Pub Date : 1900-01-01DOI: 10.5336/neuro.2018-61783
F. Altınel, C. Altın
A caroticocavernous fistula is an abnormal communication between the internal or external carotid arteries and the cavernous sinus. This case report presents a patient with a carotidcavernous sinus (CCSF) fistula, diagnosed and treated at a time when the endovascular interventions were not commonly performed. The diagnosis was made by evaluating the clinical symptoms and with a conventional percutaneous angiography of the right internal carotid artery (ICA). The patient was treated with the embolization of CCSF with a “free” piece of muscle (Brooks Method). The clinical symptoms of the patient were evaluated and noted before, during, and after the operation. The benefits of new technological products and devices on patient recoveries were reviewed with respect to the literature.
{"title":"Brooks Method for the Treatment of a Traumatic Caroticocavernous Fistula and a Historical Perspective to Endovascular Interventions: A Case Presentation and a Literature Review","authors":"F. Altınel, C. Altın","doi":"10.5336/neuro.2018-61783","DOIUrl":"https://doi.org/10.5336/neuro.2018-61783","url":null,"abstract":"A caroticocavernous fistula is an abnormal communication between the internal or external carotid arteries and the cavernous sinus. This case report presents a patient with a carotidcavernous sinus (CCSF) fistula, diagnosed and treated at a time when the endovascular interventions were not commonly performed. The diagnosis was made by evaluating the clinical symptoms and with a conventional percutaneous angiography of the right internal carotid artery (ICA). The patient was treated with the embolization of CCSF with a “free” piece of muscle (Brooks Method). The clinical symptoms of the patient were evaluated and noted before, during, and after the operation. The benefits of new technological products and devices on patient recoveries were reviewed with respect to the literature.","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114195721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.5336/MEDSCI.2014-39407
A. Bilgiç, Ü. T. Börü
{"title":"Subarachnoid Hemorrhage, Intraparenchymal Hemorrhage and Cerebral Infarction Have Seen a Case of Had Neurobehçet's Disease","authors":"A. Bilgiç, Ü. T. Börü","doi":"10.5336/MEDSCI.2014-39407","DOIUrl":"https://doi.org/10.5336/MEDSCI.2014-39407","url":null,"abstract":"","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121658425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.5336/medsci.2014-40128
E. Çoban, Nilüfer Kale İçen, E. Acar, A. Soysal
{"title":"Idiopathic Orbital Inflammation; An Exclusion Diagnosis of Ptosis, Kemosis and Diplopia: Case Report","authors":"E. Çoban, Nilüfer Kale İçen, E. Acar, A. Soysal","doi":"10.5336/medsci.2014-40128","DOIUrl":"https://doi.org/10.5336/medsci.2014-40128","url":null,"abstract":"","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126261495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.5336/NEURO.2017-59479
Demet Aygün
The persisted anastomosis between carotis and vertebrobasilar arteries is a rare vascular anomaly. Here in we presented a case who has aplasia of vertebral artery at bilateral side and persisted anastomosis between carotis and vertebrobasilar arteries and discussed vascular anomalies of carotis and vertebrobasilar system.
{"title":"Persiste Karotis ve Vertebral Arter Anastomozu Olan Olgu","authors":"Demet Aygün","doi":"10.5336/NEURO.2017-59479","DOIUrl":"https://doi.org/10.5336/NEURO.2017-59479","url":null,"abstract":"The persisted anastomosis between carotis and vertebrobasilar arteries is a rare vascular anomaly. Here in we presented a case who has aplasia of vertebral artery at bilateral side and persisted anastomosis between carotis and vertebrobasilar arteries and discussed vascular anomalies of carotis and vertebrobasilar system.","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128301134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.5336/NEURO.2015-45663
M. Alemdar
ABS TRACT Objective: To analyze the utility of various comparative median (MN) to ulnar nerve (UN) conduction study (NCS) techniques in detecting carpal tunnel syndrome (CTS). Material and Methods: We retrospectively analyzed our NCS recordings that belong to the patients who were consecutively referred to our laboratory within a year. The best cut off points and diagnostic efficiencies of the parameters based on comparison of MN and UN distal sensory onset latencies (DSOLs) and peak latencies (DSPLs) over fourth finger and second-to-fifth finger, SNAP amplitudes, MN-thenar and UN-hypothenar distal motor latencies (DMLs), minimum F wave latencies (mFWLs), CMAP amplitudes, motor conduction velocities, and MN sensory and UN motor latency (MS-UM) on electrodiagnosis of CTS were detected beside ones of conventional conduction parameters. Results: Totally 109 recordings among the 210 upper extremity recordings were included. CTS was clinically diagnosed in 59 hands (54.1%). MN DSOL and DSPL over fourth finger had the highest diagnostic efficiency values (88.1% and 87.2%, respectively) among conventional parameters, whereas MN to UN DSOL and DSPL differences over fourth finger had the highest ones (93.6% and 90.8%, respectively) among comparative parameters. MN DSOL and DSPL values, over both second and fourth fingers, had good overall agreement in confirming the CTS diagnosis. That was also true for MN to UN DSOL and DSPL differences on fourth finger, but not for ones on second to fifth finger DSOL and DSPL comparisons. The diagnostic efficiency values were 80.7% for DML difference and 78% for mFWL difference. Conclusion: DSOL and DSPL differences over fourth finger have a favorable diagnostic efficiency values on CTS diagnosis. Although the MN to UN DML and mFWL differences are more efficient in CTS diagnosis, their diagnostic efficiency rates are lower than ones of sensory parameters. Future studies are warranted to consider their possible usefulness of them for diagnosing CTS in patients with concomitant polyneuropathy or unelicitable sensory responses because of technical pitfalls during the sensory NCSs.
