Yazar "Kilincer, Cumhur" seçeneğine göre listele
Listeleniyor 1 - 20 / 26
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Avulsion Fracture of the Anterior Iliac Crest after Bone Graft Harvest: Case Report and Review of Techniques, Risk Factors and Treatment(Turkish Neurosurgical Soc, 2011) Ovalioglu, Aysegul Ozdemir; Kilincer, Cumhur; Ovalioglu, Talat Cem; Simsek, OsmanThe anterior iliac crest is the harvest site preferred by many surgeons because of the quantity and quality of bone obtainable and the simplicity of harvesting techniques. Avulsion fracture of the iliac crest following bone grafting is an extremely rare occurrence. We present a case report of avulsion fracture of the anterior iliac crest following bone graft harvesting for anterior cervical fusion in a 63-year-old man. Non-operative treatment was the method of our treatment in the patient. By means of the presented case, iliac crest bone grafting techniques, risk factors of avulsion fracture, and treatment options were reviewed.Öğe Cerebral infarction due to traumatic carotid artery dissection(Turkish Assoc Trauma Emergency Surgery, 2008) Kilincer, Cumhur; Tiryaki, Mehmet; Celik, Yahya; Turgut, Nilda; Balci, Kemal; Utku, Ufuk; Cobanglu, SebahattinWith the advent of improved neuroradiological methods, it has been determined that frequency of traumatic carotid artery dissections is higher than previously observed. Since delayed neurological deficits may develop in some asymptomatic undiagnosed cases, it is essential to consider the possibility of the carotid artery dissection and evaluate it properly in suspicious cases. In this article, a case of internal carotid artery dissection and subsequent cerebral infarction following a motor vehicle accident is presented. Pathogenesis, clinical features, diagnostic method choices and treatments in this rare but severe condition are discussed in light of the relevant literature in order to convey current knowledge.Öğe Cervical spondylotic myelopathy treated by oblique corpectomy: A prospective study(Oxford Univ Press Inc, 2008) Kiris, Talat; Kilincer, CumhurOBJECTIVE: Anterolateral partial oblique corpectomy (OC) aims to decompress the cervical spinal cord without subsequent fusion and saves the patient from graft-, instrument-, and fusion-related complications. Although it is a promising technique, there are few studies dealing with its efficacy and safety. METHODS: In this prospective study, 40 consecutive patients underwent an OC (one to four levels from C3 to C7) for cervical spondylotic myelopathy; they ranged in age from 43 to 78 years (mean, 55 yr). The average follow-up period was 59 months (range, 24-98 mo). Clinical and radiological data were analyzed to assess the results and find possible factors related to outcomes. RESULTS: Thirty-seven (92.5%) of the 40 patients improved by the 6-month follow-up examination according to the Japanese Orthopedic Association score. The improvement was the most prominent in lower extremity dysfunction. Recovery was positively correlated with the preoperative Japanese Orthopedic Association score (r = 0.37, P = 0.018). Permanent Horner's syndrome developed in four patients (10%). During the long-term follow-up period, neurological improvement was maintained and there were no signs of postoperative instability, posture change, or axial pain. CONCLUSION: OC for treating multilevel cervical spondylotic myelopathy achieved good results with a low morbidity rate. The results of the current study suggest that OC is a good alternative to conventional median corpectomy and fusion techniques in selected cases.Öğe Contralateral Subdural Effusion Secondary to Decompressive Craniectomy: Differences in Patients with Large Hemispheric Infarctions and Traumatic Brain Injury(Karger, 2010) Kilincer, Cumhur; Hamamcioglu, Mustafa Kemal[Abstract Not Available]Öğe Cortex of the pedicle of the vertebral arch. Part II: microstructure(Amer Assoc Neurological Surgeons, 2007) Inceoglu, Serkan; Kilincer, Cumhur; Tami, Andrea; Mclain, Robert F.Object. Although the gross anatomy of the pedicle in the human spine has been investigated in great detail, knowledge of the microanatomy of trabecular and cortical structures of the pedicle is limited. An understanding of the mechanical properties and structure of the pedicle bone is essential for improving the quality of pedicle screw placement. To enhance this understanding, the authors examined human cadaveric lumbar vertebrae. Methods. In this study, the authors obtained seven human cadaveric,lumbar vertebrae. The lateral and medial cortices of these pedicle specimens were sectioned and embedded in polymethylmethacrylate. Cross-sectional slices of cortex were obtained from each specimen and imaged with the aid of a high-resolution light microscope. Assessments of osteonal