Steroid vermeyi takiben düzelen dirençli status epileptikus

The minimum duration of a seizure needed to be described as status epilepticus is a matter of great debate; but many authors use a time period of 5 to 20 minutes. In refractory status epilepticus, despite treatment with conventional antiepileptic drugs, seizures continue or baseline values of consciousness between seizures do not return. Status epilepticus due to a brain tumor may be resistant to antiepileptic therapy. A case of refractory status epilepticus controlled by steroid application is presented in this report and discussed in the light of literature. © 2013 Düzce Medical Journal

Early results of non-fusion dynamic stabilization with InterS

WOS: 000290235800004Aim. The current study aims to investigate the early out comes of the new technique applied to degenerative spinal disc disease (DSDD) patients. For this purpose 25 patients having DSDD, spinal stenosis and spondilolisthesis were included in the study. The treatments were performed on a two-stage procedure, first surgically with laminectomy, discectomy (when needed) and then the low invasive non-fusion dynamic stabilization with InterS. Methods. The outcomes of the procedure has been followed up for 12 months. Patients were followed up by means of clinical and radiographic techniques. All of the three group of patients underwent a midline decompressive laminectomy with foraminotomies at the effected levels. Furthermore, in lumbar disc hernia cases, discectomy was performed. Oswestry pain scale was used for the clinical evaluation. Results. The study included patients from both sexes (16 females, 9 males) with a mean age of 54.45 years (range 37-68). Symptoms and signs included pain (100), 15 patients have DDD, 7 patients have spinal stenosis, 3 patients spondylolisthesis. Localization was as follows: L3-4: 5 (20%), L4-5: 20 (80%). Satisfactory results were demonstrated in 21 (84%) patients. The average of Oswestry scores was 42.15 in the preoperative period and 8.8 in the postoperative period. Conclusion. Non-fusion dynamic stabilization method of InterS type is a safe procedure. We believe this technique may reduce higher complication rates for patients with spinal stenosis and spondylolysthesis, degenerative disc disease. Motion preservation, early mobilization, short hospital stays and shorter recovery are the main advantages of the operation

The analysis of the factors affecting lumbar spinal stenosis in adult patients

WOS: 000280796800008PubMed: 20162467Background In this study 67 lumbar spinal stenosis in adult patients operated in our clinic in 3 years are aimed to be analysed in terms of clinical and surgical techniques. Methods Diagnoses were made on the basis of patients' histories and their clinical examinations. Results Average age was 52.16 +/- 8.9 (33-64). 70.1% (47) of patients were females and 29.9% (20) were males. The most frequent neurological symptoms were 71.1% lasque (+) and 56.7% sensory loss. The anterior-posterior diameter was below 11.5 mm in 56.7% of the cases. Partial recovery was observed in the early term of 71.6% the cases. 56.7% of the cases were applied total laminectomy. Conclusion Decompressive laminectomy can be performed safely and effectively in patients of with lumbar stenosis

Lumbar Spinal Stenosis in Elderly Patients

Over a 3-year period in our clinic, surgeons operated on 32 persons over 65 years old with lumbar spinal stenosis. This article presents the retrospective analysis of the clinical, radiological, and short-term surgical outcomes. The stenosis seen most commonly among the elderly develops focally at the intervertebral junctions as a result of a complex process of disc degeneration, facet arthropathy, ligamentum flavum hypertrophy, spondylosis, and sometimes spondylolisthesis. All patients underwent a midline decompressive laminectomy with foraminotomies at the affected levels, and diseectomy was performed in persons with lumbar disc hernia. Average age was 71.15 +/- 5.09 (65-80); 50% (16) were women, and 50% (16) were men. The most frequent symptoms were pain (96.9%) and neurological claudication (90.6%). The average preoperative duration of the symptoms was 139.87 +/- 115.03 weeks. The most frequent neurological symptoms were reflex disturbances (62.5%), Lasques's sign (SLR) (+)(53%), and motor deficit (50%). The anteroposterior diameter of the spinal canal was less than 11.5 rum in 71.9% of the cases. In 62.5% of the patients, partial recovery was observed in the short term; 68.8% of the patients underwent laminectomy. Of those, 873% had total and 12.5% had partial laminectomies. In addition to laminectomy, discectomy was performed in 31.3% of the patients. Total laminectomy was more likely to be performed on patients older than 65 years, because the anteroposterior diameter was more likely to be below 11.5 mm in this cohort of patients. In lumbar stenosis, surgical treatment-decompression-is an effective method. Surgery has been demonstrated to be effective even in patients over the age of 75 years