veysel kaplanoğlu - Academia.edu (original) (raw)
Papers by veysel kaplanoğlu
Cukurova Medical Journal, Jun 30, 2022
Öz In this study, we present the ultrasound imaging features of lymph nodes arising in the region... more Öz In this study, we present the ultrasound imaging features of lymph nodes arising in the regional lymph node chain after the first or second dose of the Pfizer-BioNTech COVID-19 vaccine. Ipsilateral lymphadenopathy adjacent to the vaccine injection site is an extremely rare but expected adverse reaction following COVID-19 vaccination. Although axillary lymphadenopathy is more common, cases of supraclavicular lymphadenopathy have also been reported after widespread vaccination against COVID-19. Ultrasonography examinations were performed on seven patients with no previous pathological conditions, who presented to our radiology department after receiving the Pfizer-BioNTech COVID-19 vaccine. Bilateral axillary, supraclavicular and subclavicular lymph node stations were explored. These patients typically present with enlarged hypoechoic lymph nodes with the loss of fatty hilum, asymmetric or diffuse cortical thickening, and increased hilar and cortical vascularization on the color doppler ultrasonography of the ipsilateral axillary and supraclavicular regions. Radiologists and clinicians should be aware of the ultrasonographic features of these lymph nodes and should inform the patient that these lymph nodes are often a self-limiting process. Thus, unnecessary axillary lymph node biopsies should be avoided, and patients should be treated conservatively.
Journal of clinical imaging science, Oct 27, 2014
Ewing's sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen i... more Ewing's sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen in the bones of a finger. Swelling and pain are the most common complaints of the affected finger. In radiological imaging, it may be seen as permeative bone destruction accompanied by a soft tissue component or an expansile bone lesion. A 27-year-old right-hand dominant female patient presented with a swelling on the proximal phalanx of her right 3rd finger that had existed for 3 years. However, the mass started to gradually increase in size and the pain worsened over a period of 5 weeks. The mass was excised under regional intravenous anesthesia and Ewing's sarcoma was confirmed following a histopathological evaluation. No local recurrence or metastasis was detected 1 year after surgery. Since Ewing's sarcoma is rarely seen in the finger, we present this case with its radiological and clinical findings.
Rivista Urologia, Apr 6, 2023
Aim: To evaluate the value of transrectal shear-wave-elastography(SWE) to differentiate benign an... more Aim: To evaluate the value of transrectal shear-wave-elastography(SWE) to differentiate benign and malignant tissues in patients with suspected prostate cancer. Materials and methods: Between January and May 2019, the study was designed as a prospective clinical study. The SWE value of 504 cores measured before biopsy and the pathology result of each core were used in the statistical analysis. The SWE values of benign and malignant cores were compared according to pathology results. ROC analysis was used to calculate the best cut-off SWE value for differentiating malignancy from benign tissues. Specificity, sensitivity, negative, and positive predictive values (NPV, PPV) were also calculated for cut-off value. Results: Prostate cancer was detected in 74 (14.7%) of 504 core biopsies. The mean SWE values were found significantly higher in malignant cores (71.1 kPa) than benign cores (42.3 kPa) ( p < 0.001). Cores with gleason score 7 had a significantly higher SWE value than Gleason score 6 ( p = 0.009). The cut-off value to differentiate malignancy and area-under-curve were calculated 35.85 kPa, 0.733, respectively. The sensitivity, specificity, NPV, and PPV were 83%, 49%, 78%, and 95%, respectively for 35.85 kPa value. Conclusions: The malignant tissues have significantly higher SWE values. Also high gleason score was shown to be associated with high SWE values. To predict the prostate cancer, the difference of SWE values of between benign and malignant tissues has high sensitivity. In the near future, to prevent unnecessary prostate biopsies, SWE will be part of the standard protocol for prostate imaging.
Genel tıp dergisi, 2007
... Periton içi yolla ilaç uygulamasından hemen sonra, sağ-arka pençenin sub-plantar bölgesine 0.... more ... Periton içi yolla ilaç uygulamasından hemen sonra, sağ-arka pençenin sub-plantar bölgesine 0.05 mL lambda carrageenan çözeltisi (enflamatuar madde) verildi. ... 6. Amrani S, Harnafi H, Bouanani Nel H, Aziz M, Caid HS, Manfredini S. et al. ...
