Turk Neurosurg
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Case Reports
Complete spontaneous thrombosis and recanalization of a ruptured posterior cerebral artery aneurysm.
Complete spontaneous thrombosis followed by recanalization of non-giant aneurysms is a rare event that can be discovered incidentally on advanced neural images. In this case report, the authors described a woman who presented with subarachnoid hemorrhage (SAH) and left posterior cerebral artery (PCA) territory ischemic stroke. Cerebral angiography revealed a left PCA aneurysm at the P1-P2 junction. ⋯ Ventriculo-peritoneal shunt surgery for hydrocephalus was performed and the patient noted a great improvement of the neurological deficit. Follow-up contrast-enhanced CT after 10 weeks revealed recurrence of the aneurysm. This case provides insight into the natural dynamic process of intracranial aneurysm, and a complete thrombosed aneurysm has the potential for recanalization.
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To investigate the effect of gradient decompression on the occurrence of intraoperative hypotension and prognosis in traumatic brain injury. ⋯ Gradient decompression is not effective in avoiding the occurrence of intraoperative hypotension and improving the prognosis. It provides a new insight into clinical measures for curing patients with severe traumatic brain injury (sTBI).
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The chondroma originated in falx cerebri and dural convexity is very rare, less than 30 cases reported so far. Here, we report a case of 26-year old male, with a huge mass at fronto-parietal falx cerebri, who was misdiagnosed as parafalcine meningioma on preoperative MR imaging. ⋯ By reviewing the MR images of the patient, we find that the peripheral ring-like enhancement and intratumoral partial slight coral-like enhancement on contrast-enhanced T1 images might be the valuable MR features to differentiate from parafalcine meningioma. In addition, the tumor's pathogenesis and pathological characteristics were briefly discussed.
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To understand the mechanism of the gamma knife treating the trigeminal neuralgia. ⋯ The pain relief induced the gamma knife radiosurgery might be related with the atrophy of the trigeminal nerve root in Chinese patients with primary trigeminal neuralgia.
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Dr. Zinnur Rollas is the founder of the Department of Neurosurgery at the Gulhane Military Medical Academy (GMMA). He was educated in the United States and returned to Turkey in order to practice neurosurgery. ⋯ He not only performed the surgeries but also took the pictures and recorded the data of the patients. Unfortunately, he did not publish any of these cases. In this paper, we tried to document his experience on pediatric neurosurgery, and to summarize the evolution of pediatric neurosurgery at GMMA.