Selin Tural Emon

Haydarpaşa Numune Eğitim ve Araştırma Hastanesi

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Metin Orakdöğen

Trakya University

Hakan Somay

Acıbadem Kadıköy Hospital

Serap Uslu

Istanbul Medeniyet University

Ezgi Akar

Haydarpaşa Numune Eğitim ve Araştırma Hastanesi

Barış Erdoğan

Şanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi

Tayfun Hakan

Istanbul University

Fügen Aker

Haydarpaşa Numune Eğitim ve Araştırma Hastanesi

Taner Engin

Namık Kemal University

Zeynep Cingu Meric

Dilek Akakín

Marmara University

Cooperative Institutions

Haydarpaşa Numune Eğitim ve Araştırma Hastanesi

Sağlık Bilimleri Üniversitesi

Marmara University

Acıbadem University

Istanbul University

Acıbadem Adana Hospital

Kent Hastanesi

Namık Kemal University

Istanbul Medeniyet University

University of Health Science

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Retrospective analysis of 195 surgically treated cases of chronic subdural hematoma

International Journal of Clinical Practice (2021)

Barış Erdoğan Merih İş Selin Tural Emon Duygu Ceman Metin Orakdöğen

The incidence of chronic subdural hematoma (CSDH) is increasing. This study evaluates the etiologic causes and findings of CSDH and compared unilateral CSDH with bilateral CSDH. This study aims to draw attention to this increasingly prevalent condition.We retrospectively analysed 195 surgically treated cases of CSDH in our clinic between 2008 and 2018.The average age of the patients was 65.7 ± 19.6 years. The most common symptom was headache (53.3%). The case background was the use of anticoagulant (37.9%), head trauma (34.3%). The hematomas were 28.7% right side, 44.6% left side, and 26.7% bilateral. The mean Glasgow Coma Score (GCS) was 13.4 ± 2.9, early postop 13.8 ± 2.5, and late postop was 14.6 ± 1.1. Postoperative complications included acute subdural hematoma (5.1%), cerebral infarction (1.5%), wound infection (0.5%) and others (13.3%). Re-expansion of the brain were statistically significantly less frequent and impaired consciousness, anticoagulant use, early and late postop thickness were statistically significantly more frequent in patients with bilateral CSDH.CSDH is seen more patients of advanced age, those who use anticoagulants, patients with hypertension and diabetes and in patients with a history of head trauma. Prognosis is worse in bilateral CSDH. We estimate that the incidence of CSDH will go up in the future.

Chronic Subdural Hematoma

Head trauma

Coma (optics)

Subdural Hematomas

Level of consciousness

Midline shift

10.1111/ijcp.15014

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Citations (4)

A Rare Complication of Benign Intracranial Hypertension: Bilateral Facial Nerve Palsy

Selin Tural Emon Arzu Gerçek Deniz Konya Serdar Özgen

4 Acibadem Universitesi Tip Fakultesi, Norosirurji Anabilim Dali, Istanbul 4 Benign intracranial hypertension may occasionally be associated with cranial nerve palsies. Abducens nerve palsies occur in 10 % to 20 % patients with benign intracranial hypertension, other cranial nerve palsies occur much less frequently. We reported a 25-year-old woman benign intrac- ranial hypertension with bilateral seventh nerve palsy. Complete improvement of her cranial nerve palsy was achieved with lumboperitoneal shunting within 14 days.

Abducens nerve

Trochlear nerve

Cranial nerve palsy

Facial Nerve Palsy

Cranial nerve disease

Sixth nerve palsy

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Citations (1)

Vascular variations associated with intracranial aneurysms

Turkish Neurosurgery (2016)

Metin Orakdöğen Selin Tural Emon Hakan Somay Taner Engin Merih İş

To investigate the vascular variations in patients with intracranial aneurysm in circle of Willis.We used the data on 128 consecutive intracranial aneurysm cases. Cerebral angiography images were analyzed retrospectively. Arteries were grouped as anterior cerebral arterial system (ACS), posterior cerebral arterial system (PCS) and middle cerebral arterial system (MCS) for grouping vascular variations. Lateralization, being single/multiple, gender; and also any connection with accompanying aneurysms" number, localization, dimension, whether bleeding/incidental aneurysm has been inspected.Variations were demonstrated in 57.8% of the cases. The most common variation was A1 variation (34.4%). The rate of variations was 36.7%, 24.2% and 10.2% respectively in ACS, PCS and MCS. MCS variations were significantly higher in males. Anterior communicating artery (ACoA) aneurysm observance rates were significantly higher and posterior communicating artery (PCoA) aneurysm and middle cerebral artery (MCA) aneurysm observance rates were significantly lower when compared to "no ACS variation detected" cases. In "PCS variation detected" cases, PCoA aneurysm observance rates and coexistence of multiple variations were significantly higher.The rate of vascular variations in patients with aneurysms was 57.8%. Arterial hypoplasia and aplasia were the most common variations. ACS was the most common region that variations were located in; they were mostly detected on the right side. Coexistence of ACoA aneurysm was higher than PCoA and MCA aneurysms. In the PCS variations group, PCoA aneurysms were the most common aneurysms that accompanying the variation and multiple variations were more common than in the other two groups. The variations in MCS were most common in males.