İstanbul medical journal, Feb 1, 2021
Endocrine Abstracts, May 8, 2018
Case Reports in Medicine, 2012
A 58-year-old female patient presented to the hospital with hearing loss. In the chest radiograph... more A 58-year-old female patient presented to the hospital with hearing loss. In the chest radiography obtained before her ear surgery, volume decrease in the right hemithorax, elevation of the right diaphragm, and increase of ventilation in the right lung were detected. At the thorax CT-CT angiography, hypoplasia of the main pulmonary artery and its branches and arteriovenous malformation localized in the middle lobe of the right lung were detected. Thus, diagnosis of Swyer-James-Macleod syndrome associated with right lung middle lobe hypoplasia and arteriovenous malformation was made. This kind of association has not been reported earlier, so we are presenting it in the light of the literature knowledge.
Folia Morphologica, Jun 2, 2014
Background: The aim of the study was to investigate the orbital anthropometric variations in the ... more Background: The aim of the study was to investigate the orbital anthropometric variations in the normal population using three-dimensional computed tomography (3D-CT) images and to define the effects of age and gender on orbital anthropometry. Materials and methods: Three-dimensional orbita CT of 280 patients, obtained for various reasons, were retrospectively evaluated in 772-bed referral and tertiary-care hospital between April 2011 and June 2012. Using 3D images, orbital width, height, biorbital-interorbital diameter and orbital index were measured. Measurements were obtained comparing right and left sides and male to female. The relation of the results with age and gender was analysed. Results: Right orbit was found to be wider than left (p < 0.0001). Male patients had wider (p < 0.0001) and higher (p = 0.0001) orbits. Right orbital index was found to be smaller than the left one (p = 0.005). No differences were found between the genders in terms of right and left orbital indexes (p > 0.05). Biorbital (p < 0.0001) and interorbital (p = 0.01) widths were found to be higher in males. There was no relation between the age change and the parameters defined (p > 0.05). Conclusions: No relation was found between age and orbital measurements. It was concluded that orbital images obtained with 3D-CT may be used as a method for gender evaluation.
The Eurasian Journal of Medicine, Feb 1, 2013
Objective: The objectives of this study were to determine sinus measurements specific for the Tur... more Objective: The objectives of this study were to determine sinus measurements specific for the Turkish population using CT sagittal thin-slice reconstruction images and to clarify the three-dimensional anatomical features of the sphenoid sinus, along with its surrounding structures, that are relevant to performing an endoscopic sphenoidotomy. Materials and Methods: Images of 300 patients (165 female, 135 male) were studied. The research was conducted on the axial plane with a 1 mm slice thickness and a 0.6 mm slice interval, and sagittal reconstruction was performed with a 0.4 mm slice interval. Measurements of the sinus were obtained, and the presence of Onodi cells was researched. Results: Line 1 was found to be significantly shorter in the Turkish patients of this study compared to studies of other populations. Lines 4 and 6 were found to be longer on the left side (Line 4 right: 18.8±3.6 mm, left: 19.3±3.4 mm, p=0.027; Line 6 right: 24.1±6.8 mm, left: 24.3±6.8 mm, p=0.008). Lines 2, 3, 4 and 6 were longer in men than in women (p<0.05). Conclusion: In the Turkish population, Line 1 is shorter, so the risk of skull base perforation is greater. Lines 4 and 6 are longer on the left side; thus, choosing the left ostium in sinus dilation is safer. Because of sex differences regarding Lines 2, 3, 4 and 6, sex should be considered in sphenoid sinus procedures.
