Turkish neurosurgery最新文献

{"title":"Osteoplastic Pterional Craniotomy: Success Rate of Surgery in Patient Aspect.","authors":"Eyup Varol,&nbsp;Furkan Avci,&nbsp;Mustafa Umut Etli,&nbsp;Ali Fatih Ramazanoglu,&nbsp;Serdar Onur Aydin,&nbsp;Abuzer Gungor,&nbsp;Mehmet Resit Onen,&nbsp;Cumhur Kaan Yaltirik","doi":"10.5137/1019-5149.JTN.43674-23.1","DOIUrl":"10.5137/1019-5149.JTN.43674-23.1","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effect of osteoplastic pterional craniotomy on temporal hollowing and its sequelae.</p><p><strong>Material and methods: </strong>A total of 97 patients who underwent pterional craniotomy for an aneurysm were analyzed retrospectively. Of these 97 patients, 63 underwent surgery via the conventional pterional approach and 34 underwent surgery via the osteoplastic pterional approach. The temporal muscle volume was calculated bilaterally on CT images obtained in the sixth postoperative month. The results obtained in the conventional and osteoplastic approaches were compared.</p><p><strong>Results: </strong>Of the 97 included patients, 45 were female and 52 were male. The mean patient age was 50.37 years. In the conventional group, 31 were female and 32 were male. In the osteoplastic group, 14 were female and 20 were male. The temporal muscle volume difference between the operated and non-operated side was not statistically significant in the osteoplastic group. However, the volume was slightly lesser on the operated side than on the non-operated side in the conventional group.</p><p><strong>Conclusion: </strong>The osteoplastic pterional approach is superior to the conventional approach in preserving the muscle volume and function. Patients who underwent osteoplastic craniotomy demonstrated higher levels of satisfaction with their facial appearance compared to those who underwent craniotomy using the conventional pterional approach.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"1106-1112"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41243015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Neuroprotective Effect of Shilajit Extract in Experimental Head Trauma Model Created in Rats.","authors":"Adil Can Karaoglu,&nbsp;Ibrahim Burak Atci,&nbsp;Nail Demirel,&nbsp;Okan Turk,&nbsp;Canan Hurdag,&nbsp;Ozgur Baran,&nbsp;Nuriye Guzin Ozdemir,&nbsp;Ayhan Kocak,&nbsp;Muhammet Teoman Karakurt","doi":"10.5137/1019-5149.JTN.37599-22.2","DOIUrl":"10.5137/1019-5149.JTN.37599-22.2","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the neuroprotective effect of shilajit extract in experimental head trauma.</p><p><strong>Material and methods: </strong>Three groups of 33 Sprague Dawley Albino strain male rats were included in the study. Group 1 (n=11): trauma but not treated. Group 2 (n=11): trauma and treated with 0.5 mL / rat saline Group 3 (n=11): 150 mg / kg shilajit extract was administered intraperitoneally in the treatment of trauma. Following the head trauma, the indicated treatments were applied to the 2nd and 3rd groups at the first, twenty-four and forty-eighth hours. Brain tissues and blood samples were taken after the control animals were sacrificed at the 72nd hour in all groups after trauma. Sections prepared from cerebral cortex and ca1 region were examined with hematoxylin eosin and luxol fast blue staining. Total antioxidant capacity, total oxidant capacity and oxidative stress index were measured from blood samples taken after routine procedures.</p><p><strong>Results: </strong>The number of red neurons and the severity of edema were significantly higher in both the cerebral cortex and the ca1 region in the group treated with trauma only and in the group administered saline after trauma compared to the group that received shilajit extract after trauma. The total antioxidant capacity increased significantly in blood samples taken only from the group treated with trauma and saline in post-trauma treatment compared to the group given post-traumatic shilajit extract, while shilajit extract given due to traumatic brain injury significantly decreased the total oxidant capacity and oxidative stress index values compared to the other groups.</p><p><strong>Conclusion: </strong>Shilajit extract has been shown to have a neuroprotective effect in the treatment of acute traumatic brain injury. Our study showed that shilajit may be a useful option in the treatment of secondary brain injury, in humans.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"976-981"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41243008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microvascular Patch Graft Angioplasty of the Common Carotid Arteries in Rats.","authors":"Zongyu Xiao, Ji Wang","doi":"10.5137/1019-5149.JTN.36478-21.2","DOIUrl":"https://doi.org/10.5137/1019-5149.JTN.36478-21.2","url":null,"abstract":"<p><strong>Background: </strong>Microvascular patch graft angioplasty is one of the most important revascularization techniques in cerebrovascular neurosurgery. It is necessary for surgeons to develop the microvascular patch graft angioplasty technique in the laboratory before performing it in a real human body.</p><p><strong>Objective: </strong>To provide a training model for microvascular patch graft angioplasty of the common carotid arteries (CCAs) in rats.</p><p><strong>Methods: </strong>Using male Sprague-Dawley rats (n=20), an oval-shaped arterial patch 3 mm in length and 1.2 mm in width was prepared from a segment of left CCA, and a linear longitudinal arteriotomy 3 mm in length was made along the anterior aspect of the right CCA, then the arterial patch graft was anastomosed to the right CCA with 10-0 sutures in an interrupted fashion. Patency was assessed immediately and 30 minutes after the procedure.</p><p><strong>Results: </strong>All microvascular patch graft angioplasties of the rat common carotid arteries were successful, and all the patency rates immediately after the operation and thirty minutes after the restoration of blood flow were 100%.</p><p><strong>Conclusion: </strong>The training model for microvascular patch angioplasty with rat CCAs can serve as a training tool for mastering the procedure, and this technique could provide an alternative strategy for the surgical repair of microvascular aneurysms and microvascular vessel injuries.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}