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Öğe 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.Öğe Solitary vertebral osteochondromas causing spinal cord compression(1991) Kulah A.; Vural A.; Fiskeci C.Two cases of solitary osteochondroma of the thoracic spine with spinal cord compression are reported. One was a sessile osteochondroma of the lamina and pedicle of T2 vertebra in a 9 year-old child; the other was a pedunculated osteochondroma of the posterior surface of the body of T6 vertebra in a 45 year old man. A discussion of the symptomatology, diagnosis and a review of the related literature are given.