Muğla Sıtkı Koçman üniversitesi tıp dergisi, Apr 10, 2023
Penil Mondor Hastalığı klinikte nadiren karşımıza çıkan, etyolojisi net olarak bilinmeyen penisin... more Penil Mondor Hastalığı klinikte nadiren karşımıza çıkan, etyolojisi net olarak bilinmeyen penisin yüzeyel dorsal veninin tromboflebitidir. Renkli doppler ultrasonografi sayesinde kolayca tanınabilir. Ancak benign bir hastalık olmasına rağmen hastalarda ciddi anksiyete sebebidir. Ayrıcı tanısında Peyroni hastalığı ve sklerozan lenfanjit bulunur. Biz olgu sunumunda 20 yaşındaki hastada tespit edilen Penil Mondor Hastalığı bulgularını sunmayı ve literatür bilgisini gözden geçirmeyi amaçladık.
Cukurova Medical Journal, Sep 30, 2022
Dicle Medical Journal, Sep 16, 2019
Öz Aicardi sendromu infantil spazm, korpus kallozum agenezisi, koryoretinallakün başta olmak üzer... more Öz Aicardi sendromu infantil spazm, korpus kallozum agenezisi, koryoretinallakün başta olmak üzere oküler anormalliklerve motor mentalretardasyonla karakterize ciddi doğumsal bir sendromdur. Hastalığın tanısı klinik bulgular ile konulmaktadır. Elektroensefalografi, manyetik rezonans görüntüleme bulguları ve oftalmolojik muayene tanıda yardımcıdır. Aicardi sendromlu hastalarda genellikle ilk sorun nöbet ve motor-mental retardasyon olarak karşımıza çıkmaktadır. Bu çalışmada akraba evliliği sonucunda dünyaya gelen, motor-mental retardasyon, göz bulgularının, korpus kallozum hipoplazisi, interventriküler kistin izlendiği Aicardi sendromu tanısı alan iki kardeş olgu sunulmuştur.
Poster: "ECR 2014 / B-0819 / The success of MRI in preoperative detection of primary hyperpa... more Poster: "ECR 2014 / B-0819 / The success of MRI in preoperative detection of primary hyperparathyroidism focus and contribution to other imaging methods" by: "V. Kaplanoglu, D. Ciliz, H. KAPLANOĞLU, U. Toprak, S. Parlak, B. Sakman, E. Yuksel; Ankara/TR"
Surgical and Radiologic Anatomy, Jul 1, 2020
We would like to present a case with fetal posterior cerebral artery duplication and anterior cer... more We would like to present a case with fetal posterior cerebral artery duplication and anterior cerebral artery trifurcation, which we detected using magnetic resonance angiography. We believe this is the first case defined in the literature. Embryological explanation of posterior cerebral artery variations is discussed in light of the literature.
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Dec 1, 2020
Objective: To identify any relationship among visceral adipose tissue area (visceral FA), liver d... more Objective: To identify any relationship among visceral adipose tissue area (visceral FA), liver density (liver HU), psoas muscle area (psoas MA), waist circumference (WC) and the presence and severity of abdominal aortic calcific atherosclerosis (AAC).
Turkish Neurosurgery, 2021
AIM Vertebral body hypoplasia is characterized by a significantly smaller lower segment than the ... more AIM Vertebral body hypoplasia is characterized by a significantly smaller lower segment than the upper level. In the present study we explain the association between vertebral body hypoplasia and degenerative changes in the disco-vertebral complex and facet joints,and assess the incidence of hypoplasia of the vertebral body at the L5 level. MATERIAL AND METHODS A retrospective analysis was made of 3,100 patients aged 20-50 years who underwent lumbar MRI with a complaint of back pain, of which 55 were identified with vertebral body hypoplasia. Intervertebral disc degeneration was evaluated in the study using the Pfirrmann and Modified Pfirrmann classification systems, whiledegenerative changes in the vertebrae endplate were assessed using the Modic classification system. Osteoarthritis of the facet joint was graded atthe L4-5 level, and spondylolysis and spondylolisthesis rates were compared between the control group and the hypoplasic group. RESULTS The incidence of hypoplasia of the vertebral body at the L5 level was found to be 1.8% in the population with back pain in the 20-50-year age group. In the hypoplasia group, disc degeneration was detected at a higher rate than in the control group (p 0.001).The distribution of Modic signal changes in the superior and inferior endplates of the vertebrae differed significantly between the hypoplasia and control groups (p 0.001).The rate of spondylolysis was 7.7% in the control group and 65.5% in the hypoplasia group (p 0.001), andspondylolisthesis was significantly more common in the hypoplasia group (18.4%, p 0.001). In addition, facet joint degeneration was identified more frequently in the hypoplasia group. Degenerative findings were detected in 74.5% of the right posterior intervertebral joints, and in 70.9% of the left posterior intervertebral joints in the hypoplasia group. CONCLUSION Vertebral body hypoplasia is a predisposing factor for disc degeneration, facet osteoarthritis and degeneration in the vertebral endplates, and has also been associated with spondylolysis and spondylolisthesis.
