World Neurosurg
-
Historical Article
The impact of German-speaking academicians on higher education in Turkey.
The transition from the medieval universities to the secular, second generation universities in Turkey occurred in the period from 1773 to 1945. The Ottoman Empire's efforts to establish a higher education system in the eighteenth and nineteenth centuries only aimed at modernization of the armed forces, and the civil effects on the general society were only secondary. After the Turkish Republic was founded in 1923, complete modernization of all institutions of society, including political, social, educational, economic, and law reforms, were initiated by the President Mustafa Kemal Atatürk. ⋯ Step by step, he created a new language, a new alphabet, achieved unified and secular education under government supervision, formed primary and secondary education to support higher education, took expert opinion on forming the new university, and finally established the modern university. German-speaking academicians have played a very important role during the creation of the modern secular university in Turkey. This is a short analysis of this period.
-
Biography Historical Article
Florence Nightingale: light to illuminate the world from the woman with the lantern.
The Ottoman-Russian war of 1853 to 1855 was significant not only as a war, but also in response to a reflex from the West brought with itself novel approaches related to care of patients under severe health conditions. Florence Nightingale and her associates assigned at that time to care for soldiers in Istanbul who were severely ailing as a result of battle conditions were instrumental in the emergence of a hitherto unknown profession. This article examines the progress of events in the London-Istanbul axis that led to this development.
-
Desmoid tumors are rare clinical entities that cause significant morbidity based on their locally aggressive nature. Complete resection with wide margins is the standard of care; however, when arising in the neck, resection is limited due to proximity of the lesion to critical structures. ⋯ Complete resection of desmoid tumors is the standard of care. In this case, we felt that complete resection would lead to iatrogenic instability; therefore, an occiput to thoracic fusion was performed at the time of the resection.
-
To analyze the impact of intraoperative ultra-low-field magnetic resonance imaging (MRI) on the extent of tumor resection in nonfunctioning pituitary adenomas (NFPAs). ⋯ This study shows that the outcome of surgical treatment of NFPAs was improved by the use of intraoperative MRI owing to more radical resection. The remission rate seems to depend on tumor characteristics. Recurrent disease might be reduced by the use of intraoperative MRI leading to more complete surgical resection of NFPAs.
-
Neurocysticercosis (NCC) is the most common parasitic infection in the central nervous system and the most common cause of acquired neurological symptoms in young adults living in developing countries. Many "asymptomatic" patients begin experiencing neurological symptoms after the use of antiparasitic drugs for gastrointestinal treatment. Patients who are previously diagnosed with NCC require special care during cysticidal treatment because of the inflammatory effects caused by the interaction between the drug, the parasite, and the host. ⋯ Anthelminthic drug treatment requires tailor-based prescription considering risk-benefit ratio with the drug-parasite-host interaction in mind. Treatment is not harmless so patients have to be closely watched. In select cases, medical treatment cannot replace surgical procedures, which can be the primary approach with drug treatment as a complement.