LOMBER DİSK HASTALARINDA AŞIRI AKTİF MESANE SENDROMUNUN DEĞERLENDİRİLMESİ

RESULT : There may be urological problems in patients with lumbar disc hernia at differentiating degrees. These problems, as well giving rise to medical problems, may also lead to social challenges. The clinician, while questioning the pain, motor and sensory deficit in terms of lumbar disc hernia, should also take into consideration the urological problems indicating close/frequent association at a considerable amoun

Minör kafa travmalı çocuklarda gözlemin önemi : olgu sunumu

Bu yazıda belirgin bası etkisi oluşturan ve acil cerrahi gerektiren geç epidural hematom olgusunun analizi sunulmaktadır. Böyle bir durumun oluşturacağı zararlardan korunmada klinik şüphe ile daha sık ve kolay bilgisayarlı tomografi incelemesinin anahtar rol oynadığını düşünüyoruz. Geç epidural hematomlar da klinik gerilemenin yakın takibi ile tekrar bilgisayarlı tomografi çekilmesi olguların erken saptanmasında en önemli faktördür.Here we present an analysis of the case of delayed epidural hematoma which had a significant mass effect and required surgical evacuation. We consider that maintaining a high clinical suspicion, coupled with a low threshold for computed tomography scanning, is the key to morbidity prevention in this situation. Close observation for signs of clinical deterioration and repeat CT scan are the most important factors for early detection of the delayed epidural hematoma

The outcome of epiduroscopy treatment in patients with chronic low back pain and radicular pain, operated or non-operated for lumbar disc herniation : A retrospective study in 88 patients

Background: Patients with lumbar disc herniation are treated with physiotherapy/medication and some with surgery. However, even after technically successful surgery some develop a failed back syndrome with persistent pain. Our aim was to evaluate the efficacy of epiduroscopy in patients who suffer chronic low back pain and/or radicular pain with or without surgery and the gender difference in outcome. Methods: A total of 88 patients were included with a mean age of 52 years (27-82), 54 women and 34 men. 66 of them were operated previously and 22 were non-operated. They all had persistent chronic back pain and radicular pain despite of medication and physical rehabilitation. Visual Analog Scale (VAS) for pain and Oswestry Disability Index (ODI) were evaluated preoperatively, after one month, six months and one-year after the epiduroscopy. Results: All patients, and also the subgroups (gender and operated/non-operated) improved significantly in pain (VAS) and disability (ODI) at one month. A significant improvement was also seen at one year. No differences were found between men and woman at the different follow-up times. A slight worsening in VAS and ODI was noticed over time except for the non-operated group. Conclusions: Epiduroscopy helps to improve the back and leg pain due to lumbar disc herniation in the early stage. At one year an improvement still exists, and the non-operated group seems to benefit most of the procedure