Kocatepe Tıp Dergisi, Oct 18, 2021
Tailgut kistleri embriyolojik olarak tailguttan köken alan retrorektal aralık yerleşimli konjenit... more Tailgut kistleri embriyolojik olarak tailguttan köken alan retrorektal aralık yerleşimli konjenital lezyonlardır. Sıklıkla dördüncü dekatta ve kadınlarda görülür. Olguların çoğunluğu asemptomatik olup rutin incelemeler sırasında insidental olarak saptanır. Alt abdominal ağrı, perirektal ağrı, kabızlık veya dismenore gibi semptomlara nadiren neden olabilir. Perirektal abse, anorektal fistül ve kist duvarından gelişen malign transformasyon başlıca komplikasyonlarıdır. Bu olgu serisinde 3 vaka sunulmaktadır. Bu olgu serisi sunumunda uzun süredir devam eden, ara ara olan kramp tarzı karın ağrısı ve kabızlık şikayeti olan 35 yaşında; son altı aydır devam eden, pelvik ve perineal bölgeye yayılan karın ağrısı tarifleyen 52 yaşında; son bir yıldır devam eden, pelvik bölgesinde ortaya çıkan ve kasıklara yayılan karın ağrısı tarifleyen 25 yaşında olmak üzere üç kadın olgu sunulmuştur. Olguların operasyon sonrası histopatolojik inceleme sonuçları tailgut kisti ile uyumlu olarak geldi ve manyetik rezonans görüntüleme bulguları doğrulanmıştır.
Cukurova Medical Journal, Jun 30, 2022
Öz In this study, we present the ultrasound imaging features of lymph nodes arising in the region... more Öz In this study, we present the ultrasound imaging features of lymph nodes arising in the regional lymph node chain after the first or second dose of the Pfizer-BioNTech COVID-19 vaccine. Ipsilateral lymphadenopathy adjacent to the vaccine injection site is an extremely rare but expected adverse reaction following COVID-19 vaccination. Although axillary lymphadenopathy is more common, cases of supraclavicular lymphadenopathy have also been reported after widespread vaccination against COVID-19. Ultrasonography examinations were performed on seven patients with no previous pathological conditions, who presented to our radiology department after receiving the Pfizer-BioNTech COVID-19 vaccine. Bilateral axillary, supraclavicular and subclavicular lymph node stations were explored. These patients typically present with enlarged hypoechoic lymph nodes with the loss of fatty hilum, asymmetric or diffuse cortical thickening, and increased hilar and cortical vascularization on the color doppler ultrasonography of the ipsilateral axillary and supraclavicular regions. Radiologists and clinicians should be aware of the ultrasonographic features of these lymph nodes and should inform the patient that these lymph nodes are often a self-limiting process. Thus, unnecessary axillary lymph node biopsies should be avoided, and patients should be treated conservatively.
Journal of clinical imaging science, Oct 27, 2014
Ewing's sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen i... more Ewing's sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen in the bones of a finger. Swelling and pain are the most common complaints of the affected finger. In radiological imaging, it may be seen as permeative bone destruction accompanied by a soft tissue component or an expansile bone lesion. A 27-year-old right-hand dominant female patient presented with a swelling on the proximal phalanx of her right 3rd finger that had existed for 3 years. However, the mass started to gradually increase in size and the pain worsened over a period of 5 weeks. The mass was excised under regional intravenous anesthesia and Ewing's sarcoma was confirmed following a histopathological evaluation. No local recurrence or metastasis was detected 1 year after surgery. Since Ewing's sarcoma is rarely seen in the finger, we present this case with its radiological and clinical findings.
