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Öğe Management of a T-Tube Migration Into the Syrinx Cavity: a Case Report(Trakya Üniversitesi, 2021) Yılmaz, Ceren; Sebici, Erkan; Ayrık, Mert Yücel; Çınkı, Ahmet Hamit; Akıncı, Ahmet TolgayAims: 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. One year later, she underwent a T-tube placement operation for syringomyelia. She remained relatively stable until the latest admission. A detailed neurological examination revealed no difference compared to her previous neurological condition. Computerized Tomography and Magnetic Resonance Imaging scans demonstrated that the syrinx had expended and the T-tube had migrated into the syrinx cavity. A revision was carried out, the migrated T-tube was removed through fenestration, and a new T-tube was placed. Her condition had significantly improved at follow-up, and the syrinx had markedly regressed. Conclusion: Syringosubarachnoid shunting operations might lead to rare complications such as T-tube migration, which necessitate revision surgery. Nearly complete relief of symptoms can be achieved with successful revision surgery.Öğe Cervical Meningocele in a Newborn: a Case Report(Trakya Üniversitesi, 2020) Şenödeyici, Eylül; Akıncı, Ahmet Tolgay; Aktürk, YenerAims: 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 Hospital with a probable cystic hygroma diagnosis on the 31st week of pregnancy. An antenatal ultrasound revealed a protrusion on the posterior cervical regi- on. Two days before the planned delivery, fetal magnetic resonance imaging was performed by the decision of the council. The 61 x 37 millimeters cyst was planned to be removed upon birth. On the 38th week, the baby was delivered by cesarean section with no other complications. After a preoperative magnetic resonance imaging, surgical procedure including the excision of the cyst and the duroplasty was performed. Conclusion: A rare and devastating congenital anomaly, cervical meningocele, requires accurate diagnosis and prompt surgical involvement for effective treatment and good prognosis.Öğe Torticollis Secondary to a Posterior Fossa Tumor: a Case Report(Trakya Üniversitesi, 2019) Göztepe, Aslı; Güldağ, Mahmut Alper; Akıncı, Ahmet Tolgay; Çiftdemir, MertAims: Torticollis secondary to a posterior fossa tumor is a rare condition that is mostly seen in pediatric patients. In this casereport, 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 a restricted range of motion in hisneck and leaning to his left side while sitting. Physical examination of the patient revealed acute onset of atlantoaxial rotatorysubluxation findings therefore, the initial diagnosis was Grisel’s Syndrome. Later, a cranial magnetic resonance imaging revealeda mass which was seen in the posterior fossa. The mass was considered as the cause of the torticollis. Conclusion: This case reportshows the importance of the differential diagnosis of torticollis. Posterior fossa tumors should not be overlooked while searchingfor the cause of torticollis. Keywords: Torticollis, posterior fossa tumors, infratentorial neoplasms
