Turk Neurosurg
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Case Reports
Vertebral artery insult at the transverse foramina by gun shot wounds: report of two cases.
The vertebral artery (VA) is well protected through its course at the cervical transverse foramina and penetrating injuries of VA are mostly caused by gun shot wounds. The mechanism of injury in these wounds is described as the kinetic energy transferred by the bullet, which always depends on its mass and speed. ⋯ The first patient was assaulted by bullet that resulted in vertebral artery occlusion, whereas a smaller pellet was found in the second one and arterial flow was not influenced on the site of the damaged transverse foramina. Successful management of these injuries should include careful analysis of the bullet characteristics that is directly related to the intensity of damage.
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Giant cell reparative granuloma (GCRG) is a rare, benign fibroosseous lesion. It typically arises in the mandible and maxilla, and less frequently in the skull bones. We report a case of GCRG of the axis, which is the first to be reported in the literature. ⋯ The etiopathogenesis of GCRG is still controversial and the differential diagnosis, especially from giant cell tumor of bone is quite difficult. The treatment of choice for these lesions is complete surgical removal. Some authors recommend radiotherapy if total removal fails.
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To investigate the relation of depression and pain-related disability associated with Low Back Pain (LBP). ⋯ Determination of the frequency and intensity of low back pain and related factors is needed for the prevention and management of pain. Mood disorders and self reported restriction in daily activities should be screened in patients with low back pain.