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• G.Ç., 38-year-old female patient,
• GCS:13
• Headache for 5 years (progressive)
• Gait disturbance
• Generalized tonic-clonic seizures for two months
• Visual impairment on the left eye
• Left V1,V2,V3 hypoesthesia
• Left hemiparesis (4/5)
• Dysphagia
• Combined left transsylvian, anterior
temporal and transpetrosal-presigmoid
approach
• Total tumor removal was performed
• Post-operative 5-day lumbar drainage
• Left facial paresis, partially improv
• Pathology: Meningotheliomatous
meningioma (WHO Grade 1)
• 44-years-old female patient
• Face pain on the right side for the last
three years.
• Neurologically intact.
• Right suboccipital retrosigmoid aproach
• Total tumor resection
• Histopathology: Meningioma
• Transient facial paresis.
• In follow-up, tumor-free for six years and
neurologically intact.
CHORDOMA
• M.M.T.,14-year-old girl
• Progressive headache and right-sided
severe facial pain for one year
• Nausea, vomiting
• Blurred vision
• Bilateral papilloedema
• VI. nerve paresis
• Right combined transsylvian and anterior
temporal approach
- Right extended frontotemporosphenoidal craniotomy
- Right orbitozygomatic osteotomy (OZO)
- Drilling of the greater sphenoid wing,….
• Total tumor removal
• Cranial base reconstruction
Histopathology: Chordoma
• 3 years later, recurrent lesion at the same
localization
• Through the previous approach recurrent
lesion was excised
• Pathology: Chordoma
• Tumor-free for the last four years (after the
second operation).
• The patient is neurologically intact.
4.Olgu
• Murat Sevgi, 26y, E
• Şikayet: Sağ göz kapağında düşme
• Nörolojik Muayenesi: Sağ göz kapağında
ptozis (3.Kranyal sinir tutulumu)
Klinik Takip ve Seyir
• Nörolojik muayenesinde değişiklik
olmaksızın kliniğimizden taburcu edildi.
9.Olgu
• Aynur Zor; 36y, K
• Şikayet: Nbt geçirme.
• Nörolojik Muayene: Sağ alt ekstremitede
motor kuvvet 4/5.
Preop. BBT
Preop. MRG
Postop. BBT
Postop. MRG
10.Olgu
• İsmail Felek; 28y, E
• Şikayet :Başağrısı.
• Nörolojik Muayene: İntakt
Klinik Takip ve Seyir
• Nörolojik muayenesi intakt olan hasta,
onkoloji tedavisi düzenlenerek
kliniğimizden taburcu edildi.

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Helsinki Toplantısı - Tümör Sunumu

  • 1. • G.Ç., 38-year-old female patient, • GCS:13 • Headache for 5 years (progressive) • Gait disturbance • Generalized tonic-clonic seizures for two months • Visual impairment on the left eye • Left V1,V2,V3 hypoesthesia • Left hemiparesis (4/5) • Dysphagia
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. • Combined left transsylvian, anterior temporal and transpetrosal-presigmoid approach • Total tumor removal was performed
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. • Post-operative 5-day lumbar drainage • Left facial paresis, partially improv • Pathology: Meningotheliomatous meningioma (WHO Grade 1)
  • 13. • 44-years-old female patient • Face pain on the right side for the last three years. • Neurologically intact.
  • 14.
  • 15.
  • 16.
  • 17. • Right suboccipital retrosigmoid aproach • Total tumor resection • Histopathology: Meningioma
  • 18.
  • 19.
  • 20. • Transient facial paresis. • In follow-up, tumor-free for six years and neurologically intact.
  • 22. • M.M.T.,14-year-old girl • Progressive headache and right-sided severe facial pain for one year • Nausea, vomiting • Blurred vision • Bilateral papilloedema • VI. nerve paresis
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. • Right combined transsylvian and anterior temporal approach - Right extended frontotemporosphenoidal craniotomy - Right orbitozygomatic osteotomy (OZO) - Drilling of the greater sphenoid wing,…. • Total tumor removal • Cranial base reconstruction
  • 29. • 3 years later, recurrent lesion at the same localization
  • 30.
  • 31. • Through the previous approach recurrent lesion was excised • Pathology: Chordoma
  • 32.
  • 33. • Tumor-free for the last four years (after the second operation). • The patient is neurologically intact.
  • 34. 4.Olgu • Murat Sevgi, 26y, E • Şikayet: Sağ göz kapağında düşme • Nörolojik Muayenesi: Sağ göz kapağında ptozis (3.Kranyal sinir tutulumu)
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Klinik Takip ve Seyir • Nörolojik muayenesinde değişiklik olmaksızın kliniğimizden taburcu edildi.
  • 42. 9.Olgu • Aynur Zor; 36y, K • Şikayet: Nbt geçirme. • Nörolojik Muayene: Sağ alt ekstremitede motor kuvvet 4/5.
  • 45.
  • 48.
  • 49. 10.Olgu • İsmail Felek; 28y, E • Şikayet :Başağrısı. • Nörolojik Muayene: İntakt
  • 50.
  • 51.
  • 52.
  • 53.
  • 54. Klinik Takip ve Seyir • Nörolojik muayenesi intakt olan hasta, onkoloji tedavisi düzenlenerek kliniğimizden taburcu edildi.