Anterior communicating artery

Circle of Willis

Posterior communicating artery

Anterior cerebral artery

10.5137/1019-5149.jtn.17839-16.1

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Citations (14)

Fourth Ventriculostomy in Occlusion of the Foramen of Magendie Associated with Chiari Malformation and Syringomyelia

NMC Case Report Journal (2015)

Metin Orakdöğen Selin Tural Emon Barış Erdoğan Hakan Somay

We present four cases of hydrocephalus caused by occlusion of foramen of Magendie associated with Chiari Type I malformation and syringomyelia. The aim of this study is to evaluate the results of surgical treatment via fourth ventriculostomy with catheter from the fourth ventricle to the upper cervical subarachnoid space. Obstructive tetraventricular hydrocephalus due to occlusion of the foramina of Luschka and Magendie can be treated with cerebro-spinal fluid shunting, opening the membranes with suboccipital craniotomy, placement of a catheter, endoscopic third ventriculostomy, and endoscopic fourth ventriculostomy. Our aim was to solve all the pathologies such as Chiari malformation, hydrocephalus, and syringomyelia in one approach. Thus, the treatment consisted of posterior fossa decompression and exploration. All the patients were treated with suboccipital craniectomy and C1 laminectomy with excision of the membrane obstructing the foramen of Magendie. Fourth ventriculostomy with cathetering from fourth ventricle to upper cervical subarachnoid space was performed. The postoperative period was uneventful in all the patients. Neurological status of all the patients improved. Tetraventricular hydrocephalus and syrinx were reduced in the control cranial magnetic resonance imaging. Complications such as infection and catheter migration were not observed during the follow-up period. Treatment with fourth ventriculostomy using a catheter from fourth ventricle to upper cervical subarachnoid space could be a treatment of choice in cases with hydrocephalus caused by occlusion of the foramina of Magendie, with associated Chiari Type I malformation and syringomyelia.

Fourth ventricle

Ventriculostomy

Subarachnoid space

Endoscopic third ventriculostomy

Foramen

Chiari Malformation

10.2176/nmccrj.cr.2014-0245

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Citations (8)

Embryotoxic effects of sunset yellow fcf in congenital neural tube defect formation in early-stage chick embryos: a histopathological study

Turkish Neurosurgery (2025)

Fatih Toprak Dila Şener Dilek Akakín Ezgi Akar Selin Tural Emon

10.5137/1019-5149.jtn.48040-24.2

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Citations (0)

Effect of L-Arginine Therapy on Vasospasm: Experimental Study in Rats

World Neurosurgery (2019)

Ezgi Akar Selin Tural Emon Serap Uslu Metin Orakdöğen Hakan Somay

10.1016/j.wneu.2019.08.119

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Citations (12)

Effects of ozone on spinal cord recovery via wnt/ β-catenin pathway following spinal cord injury in rats

Turkish Neurosurgery (2016)

Selin Tural Emon Serap Uslu Elif Ilgaz Aydınlar Arzu İrban Ümit İnce

is usually young (16-30 years) (18,19,21) but their survival is expected to be long, requiring a prevention system to avoid undesirable life quality decrease and high healthcare costs due to secondary injury following primary SCI.At the moment of trauma, inevitable primary injury occurs whereas secondary injury develops over time involving greater tissue damage ( 14).The factors influencing secondary damage are local inflammation, excitatory toxicity, and significant oxidative stress.This damage occurs after the primary injury within days █

Ozone Therapy

10.5137/1019-5149.jtn.17508-16.1

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Citations (9)

A primary orbital hydatid cyst

Journal of Clinical Neuroscience (2012)

Hakan Somay Selin Tural Emon Metin Orakdöğen Mehmet Zafer Berkman

Hydatid cyst

Zoonosis

Exophthalmos

10.1016/j.jocn.2011.09.018

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Citations (11)

The Histological Effects of Ozone Therapy on Sciatic Nerve Crush Injury in Rats

World Neurosurgery (2017)

Hakan Somay Selin Tural Emon Serap Uslu Metin Orakdöğen Zeynep Cingu Meric

Crush injury

Ozone Therapy

10.1016/j.wneu.2017.05.161

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Citations (26)

Tumoral calcinosis and epidural lipomatosis of the lumbar spine

Turkish Neurosurgery (2009)

Selin Tural Emon Süheyla Bozkurt Arzu Gerçek Serdar Özgen

Lumbar spinal tumoral calcinosis and spinal epidural lipomatosis are rare conditions. We present a 70-year-old female patient with serology negative spondyloarthropathy who developed paresis due to tumoral calcinosis in the left facet joint between L5 and S1 levels and spinal epidural lipomatosis at L5 and S1 levels. Surgery was performed to excise the lesions en bloc. Neural decompression was provided. Neurological symptoms improved after surgery. Here, we report the first serology negative spondyloarthropathy case that had concomitant development of tumoral calcinosis and spinal epidural lipomatosis.

Spondyloarthropathy

Lipomatosis

Tumoral calcinosis

Back Pain

10.5137/1019-5149.jtn.2566-09.1

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Citations (5)