Coexistence of ipsilateral ulnar and median nerve entrapment

Objective: Carpal tunnel syndrome (CTS) and Cubital tunnel syndrome (CuTS) are the median nerve compressions under the carpal ligament and ulnar nerve at the wrist, the most common peripheral nerve entrapment of the upper extremity. The fatty tissue due to the high body mass index (BMI) differs the severity of the entrapment symptoms. The study aims to evaluate the association between BMI and symptoms of CTS and CuTS by analyzing the patients whose entrapments are at the same extremity and onset at the same time. Method: The patients were divided into two groups according to the neuropathy sit (CTS and CuTS) and four subgroups according to the BMI (Overweight, grade 1 obese, grade 2 obese, and morbidly obese). All patients were followed up with EMG and performance scale before and after surgical treatment. Results: A total of 31 patients were included in the study. The mean BMI of the patients was 29.63 kg/m2. The average BMI of male patients was 29.02 kg/m2, while the average BMI of female patients was 30.3 kg/m2. Conclusion: In contrast to the previous hypotheses that claim the high body mass index increases the severity of CTS but reduces the formation of CuTS, our study revealed that body mass index was not related to the severity of symptoms

An uncommon intracranial malign tumour which was misdiagnosed as Glioblastoma multiforme: Hemangiopericytoma

Background. Hemangiopericytoma (HPC) which is mostly located at the lower extremity and visceral organs was found extremely rare in the central nervous system. Radiological images are not enough to differentiate HPC from other CNS tumours.  The case was analyzed to determine presurgical features for diagnosis and the challenges during surgery. Case. A 65-year-old male patient with headache was diagnosed as Glioblastoma Multiforme (GBM) considering the image findings. However, the intraoperative macroscopic shape and tendency to bleeding were not relevant to the GBM. The mass was reported as Hemangiopericytoma which is a malign tumour, originates from pericapillary bodies of veins, and commonly locates out of the CNS. Conclusion. Even in advanced age and radiologically considered high-grade glial tumours, HPC should be considered in the differential diagnosis for preoperative preparation

Evaluation of the neuroprotective role of boric acid in preventing traumatic brain injury-mediated oxidative stress

AIM: To investigate the possible neuroprotective effect of boric acid (BA) by examining the changes in catalase (CAT) activity and levels of CAT and malondialdehyde (MDA) in brain tissues from rats with closed head trauma. MATERIAL and METHODS: The study consisted of three groups: control, traumatic brain injury (TBI) and TBI + BA. Animals in the control and TBI groups received saline, while animals in the TBI + BA group received BA through daily oral gavage, for 14 days prior to TBI was performed using the modified Marmarou impact acceleration model. After 24 hours, animals were euthanized, and brain tissue obtained to measure the levels of MDA and to assess the activity of CAT. RESULTS: MDA levels and CAT activity were significantly higher in the TBI group versus the control group. However, they were significantly lower in the TBI + BA group compared to TBI alone. Similarly, edema and necrotic neurons were observed in the TBI group, but not in the control or TBI + BA groups. CONCLUSION: Based on biochemical and histopathological evidence, we determined that TBI induced lipid peroxidation and oxidative stress were inhibited by pre-treatment with BA.Turkish Neurosurgical Societ

Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case

Brucellosis is a zoonosis that can affect many organs or systems. Musculoskeletal system is the most commonly affected site in brucellosis and the frequency of musculoskeletal system involvement varies between 2% and 53%. Multifocal spinal involvement is rare. Here, it was aimed to present our case with brucellar spondylodiscitis involving the thoracic and lumbar regions simultaneously. MRI is a useful imaging method in the diagnosis of multifocal spinal infection caused by brucellosis. Especially in endemic regions, at least two serological tests should be used in the diagnosis of brucellosis. Brucellosis should be absolutely kept in mind for the differential diagnosis of the lderly patients with complaint of longstanding thoracic and back pain in the regions where brucellosis is endemic. J Microbiol Infect Dis 2015;5(3): 129-13

Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas a rare case

Brucellosis is a zoonosis that can affect many organs or systems. Musculoskeletal system is the most commonly affected site in brucellosis and the frequency of musculoskeletal system involvement varies between 2% and 53%. Multifocal spinal involvement is rare. Here, it was aimed to present our case with brucellar spondylodiscitis involving the thoracic and lumbar regions simultaneously. MRI is a useful imaging method in the diagnosis of multifocal spinal infection caused by brucellosis. Especially in endemic regions, at least two serological tests should be used in the diagnosis of brucellosis. Brucellosis should be absolutely kept in mind for the differential diagnosis of the lderly patients with complaint of longstanding thoracic and back pain in the regions where brucellosis is endemic. J Microbiol Infect Dis 2015;5(3): 129-13