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Öğe C1-C2 posterior segmental fixation for traumatic Atlantoaxial instability(Ege University Press, 2014) Eser, Olcay; Karavelioğlu, Ergün; Türkoğlu, Mehmet ErhanCervical spinal trauma is one of the most frequent causes of disability. Upper cervical spinal trauma, caused by more than one mechanism, is a complex injury which may show various neurological statements. Atlantoaxial fractures are seen frequently after motor vehicle accidents and falls from height. Various treatment modalities defined in the upper cervical spine trauma and surgical treatment technique, so there is still unclear. Seven patients, six male and one female, were surgically treated for symptomatic atlantoaxial instability. The major cause of instability was; motor vehicle accident in six patients and falling from height in one patient. C1-C2 posterior fixation and posterolateral fusion was performed in 7 cases. The fusion and C1-C2 stability were achieved in all cases after 6 months. C1-C2 posterior fixation and fusion technique is a reliable and safe method to treat atlantoaxial instability when followed the given instruction by spinal surgeons. But, further prospective clinical studies will be needed to determine the effectiveness of this technique.Öğe C1-C2 Posterior Segmental Fixation For Traumatic Atlantoaxial Instability(Journal Neurological Sciences, 2014) Eser, Olcay; Karavelioğlu, Ergün; Türkoğlu, Mehmet ErhanCervical spinal trauma is one of the most frequent causes of disability. Upper cervical spinal trauma, caused by more than one mechanism, is a complex injury which may show various neurological statements. Atlantoaxial fractures are seen frequently after motor vehicle accidents and falls from height. Various treatment modalities defined in the upper cervical spine trauma and surgical treatment technique, so there is still unclear. Seven patients, six male and one female, were surgically treated for symptomatic atlantoaxial instability. The major cause of instability was; motor vehicle accident in six patients and falling from height in one patient. C1-C2 posterior fixation and posterolateral fusion was performed in 7 cases. The fusion and C1-C2 stability were achieved in all cases after 6 months. C1-C2 posterior fixation and fusion technique is a reliable and safe method to treat atlantoaxial instability when followed the given instruction by spinal surgeons. But, further prospective clinical studies will be needed to determine the effectiveness of this technique.Öğe C1-C2 Posterior Segmental Fixation For Traumatic Atlantoaxial Instability(2014) Eser, Olcay; Karavelioğlu, Ergün; Türkoğlu, Mehmet ErhanServikal travmalar sakat kalmanın en sık nedenlerinden biridir. Birden fazla mekanizmayla oluşan üst servikal travma değişik nörolojik bozukluklar gösterebilen kompleks bir yaralanmadır. Atlantoaksiyal kırıklar sıklıkla trafik kazlarından ve yüksekten düşmelerden sonra görülür. Üst servikal travmalarda değişik tedavi modaliteleri ve cerrahi tedavi teknikleri tanımlanmıştır fakat hala tedavi yöntemi karışıktır. Altı erkek bir bayan toplam 7 hasta semptomatik atlantoaksiyal instabilite nedeniyle cerrahi olarak tedavi edildi. Altı hastada atlantoaksiyal instabilite nedeni trafik kazası, bir hastada ise yüksekten düşmeydi. 7 hastada C1-C2 posterior fiksasyon ve posterolateral füzyon yapıldı. 6 ay sonra tüm hastalarda C1-C2 stabilizasyon ve füzyon sağlandı. C1-C2 posterior fiksasyon ve füzyon tekniği, spinal cerrahların verdiği açıklamalara uyulduğu sürece atlantoaksiyal instabiliteleri tedavi etmek için emniyetli ve güvenli bir metottur. Bu tedavinin etkinliğini belirlemek için daha fazla prospektif klinik çalışmalara ihtiyaç vardır.Öğe Endoscopic Treatment of Intracerebral and Intraorbital Abscess due to Trauma(Düzce Üniversitesi, 2014) Karavelioğlu, Ergün; Ayçiçek, Abdullah; Eser, Olcay; Kaçar, Emre; Bucak, Abdulkadir; Ulu, SahinBrain abscess is a serious and life-threatening disease. Severe neurological deficits may remainin the survived cases. Brain absceses are often observed after ear infections. Other than this,they also occur after head trauma (with comminuted fracture, penetrating wounds), purulentmetastases of lung or other organs and skull osteomyelitis. Although brain absceses after headtrauma are rare, in this case report a patient who had a history of surgical intervention due tosevere brain trauma 20years ago, admitted with increasing visual impairment and seizureswithout any infection focus and then diagnosed with an abscess in orbital cavity and cranialregion was presentedÖğe Fibrous Dysplasia: (Because of 2 Cases)(Düzce Üniversitesi, 2008) Eser, Olcay; Aslan, Adem; Kaya, Eser; Şahin, Önder; Coşar, Murat; Eser, BetülAim: Fibrous dysplasia is a slow growing skeletal developmental anomaly in which particularly long tubular bones, ribs, skull and facial bones are involved. We aimed to present two cases diagnosed as fibrous dysplasia in our neurosurgey clinic. Case report: The first case was 11 year-old, male and had a craniofacial involvement with a rarely seen humerus involvement polyostotic fibrous dysplasia. The second case was 14 year-old, male and had only craniofacial involvement monostotic fibrous dysplasia. While medical treatment is used to reduce the symptomps of the disease, the surgical treatment is used to correct deformities in fibrous dysplasia. Cranioectomy was carried out for cosmetic purposes in case I, and due to prediagnosis of “osteom” in the Case II. The two cases were diagnosed as fibrous dysplasia as a result of clinical, histopathological and radiological examinations. Follow-ups for both cases were done. Result: Craniofacial involvement with humerus involvement is rarely seen in polyostotic fibrous dysplasia. We evaluated these two cases under the light of literatureÖğe Spontaneous Cervical Vertebral Osteomyelite: Case Report(Düzce Üniversitesi, 2008) Eser, Olcay; Aslan, Adem; Coşar, Murat; Şahin, Önder; Korkmaz, SerhatWe present an uncommon vertebrae osteomyelite case of cervical spine. Cervical vertebrae osteomyelite may occur spontaneously, post operative, and post traumatic, but, hematogen spreading of infection is the most common. The delay for the diagnosis and management of cervical vertebra osteomyelites may cause to severe neurological disorders. Immobilization and administration of antibiotics must be managed after the diagnosis, additionally, if the patient has neurological deficits and spinal deformity, surgical procedures must be added to the management of the patient
