Turk Neurosurg
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Case Reports
Intramedullary spinal cord metastasis of renal cell carcinoma 6 years following the nephrectomy.
Intramedullary spinal cord metastasis is an uncommon manifestation of systemic tumor. We present a case of metastatic mass inside the thoracic spinal cord 6 years after nephrectomy because of renal cell carcinoma. ⋯ The case shows that renal cell carcinoma has the possibility of metastasis into spinal cord even several years after nephrectomy. Any symptom of neurological deficit should alert to a possible intramedullary spinal cord metastasis.
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To demonstrate the incidence of screw misplacement and revision rates in a group of 72 patients that underwent pedicle screw fixation for spinal pathologies using the conventional, fluoroscopy-guided open technique. ⋯ Conventional open technique in pedicle screw placement is a safe and sound method with its low and acceptable complication rates.
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To investigate the effect of gradient decompression on the occurrence of intraoperative hypotension and prognosis in traumatic brain injury. ⋯ Gradient decompression is not effective in avoiding the occurrence of intraoperative hypotension and improving the prognosis. It provides a new insight into clinical measures for curing patients with severe traumatic brain injury (sTBI).
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The purpose of this study was to compare the different clinical features, outcome and treatment strategies in patients with perimesencephalic SAH (p-SAH) and diffuse SAH (d-SAH). ⋯ The initial bleeding pattern was associated with the initial clinical condition and outcome, and d-SAH might lead to a worse clinical course and outcome and might have a high risk of complications. Repeated DSA is recommended to exclude aneurysm in patients with d-SAH, whereas CT angiography was enough in patients with p-SAH.
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Dr. Zinnur Rollas is the founder of the Department of Neurosurgery at the Gulhane Military Medical Academy (GMMA). He was educated in the United States and returned to Turkey in order to practice neurosurgery. ⋯ He not only performed the surgeries but also took the pictures and recorded the data of the patients. Unfortunately, he did not publish any of these cases. In this paper, we tried to document his experience on pediatric neurosurgery, and to summarize the evolution of pediatric neurosurgery at GMMA.