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  • Küçük Resim
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    Altmış beş yaş üzeri hastalarda intrakranial meningiomların cerrahi tedavisi: 70 olguluk retrospektif bir çalışma
    (2017) Menekşe, Güner; Gezercan, Yurdal; Ökten, Ali İhsan
    Öz:Aim: Intracranial meningiomas are the most common types of brain tumor in patients over 65 years of age. Surgical resection in this group of patients may be at risk of severe complications, due to limited physiological capacities and the presence of comorbidities. This retrospective study aimed to summarise outcome data of patients older than 65 years who underwent surgery for intracranial meningioma at our clinic between Jan 2007 and Dec 2012. Materials and Methods: Medical records of 70 cases diagnosed with intracranial meningioma were retrospectively reviewed. Demographic and clinical data (age, sex, symptoms), tumor localization, histopathologic properties, American Society of Anesthesiology (ASA) class, complications of the early postoperative period were analyzed. Results: Male/female ratio was 0.37 and mean age was 71.3. The most common experienced symptoms were headache (78.5%), motor deficit (18.5%) and seizure (17.1%). Tumors were mostly settled to convexities (34.3%) and parasagittal regions (17.1%). Histopathological diagnoses were classified as follows; Meningothelial (40.0%), transitional (18.6%), fibroblastic (114%) and psammomateous (11.4%). Postoperative complications were manifested in 10 of 70 patients (14.2%) Complication rate was prominently higher in patients with class III and IV of ASA class. Conclusions: Surgery for intracranial meningiomas in selected elderly patients is beneficial. Old age alone should not be used as a selection criterion for treatment.
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    Colloid cyst of the third ventricle: a clinical series of 19-cases
    (2017) Bilgin, Emre; Çavuş, Gökhan; Açık, Vedat; Arslan, Ali; Yalman, Celil; Ökten, Ali İhsan
    Abstract:Aim: Colloid cysts are benign tumors originating from primitive neuroepithelial or endodermic origin in the third ventricle. Asymptomatic, as well as paroxysmal headache, gait disturbance, nausea, vomiting, learning difficulty and death may occur. Computed tomography (CT) is also seen as a round or oval, non-contrasting lesion. Magnetic resonance imaging (MRI) also shows hyperintense at T1 weighed and isointens at T2 weighed sequences. Stereotactic aspiration, microscopic or endoscopic approaches, shunt can be applied. Total excision should be targeted. Material and Methods: We aimed to investigate the age, sex, complaint, hydrocephalus presence, neurological examination findings, surgical method and results of 19 cases of colloid cyst in our clinic between 2012-2017. Results: Eleven of 19 cases were female (57.9%) and 8 were male (42.1%).The average age was 27.2 (2-62). The most common complaint was headache. Ptosis due to visual disturbance was seen in 5.3% (1 patient), ataxia in 10.5% (2 patients), hydrocephalus with memory loss in 31.5% (6 patients). Six patients underwent cystectomy with endoscopic third ventriculostomy (ETV) and transcranial surgery in 13 patients. Ventriculoperitoneal shunt was performed to one patient at eight months after surgery. Rhinorrhea and menengitis was seen in one patient. Medical theraphy was given to this patient. One patient died because of acute cerebral anfarct. Conclusion: Asymptomatic old patients must be followed periodically. Symptomatic patients must be treated surgıcally and it must be combined by V-P shunt if patients had hydrocephalus. One of the surgıcal endoscopic or transcranial technics can be selected. Transcortical or interhemispheric technic may be preferred from transcranial technics.