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    Dimethyl sulfoxide in the management of patient with brain swelling and increased intracranial pressure after severe closed head injury
    (1990) Kulah A.; Akar M.; Baykut L.
    The results of a prospective study on the effects of dimethyl sulfoxide (DMSO) in patients with severe closed head injuries causing brain edema and increase in intracranial pressure (ICP) are presented. 10 patients were selected and carefully analyzed according to Glasgow coma scale (GCS) scores and severity of brain edema. The results demonstrate that DMSO rapidly reduces the raised ICP, increases the cerebral perfusion pressure (CPP) and improves the neurological course and outcome without affecting the systemic blood pressure and patient responsiveness except only in one patient. We also point out that the rebound effect does not occur.
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    Three-stage procedure for the fractured lumbar spine using Harrington posterior instrumentation and anterior interbody fusion
    (1991) Kulali A.; Baykut L.; Rahnmanli O.
    Thirteen patients who underwent posterior reduction and temporary stabilization using Harrington distraction double rods combined with an anterior interbody fusion of the fractured spine are reported. Harrington instrumentation was removed as soon as osseous ankylosis was obtained in order to restore the normal mobility of the segments. Autogenous fresh iliac bone grafts were used. Their diagnoses were traumatic compression burst or wedge fracture and fracture dislocation of lumbar vertebrae. All of the patients have obtained a successful reduction with improvement of spinal alignment and excellent relief of both back pain and sciatica. All of the preoperative neurological deficits either resolved or showed a progressive improvement. There were no complications except for an infection at the donor site of the bone graft in only one patient and spontaneous loosening of the hooks without consequences in another patient. Although the series is small the purpose of our study is to show that this adequate type of three-stage combined management of spinal derangement is possible to prevent or to reduce neurological complications and to enable early rehabilitation, mobilization, and ease of the nursing care.