Deneysel spinal kord yaralanması sonrası naloksan ve inos aktivasyon arasındaki ilişki

TEZ3522Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 2000.Kaynakça (s. 45-49) var.vii, 49 s. ; res. ; 30 cm.

Clinic and Radiologic Considerations of Fusion and Non-Fusion After Spine Surgery

Spinal fusion, which joins two vertebra, prevents abnormal movement of vertebras. Fusion is one of the most commonly used surgical interventions.Pseudarthrosis, however, is used to define the situation in which there is a no progression of solid fusion one year after solid fusion and the continuity of movement segments leading symptoms and clinical findings. If there is an insufficiency of obtaining fusion this may give rise to benign radiological symptoms to ongoing pain or severe neurologic deficiency. Although advancement in medicine is so fast, it is still difficult to diagnose, non-fusion with 100% accuracy (specificity and sensitivity). In this study it is mentioned how to evaluate the spinal fusion in combination of clinics and radiology. [Cukurova Med J 2012; 37(3.000): 126-132

Brucellar Cervical Spinal Epidural Abscess A Case Report

WOS: 000264279500011Spinal epidural abscesses account for 1 or 2 of every 10,000 hospital admissions. Brucellosis is a zoonotic disease and still a major health problem ill South America and in Mediterranean countries in both Europe and Africa. Spondylitis is one of the most frequent osteoarticular complications of Brucella infection, but cervical spine involvement is rare. In this paper, a 36-year-old man with cervical spinal brucellosis associated with epidural abscess formation and granulation tissue, and diagnosed serologically, is presented. Compression of spinal nerve roots and cord by epidural masses due to brucellar disc infection is a rare condition but should be kept in mind in differential diagnosis of cervical epidural abscess

Anesthesia for Craniotomy Comparison of Sevoflurane, Desflurane, or Isoflurane Anesthesia Supplemented With an Infusion of Dexmedetomidine During Supratentorial Craniotomy

WOS: 000266283300005The aim of this study was to compare the effects of 3 inhalation agents that combined with dexmedetomidine infusion on hemodynamic stability and postoperative recovery in patients undergoing supratentorial tumor surgery. After the institute's ethics committee approved this study and written informed consent was obtained from each participant, 90 patients with ASA I and III, who were scheduled for supratentorial tumor surgery, were recruited for this prospective, randomized controlled study. Routine monitoring was applied for unpremedicated patients on arrival in the operating room. All the patients received IV dexmedetomidine 0.5 mu g/kg over 10 minutes, followed by 0.9 mu g/kg/h infusion during maintenance. Patients were randomly divided into 3 groups. Anesthesia was maintained by sevoflurane in group I, desflurane in group 2, and isoflurane in group 3. Hemodynamaic variables, brain relaxation scores, intraoperative anesthetics requirement, and recovery characteristics were recorded. Demographic were similar among the groups. Mean arterial pressure was higher after intubation at the first minute in all groups than at baseline values. Hypertension was reported in 4 of 30 patients in group 1, 8 of 30 patients in group 2, and 5 of 30 patients in group 3, intraoperatively. Eye opening, following the verbal commands, was significantly lesser in patients receiving desflurane-dexmedetomidine than the other groups (P = 0.001). We conclude that dexmedetomidine infusion is not sufficient for suppressing hemodynamic responses, decreasing the requirement of inhalation agents, and providing adequate brain relaxation in patients undergoing supratentorial craniotomy. Desflurane-dexmedetomidine anesthesia offers lesser eye opening and a slower response to verbal commands postoperatively

Effect of neuroprotective of O-Desulfate Heparin in Acute Spinal Cord İnjruy: An Experimental Study

The aim of study invastigating effects of Neuroprotective of O-Desulfate Heparin in Acute Spinal Cord Injury

İsolated fracture of the third cervical vertebra: Case report

İzole üçüncü servikal vertebra fraktürü travmatik servikal fraktürler içinde % 0.8 oranında görülen, korpus, lamina veya spinoz proçesi kapsayan fraktürdür. Bu fraktürlerin tedavisinde lezyonun tipine ve derecesine göre eksternal immobilizasyon uygulamasını içeren konservatif veya cerrahi tedavi seçilebilir. Konservatif tedavide başarı kemik ve ligamentoz yaralanmanın derecesine ve hastanın halo-vest veya servikal korseye uyumuna bağlı olmakla birlikte yakın hasta takibinide gerektirir. Fraktür seviyesinde interspinoz mesafe yüksekliğinin artmasına ve 11 dereceden daha fazla angulasyonuna neden olmuş travmatize servikal vertebra korpusunun resorbsiyona uğrama riski ve gelişebilecek deformite nedeniyle salt orthosis ile spinal açıyı korumak ve idame ettirmek genellikle yeterli olmamaktadır. İzole C, vertebra fraktüründe transservikal retrofaringeal yaklaşımla anterior korpektomi, interkorporal otogreft ve anterior plakdan oluşan cerrahi tedavi konservatif tedavinin ideal olarak uygulanamadığı ve hasta toleransının yetersiz olduğu durumlarda effektif bir tedavi yöntemidir ve aynı zamanda hastanın postop erken mobilizasyonunu sağlamaktadır.Isolated fractures of the third cervical vertebra are rare (0.8 percent) and primarily chip fractures of the body or isolated lamina or spinous process fractures. These fractures can be managed by cervical traction for initial immobilization and assessment of stability followed by maintenance in an orthosis, depending on the extent of bone and ligamentous injury, and the patient's compliance. Another treatment method is surgical stabilization of fracture. Because of greater angulation than 11° and widened interspinous space either above or below the involved vertebral element, attempts to maintain spine alignment in the orthosis alone usually fails, with the affected vertebral body undergoing further (resorptive) compression. In a patient with isolated fracture of the third cervical vertebra; if the patient's compliance and conservative management in the orthosis are fail; anterior corpectomy and autologous iliac crest bone graft fusion procedure via transcervical retropharingeal approach are an effective management method. In addition, this method provides early mobilization of the patient

Unruptured Cerebral Saccular Aneurysms and Its Treatment Protocol

The physiopathology and treatment principles of unruptured saccular cerebral aneurysms were discussed [Archives Medical Review Journal 2003; 12(1.000): 55-64