1.Epidural Hematoma after Minor Trauma on Patient with Biparietal Osteodystrophy.
Muhammet Bahadir YILMAZ ; Emrah EGEMEN ; Bora OZBAKIR ; Ayhan TEKINER
Journal of Korean Neurosurgical Society 2013;53(1):57-58
Thinning of parietal bone bilaterally is extremely rare but well known phenomenon. Approximate prevalence is 0.4-0.5% according to radiological scans, case reports and anthropologic researches. Even though biparietal osteodystrophy occurs mostly in over 60-year-old women, it shows no special association with race or geographical area tendency. Current definition was changed by understanding that is a pathological situation, not an anatomical variety or result of growing old in time. Biparietal osteodystrophy may have an unusual presentation and treatment still remains unclear. We aim to present a patient with biparietal osteodystrophy associated with minor head trauma that caused parietal fracture and epidural hematoma underneath.
Continental Population Groups
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Craniocerebral Trauma
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Female
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Hematoma
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Humans
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Parietal Bone
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Prevalence
2.Neuroprotective Effects of Quetiapine on Neuronal Apoptosis Following Experimental Transient Focal Cerebral Ischemia in Rats.
Muhammet Bahadir YILMAZ ; Mehmet TONGE ; Hakan EMMEZ ; Figen KAYMAZ ; Memduh KAYMAZ
Journal of Korean Neurosurgical Society 2013;54(1):1-7
OBJECTIVE: This study was undertaken in the belief that the atypical antipsychotic drug quetiapine could prevent apoptosis in the penumbra region following ischemia, taking into account findings that show 5-hydroxytryptamine-2 receptor blockers can prevent apoptosis. METHODS: We created 5 groups, each containing 6 animals. Nothing was done on the K-I group used for comparisons with the other groups to make sure adequate ischemia had been achieved. The K-II group was sacrificed on the 1st day after transient focal cerebral ischemia and the K-III group on the 3rd day. The D-I group was administered quetiapine following ischemia and sacrificed on the 1st day while the D-II group was administered quetiapine every day following the ischemia and sacrificed on the 3rd day. The samples were stained with the immunochemical TUNEL method and the number of apoptotic cells were counted. RESULTS: There was a significant difference between the first and third day control groups (K-II/K-III : p=0.004) and this indicates that apoptotic cell death increases with time. This increase was not encountered in the drug groups (D-I/D-II : p=1.00). Statistical analysis of immunohistochemical data revealed that quetiapine decreased the apoptotic cell death that normally increased with time. CONCLUSION: Quetiapine is already in clinical use and is a safe drug, in contrast to many substances that are used to prevent ischemia and are not normally used clinically. Our results and the literature data indicate that quetiapine could help both as a neuronal protector and to resolve neuropsychiatric problems caused by the ischemia in cerebral ischemia cases.
Animals
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Apoptosis
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Brain Ischemia
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Cell Death
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Dibenzothiazepines
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In Situ Nick-End Labeling
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Ischemia
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Neurons
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Neuroprotective Agents
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Rats
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Quetiapine Fumarate