ABSTRACT
BACKGROUND: In this study 67 lumbar spinal stenosis in adult patients operated in our clinic in 3 years are aimed to be analysed in terms of clinical and surgical techniques. METHODS: Diagnoses were made on the basis of patients' histories and their clinical examinations. RESULTS: Average age was 52.16 +/- 8.9 (33-64). 70.1% (47) of patients were females and 29.9% (20) were males. The most frequent neurological symptoms were 71.1% lasque (+) and 56.7% sensory loss. The anterior-posterior diameter was below 11.5 mm in 56.7% of the cases. Partial recovery was observed in the early term of 71.6% the cases. 56.7% of the cases were applied total laminectomy. CONCLUSION: Decompressive laminectomy can be performed safely and effectively in patients of with lumbar stenosis.
Subject(s)
Spinal Stenosis/surgery , Adult , Female , Humans , Intermittent Claudication/etiology , Laminectomy , Lumbar Vertebrae , Male , Middle Aged , Reoperation , Spinal Stenosis/complications , Spinal Stenosis/diagnosis , Treatment OutcomeABSTRACT
DESCRIPTION: A 19-year-old male with periorbital painful swelling, headache and vomiting was admitted to our clinic. Because of the diagnosis of sinusitis he had received medical treatment in another center two months before, consisting of antibiotics and analgesics. However as a result of valid persistence of the patients' complaints, brain CT and MR imaging were required; showing bilateral epidural abscess. The patient was operated upon through a coronal incision and bifrontal craniotomy, draining both abscesses and removing their membranes. CONCLUSION: Epidural abscess constitute 5-25% of all the localized intracranial infections. Microorganism colonization may be produced by contiguous infection, hematogenous spread, open cranial trauma or as a consequence of neurosurgical intervention. Sinusitis is one of the most relevant causes of epidural abscesses, mostly in the frontal region. Bilateral occurrence is rare. In this paper a case of bilateral epidural abscess is pre-sent. Diagnosis criteria and treatment approaches are reviewed.
Subject(s)
Epidural Abscess/diagnosis , Epidural Abscess/surgery , Adult , Epidural Abscess/etiology , Epidural Abscess/pathology , Humans , Male , Sinusitis/complicationsABSTRACT
In this paper, a brief information on factors taking role in intracranial air formation and tension pneumocephalus because of two cases epidural air formation and tension pneumocephalus following transsphenoidal operation is presented. Two cases were treated conservatively.