Browsing by Author "Demircan, Mehmet Nusret"

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Chronic Subdural Hematoma After Endoscopic Third Ventriculostomy: a Case Report and Literature Review
(Turkish Neurosurgical Soc, 2012) Tekin, Tamer; Colak, Ahmet; Kutlay, Murat; Demircan, Mehmet Nusret
Chronic subdural hematoma is a very rarely observed complication after endoscopic third ventriculostomy (ETV). A 21-year-old male patient was admitted to our clinic with complaining of headache, weakness and tremor. The fundoscopic examination revealed slightly indistinct border of the papilla and neurological examination findings were normal. The cranial computed tomographic (CT) and magnetic resonance imaging (MRI) findings demonstrated three-ventricular hydrocephalus due to aqueductal stenosis and ETV was performed. The symptoms got better after the operation. At 11/2 month postoperatively the patient reapplied to our clinic with a symptom of severe headache. Cranial BT imaging demonstrated enlargement of subdural hematoma. The hematoma was treated by burr-hole evacuation and drainage and totally disappeared in the postoperative period. The follow-up CT scan was evaluated as normal. Nowadays, ETV is accepted as a safe and an alternative method for the treatment of obstructive hydrocephalus instead of shunt operation. Chronic subdural hematoma is a rarely observed complication after ETV.
Nosocomial Infections Caused by Jugular Central Venous Catheterization in Brain Surgery Intensive Care Unit
(Journal Neurological Sciences, 2014) Atabey, Cem; Koc, Arife; Eroglu, Ahmet; Topuz, Ali Kivanc; Colak, Ahmet; Demircan, Mehmet Nusret; Baylan, Orhan
Objective: The purpose of this retrospective study was to investigate nosocomial infections associated with central venous catheter (CVC) in Neurosurgery Intensive Care Unit (NSICU) and to discuss the means of prevention. Material and Methods: The patients who were admitted to Neurosurgery ICU at the GATA Haydarpasa Teaching Hospital between the years of 2008 to 2011 were evaluated for the study. All the patient medical records that were collected at the Hospital Infection Control Committee were screened retrospectively. Of the 426 patients' medical records that were screened, 145 patients with CVC were included in this study. Results: A total of 145 patients who were treated with CVC in NSICU were followed up. Of the 145 patients, 98 were surgically treated for main diagnosis and their CVC was inserted under operation room conditions. The remaining 47 patients were followed up in NSICU and their CVC was inserted in the environment of ICU. Methicillin-resistant coagulase-negative staphylococci (25%, n = 10) was the most commonly isolated agent from the patients with CVC-induced infections, followed by Methicillin-resistant Staphylococcus aureus (16%, n = 4). Conclusion: In this study, the rate of CVC related infection of blood circulation was higher in the patients who underwent surgery and whose catheter was inserted in the operation room. It can be postulated that surgical stress might result immunosuppression that predisposes CVC patients to infections.