Yazar "Icer, M." seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • [ X ]
    Öğe
    Factors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wound
    (Springer Heidelberg, 2017) Icer, M.; Zengin, Y.; Dursun, R.; Durgun, H. M.; Goya, C.; Yildiz, I.; Guloglu, C.
    To explore the effect of admission physical examination findings, anamnesis, and computed tomography on dural penetration and prognosis in patients with cranial gunshot wound (CGW). In this study, the medical data of 56 subjects who were admitted to the Emergency Department of Dicle University Hospital with CGWs between January 2011 and December 2013 were retrospectively reviewed. The effects of type of incident (suicidal vs non-suicidal), pupil diameter and light reflex, hemodynamic status, type (bullet or pellet), velocity, trajectory of foreign material, trauma scores, and imaging findings on dural penetration and mortality were explored. The mean age of the study population was 24.8 +/- 13.50 years. Thirty (53.6 %) patients had penetrating injuries and 26 (46.4 %) had non-penetrating injuries; 9 (16.1 %) patients died and 47 (83.9 %) survived. Suicidal injury, pupil diameter and light reflex, bullet as foreign material, and high velocity and lateral trajectory of foreign material significantly affected dural penetration and mortality (p < 0.05). In addition, dural penetration, bilobar, multilobar, or bihemispheric involvement of brain parenchyma, presence of intracranial hemorrhage, subarachnoid hemorrhage, ventricular hemorrhage, fracture, shift, edema, and trauma scores significantly affected mortality (p < 0.05). In CGWs, dural penetration and prognosis can be predicted by physical examination findings and patient characteristics on initial admission.
  • [ X ]
    Öğe
    PENETRATING TRANSCRANIAL FOREIGN BODIES INJURIES: CASE REPORT
    (Aves, 2007) Al, B.; Orak, M.; Ozhasenekler, A.; Icer, M.; Cakmak, E.
    Intracranial drilling wounds related to falling from high places are rarely seen. The methods that are used in diagnosis, and developing complications, and treatment procedures can be changed according to the shape of trauma, and to the entry place of foreign body, and to the situation of patient. An eleven years old boy was brought to our clinic with complaint of head down falling from roof on the top of an iron spit. In his examination, the iron spit entered from inferior of right mandible and passed through to the brain parenchyma and came out of left frontal zone. On admission, the Glasgow Coma Scale was 15/15. At the operating room of emergency service the iron spit was taken out under local anesthesia without needing craniotomy. The patient who had no complication without ptosis on right lid, and deviated pupil to left side was discharged at his twelfth days of admission. As a result, in intracranial foreign bodies if not more then one lobe had been damaged, and one site of body is outside, the foreign body can be taken out carefully without needing craniotomy.