{"title":"Median to Ulnar Nerve Comparative Conduction Studies on Diagnosis of Carpal Tunnel Syndrome in Early Grades","authors":"M. Alemdar","doi":"10.5336/NEURO.2015-45663","DOIUrl":"https://doi.org/10.5336/NEURO.2015-45663","url":null,"abstract":"ABS TRACT Objective: To analyze the utility of various comparative median (MN) to ulnar nerve (UN) conduction study (NCS) techniques in detecting carpal tunnel syndrome (CTS). Material and Methods: We retrospectively analyzed our NCS recordings that belong to the patients who were consecutively referred to our laboratory within a year. The best cut off points and diagnostic efficiencies of the parameters based on comparison of MN and UN distal sensory onset latencies (DSOLs) and peak latencies (DSPLs) over fourth finger and second-to-fifth finger, SNAP amplitudes, MN-thenar and UN-hypothenar distal motor latencies (DMLs), minimum F wave latencies (mFWLs), CMAP amplitudes, motor conduction velocities, and MN sensory and UN motor latency (MS-UM) on electrodiagnosis of CTS were detected beside ones of conventional conduction parameters. Results: Totally 109 recordings among the 210 upper extremity recordings were included. CTS was clinically diagnosed in 59 hands (54.1%). MN DSOL and DSPL over fourth finger had the highest diagnostic efficiency values (88.1% and 87.2%, respectively) among conventional parameters, whereas MN to UN DSOL and DSPL differences over fourth finger had the highest ones (93.6% and 90.8%, respectively) among comparative parameters. MN DSOL and DSPL values, over both second and fourth fingers, had good overall agreement in confirming the CTS diagnosis. That was also true for MN to UN DSOL and DSPL differences on fourth finger, but not for ones on second to fifth finger DSOL and DSPL comparisons. The diagnostic efficiency values were 80.7% for DML difference and 78% for mFWL difference. Conclusion: DSOL and DSPL differences over fourth finger have a favorable diagnostic efficiency values on CTS diagnosis. Although the MN to UN DML and mFWL differences are more efficient in CTS diagnosis, their diagnostic efficiency rates are lower than ones of sensory parameters. Future studies are warranted to consider their possible usefulness of them for diagnosing CTS in patients with concomitant polyneuropathy or unelicitable sensory responses because of technical pitfalls during the sensory NCSs.","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132779263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.5336/NEURO.2014-39407
A. Bilgiç, Ülkü Türk Börü
ÖZET Behçet hastalığında santral sinir sistemi tutulumu %5-10 oranında görülmektedir. Aynı damar segmenti üzerinde gelişen tıkayıcı ve hemorajik serebrovasküler hadise gelişimi nadir görülen bir durumdur. Bu olguda Behçet hastalığı tanısı olduğu bilinen 43 yaşında bir erkek hasta, uykuya meyil, baş ağrısı ve ense sertliği ile kendini gösteren anevrizmaya bağlı olmayan subaraknoid hemoraji teşhisi konuldu. İkinci kez bilinç değişikliği, konuşma bozukluğu ve sağ kol ve bacakda kuvvet kaybı ile kliniğimize başvurdu ve intraparankimal hemoraji teşhisi konuldu. Üçüncü kez de uykuya meyil, konuşma bozukluğu, sağ kol ve bacakda kuvvet kaybı şikâyetleri ile başvuran olguya iskemik infarkt tanısı konuldu. Hastaya nörobehçet tedavisi açısından aylık siklofosfamid pulse (800 mg/m2) verildi. Anevrizmaya bağlı olmayan subaraknoid hemoraji, aynı orta serebral arter alanında iskemi ve hemoraji tanısı alan olgu ender görülen bir durum olduğu için çalışmamızda sunulmuştur.
{"title":"Subaraknoid Kanama, İntraparankimal Hemoraji ve Serebral İnfarktın Görüldüğü Bir Nörobehçet Olgusu","authors":"A. Bilgiç, Ülkü Türk Börü","doi":"10.5336/NEURO.2014-39407","DOIUrl":"https://doi.org/10.5336/NEURO.2014-39407","url":null,"abstract":"ÖZET Behçet hastalığında santral sinir sistemi tutulumu %5-10 oranında görülmektedir. Aynı damar segmenti üzerinde gelişen tıkayıcı ve hemorajik serebrovasküler hadise gelişimi nadir görülen bir durumdur. Bu olguda Behçet hastalığı tanısı olduğu bilinen 43 yaşında bir erkek hasta, uykuya meyil, baş ağrısı ve ense sertliği ile kendini gösteren anevrizmaya bağlı olmayan subaraknoid hemoraji teşhisi konuldu. İkinci kez bilinç değişikliği, konuşma bozukluğu ve sağ kol ve bacakda kuvvet kaybı ile kliniğimize başvurdu ve intraparankimal hemoraji teşhisi konuldu. Üçüncü kez de uykuya meyil, konuşma bozukluğu, sağ kol ve bacakda kuvvet kaybı şikâyetleri ile başvuran olguya iskemik infarkt tanısı konuldu. Hastaya nörobehçet tedavisi açısından aylık siklofosfamid pulse (800 mg/m2) verildi. Anevrizmaya bağlı olmayan subaraknoid hemoraji, aynı orta serebral arter alanında iskemi ve hemoraji tanısı alan olgu ender görülen bir durum olduğu için çalışmamızda sunulmuştur.","PeriodicalId":322260,"journal":{"name":"Turkiye Klinikleri Journal of Neurology","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130422202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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