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    Öğe
    Brain Magnetic Resonance Imaging Findings and Distribution of the Findings According to the Age Groups in Childhood Epilepsies
    (University of the West Indies, 2024) Balik S.; Öztürk M.; Göya C.; Ekici F.
    Objective: To retrospectively analyse the magnetic resonance imaging (MRI) observations and the distribution of etiological factors according to age groups in cases with MRI examinations for an epilepsy diagnosis. Methods: The brain MRIof606 casesfrom the 0-17 years -ge -roup were -nalysedretrospectively, and thefindings were evaluated according to the age group. Results: In 274 cases (45.2%) at least one lesionfrom differentpathology groups was observed. The most frequently observed pathologies were parenchymal damage, hippocampal sclerosis and cortical developmental anomalies. Conclusion: An MRI is a non-invasive, irradiation-free imaging method that can be used in the follow-up of epileptic patients to detect underlying pathologies and treatable causes of epilepsy. © 2024 University of the West Indies. All rights reserved.
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    Operative and non-operative management ofchildren with abdominal gunshot injuries
    (Turkish Association of Trauma and Emergency Surgery, 2018) Arslan M.Ş.; Zeytun H.; Arslan S.; Basuguy E.; Okur M.H.; Aydoğdu B.; Göya C.
    BACKGROUND: Non-operative management (NOM) is a standard treatment method for solid organ injuries worldwide. There is no consensus on the management of gunshot wounds (GSW) because of the higher frequency of hollow viscus injuries (HVI) and the unpredictable depth of tissue damage produced by kinetic energy transfer during retardation of the bullet. Here we aimed to reevaluate indications for surgery and NOM based on our pediatric patients with abdominal GSW. METHODS: We performed a retrospective analysis of patients evaluated and treated for abdominal GSW at University of Dicle between January 2010 and October 2016. Patients with hemodynamic instability, signs of peritonitis on serial abdominal examination, and free air in the abdomen underwent laparotomy; these were included in group I (n=17). Patients managed non-operatively were included in group II (n=13). RESULTS: Our statistical analysis showed significantly lower Hb levels and systolic blood pressure levels (p<0.001) and higher pulse rate, higher mean injury severity score, and longer length of stay at intensive care unit in patients in group I than in those in group II (p<0.001). We further detected colon perforation (n=10) and small bowel perforation (n=7) in patients in group I; liver laceration (n=4), splenic injury (n=1), and renal injury (n=3) but no solid organ injury or HVI (n=5) were detected in patients in group II. CONCLUSION: The major drawback of NOM is the difficulty in diagnosing HVI in abdominal GSW, which may delay treatment. We suggest that patients with solid organ damage who are hemodynamically stable and exhibit no signs of peritonitis upon serial abdominal exam may be treated with NOM. © 2018 Turkish Association of Trauma and Emergency Surgery.
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    US and CT findings of hibernoma in an unusual location
    (2013) Yavuz A.; Bora A.; Beyazal M.; Göya C.
    Hibernomas are asymptomatic, slow-growing tumors occurring in the anatomical sites where of brown fatty tissue was found in fetal life such as inter-scapular region or thigh. Retroperitoneal localization is an unusual site for this tumor and only few cases have been published in the literature. These tumors are benign in nature without any recurrence after total excision or evidence of metastasis. The purpose of this presentation is to demonstrate the US and CT findings of retroperitoneal hibernoma with the review of the literature.