The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research

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dc.authorid0000-0003-3621-6658en_US
dc.contributor.authorCengiz, Şahika Liva
dc.contributor.authorIlık, Mustafa Kemal
dc.contributor.authorErdi, Fatih
dc.contributor.authorÜstün, Mehmet Erkan
dc.date.accessioned2020-01-18T21:02:49Z
dc.date.available2020-01-18T21:02:49Z
dc.date.issued2016
dc.departmentNEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Anabilim Dalıen_US
dc.description.abstractAIM: To compare the beneficial effects of cisternal blood clot evacuation with or without microsurgical fenestration of the lamina terminalis (LT) on symptomatic vasospasm during the course of aneurysmal subarachnoid hemorrhage. MATERIAL and METhODS: This was a clinical, retrospective study that included 72 patients with aneurysmal subarachnoid hemorrhage (aSAH). The patient group that underwent aneurysm clipping with only extensive cisternal drainage of the subarachnoid blood clot was defined as the non fenestrated lamina terminalis group (NonFLT group, n39). The patient group that underwent aneurysm clipping with extensive cisternal drainage of the subarachnoid blood clot combined with microsurgical fenestration of LT was defined as the fenestrated lamina terminalis group (FLT group, n33). All patients were operated by the same experienced neurovascular surgeon, the senior author of this article (MEU), and his colleagues. New cerebral infarct development was determined with computed tomography, Glasgow Outcome Score (GOS), clinical vasospasm rate and Hunt-Hess scale (H&H) grade before and after surgery and duration of hospital stay of the patients were assessed and compared. RESULTS: A favorable clinical outcome was obtained from 51.2% of the NonFLT group patients and 72.66% of the FLT group patients. And FLT group patients have better GOS and H&H grade. Clinical vasospasm rate and duration of hospital stay were also significantly reduced in FLT group patients. CONCLUSION: Wide fenestration of lamina terminalis as a cerebrospinal fluid diversion technique may be very beneficial in the surgical treatment of aneurysmal SAH.en_US
dc.identifier.citationCengiz, S. L., Ilık, M. K., Erdi, F., Üstün, M. E. (2016). The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research. Turkish Neurosurgery, 26, 5, 714-719.en_US
dc.identifier.doi10.5137/1019-5149.JTN.13501-14.3en_US
dc.identifier.endpage719en_US
dc.identifier.issn1019-5149en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage714en_US
dc.identifier.urihttp://app.trdizin.gov.tr/publication/paper/detail/TWpNNE1EY3hNUT09
dc.identifier.urihttps://hdl.handle.net/20.500.12452/1299
dc.identifier.volume26en_US
dc.identifier.wosWOS:000385338600010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerrahien_US
dc.subjectCisternal Blood Cloten_US
dc.subjectLamina Terminalisen_US
dc.subjectSubarachnoid Hemorrhageen_US
dc.subjectSymptomatic Vasospasmen_US
dc.titleThe Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Researchen_US
dc.typeArticleen_US

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