Ahmet Tolgay Akinci

Trakya University · Department of Neurosurgery

Purpose: To investigate patterns of abnormalities in pain centers among patients with chronic pain, particularly those with migraines. The study aims to explore the potential correlation with pain duration and migraine types, and to propose new interventions for managing chronic pain Methods: Radiologic data of 32 migraine patients and 28 healthy c...

Von Hippel–Lindau (VHL) disease is a rare genetic disorder associated with the central nervous system and visceral organs. Pheochromocytomas occur in 10% of VHL patients, while cerebellar tumors are common tumors in VHL syndrome, with an incidence of 60%. The most common position for posterior fossa operations is the park bench or lateral decubitus...

BACKGROUND: Pain management and good sleep are essential for patients after surgical procedures. This study aimed to evaluate the effects of footbath on postoperative pain severity and sleep quality levels of patients who have undergone degenerative lumbar spine surgery. METHODS: Sixty patients were randomly assigned to the footbath intervention gr...

Background and purpose: European Stroke Organisation guidelines advise treating aneurysmal subarachnoid haemorrhage (aSAH) as early as possible. However, the optimum timing along with its beneficial effects is controversial. Therefore, we aimed to investigate the effects of ultra-early clipping on neurological outcomes and survival in poor-grade a...

Objective: There are currently no standard criteria for evaluating the risk of recurrent disk herniation following surgical repair. This study investigated the predictive values of five presurgical imaging parameters, paraspinal muscle quality, annular tear size, Modic changes, modified Phirrmann disk degeneration grade, and presence of sacralizat...

We aim to present a 35-year-old male patient who was operated on for a left temporoparietal pilocytic astrocytoma with hemorrhagic components. We present a 35-year-old male patient with three months of pressure in the ear, pain in the neck, and swelling in the eyes. Cranial magnetic resonance imaging revealed a consistent mass with glial tumor morp...

Aim: To evaluate the efficiency of two models for prognostication of patients with isolated traumatic brain injury (TBI). Material and methods: The models were developed using patient data in 10 years; internal validation was performed using the data of patients who were admitted within the following 5 years. We reviewed the records of 204 patie...

Background: Intracerebral haemorrhages account for approximately 20% of all strokes and have higher morbidity and mortality, nearly 60% of patients die within a year, and 20% of the survivors live disabled. The volume of intracerebral haemorrhage has a strong association with the unfavourable outcome; therefore, fast and accurate measurement of the...

Aims: To evaluate the relationship between the length of hospital stay and age, gender, and disease characteristics among glioma patients who went under surgery in Trakya University School of Medicine. Methods: The data of 51 glioma patients over 18 years of age, who have been followed up during 2019-2020 in Trakya University School of Medicine, De...

Sports-related concussion (SRC) is a severe type of sports injury that is attracting attention worldwide. The most recent SRC definition has been expressed as a complex and pathophysiological process of the brain caused by biomechanical forces. It includes the impairment of axonal networks leading to depolarization and tthe brain's increased demand...

Background: Intracerebral haemorrhages account for approximately 20% of all strokes and have higher morbidity and mortality, nearly 60% of patients die within a year, and 20% of the survivors live disabled. The volume of intracerebral haemorrhage has a strong association with the unfavourable outcome; therefore, fast and accurate measurement of the...

Aims: To present a rare syringomyelia case that necessitated a revision surgery because of a T-tube migration into the syrinx cavity. Case Report: A 53-year-old female patient was presented with progressive pain in the right arm and numbness in the neck. She had undergone decompression and stabilization surgery at the T6-T9 levels four years ago....

Aims: Neural tube defects are among the most common congenital anomalies worldwide, with a wide range of subtypes. The aim of this case report is to present a patient with cervical meningocele, a rare type of neural tube defect. Case Report: A 33-year-old pregnant woman with a story of bearing an anencephalic baby was referred to Trakya University...

Objective: The aim of this study was to present the results of surgical treatment along with demographic and clinical features in cases with tethered spinal cord syndrome seen in adulthood. Method: We retrospectively evaluated 73 cases who underwent tethered cord release operations with the diagnosis of tethered cord syndrome between 2004 and 20...

