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Öğe Effects of epilepsy control following decompressive craniectomy on mortality and morbidity in epileptic patients with malignant MCA infarction(2020) Gezgin, Inan; Kafadar, Huseyin; Yucetas, Seyho Cem; Cakir, TayfunAim: The present study aims to investigate the effects of seizure or epilepsy formation on mortality and morbidity in epileptic patients after craniectomy.Material and Methods: The patients were divided into the following groups: Group 1, those who had no seizures, but were routinely treated with 3x100 mg of epanutin daily (n=6), Group 2, those who had at least one or multiple seizures and were initiated a second antiepileptic drug in addition to 3x100 mg of epanutin daily (n=13), and Group 3, those who had multiple seizures and who were sedated or narcotized in addition to being treated with 3x100 mg of epanutin daily (n=7). All patients underwent decompressive craniectomy within a maximum period of 48 hours and their characteristics such as age, gender, localization of infarct, hemiplegia, monoplegia, operation time, Glasgow coma and outcome scales were recorded. Results: According to the Glasgow Outcome Scale, 1 patient in Group 1, 8 patients in Group 2 and 6 patients in Group 3 died and there was a significant increase in patient losses in Group 2 and Group 3 compared to Group 1 (p0.05). 10 patients continued to live their lives with the support of home-care services and 2 patients with other forms of help. Conclusion: It was seen that there is a high incidence of seizure and epilepsy in MMCA infarcts after decompressive craniectomy and this significantly increased mortality or dysfunctional recovery if epilepsy could not be brought under control.Öğe Evaluation of renal traumas according to forensic radiology(2020) Kafadar, Huseyin; Kafadar, SafiyeAim: The goal of the study is to retrospectively assess cases of renal injuries.Material and Methods: The cases of renal injury presenting at Adiyaman Training and Research Hospital between January 1st, 2013, and December 31st, 2017 were investigated in terms of age, gender, radiologic findings, grade of renal injury, and cause of injury. The degree of kidney injury determined by imaging methods was evaluated in terms of the American Association for the Surgery of Trauma (AAST). Results: Of the 123 patients with renal injury, 27 were female (21.95%) and 96 were male (78.05%), with an average age of 32.6 ± 16.7 years. In total, 59 cases (47.96%) were younger than 35 years. When the cases were examined according to age groups, 11 (8.94%) cases were under the age of 14 years, 23 (18.70%) cases were aged 15–24 years, and 25 (20.32%) cases were aged 25–34 years. The older age groups included 23 (% 18.70) cases aged 35–44 years, 19 (15.46%) aged 45–54 years, 9 (7.31%) aged 55–64 years, and 13 (10.57%) older than 65 years. Overall, 59(47.96%) injuries were from traffic accidents (p0.005), 36 (28.96%) from falls, 12 (9.74%) from sharp and penetrating object injuries, seven (5.69%) from gunshot wounds, five (4.07%) from assaults, and four (3.25%) from work accidents. Conclusion: Renal traumas are life-threatening injuries. We have evaluated renal injuries in terms of radiological and forensic medicine, and we believe the findings contribute to the existing literature on this subject.