1
|
Özışık PA, Özdener KM, Ural B, Er U, Savaş A. Clinical and ethical perspective of neurosurgical care in patients from beyond the southern border of Turkey: challenges of patients in war. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-020-01434-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
|
2
|
Wang J, Han F, Zhao Q, Xia B, Dai J, Wang Q, Le C, Huang S, Li Z, Liu J, Yang M, Wan C, Wang J. Clinicopathological Characteristics of Traumatic Head Injury in Juvenile, Middle-Aged and Elderly Individuals. Med Sci Monit 2018; 24:3256-3264. [PMID: 29773781 PMCID: PMC5987611 DOI: 10.12659/msm.908728] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 03/01/2018] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Traumatic head injury is a leading cause of death and disability worldwide. How clinicopathological features differ by age remains unclear. This epidemiological study analyzed the clinicopathological features of patients with head injury belonging to 3 age groups. MATERIAL AND METHODS Data of patients with traumatic head injury were obtained from the Department of Cerebral Surgery of the Affiliated Hospital of Guizhou Medical University and the Guizhou Provincial People's Hospital in 2011-2015. Their clinicopathological parameters were assessed. The patients were divided into 3 age groups: elderly (≥65 years), middle-aged (18-64 years), and juvenile (≤17 years) individuals. RESULTS Among 3356 hospitalizations for traumatic head injury (2573 males and 783 females, 654 died (19.49%), the highest and lowest mortality rates were in the elderly and juvenile groups, respectively. Fall was the most common cause in juvenile and elderly individuals (32.79% and 43.95%, respectively), while traffic injury was most common in the elderly group (35.08%). The manners of injury differed considerably among the 3 age groups. Scalp injury, skull fracture, intracranial hematoma, and cerebral injury were the most common mechanisms in juvenile (67.32%), middle-aged (63.50%), elderly (69.56%) and middle-aged (90.44%) individuals, respectively. Scalp injury and skull fracture types differed among the groups. Epidural, subdural, and intracerebral hematomas were most common in juvenile, middle-aged, and elderly individuals, respectively. Cerebral contusion showed the highest frequency in the 3 groups, and concussion the lowest. CONCLUSIONS Patients with traumatic HI show remarkable differences in clinicopathological features among juvenile, middle-aged, and elderly individuals.
Collapse
Affiliation(s)
- Jiawen Wang
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Feng Han
- Department of Neurosurgery, Affiliated Hospital of Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Qian Zhao
- Department of Neurosurgery, Guizhou Provincial People’s Hospital, Guizhou, Guiyang, P.R. China
| | - Bin Xia
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Jialin Dai
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Qian Wang
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Cuiyun Le
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Shimei Huang
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Zhu Li
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Jiangjin Liu
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Ming Yang
- Department of Neurosurgery, Affiliated Hospital of Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Changwu Wan
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| | - Jie Wang
- Department of Forensic Medicine, Guizhou Medical University, Guizhou, Guiyang, P.R. China
| |
Collapse
|
4
|
An Unusual Metallic Foreign Body inside the Knee Medial Femoral Condyle. Case Rep Orthop 2014; 2014:849020. [PMID: 25506452 PMCID: PMC4259144 DOI: 10.1155/2014/849020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2014] [Accepted: 11/12/2014] [Indexed: 11/18/2022] Open
Abstract
Foreign bodies in the knee joint are uncommon, particularly those not related to surgical procedures. In this paper, we present a case of an intraosseous metallic foreign body situated in the medial femoral condyle for one year, causing pain, which was removed with complete resolution of the symptoms.
Collapse
|
5
|
Seçer M, Ulutaş M, Alagöz F, Çınar K, Yayla E. Penetrating shrapnel injuries of the posterior fossa. Eur J Trauma Emerg Surg 2014; 41:157-60. [PMID: 26038259 DOI: 10.1007/s00068-014-0481-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2014] [Accepted: 11/18/2014] [Indexed: 11/24/2022]
Abstract
BACKGROUND Gunshot injuries of the posterior fossa are rare and may follow a fatal course. In posterior fossa gunshot injuries, cerebellar hematoma, contusion, obstruction of cerebrospinal fluid (CSF) circulation by the shrapnel, and intracranial hypertension caused by autoregulation loss lead to mortality in the early stage. METHODS In this study, four cases of patients who underwent surgical intervention after penetrating shrapnel injuries of the pure posterior fossa were evaluated. RESULTS All of the patients were male; their mean age was 26.5 ± 5 years. The lowest and highest Glasgow Coma Scale scores were 4 and 12, respectively. Neural injury was detected by computed tomography performed after systemic and neurological examination following admission to the emergency service. The shrapnel was found in the cerebellar tissue in three cases and in the fourth ventricle in one case. Following preoperative procedures, surgery was performed with the patient in the prone position. Postoperative monitoring revealed no CSF fistula, meningitis, or hydrocephalus. None of the patients required revision surgery. There were no postoperative mortalities. CONCLUSION Due to the small volume of the posterior fossa, acute pathologies may lead to rapid neurological deterioration and death. Early surgical intervention and close postoperative follow-up after penetrating shrapnel injuries of the posterior fossa play a significant role in reducing mortality and morbidity.