BACKGROUND: The optimal timing of intervention for aneurysmatic subarachnoid haemorrhage is one of the historically controversial issues in neurosurgery. Although numerous studies investigated the subject, they had many limitations due to the nature of the disease. Early and ultra-early interventions have gained more and more supporters in recent d...

Background To the best of our knowledge, no data has been published about the spontaneous subarachnoid haemorrhage (sSAH) incidence in Turkey. We aimed to report the estimation of sSAH incidence in Edirne Province, in Turkey for the first time, using the data acquired from a single medical centre which has the biggest and the most comprehensive eme...

Aim: The incidence of head injury has increased among pediatric patients, and traumatic brain injury is a leading cause of death in children. Decompressive craniectomy (DC) is a surgical intervention performed to increase cranial volume and is used for the treatment of intracranial hypertension. Moreover, such procedure has gained wide acceptance....

Aims: Torticollis secondary to a posterior fossa tumor is a rare condition that is mostly seen in pediatric patients. In this case report, it is aimed to present a 23-month-old male patient with a posterior fossa tumor that presents the symptoms of torticollis. Case Report: A 23-month-old male patient was admitted to the hospital with a history of...

Intradural extramedullary hemangiopericytomas (HPCs) are extremely rare and a hemangiopericytoma located at the craniovertebral junction might present radiologic features similar to those of meningioma or schwannoma. To the best of our knowledge, this report is among a few reported cases of HPC at the craniovertebral junction. Although they are ver...

Ovarian cancer is one of the most important causes of pelvic masses and is the fifth leading cause of cancer related mortality. As in all cancers, method of early diagnosis for ovarian cancer should be easily applicable, economically, has high safety and specificity. Our study included 155 cases that were operated due to adnexial masses at Obstetri...

The complex pathophysiology of the degenerative disc disease involves genetic and extensive biomechanical changes and impaired extracellular matrix balance. The result is disk degeneration causing spinal stenosis, radiculopathy, myelopathy and mechanical back pain. Mesenchymal stem cell injection is being used by researchers increasingly in degener...

Gunshot wounds to the spine cause severe neurological and/or internal organs damages. Although most of publications in the literature are realized on military injuries, increased civilian arming which raises civilian gunshot injuries is a new social danger causing serious health problems. In gunshot injuries to the spine; vertebral column, spinal c...

Background: This experimental study was an investigation of the efficacy of erythropoietin and tadalafil in rats with induced spinal cord injury (SCI). Methods: Thirty-five Sprague Dawley rats were distributed into 5 groups. First group was used for normal biochemical values. Spinal cord injury was induced in 4 remaining groups with clip compres...

Tracheal intubation is performed as part of daily routine in the operating room, rarely with complications. However, management of airway for cases such as a penetrating neck trauma case might constitute exceptions, in which cases the stabilization of the neck to prevent any further neural damage is a significant source of concern for the anesthesi...

In this study, the relationship between the lower intervertebral disc herniation and the degeneration of the spine with the sagittal morphological values were investigated. The data on this study is obtained retrospectively from patients who were operated in our center with the diagnosis of lower level lumbar disc herniation. A total of 117 patient...

Aim: This study was designed was to determine the demographic characteristics of patients operated for lumbar disc herniation in Thrace Region, Turkey. Material and Method: We retrospectively searched our data to find out patients who had one sided, one level and only one spinal surgical intervention for herniated lumbar disc. Results: Among 796 ca...

Cauda equina syndrome is a neurological disorder defined by urinary and/or anal sphincter dysfunction, bilateral sciatica and bilateral motor and sensory deficits. Regarding the etiology, lumbar disc disease, spinal stenosis, tumors, haematomas, fractures, infectious diseases and ankylosing spondylitis are pathologies causing this syndrome. Spinal...

We aimed to determine risk factors and the impact on treatment cost of infection in patients with isolated head injury. Data acquired from 299 patients (239 males, 60 females; mean age 35,1±23,2 years) with isolated head trauma who were hospitalized for more than 72 hours at Trakya University Training and Research Hospital between 2001-2007 were ev...