Turk Neurosurg
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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.
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The utilization of technology for purpose of imparting knowledge, especially in high-end branches like neurosurgery, has gained prominence in the contemporary academic scenario. The technological advancements have brought about outstanding transformation to education and patient care. The connectivity through smartphone applications (apps) has transcended the spatial and temporal limitations, thereby enabling easy access to virtually infinite storehouse of knowledge. Although there are numerous neurosurgery related apps, yet there is still a dearth of quality apps that may serve the purpose. ⋯ Development of web-based technologies has divided medical professionals into traditional and modernized learners. Mobile apps permit knowledge to be structured visually to facilitate its easy diffusion in the peer community. A technologically demanding branch like Neurosurgery inevitably needs innovative, cost effective apps with trust worthy content. Relevant apps have a high potential to be used as an excellent resource for effectual neurosurgical education beyond the limitations of time and place.
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Tension pneumocephalus is a rare and life threatening complication of intracranial surgical procedures, and requires immediate recognition and surgical intervention. Tension pneumocephalus following ventriculoperitoneal shunt surgery is extremely rare and commonly seen as a delayed complication. ⋯ We present a case of acute tension pneumocephalus following ventriculoperitoneal shunt surgery for normal pressure hydrocephalus, which was managed well with close neurological follow-up and rapid surgical intervention. The use of the portable CT scanner in this case saved significant time, without the transport of the patient to the radiology unit, made early surgical intervention possible, and prevented morbidity and mortality.
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Case Reports
Compound elevated skull fracture: a clinical series of three patients with a review of the literature.
Compound elevated fracture of the skull is an unusual variety of fracture of the cranial vault that has been rarely described in the currently available literature. The authors describe three such patients with post-traumatic compound elevated skull fracture. The pertinent literature is reviewed, the injury mechanism is highlighted and the management issues are discussed in detail. ⋯ Elevated skull fractures are usually compound injuries. High velocity tangential impact to the skull vault is the most likely causative mechanism in such type of injury. Delay in surgery could lead to intracranial sepsis including meningitis and brain abscess. Thus, these fractures should be aggressively treated.