Rivista Urologia, Apr 6, 2023
Aim: To evaluate the value of transrectal shear-wave-elastography(SWE) to differentiate benign an... more Aim: To evaluate the value of transrectal shear-wave-elastography(SWE) to differentiate benign and malignant tissues in patients with suspected prostate cancer. Materials and methods: Between January and May 2019, the study was designed as a prospective clinical study. The SWE value of 504 cores measured before biopsy and the pathology result of each core were used in the statistical analysis. The SWE values of benign and malignant cores were compared according to pathology results. ROC analysis was used to calculate the best cut-off SWE value for differentiating malignancy from benign tissues. Specificity, sensitivity, negative, and positive predictive values (NPV, PPV) were also calculated for cut-off value. Results: Prostate cancer was detected in 74 (14.7%) of 504 core biopsies. The mean SWE values were found significantly higher in malignant cores (71.1 kPa) than benign cores (42.3 kPa) ( p < 0.001). Cores with gleason score 7 had a significantly higher SWE value than Gleason score 6 ( p = 0.009). The cut-off value to differentiate malignancy and area-under-curve were calculated 35.85 kPa, 0.733, respectively. The sensitivity, specificity, NPV, and PPV were 83%, 49%, 78%, and 95%, respectively for 35.85 kPa value. Conclusions: The malignant tissues have significantly higher SWE values. Also high gleason score was shown to be associated with high SWE values. To predict the prostate cancer, the difference of SWE values of between benign and malignant tissues has high sensitivity. In the near future, to prevent unnecessary prostate biopsies, SWE will be part of the standard protocol for prostate imaging.
Genel tıp dergisi, 2007
... Periton içi yolla ilaç uygulamasından hemen sonra, sağ-arka pençenin sub-plantar bölgesine 0.... more ... Periton içi yolla ilaç uygulamasından hemen sonra, sağ-arka pençenin sub-plantar bölgesine 0.05 mL lambda carrageenan çözeltisi (enflamatuar madde) verildi. ... 6. Amrani S, Harnafi H, Bouanani Nel H, Aziz M, Caid HS, Manfredini S. et al. ...
İstanbul medical journal, Feb 1, 2021
Endocrine Abstracts, May 8, 2018
Case Reports in Medicine, 2012
A 58-year-old female patient presented to the hospital with hearing loss. In the chest radiograph... more A 58-year-old female patient presented to the hospital with hearing loss. In the chest radiography obtained before her ear surgery, volume decrease in the right hemithorax, elevation of the right diaphragm, and increase of ventilation in the right lung were detected. At the thorax CT-CT angiography, hypoplasia of the main pulmonary artery and its branches and arteriovenous malformation localized in the middle lobe of the right lung were detected. Thus, diagnosis of Swyer-James-Macleod syndrome associated with right lung middle lobe hypoplasia and arteriovenous malformation was made. This kind of association has not been reported earlier, so we are presenting it in the light of the literature knowledge.
Folia Morphologica, Jun 2, 2014
Background: The aim of the study was to investigate the orbital anthropometric variations in the ... more Background: The aim of the study was to investigate the orbital anthropometric variations in the normal population using three-dimensional computed tomography (3D-CT) images and to define the effects of age and gender on orbital anthropometry. Materials and methods: Three-dimensional orbita CT of 280 patients, obtained for various reasons, were retrospectively evaluated in 772-bed referral and tertiary-care hospital between April 2011 and June 2012. Using 3D images, orbital width, height, biorbital-interorbital diameter and orbital index were measured. Measurements were obtained comparing right and left sides and male to female. The relation of the results with age and gender was analysed. Results: Right orbit was found to be wider than left (p < 0.0001). Male patients had wider (p < 0.0001) and higher (p = 0.0001) orbits. Right orbital index was found to be smaller than the left one (p = 0.005). No differences were found between the genders in terms of right and left orbital indexes (p > 0.05). Biorbital (p < 0.0001) and interorbital (p = 0.01) widths were found to be higher in males. There was no relation between the age change and the parameters defined (p > 0.05). Conclusions: No relation was found between age and orbital measurements. It was concluded that orbital images obtained with 3D-CT may be used as a method for gender evaluation.
