The Types of Injury, Regions and Frequency in Athletes Participating Universities Taekwondo Championchip

This study aims to determine the rates of injuries, the types of injuries and what part of the body is mostly injured in professional taekwondo sportsmen during competitions. This study involves 287 sportsmen participated in the interuniversity Taekwando championship in Ordu. Injuries during a match of the championship was determined by a team. The characteristics and types of injuries, the sportsmen’s verbal expressions were registered by a pre-determined team, and it was mentioned about how these injuries occurred, in which part of the body the injuries were seen. Among 287 sportsmen in this study, 178 sportsmen were male, 109 ones were female. 46 universities took part in this championship. The championship lasted three days and total 271 competitions were done. 539 injuries were determined in total. The mostly seen type of injury was hematoma (43%), the mostly injured part was in lower extremities 416 (77%), most of the injuries were ones seen in defense (36%). No injuries were not observed in neck, shoulder, spine or trunk and cerebral injuries were not also observed. As a result of the study, it was explained that most of the injuries seen in the taekwondo competitions did not require the medical intervention and the lower extremities were mostly injured in these competitions. In the light of these findings, it could be said that these parts be protected during the competitions and the defense techniques be different

Normal Basınçlı Hidrosefali Nedeniyle Yapılan Ventriküloperitoneal Şant Cerrahisi Sonrası Gelişen Akut Tansiyon Pnömosefali

Tansiyon pnömosefali, intrakranyal cerrahi girişimler sonrası nadir gelişen ancak hayatı tehdit eden bir patolojidir. Bu nedenle erken tanı konulması ve acil cerrahi müdahale edilmesi gerekir. Şant cerrahisi sonrası gelişen tansiyon pnömosefali daha da nadirdir ve genelde geç dönemde ortaya çıkmaktadır. Bildiğimiz kadarıyla literatürde sadece bir tane ameliyat sonrası erken dönemde gelişen akut pnömosefali olgusu mevcuttur. Bu yazıda normal basınçlı hidrosefali nedeniyle yapılan ventriküloperitoneal şant cerrahisini takiben gelişen, yakın nörolojik muayene ve acil cerrahi müdahale ile uygun şekilde yönetilen bir akut tansiyon pnömosefali olgusu sunulmaktadır. Bu olguda ameliyathanemizde bulunan mobil BT cihazının kullanılması hastanın radyoloji birimine transportunu gerektirmeden erken tanı konulmasını ve buna bağlı olarak erken cerrahi müdahaleyi olanaklı kılmış, morbidite ve mortalite gelişmesini engellemiştir.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. To our knowledge, early postoperative tension pneumocephalus after shunt surgery was reported only in one other publication. 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

Challenges in the clinical and radiological differential diagnosis of cerebrovascular events and malignant primary brain tumors: reports from a retrospective case series

AIM: To reveal difficulties in differential diagnosis of some cases of cerebrovascular events (CVEs) and malignant primary brain tumors (MBTs) even a multidiciplinary evaluation in grand rounds. MATERIAL and METHODS: This study retrospectively analyzed the patient archives from January 2017–December 2019. The records of 572 patients discussed in these meetings were examined. A total of 8 patients having a challenge in differential diagnosis were detected. RESULTS: This study has included 8 cases in which neurology−neurosurgery−neuroradiology clinicians have difficulty in differentiating CVE and MBT. In the present study, three patients were evaluated with a preliminary diagnosis of hemorrhagic CVE in the emergency room. Since degradation products of hemoglobin have prevented advanced imaging methods to diagnose in two patients, these patients have been followed closely. The correct diagnosis could be made through the scan performed during control follow-ups The preliminary diagnosis of seven patients was CVE, but they received the MBT diagnosis during the follow-up. One patient was thought to have MBT initially; however, he/she was diagnosed with CVE after an advanced examination and close follow-up. CONCLUSION: Despite developing medical imaging methods and diagnostic studies, there are still some difficulties in making differential diagnosis of CVEs and MBTs. In some patients, further examination and imaging methods may be needed such as magnetic resonance imaging-spectroscopy (MRI-S), perfusion magnetic resonance imaging (Per-MRI), digital substratioangiography (DSA). Despite all these neuroradiological examinations and multidiciplinary evaluation, distinction between CVE and MBT may be difficult, and medicolegal problems may be encountered

Surgery for Pyogenic Brain Abscess over 30 Years: Evaluation of the Roles of Aspiration and Craniotomy

AIM: To evaluate the roles of craniotomy and aspiration in the treatment of pyogenic brain abscess throughout 30 years of computerized tomography.MATERIAl and METhODS: A retrospective study of 224 patients who were surgically treated at Istanbul Medical Faculty, Department of Neurosurgery between 1982 and 2012 was undertaken. The records were analyzed for demographic, clinical and radiological findings, surgical interventions (resection, free-hand aspiration and image-guided aspiration), data regarding abscesses (etiological factors, site, size, number, localization and identified microorganism), corticosteroid and antibiotic usage and complications, and the outcomes were reviewed. RESulTS: The male-to-female ratio was 2.2, and the mean age was 26.2±1.25 years. The most common presenting symptom was headache (56.7%), followed by nausea and vomiting (28.5%). Otitis media and mastoiditis were the most common causes of abscess (41.9%), and 44 patients had multiple abscesses. Aerobic gram-positive microorganisms were the most frequently isolated pathogens in culture (51.5%). Primary surgical interventions were as follows: craniotomy and resection (38.8%), free-hand aspiration (49.1%) and image-guided aspiration (12.1%). The aspiration-to-resection ratio was 1.36 (64/47) in the first decade, 2.94 (50/17) in the second decade and 1 (23/23) in the last decade. age, level of consciousness at the time of admission and potent corticosteroid usage were found to be significantly associated with mortality (p=0.001, p<=0.001 and p=0,038, respectively). The total morbidity and mortality ratios were 4.9% and 9.8%, respectively. Seizures were more common in patients of craniotomy group (p=0.023). COnCluSIOn: Treatment of pyogenic brain abscess remains challenging, despite advances in surgical and imaging technology, and craniotomy retains a significant role in surgical treatmen