orientation, determinations of relative dimensions, and histomorphometric studies were performed. Results. The cortex of the pedicle in each human lumbar vertebra had an osteonal structure with haversian canals laid down mainly in the anteroposterior (longitudinal) direction. The organization of osteons across the transverse cross-section was not homogeneous. The layer of lamellar bone that typically envelops cortical bone structures (such as in long bones) was not observed, and the lateral cortex was significantly thinner than the medial cortex (p < 0.05). Conclusions. The cortical bone surrounding the pedicle differed from bone in other anatomical regions such as the anterior vertebral body and femur. The osteonal orientation and lack of a lamellar sheath may account for the unique deformation characteristics of the pedicle cortex seen during pedicle screw placement.Öğe Cortex of the pedicle of the vertebral arch.: Part 1(Amer Assoc Neurological Surgeons, 2007) Inceoglu, Serkan; Kilincer, Cumhur; Tami, Andrea; Mclain, Robert F.Object. Elastic deformation has been proposed as a mechanism by which vertebral pedicles can maintain pullout strength when conical screws are backed out from full insertion. The response to the insertion technique may influence both the extent of deformation and the risk of acute fracture during screw placement. The aim of this study was to determine the deformation characteristics of the lumbar pedicle cortex during screw placement. Methods. Lumbar pedicles with linear strain gauges attached at the lateral and medial cortices were instrumented using 7.5-mm pedicle screws with or without preconditioning by insertion and removal of 6.5-mm screws. The strains and elastic recoveries of the medial and lateral cortices were determined. Results. Mean medial wall strains tended to be lower than mean lateral wall strains when the 6.5-mm and 7.5-mm screw data were pooled (p = 0.07). After the screws had been removed, 71 to 79% of the deformation at the lateral cortex and 70 to 96% of the deformation at the medial cortex recovered. When inserted first, the 7.5-mm screw caused more plastic deformation at the cortex than it did when inserted after the 6.5-mm screw. Occasional idiosyncratic strain patterns were observed. No gross fracture was observed during screw placement. Conclusions. Screw insertion generated plastic deformation at the pedicle cortex even though the screw did not directly contact the cortex. The lateral and medial cortices responded differently to screw insertion. The technique of screw insertion affected the deformation behavior of the lumbar pedicles. With myriad options for screw selection and placement available, further study is needed before optimal placement parameters can be verified.Öğe Decompression craniotomy(Amer Assoc Neurological Surgeons, 2007) Kilincer, Cumhur; Asil, Talip; Utku, Ufuk; Balci, Kemal; Hamacioglu, Mustafa KemalObject. Middle cerebral artery infarction often occurs at a younger age than other strokes and is associated with significant rates of mortality and morbidity. After a period of pessimism regarding decompressive hemicraniectomy in the management of acute stroke, the method has reemerged in the past decade. The present study was undertaken to assess the immediate and long-term outcome of this intervention and to help better define the selection criteria for surgery. Methods. The authors conducted a nonrandomized prospective study using decompressive hemicraniectomy with duraplasty in patients at various stages of clinical deterioration due to a space-occupying middle cerebral artery infarct. Patients were assessed at 6 and 12 months postinfarction by using functional scales. Subjective reconsideration was assessed using a questionnaire. Twenty-six patients were included in the study. The mean age was 48.4 +/- 11.2 years, and the mean preoperative Glasgow Coma Scale score was 9.9 +/- 3.2. The median time from ictus to surgery was 54 hours (range 13-288 hours). The rate of survival at 1 year postsurgery was 73%. Among survivors, 33.3% were independent (Barthel Index [BI] > 95) and 55.6% were partially dependent (BI 60-95) at 1 year postsurgery, with 72% attaining the ability to walk independently by 1 year postsurgery. No patient remained in a vegetative state. The 1-year BI score was inversely related to patient age(r = -0.47, p = 0.048). Conclusions. Survival after decompressive hemicraniectomy was better than previously reported using medical management alone. A vegetative state was avoided and functional independence was possible, especially in younger patients. Increasing age was a statistically significant predictor of disability and long-term functional dependence.