The Eurasian Journal of Medicine, Feb 1, 2013
Objective: The objectives of this study were to determine sinus measurements specific for the Tur... more Objective: The objectives of this study were to determine sinus measurements specific for the Turkish population using CT sagittal thin-slice reconstruction images and to clarify the three-dimensional anatomical features of the sphenoid sinus, along with its surrounding structures, that are relevant to performing an endoscopic sphenoidotomy. Materials and Methods: Images of 300 patients (165 female, 135 male) were studied. The research was conducted on the axial plane with a 1 mm slice thickness and a 0.6 mm slice interval, and sagittal reconstruction was performed with a 0.4 mm slice interval. Measurements of the sinus were obtained, and the presence of Onodi cells was researched. Results: Line 1 was found to be significantly shorter in the Turkish patients of this study compared to studies of other populations. Lines 4 and 6 were found to be longer on the left side (Line 4 right: 18.8±3.6 mm, left: 19.3±3.4 mm, p=0.027; Line 6 right: 24.1±6.8 mm, left: 24.3±6.8 mm, p=0.008). Lines 2, 3, 4 and 6 were longer in men than in women (p<0.05). Conclusion: In the Turkish population, Line 1 is shorter, so the risk of skull base perforation is greater. Lines 4 and 6 are longer on the left side; thus, choosing the left ostium in sinus dilation is safer. Because of sex differences regarding Lines 2, 3, 4 and 6, sex should be considered in sphenoid sinus procedures.
Muğla Sıtkı Koçman üniversitesi tıp dergisi, Apr 10, 2023
Penil Mondor Hastalığı klinikte nadiren karşımıza çıkan, etyolojisi net olarak bilinmeyen penisin... more Penil Mondor Hastalığı klinikte nadiren karşımıza çıkan, etyolojisi net olarak bilinmeyen penisin yüzeyel dorsal veninin tromboflebitidir. Renkli doppler ultrasonografi sayesinde kolayca tanınabilir. Ancak benign bir hastalık olmasına rağmen hastalarda ciddi anksiyete sebebidir. Ayrıcı tanısında Peyroni hastalığı ve sklerozan lenfanjit bulunur. Biz olgu sunumunda 20 yaşındaki hastada tespit edilen Penil Mondor Hastalığı bulgularını sunmayı ve literatür bilgisini gözden geçirmeyi amaçladık.
Cukurova Medical Journal, Sep 30, 2022
Dicle Medical Journal, Sep 16, 2019
Öz Aicardi sendromu infantil spazm, korpus kallozum agenezisi, koryoretinallakün başta olmak üzer... more Öz Aicardi sendromu infantil spazm, korpus kallozum agenezisi, koryoretinallakün başta olmak üzere oküler anormalliklerve motor mentalretardasyonla karakterize ciddi doğumsal bir sendromdur. Hastalığın tanısı klinik bulgular ile konulmaktadır. Elektroensefalografi, manyetik rezonans görüntüleme bulguları ve oftalmolojik muayene tanıda yardımcıdır. Aicardi sendromlu hastalarda genellikle ilk sorun nöbet ve motor-mental retardasyon olarak karşımıza çıkmaktadır. Bu çalışmada akraba evliliği sonucunda dünyaya gelen, motor-mental retardasyon, göz bulgularının, korpus kallozum hipoplazisi, interventriküler kistin izlendiği Aicardi sendromu tanısı alan iki kardeş olgu sunulmuştur.
Poster: "ECR 2014 / B-0819 / The success of MRI in preoperative detection of primary hyperpa... more Poster: "ECR 2014 / B-0819 / The success of MRI in preoperative detection of primary hyperparathyroidism focus and contribution to other imaging methods" by: "V. Kaplanoglu, D. Ciliz, H. KAPLANOĞLU, U. Toprak, S. Parlak, B. Sakman, E. Yuksel; Ankara/TR"
Surgical and Radiologic Anatomy, Jul 1, 2020
We would like to present a case with fetal posterior cerebral artery duplication and anterior cer... more We would like to present a case with fetal posterior cerebral artery duplication and anterior cerebral artery trifurcation, which we detected using magnetic resonance angiography. We believe this is the first case defined in the literature. Embryological explanation of posterior cerebral artery variations is discussed in light of the literature.
