WOS
Permanent URI for this collectionhttps://hdl.handle.net/11443/932
Browse
6 results
Search Results
Item Is All ``Communicating'' Hydrocephalus Really Communicating? Prospective Study on the Value of 3D-Constructive Interference in Steady State Sequence at 3T(AMER SOC NEURORADIOLOGY, 2009-01-01) Dincer, A.; Kohan, S.; Ozek, M. M.BACKGROUND AND PURPOSE: 3D-constructive interference in steady state (3D-CISS) sequence has been used to assess the CSF pathways. The aim of this study was to investigate the additive value of 3D-CISS compared with conventional sequences in the diagnosis of obstructive membranes in hydrocephalus. MATERIALS AND METHODS: A total of 134 patients with hydrocephalus underwent MR imaging examination with a 3T unit consisting of turbo spin-echo, 3D-CISS, and cine phase-contrast (cine PC) sequences. 3D-CISS was used to assess obstructive membranes in CSF pathways compared with other sequences. Cine PC, follow-up imaging, and surgical findings were used to confirm obstructive membranes. RESULTS: Comparing the number of noncommunicating cases by using the conventional and 3D-CISS images, we found 26 new cases (19.4\%) of 134 cases that were previously misdiagnosed as communicating hydrocephalus by conventional images. 3D-CISS sequence identified obstructive membranes invisible in other sequences, which facilitated selection of neuroendoscopy in the treatment of 31 patients (23.1\%) in total who would have been otherwise treated with shunt insertion. These patients included 26 newly diagnosed noncommunicating cases after demonstration of intraventricular and/or fourth ventricular outlet membranes and 5 cases of communicating hydrocephalus with obstructing cisternal membranes. There were obstructions of the foramina of Luschka in 22 of 26 newly found noncommunicating cases. CONCLUSIONS: Conventional sequences are insensitive to obstructive membranes in CSF pathways, especially in the fourth ventricular exit foramina and the basal cisterns. 3D-CISS sequence, revealing these obstructive membranes, can alter patient treatment and prognosis.Item Hydrocephalus in Patients with Neurofibromatosis Type 1: MR Imaging Findings and the Outcome of Endoscopic Third Ventriculostomy(AMER SOC NEURORADIOLOGY, 2011-01-01) Dincer, A.; Yener, U.; Ozek, M. M.Although hydrocephalus associated with NF-1 is not rare, up to now the MR imaging findings in these patients and the role of ETV in the treatment of hydrocephalus associated with NF-1 have not been investigated thoroughly. We present the MR imaging findings of hydrocephalus associated with NF-1 in 7 of 54 patients with NF-1. Although the types of obstruction were various, including aqueductal web, superior velum medullary synechia, periaqueductal/tectal hamartomas, cerebellar and pontine tegmentum hamartomas, brain stem glioma, or a combination, the presence of hamartomas was a consistent finding in patients with NF-1 with hydrocephalus. In 5 cases, 8 ETV procedures were performed and followed for up to 53 months. All children treated with ETV were shunt-free at their most recent examinations. ETV may be the primary procedure for the treatment of hydrocephalus associated with NF-1, regardless of the cause and the level of the obstruction.Item A MULTI-CENTRE EVALUATION OF A MOUTHPIECE DEVICE FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA SYNDROME(OXFORD UNIV PRESS INC, 2018-01-01) Zulfikar, S.; Kirisoglu, C. E.; Dincer, A.; Guvenis, A.; Kocaturk, O.Item Acute Ischemic Infarction Defined by a Region of Multiple Hypointense Vessels on Gradient-Echo T2*MR Imaging at 3T(AMER SOC NEURORADIOLOGY, 2009-01-01) Kaya, D.; Dincer, A.; Yildiz, M. E.; Cizmeli, M. O.; Erzen, C.BACKGROUND AND PURPOSE: During the hyperacute phase of stroke, multiple hypointense vessels were identified specifically in the ischemic territory on gradient-echo T2{*}-weighted MR images (GRE-T2{*} WI) at 3T. The area was named a ``region of multiple hypointense vessels (RMHV).{''} The aim of this study was to assess the usefulness of RMHV for the diagnosis of acute ischemic stroke (AIS) and to establish the relationship of this finding to other MR imaging studies. MATERIALS AND METHODS: Twenty patients with AIS underwent MR imaging at 3T consisting of GRE-T2{*}, diffusion-weighted images (DWI), and perfusion-weighted images (PWI) within 6 hours of symptom onset and follow-up images at 72 hours. RMHV was defined as an area containing multiple hypointense vessels strictly in the region of the ischemic territory on GRE-T2{*}. The RMHV volume on GRE-T2{*}, initial ischemic lesion volumes on DWI, PWI maps, and on follow-up images were measured and compared with the RMHV volume. RESULTS: RMHV on GRE-T2{*} was identified in 20 patients. There was no significant difference between the ischemic lesion volumes on mean transit time (247.3 +/- 88.1 mL), time-to-peak (228.6 +/- 88.8 mL), cerebral blood flow (200.6 +/- 89.7 mL), RMHV on GRE-T2{*} (214.4 +/- 86 mL), and the infarct volume at 72 hours (210.3 +/- 90.4 mL) (P = .975). CONCLUSIONS: RMHV on GRE-T2{*} can be used as a supportive imaging finding for the diagnosis of hyperacute ischemic stroke. RMHV volume provides information that is in accordance with the infarct volume at 72 hours and the data supplied by PWI.Item A NOVEL MOUTHPIECE DEVICE DESIGN FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA SYNDROME(OXFORD UNIV PRESS INC, 2017-01-01) Zulfikar, S.; Kirisoglu, C. E.; Dincer, A.; Guvenis, A.; Kocaturk, O.Item IS THE PATHOLOGICAL-GRADE RELEVANT IN ``IDH-WILD TYPE, TERT-MUTANT'' DIFFUSE-GLIOMAS? AN ANALYSIS IN 147 PATIENTS(OXFORD UNIV PRESS INC, 2019-01-01) Danyeli, A. E.; Akyerli, C. B.; Dincer, A.; Cosgun, E.; Abacioglu, U.; Pamir, M.; Ozduman, K.