Browsing by Author "Arabaci, O."

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Anterior Stabilization Application With Odontoid Screw in a Patient With Type 2 Odontoid Fracture a Case Report
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Taş, A.; Aycan, A.; Arabaci, O.; Yokuş, A.; Arslan, H.
The treatment of type II odontoid fractures has been discussed for many years. Due to the complex anatomy of the craniocervical junction, many-questions are encountered in the diagnosis and treatment of such fractures. However, in centers without Neuro-navigation and O-arm, free hand technique still remains a viable option for the surgical treatment of such cases. Although there is no neuronavigation and O-arm in our center, we will present our case of type II odontoid screw placement with free hand technique that we successfully applied in our elderly patient with a Type II fracture. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Cervical Meningomyelocele - Single Center Experience
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Akyol, M.E.; Arabaci, O.
Introduction: Cervical meningomyelocele (MMC) is rarely seen compared to lumbosacral and thoracolumbar meningomyelocele. There are only a few series related to cervical MMC in the literature. This study presents one of the most extensive series of cervical meningomyelocele, reviewing its clinical features, surgical management, and management strategies. Materials and Methods: A total of 520 spina bifida patients, 25 of whom were diagnosed with cervical meningomyelocele, from January 2010 to September 2022, were included in the study. Results: 88% (22) of the patients included in the study were newborns. The mean age was 3 days. Of the patients, 52% (13) were female and 48% (12) were male. The most common sites of cervical meningomyelocele were C4-C5, C5-C6, and C7-T1 regions with similar rates of 24%. There was a cranial anomaly in 56% (14) of the patients. The most common cranial anomalies were Chiari II with 24% (6), hydrocephalus, and Chiari type II with hydrocephalus and syringomyelia with 16%. All patients underwent surgical resection of the sac and intradural exploration. Conclusion: Cervical meningomyelocele is structurally and clinically different from thoracolumbar and lumbosacral meningomyelocele and has more favorable outcomes after surgery. Preoperative magnetic resonance imaging and detailed patient evaluation are recommended to identify the cervical meningomyelocele' s sac and spinal cord structure and additional anomalies. Surgical treatment should be done early and intradural exploration is recommended in addition to resection of the sac. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Hydrocephalus in Encephalocele
(Verduci Editore s.r.l, 2022) Akyol, M.E.; Çelegen, I.; Basar, I.; Arabaci, O.
OBJECTIVE: Encephalocele is a rare congenital neural tube defect (NTD) characterized by herniation of intracranial contents through a defect in the skull. In our study, encephalocele was diagnosed in our clinic and its association with hydrocephalus was evaluated. The effect of this association on the prognosis was discussed. PATIENTS AND METHODS: Patients who underwent surgery and follow-up with the diagnosis of encephalocele in the neurosurgery clinic of our hospital in an 8-year period from 2013 to 2021 were retrospectively examined. RESULTS: Patient records were obtained from the case notes of patients who underwent excision and repair for encephalocele. Of the 78 patients included in the study, 88.4% underwent surgery in the neonatal period. Moreover, 47% of the patients are male, and 31% are female. Encephalocele was present in 62.8% of patients and meningocele in 37.2%. Furthermore, 82.1% of encephalocele sacs were located in the occipital region. Chiari type 3 malformation was present in 57.6% of patients. Hydrocephalus developed in 56.4% of patients. There was an additional syndrome in 10.3% of the cases. The most common additional syndromes were corpus callosum dysgenesis with 39.7% and colpocephaly with 29.5%. The additional disease was present in 43.6% of patients. Preoperative and postoperative examination findings of more than half of patients were normal, but 33.3% were apathetic. Furthermore, 67.9% of patients, who underwent complete repair, survived, and 32.1% died. Hydrocephalus was present in 73.5% of patients with encephalocele (p<0.05). Hydrocephalus developed in 77.8% of patients with Chiari type 3 malformation (p<0.05). Hydrocephalus was found in 88.0% of patients with Ex (p<0.05). CONCLUSIONS: Encephalocele, which is a subgroup of NTD, differs clinically by its location and accompanying additional anomalies. In encephaloceles, the risk of morbidity and mortality can only be reduced with the multidisciplinary approach. Hydrocephalus and Chiari type 3 malformation are common in patients with encephalocele. These associations adversely affect the prognosis of the disease. Further research should be conducted on the evaluation of risk factors of NTD and methods of prevention from NTD. In this regard, we recommend that the training be repeated at certain intervals and that people’s awareness should be raised. © 2022 Verduci Editore s.r.l. All rights reserved.