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Dec 1, 2020
Objective: To identify any relationship among visceral adipose tissue area (visceral FA), liver d... more Objective: To identify any relationship among visceral adipose tissue area (visceral FA), liver density (liver HU), psoas muscle area (psoas MA), waist circumference (WC) and the presence and severity of abdominal aortic calcific atherosclerosis (AAC).
Turkish Neurosurgery, 2021
AIM Vertebral body hypoplasia is characterized by a significantly smaller lower segment than the ... more AIM Vertebral body hypoplasia is characterized by a significantly smaller lower segment than the upper level. In the present study we explain the association between vertebral body hypoplasia and degenerative changes in the disco-vertebral complex and facet joints,and assess the incidence of hypoplasia of the vertebral body at the L5 level. MATERIAL AND METHODS A retrospective analysis was made of 3,100 patients aged 20-50 years who underwent lumbar MRI with a complaint of back pain, of which 55 were identified with vertebral body hypoplasia. Intervertebral disc degeneration was evaluated in the study using the Pfirrmann and Modified Pfirrmann classification systems, whiledegenerative changes in the vertebrae endplate were assessed using the Modic classification system. Osteoarthritis of the facet joint was graded atthe L4-5 level, and spondylolysis and spondylolisthesis rates were compared between the control group and the hypoplasic group. RESULTS The incidence of hypoplasia of the vertebral body at the L5 level was found to be 1.8% in the population with back pain in the 20-50-year age group. In the hypoplasia group, disc degeneration was detected at a higher rate than in the control group (p 0.001).The distribution of Modic signal changes in the superior and inferior endplates of the vertebrae differed significantly between the hypoplasia and control groups (p 0.001).The rate of spondylolysis was 7.7% in the control group and 65.5% in the hypoplasia group (p 0.001), andspondylolisthesis was significantly more common in the hypoplasia group (18.4%, p 0.001). In addition, facet joint degeneration was identified more frequently in the hypoplasia group. Degenerative findings were detected in 74.5% of the right posterior intervertebral joints, and in 70.9% of the left posterior intervertebral joints in the hypoplasia group. CONCLUSION Vertebral body hypoplasia is a predisposing factor for disc degeneration, facet osteoarthritis and degeneration in the vertebral endplates, and has also been associated with spondylolysis and spondylolisthesis.
Kocatepe Tıp Dergisi, Oct 18, 2021
Tailgut kistleri embriyolojik olarak tailguttan köken alan retrorektal aralık yerleşimli konjenit... more Tailgut kistleri embriyolojik olarak tailguttan köken alan retrorektal aralık yerleşimli konjenital lezyonlardır. Sıklıkla dördüncü dekatta ve kadınlarda görülür. Olguların çoğunluğu asemptomatik olup rutin incelemeler sırasında insidental olarak saptanır. Alt abdominal ağrı, perirektal ağrı, kabızlık veya dismenore gibi semptomlara nadiren neden olabilir. Perirektal abse, anorektal fistül ve kist duvarından gelişen malign transformasyon başlıca komplikasyonlarıdır. Bu olgu serisinde 3 vaka sunulmaktadır. Bu olgu serisi sunumunda uzun süredir devam eden, ara ara olan kramp tarzı karın ağrısı ve kabızlık şikayeti olan 35 yaşında; son altı aydır devam eden, pelvik ve perineal bölgeye yayılan karın ağrısı tarifleyen 52 yaşında; son bir yıldır devam eden, pelvik bölgesinde ortaya çıkan ve kasıklara yayılan karın ağrısı tarifleyen 25 yaşında olmak üzere üç kadın olgu sunulmuştur. Olguların operasyon sonrası histopatolojik inceleme sonuçları tailgut kisti ile uyumlu olarak geldi ve manyetik rezonans görüntüleme bulguları doğrulanmıştır.