Öğe Frequency, Distribution and Severity of Prevalent Osteoporotic Vertebral Fractures in Postmenopausal Women(Turkish Neurosurgical Soc, 2013) Kilincer, Cumhur; Demirbag Kabayel, Derya; Cagli, Bekir; Unlu, Ercument; Wicki, Barbara; Ozdemir, FerdaAIM: Assessment of previous vertebral fractures provides useful information to predict future fracture risk. This study aimed to determine the frequency, distribution and severity of prevalent osteoporotic vertebral fractures in postmenopausal women. MATERIAL and METHODS: Data on patient characteristics, bone densitometry values, and spine radiographs (T2-L5) were reviewed in 232 postmenopausal women admitted to our osteoporosis clinic. RESULTS: Prevalent vertebral fractures were detected in 28 (12.1%) women (95%Cl: 7.8 16.3). Fifteen women (6.5%) had mild fractures and 13 (5.6%) had moderate or severe fractures according to Genant's semi-quantitative technique. The T-score was associated with the presence of prevalent vertebral fractures (OR= 0.61; 95%Cl: 0.38-0.96, P= 0.034). The most frequently fractured vertebrae were T11 and T12, followed by T7 and T9. Sixty percent of fractures were wedge-type while 40% were biconcave. The frequency of wedge-type fractures at the T11-T12 levels (93.8%) was higher compared to that at all other levels (44.1%) (P= 0.001). CONCLUSION: We determined the frequency, distribution, and severity of prevalent fractures and identified certain distribution patterns of fracture locations and types. To verify our results and detect possible predictive factors for fracture risk, population-based larger trials are needed.Öğe Giant subdural empyema in a child: a case report(Elsevier Science Inc, 2006) Hicdonmez, Tufan; Cakir, Bilge; Hamamcioglu, M. Kemal; Kilincer, Cumhur; Cobanoglu, SebahattinAn unusual case of a giant (8x6x6 cm) frontoparietal SDE of Streptococcus pneumoniae in a 17-month-old child is reported. The initial diagnosis was made with emergency CT. The purulent material was removed via a frontoparietal craniotomy. A series of postoperative MR imaging showed the gradual reduction in size of the lesion, although collapsed capsule, fibrous thickening of meningeal structures and associated displacement of the underlying brain persisted. The child was symptom-free in a follow-up period of 15 months. This case showed that SDE may reach a giant size and thus may mimic an intra-axial lesion; the coronal MR imaging is a more reliable diagnostic tool than the emergency axial CT in giant SDE of upper convexity localization, and the clinical improvement may be more impressive than the radiological changes. (c) 2006 Elsevier Inc. All rights reserved.Öğe Hereditary neuropathy with liability to pressure palsies in a Turkish patient (HNPP)(Turkish Neurosurgical Soc, 2008) Celik, Yahya; Kilincer, Cumhur; Hamamcioglu, M. Kemal; Balci, Kemal; Birgili, Baris; Cobanoglu, Sebahattin; Utku, UfukHereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant nerve disease usually caused by 1,5 Mb deletion on chromosome 17p11.2.2-p12, the region where the PMP-22 gene is located. The patients with HNPP usually have relapsing and remitting entrapment neuropathies due to compression. We present a 14-year-old male who had acute onset, right-sided ulnar nerve entrapment at the elbow. He had electrophysiological findings of bilateral ulnar nerve entrapments (more severe at the right side) at the elbow and bilateral median nerve entrapment at the wrist. Genetic tests of the patient demonstrated deletions in the 17p11.2 region. The patient underwent decompressive surgery for ulnar nerve entrapment at the elbow and completely recovered two months after the event. Although HNPP is extremely rare, it should be taken into consideration in young adults with entrapment neuropathies.Öğe Infection in patients with isolated head injury: risk factors and the impact on treatment cost(Turkish Assoc Trauma Emergency Surgery, 2012) Arslan, Alp; Birgili, Baris; Akinci, Ahmet Tolgay; Simsek, Osman; Kilincer, CumhurBACKGROUND We aimed to determine risk factors and the impact on treatment cost of infection in patients with isolated head injury. METHODS 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 evaluated retrospectively. Data including age, gender, initial neurological examination, radiological findings, duration of hospitalization, need for surgery, cost of infection treatment, total cost of care, and outcome scores were determined. Two groups divided according to the development of infection were compared for risk factors and the impact of infection on the cost of treatment. RESULTS In the group of patients with infection, the mean Glasgow Coma Scale score at delivery was lower; anisocoria, light reflex loss, lateralized deficit, skull base fracture, subdural hematoma, and cerebral edema findings were more frequent. A four-times longer hospital stay, 10-times higher total cost and a significantly increased mortality rate were determined in this group. For the patients with light head injury, in the group of patients with infection, the mean age was found to be higher. CONCLUSION For patients with isolated head injury, there are some risk factors for the development of infection that increase the hospitalization duration, total cost of care and mortality rates.