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Öğe Analysis of 107 civilian craniocerebral gunshot wounds(Springer-Verlag, 2002) Özkan, Ü; Kemaloglu, MS; Özates, M; Aydin, MDIn this study, we present a retrospective analysis of 107 cases due to civilian craniocerebral gunshot wounds that were treated by the medical faculty of Dicle University during a period of 7 years (January 1993 to January 2000). Twenty patients died at the hospital, and the deaths were determined to result from direct effects of brain damage. Coma was the best prognostic guideline. Diffuse brain damage and ventricular injury, particularly infections, were associated with poor outcome.Öğe Characteristics of traumatic spinal cord injuries in south-eastern Anatolia, Turkey: a comparative approach to 10 years' experience(Lippincott Williams & Wilkins, 2005) Gur, A; Kemaloglu, MS; Cevik, R; Sarac, AJ; Nas, K; Kapukaya, A; Sahin, HThe purpose of this study was to determine the demographic and epidemiological characteristics of traumatic spinal cord-injured patients. The hospital records of 539 patients (416 men, 123 women) with spinal cord injuries (SCIs) admitted to four hospitals that were major referral centers for trauma in the south-eastern region of Turkey from 1990 to 1999 were reviewed retrospectively. The patients with SCI were investigated for two periods; the first period covered patients admitted between 1990 and 1994 during which time an influx of people from rural to urban areas occurred and firearm injuries were common. In the second period (1995-1999) the influx of people declined and firearm injuries were reduced. The most common causes of injuries were road traffic accidents (200, 37.12%), followed by falls (172, 31.90%) and bullet wounds (115, 21.34%). In the first period, incomplete paraplegia was encountered more often than in the second period (P < 0.001).Öğe Gigantic intracranial mass of hydatid cyst(Springer, 2001) Özkan, Ü; Kemaloglu, MS; Selçuki, MA child (8 years old) with a gigantic mass of intracranial hydatid cysts (95x90x75 mm) is presented. The first manifestation was difficulty in walking, which was followed by symptoms of raised intracranial pressure. A craniotomy was performed, and more than 25 hydatid cysts were removed. The literature is reviewed and the incidence of gigantic mass of cerebral hydatid cyst is compared in the published reports.Öğe Management of spinal brucellosis and outcome of rehabilitation(Nature Publishing Group, 2001) Nas, K; Gür, A; Kemaloglu, MS; Geyik, MF; Çevik, R; Büke, Y; Ceviz, AStudy Design: Review of cases. Objective: To review cases of brucellosis in order to clarify diagnostic guidelines, treatment regimes and prognsis. Setting: University Hospital, Turkey. Methods: Study of 11 patients (9 male, 2 female) with either brucellar spondylitis or epidural brucellar abscess. Diagnosis made on clinical presentation, laboratory findings, radiographic evidence and a minimum brucellar anti body of 1:160, a positive bacteriological culture and/ or histological finding of inflammation of granulomatous tissue. All patients were treated with a combination of oral antibiotics. Surgery was performed in 8 patients. Results: At least 6 months antibiotic therapy using Rifampicin and Doxycycline is recommended. Surgery is indicated in the presence of spinal instability, cord compression or radiculopathy. In our series eight patients required surgery. Conclusion: The patients complaining of back pain, particularly in endemic areas should be University Hospital, Turkey. Study of II patients (9 male, 2 female) with either brucellar spondylitis or epidural investigated as possible cases of brucellosis.Öğe The results of rehabilitation on motor and functional improvement of the spinal tuberculosis(Editions Scientifiques Medicales Elsevier, 2004) Nas, K; Kemaloglu, MS; Çevik, R; Ceviz, A; Necmioglu, S; Bükte, Y; Cosut, AObjectives. - To evaluate the result of rehabilitation on motor and functional improvement in spinal tuberculosis. Method. - Prospective case study. Data were collected from 47 patients with spinal tuberculosis medically and/or surgically treated, and rehabilitated over 6 months of period, after spinal decompression and fusion. The main outcome measures were motor development of the patients who were evaluated at the beginning, in the 1st week, in the 3rd month, and in the 6th month. Functional development of the patients was evaluated at the beginning and in the 6th month. Functional assessment was made according to Modified Barthel Index (MBI), and motor examination was made according to American Spinal Injury Association (ASIA). Results. - The study population consisted of 47 patients (22 males and 25 females) mean aged 37.9 +/- 18.3 years (range 5-76 years). The most common site of spinal tuberculosis was the thoracic region. Localized back pain, paraparesis, sensory dysfunction and fever were typical clinical manifestations. Surgical management was performed as anterior or posterior drainage of abscess and/or stabilization of the spine. The rehabilitation program was performed in all patients during the preoperative, early postoperative and late postoperative 6 month periods. Muscle-strengthening exercises on necessary localization such as pectoral, abdominal, lower extremities; truncal and sacrospinal extensors were started for the rehabilitation. The motor score for the lower limbs and the MBI scores for activities of daily living (ADL) and mobility improved significantly (P < 0.001). The self-care and mobility categories of the MBI on admission; were 14.8% severely dependent and 10.6% independent. However, at the end of the rehabilitation program, 4.2% were severely dependent and 70.2% independent. In conclusion. - Early diagnosis and appropriate medical and/or surgical treatment together with a rehabilitation program will improve the life quality of patients with spinal tuberculosis. (C) 2003 Elsevier SAS. All rights reserved.Öğe Spinal cord compression by primary amyloidoma of the spine(Yonsei Univ Coll Medicine, 2002) Nas, K; Arslan, A; Ceviz, A; Bilici, A; Gür, A; Kemaloglu, MS; Çevik, RIn this report, we presented a case of solitary spine amyloidoma, its clinical and radiological findings and management, and a review of the literature on vertebral amyloidosis.Öğe Treatment of subdural empyema by burr hole(Israel Journal Med Sciences, 1996) Ak, HE; Ozkan, U; Devecioglu, C; Kemaloglu, MSSubdural empyema, a collection of pus in the space between the dura and arachnoid, is a rare type of intracranial infection. We report on 23 patients, aged 8 months to 70 years, with subdural empyema who were treated in our clinic between 1989 and 1994. The sources of subdural empyemas were meningitis in five patients, middle ear in five, trauma in four, paranasal sinus in three, complications of surgery and subdural tap in four, and unknown in two patients. The common presentations were headache, focal neurologic deficit, fever, vomiting, seizures, and neck stiffness. Diagnosis was achieved by computerized tomography and neurologic examinations in all cases. Treatment was effected by burr hole or small craniotomy with catheter drainage, and antibiotics were administered to all patients. The mortality rate was 8.7%; the remaining patients made a good recovery without sequelae. We therefore recommend burr hole with catheter drainage plus antibiotics as a method of treating subdural empyema.Öğe Widespread post-traumatic acute spinal subdural haematoma(Nature Publishing Group, 2002) Özkan, Ü; Kemaloglu, MS; Aydin, M; Selçuki, MStudy design: A case report of acute post-traumatic spinal subdural haematoma (ASSH). Objective: To report a rare post-traumatic problem. Setting: Dicle University Hospital, Diyarbakir, Turkey. Method: A 3-year-old boy was admitted to our clinic with paraplegia 24 h after falling from a height of about 5 meters. Investigation revealed all acute spinal subdural haematoma. Results: Following surgery there was marked improvement. The rehabilitation of the patient continues. Conclusion: MRI is the most valuable diagnostic method. In each case diagnosed as ASSH. prompt evacuation should be performed before irreversible neurological damage occurs.