Yazar "Calikoglu, Cagatay" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    A rare complication of subdural-peritoneal shunt: Migration of catheter components through the pelvic inlet into the subdural space
    (Medknow Publications & Media Pvt Ltd, 2017) Cakir, Murteza; Yilmaz, Atilla; Calikoglu, Cagatay
    Subdural-peritoneal (SP) shunting is a simple procedure to treat subdural hygromas; however, several rare complications such as shunt migration exist. A 15-year-old boy presented with headache, nausea, and vomiting , and underwent SP shunting for left frontoparietal chronic subdural effusion. Six weeks later, radiographic examinations revealed total migration of the shunt through the pelvic inlet. The migrated shunt was replaced with a new SP shunt. Four weeks later, radiographic examinations revealed shunt migration into the subdural space. The shunt catheter was removed and the subdural effusion was evacuated. Shunt migration may result from pressure differences between the abdomen and the cranium or from head movement, and insufficient fixation and/or large burr holes can facilitate shunt migration. Double firm anchoring and small-sized burr holes can prevent this complication. SP shunt is a simple procedure, and its assumed complications can be prevented through precaution.
  • Küçük Resim
    Öğe
    Serum nesfatin-1 levels: a potential new biomarker in patients with subarachnoid hemorrhage
    (Taylor & Francis Ltd, 2017) Cakir, Murteza; Calikoglu, Cagatay; Yilmaz, Atilla; Akpinar, Erol; Bayraktutan, Zafer; Topcu, Atilla
    Background: Acute subarachnoid hemorrhage (SAH) is a neurological emergency with significant potential for long-term morbidity and mortality. Nesfatin-1 is a polypeptide which is found in various regions of the brain that play role in the feeding and metabolic regulation. Objective: So this study aimed to investigate if nesfatin-1 levels in patients with SAH, could be used as a marker for the severity and prognosis. Method: Forty-eight consecutive patients (except those excluded) admitted to the emergency service of our hospital and hospitalized at our clinic with the diagnosis of aneurysmal SAH between 2011 and 2013 were included in the study and followed up for six months for outcome. The control group consisted of 48 healthy individuals of similar age and gender. Results: During the 6-month follow-up, 7 of 48 patients died and 16 (33.3%) patients had poor Glasgow Outcome Score (GOS) scores. In the study group, themean nesfatin-1 level was significantly higher than the control group (7.36 +/- 2.5 pg/ml and 4.29 +/- 2.02 pg/ml, respectively; p < 0.01). The mean nesfatin-1 level was 11.58 +/- 0.87 pg/ml in the non-survival group and 6.64 +/- 1.89 pg/ml in the survival group. Furthermore, it was 10.22 +/- 1.42 pg/ml in patients with poor outcome in terms of GOS and 5.93 +/- 1.46 pg/ml in those with good outcome. The nesfatin-1 levels significantly increased with worsening of GOS, the World Federation of Neurological Surgeons grading system, and Fisher scores and increasing plasma C-reactive protein levels (p < 0.01 for all). Conclusion: The present study is the first that shows the mortality/poor outcome of the SAH with assessing serum nesfatin-1 levels. So levels of nesfatin-1 might be useful in SAH management.
  • Küçük Resim
    Öğe
    A Very Rare Complication of Cerebral Hydatid Cyst Surgery: Cortical Collapse
    (Medknow Publications & Media Pvt Ltd, 2017) Cakir, Murteza; Calikoglu, Cagatay; Yilmaz, Atilla
    Hydatid diseases are still endemic pathologies in developing countries which generally needs surgical treatment. The main aim of the treatment is total cyst evacuation without rupture. Dowling technique is preferable for this aim. There are various complications of hydatid disease surgery which include cortical collapse which is very serious and can be mortal. Our case was a 6-year-old boy diagnosed with a solitary isointense cystic mass in the left parietal region. There was no surrounding edema. The cyst was completely evacuated with Dowling technique without rupture. In about 10 min after evacuation, hemispheric cortical collapse occurred, and the patient developed cardiac arrest. Although cortical collapse is a rare complication, it can cause perioperative mortality. Special care and efforts should be taken as not to form large defects after cyst evacuation to prevent cortical collapse and related mortality.