Öğe Intrasacral extradural arachnoid cysts - Three case reports(Japan Neurosurgical Soc, 2008) Hamamcioglu, Mustafa Kemal; Hicdonmez, Tufan; Kilincer, Cumhur; Cobanoglu, SebahattinThree patients presented with rare intrasacral extradural arachnoid cysts manifesting as sensory deficiencies and pain in the lower extremities. Magnetic resonance imaging with various sequences identified the cysts. Two patients underwent surgery via laminectomy of the sacrum for cyst exploration and disconnection of the cyst with the dural theca. Postoperative outcome was favorable in these two patients. Intrasacral extradural arachnoid cyst should be considered in the differential diagnosis of low back pain.Öğe Load sharing within a human thoracic vertebral body: An in vitro biomechanical study(Turkish Neurosurgical Soc, 2007) Kilincer, Cumhur; Inceglu, Serkan; Sohn, Moon Jun; Ferrara, Lisa A.; Bakirci, Nadi; Benzel, Edward C.OBJECTIVE: The vertebral body is the major load bearing part of the vertebra and consists of a central trabecular core surrounded by a thin cortical shell. The aim of this in vitro biomechanical study is to determine the debated issue of load sharing in a vertebral body. METHODS: A series of non-destructive compressive testing on excised human thoracic vertebral bodies were performed. The testing process consisted of a stepwise removal of the vertebrae's trabecular centrum and measurement of surface strains. RESULTS: Load sharing of cortical shell of osteopenic vertebrae (48.1+/-7.6) was significantly higher than that of normal vertebrae (44.3+/-10.6). Load sharing of middle thoracic vertebrae (49.4+/-10.0) was significantly higher than that of lower thoracic vertebrae (42.4+/-8.5). According to general linear model analysis, test speed and load were not found to be effectual on load sharing with the exception that osteopenic vertebrae showed lower cortical load sharing under higher loads. CONCLUSIONS: The cortical shell takes nearly 45% of physiological loads acting upon an isolated thoracic vertebra. Load sharing between cortical shell and trabecular centrum is significantly affected by spinal level and bone mineral density. The load borne by trabecular bone increases towards the lower spinal levels, and decreases by osteoporosis.Öğe Negative serology: could exclude the diagnosis of brucellosis?(Springer Heidelberg, 2012) Celik, Aygul Dogan; Yulugkural, Zerrin; Kilincer, Cumhur; Hamamcioglu, Mustafa Kemal; Kuloglu, Figen; Akata, FilizTwo cases of brucellar spondylodiscitis of the lumbar area were presented. Although both cases showed typical radiological changes, serological tests could not detect Brucella agglutinating antibodies. One of the patients was bacteremic and Brucella spp. was identified from blood culture. In the second patient needle biopsy was required for definite diagnosis. Although small, serologic tests have a certain rate of false negative results in brucellosis. Thus, a negative serology should not exclude the diagnosis of brucellosis, as it is demonstrated in the current cases.Öğe Nocardial brain abscess: Review of clinical management(Elsevier Sci Ltd, 2006) Kilincer, Cumhur; Hamamcioglu, M. Kemal; Simsek, Osman; Hicdonmez, Tufan; Aydoslu, Bayram; Tansel, Ozlem; Tiryaki, MehmetNocardiosis has become a significant opportunistic infection over the last two decades as the number of immunocompromised individuals has grown worldwide. We present two patients with nocardial brain abscess. The first patient was a 39-year-old woman with systemic lupus erythematosus. A left temporoparietal abscess was detected and aspirated through a burr-hole. Nocardia farcinica infection was diagnosed. The patient had an accompanying pulmonary infection and was thus treated with imipenem and amikacine for 3 weeks. She received oral minocycline for 1 year. The second patient was a 43-year-old man who was being treated with corticosteroids for glomerulonephritis. He was diagnosed with a ring-enhancing multiloculated abscess in the left cerebellar hemisphere, with an additional two small supratentorial lesions and triventricular hydrocephalus. Gross total excision of the cerebellar abscess was performed via a left suboccipital craniectomy. Culture revealed Nocardia asteroides, and the patient was successfully treated with intravenous ceftriaxone, then oral trimethoprime-sulfamethoxazole for 1 year. The clinical course, radiological findings, and management of nocardial brain abscess are discussed in light of the relevant literature, and current clinical management is reviewed through examination of the cases presented here. (C) 2006 Elsevier Ltd. All rights reserved.