turkey.[Affiliation]"

Background: A wide range of liquid embolic agents has been used in endovascular treatment (EVT) of dural arteriovenous fistulas (dAVFs) and cerebral arteriovenous malformations (cAVMs). Newer liquid embolics, Squid (Balt) and PHIL (MicroVention), aim to improve the safety and efficacy of EVT of dAVFs and cAVMs.

Objective: To assess the safety and efficacy of EVT of cAVMs and dAVFs using Squid or PHIL as an embolic agent.

View Article and Find Full Text PDF

Spinal metastasis (SMs) are the most encountered tumors of the spine. Their occurrence is expected roughly around one to two years after primary tumor diagnosis. Since the advent of Magnetic Resonance Imaging (MRI), this technology has been considered the gold standard for SMs diagnosis and characterization due to its precise ability to comprehend the rate of soft tissue compression/invasion (dural sac/nervous tissue), which is one of the main drivers of management strategies.

View Article and Find Full Text PDF

Objective: This study analyzed organelle toxicities of nanometals applied as free formulations or titanium rod-coating materials in rats.

Methods: All materials were injected intraperitoneally, including the physiological saline applied to the control group. The first experimental group was implanted with nanosilver-coated titanium rods, and the second, third, and fourth groups received free nanosilver at rising levels.

View Article and Find Full Text PDF

Frontotemporal dementia (FTD) is one of the leading causes of young-onset dementia before age 65, typically manifesting as abnormal behavior (in behavioral variant FTD) or language impairment (in primary progressive aphasia). Although FTD affects all populations across the globe, knowledge regarding the pathophysiology and genetics derives primarily from studies conducted in North America and Western Europe. Globally, biomedical research for FTD is hindered by variable access to diagnosis, discussed in this group's earlier article, and by reduced access to expertise, funding, and infrastructure.

View Article and Find Full Text PDF
Article Synopsis
  • Computational neurosurgery combines artificial intelligence and computational modeling to enhance the diagnosis and treatment of neurosurgical conditions, aiming to advance clinical neurosciences.
  • The field seeks to integrate ethical considerations to ensure that the use of AI is conducted responsibly and prioritizes patient care, ultimately aiming to prevent errors in treatment.
  • This initiative serves as a guide for practitioners, ethicists, and scientists in the application of ethical standards within computational neurosurgery.
View Article and Find Full Text PDF

Background: The aim of this prospective, randomized, controlled study was to evaluate the effect of ultrasound (US)-guided bilateral erector spinae plane (ESP) block on postoperative opioid consumption and respiratory recovery in patients with obesity undergoing laparoscopic sleeve gastrectomy (LSG).

Methods: The study was conducted on 40 patients scheduled for LSG. The patients were randomly allocated into either the ESP block group or the control group.

View Article and Find Full Text PDF

Ultrasound-guided peripheral nerve blocks may be a good alternative in patients under antithrombotic drugs. We evaluated the efficacy of ultrasound-guided popliteal sciatic nerve block in patients undergoing lower extremity wound debridement of whom antithrombotic drugs could not be stopped. We focused on hemorrhagic complications related to sciatic nerve block.

View Article and Find Full Text PDF

Emergency lumbar disc herniation surgery with spinal anesthesia during pregnancy: Clinical features and long-term outcome.

J Clin Neurosci

December 2024

Medicana Hospital, Neurosurgery Clinic, Bursa, Turkey; Biruni University, Faculty of Medicine, Neurosurgery Department, İstanbul, Turkey. Electronic address:

Background: This study aimed to review the safety and prognosis of emergency lumbar microdiscectomy surgery during pregnancy.

Methods: The study included a cohort of ten consecutive pregnant patients who underwent urgent lumbar microdiscectomy surgery between 2016 and 2022-perioperative and perinatal clinical data derived from medical records-a retrospective analysis. The patients were evaluated based on age, gestational age, gravidity, parity, neurological examination findings, and visual analog scale (VAS) pain scores with the early and late postoperative results of mother and newborns with follow-up.

View Article and Find Full Text PDF

A Pilot Project to Promote Research Competency in Medical Students Through Journal Clubs: Mixed Methods Study.

JMIR Med Educ

October 2024

Lysholm Department of Neuroradiology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, Neuroimaging Analysis Centre, Queen Square 8-11, London, WC1N3BG, United Kingdom, 44 2034483446.

Article Synopsis
  • Undergraduate medical students often lack hands-on research experience, prompting the Cerrahpasa Neuroscience Society to create a program aimed at enhancing their research skills and encouraging student-led projects.
  • The initiative provided structured training through journal clubs, mentorship, and resource access, allowing 30 volunteer students from various Turkish medical schools to engage in either original research or systematic reviews.
  • As of April 2024, the program resulted in 3 published papers and 3 under peer review, while also increasing student interest in research and self-directed learning.
View Article and Find Full Text PDF

Objective: This study aimed to compare the ability of a deep-learning platform (the MACSSwin-T model) with healthcare professionals in detecting cerebral aneurysms from operative videos. Secondly, we aimed to compare the neurosurgical team's ability to detect cerebral aneurysms with and without AI-assistance.

Background: Modern microscopic surgery enables the capture of operative video data on an unforeseen scale.

View Article and Find Full Text PDF

Brainstem cerebral cavernous malformations (CCM) are clinically more aggressive compared to superficial CCMs. Due to their location, resection can be challenging, making stereotactic radiosurgery (SRS) an attractive alternative for symptomatic patient. Brainstem CCM patients (n = 170) were treated with Gamma Knife SRS at 11 radiosurgical centers.