Collapse
Affiliation(s)
- M Seçer
- Department of Neurosurgery, Deva Hospital, Osmangazi mah. 14 nolu Cadde 162/1 Şehitkamil, Gaziantep, 27560, Turkey,
| | | | | | | | | |
Collapse
|
6
|
Agoston DV, Elsayed M. Serum-based protein biomarkers in blast-induced traumatic brain injury spectrum disorder. Front Neurol 2012; 3:107. [PMID: 22783223 PMCID: PMC3390892 DOI: 10.3389/fneur.2012.00107] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2012] [Accepted: 06/12/2012] [Indexed: 11/16/2022] Open
Abstract
The biological consequences of exposure to explosive blast are extremely complex. Serum protein biomarkers in blast-induced traumatic brain injury (bTBI) can aid in determining injury severity, monitoring progress, and predicting outcome. Exposure to blast results in varying degrees of physical injury. Explosive blast can also induce psychological stress that can contribute to or amplify the extent of physical damage. Given the complexity, scale of injury, and variety of symptoms, bTBI may be best described as a spectrum disorder. In this focused review, we summarize the status of serum protein biomarkers in bTBI in the context of the classification and pathological changes of other forms of TBI. Finally, we recommend specific and easily implementable measures to accelerate serum protein biomarker discovery and validation in bTBI.
Collapse
Affiliation(s)
- Denes V Agoston
- Department of Anatomy, Physiology and Genetics, Uniformed Services University Bethesda, MD, USA
| | | |
Collapse
|
7
|
Stone foreign body--radiographic and CT appearance. Emerg Radiol 2012; 19:317-22. [PMID: 22419058 DOI: 10.1007/s10140-012-1031-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2012] [Accepted: 02/16/2012] [Indexed: 10/28/2022]
Abstract
Mineral foreign bodies (stones) are infrequent findings in clinical and radiological practice. However, a growing number of reports indicate that they raise clinical and diagnostic concern in ophthalmology, neurosurgery, maxillofacial surgery, otolaryngology, gastroenterology, and vascular surgery. Dense finding in the soft tissue without clear history of foreign body penetration may represent diagnostic challenge mimicking calcifications or bony fragments. The aim of this work is to analyze the appearance of stone foreign bodies on radiographs and computed tomography. A collection of minerals and rocks was used for analysis. The clinical case of a stony foreign body which penetrated into the soft tissue of the leg is used to demonstrate the diagnostic challenge and management. Available literature describing imaging characteristics of stones was reviewed. The results of this work will help in diagnostic interpretation and assessment of stone foreign body composition.
Collapse
|
9
|
Mateen FJ. Neurological disorders in complex humanitarian emergencies and natural disasters. Ann Neurol 2010; 68:282-94. [PMID: 20818788 DOI: 10.1002/ana.22135] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Complex humanitarian emergencies include the relatively acute, severe, and overwhelming health consequences of armed conflict, food scarcity, mass displacement, and political strife. Neurological manifestations of complex humanitarian emergencies are important and underappreciated consequences of emergencies in populations worldwide. This review critically assesses the existing knowledge of the range of neurological disorders that accompany complex humanitarian emergencies and natural disasters in both the acute phase of crisis and the "long shadow" that follows.
Collapse
Affiliation(s)
- Farrah J Mateen
- Department of International Health, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD, USA.
| |
Collapse
|
10
|
Izci Y. The evolution of military neurosurgery in the Turkish army. Neurosurg Focus 2010; 28:E16. [PMID: 20568932 DOI: 10.3171/2010.1.focus09232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The history of neurosurgery in the Turkish army is not long and complex. Neurosurgery was first practiced in the Ottoman army by Cemil Pasha, who was a general surgeon. After the fall of the Ottoman Empire, the Republic of Turkey was established and modern neurosurgical procedures were applied at the Gulhane Military Medical Academy (GMMA). Maj. Zinnur Rollas, M.D., was the founder of the Department of Neurosurgery at GMMA in 1957. A modern neurosurgical program and school was established in 1965 by Col. Hamit Ziya Gokalp, M.D., who completed his residency training in the US. Today, 26 military neurosurgeons are on active duty in 11 military hospitals in Turkey. All of these neurosurgeons work in modern clinics and operating theaters. In this paper, military neurosurgery in the Turkish army is reported in 3 parts: 1) the history of neurosurgery in the Turkish military, 2) the Department of Neurosurgery at the GMMA, and 3) the duties of a military neurosurgeon in the Turkish army.
Collapse
Affiliation(s)
- Yusuf Izci
- Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey.
| |
Collapse
|