View Article and Find Full Text PDF

Surgical trauma can induce systemic inflammation. The selected anesthesia method may modulate the inflammatory response and surgical results in the inflammatory process that occurs during surgical trauma. In this retrospective study, we aimed to compare the anti-inflammatory effects of general anesthesia and peripheral nerve block (infraclavicular block).

View Article and Find Full Text PDF

: Napabucasin (NP) was discovered as a natural compound that suppresses cancer stemness by inhibiting the signal transducer and activator of the transcription 3 (STAT3) signaling pathway. In this study, the anti-proliferative and apoptotic effects of NP and the chemotherapy agent doxorubicin (DX), a natural compound, on glioblastoma cells (U87) were investigated. : In this study, the effects of NP and DX on cell viability on the glioblastoma U87 cell line were determined by MTT test.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between serum markers (NFL, GFAP, t-tau) and pituitary dysfunction in adults who experienced traumatic brain injury (TBI).
  • During the acute phase, NFL levels showed significant correlations with patient outcomes like hospital stay length and hormonal changes, while GFAP and t-tau did not correlate with hormone levels.
  • One year after TBI, NFL, GFAP, and t-tau levels decreased significantly, and no hormone deficiencies were observed, indicating potential recovery but highlighting the need for more extensive research on long-term effects.
View Article and Find Full Text PDF

Background: Decreased bladder compliance is an important risk factor for upper urinary tract in children with neurogenic bladder dysfunction (NBD). Urodynamics is the gold standard in determining bladder compliance.

Objective: To investigate the relationship between low bladder compliance and urinary fibrosis markers in NBD.

View Article and Find Full Text PDF

Study Design: A fused deposition modeling three-dimensional (3D)-printed model of the L4-5 vertebra for lumbar discectomy was designed. The model included separately printed dura mater, spinal cord, ligamentum flavum, intervertebral disc (from thermoplastic polyurethane), and bony structures (from polylactic acid), and the material cost approximately US$ 1 per model. A simple plumbing endoscope was used for visualization.

View Article and Find Full Text PDF

The vein of Galen arteriovenous malformation is a rare abnormality of the fetal cerebral vascular system. It is caused by the persistence of a cerebral arteriovenous fistula of the median prosencephalic vein. Due to the high mortality rate of the surgical option in its treatment, the approach with embolization and radiosurgery combinations continues to be popular.

View Article and Find Full Text PDF

Objectives: To develop a gadolinium-free MRI-based diagnosis prediction decision tree (DPDT) for adult-type diffuse gliomas and to assess the added value of gadolinium-based contrast agent (GBCA) enhanced images.

Materials And Methods: This study included preoperative grade 2-4 adult-type diffuse gliomas (World Health Organization 2021) scanned between 2010 and 2021. The DPDT, incorporating eleven GBCA-free MRI features, was developed using 18% of the dataset based on consensus readings.

View Article and Find Full Text PDF

Background: Craniopharyngiomas are rare tumors that originate from the squamous epithelium in Rathke's sac residues. There is a limited body of literature on the effect of using intraoperative magnetic resonance imaging (IO-MRI) in resection of craniopharyngiomas via endoscopic endonasal surgery (EES). The present study aims to assess the outcomes of EES for resection of craniopharyngiomas using IO-MRI.

View Article and Find Full Text PDF

Differential diagnosis between recurrent disc herniation and granulation tissue after lumbar disc herniation Surgery: Qualitative analysis on MRI scans.

J Clin Neurosci

November 2024

Department of Histology and Embriology, Faculty of Medicine, Kirsehir Ahi Evran University, 40100 Kirsehir, Turkey. Electronic address:

Background: Recurrence of disc herniation is a prevalent late-term complication among patients surgically treated for lumbar disc herniation. Differential diagnosis between recurrent disc herniation and granulation tissue can be achieved through signal intensity measurements on T2-weighted MRI examinations. This study aims to examine cases operated on for recurrence of lumbar disc herniation, assessing those presenting with either disc recurrence or granulation tissue.

View Article and Find Full Text PDF

Objective: This study compared the efficacy of ultrasound-guided erector spinae plane block (ESPB) and wound infiltration (WI) for postoperative analgesia in patients who underwent lumbar spinal surgery with instrumentation.

Methods: In this randomized controlled trial, 80 patients were divided into two groups: ESPB (n = 40) and WI (n = 40). Postoperative pain intensity was assessed via the visual analog scale (VAS) at multiple time points within 24 h.

View Article and Find Full Text PDF
Article Synopsis
  • Cerebral small vessel disease (SVD) can lead to various cerebrovascular issues, but research on sex differences in SVD is limited.
  • This study analyzed data from over 20,000 patients with acute ischemic stroke to examine whether the presence and severity of cerebral microbleeds (CMB) and other SVD markers differ between males and females.
  • Results showed that males had more frequent CMB while females had fewer lacunes but higher severe white matter hyperintensities, indicating distinct SVD characteristics based on sex.
View Article and Find Full Text PDF

Blood transfusion in pediatric intracranial tumor surgery.

BMC Anesthesiol

October 2024

Department of anesthesiology and reanimation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.

Article Synopsis
  • Pediatric central nervous system tumors are the most common solid tumors in children and can lead to serious health issues; the study investigates factors affecting the need for blood transfusions during surgeries for these tumors.
  • A retrospective analysis of 138 patients under 15 years old who had craniotomy from January 2018 to December 2023 found that 44.9% required intraoperative blood transfusions, with key factors identified as age under 4 years and surgery lasting over 490 minutes.
  • The research concludes that younger age and longer surgical duration are significant risk factors for requiring blood transfusions, highlighting the importance of careful monitoring in these cases to prevent complications.
View Article and Find Full Text PDF