Öğe Paraplegia due to spinal subdural hematoma as a complication of posterior fossa surgery: Case report and review of the literature(Elsevier Science Bv, 2006) Hicdonmez, Tufan; Kilincer, Cumhur; Hamamcioglu, A. Kemal; Cobanoglu, SebahattinAlthough blood contamination of cerebrospinal fluid (CSF) after an intracranial operation is possible, development of a symptomatic spinal hematoma after a posterior fossa surgery has never been reported. A 43-year-old woman underwent a posterior fossa tumor removal in the prone position with no intraoperative difficulty. On the second postoperative day, she complained of severe epigastric pain and developed a rapid onset of paraplegia with anesthesia below the thoracic 5 spinal level. The emergency cranial and spinal MRIs revealed a spinal extramedullary hemorrhage spreading to the whole spinal regions, just sparing the cauda equina area. There was a prominent localized hematoma formation surrounding and compressing the spinal cord at the upper thoracic levels, which was evacuated via an urgent laminectomy. The patient showed partial neurological recovery after the decompression. Development of the spinal hematoma was explained by the movement of blood from the tumor bed into the spinal canal under the effect of gravity, during or after the operation. A 30 degrees head elevation might facilitate the accumulation of blood. Localization of the hematoma formation may be caused by the fact that the upper thoracic levels constitute the apex of the kyphosis. We conclusively suggest that a spinal hematoma should be taken into consideration as a rare but potentially severe complication of a posterior fossa surgery. Meticulous hemostasis and isolation of the surgical area from the spinal spaces are essential. Overdrainage of CSF should be abandoned. Postoperatively, patients should be monitored for spinal findings as well as cranial signs. (c) 2005 Elsevier B.V. All rights reserved.Öğe Posttraumatic intraventricular arachnoid cyst accompanied by pseudomeningoencephalocele in a child(Churchill Livingstone, 2007) Guzel, Aslan; Tatli, Mehmet; Kilincer, Cumhur; Yilmaz, FahnBurkholderia pseudomallei infection of the central nervous system (CNS) is rare with less than 50 cases reported over the last 30 years. The retrospective melioidosis study at University Malaya Medical Centre has documented three cases of CNS melioidosis out of more than 160 cases of melioidosis since 1978. There were two patients with brain abscess and one with spinal epidural abscess. The predisposing factors were: one patient was an aboriginal farmer and the other two were diabetic. Their age ranged from 17 to 45 years. Prominent neurological features were limb weakness, cranial nerve palsy (6th and 7th) and visual disturbance. CT brain scan and MRI spine showed abscess formation, subdural collection, and spinal epidural collection, osteomyelitis of vertebra and occipital bone and also sagital sinus thrombosis. All these patients underwent surgical drainage leading to bacteriological diagnosis as well as appropriate long-term antibiotic therapy. All had good recovery at 6 months after completion of treatment. (c) 2006 Elsevier Ltd. All rights reserved.Öğe Predicting Prognosis of Isolated Head Injury: A Computer-Based Model with Simple Variables(Galenos Publ House, 2011) Simsek, Osman; Sut, Necdet; Kilincer, Cumhur; Hamamcioglu, Mustafa Kemal; Memis, DilekObjective: Over one hundred predictive models were defined in the past for head injury (HI) prognosis, but none of them have been widely used up to the present. The aim of this study is to predict the prognosis of isolated HI patients by simply using data from the first day after injury. Materials and Methods: Data of head injury patients in Trakya University Hospital between January 1996 and December 2006 were obtained from records. The age, gender, causes of HI, basic neurologic examination findings, radiologic findings and discharge status are examined. Results: Most of the data were simplified as absent (0) and present (1), and mortality rates for each groups were accepted weighted values. All data were processed statistically and two models were created. Model 1 with Glasgow Coma Scale (GCS) score predicted the mortality/vegetative event at a rate of 56.5%, and the conscious survival event at 98.7%. Model 2, without the GCS score, predicted the mortality/vegetative event at 55.1% rate and the conscious survival event at 99.2%. Conclusion: Both models could be used for informing the patient and relatives and helping them to understand the severity of HI in busy working conditions of emergency departments.Öğe Primary tumors of the cervical spine(Elsevier Science Inc, 2007) Zileli, Mehmet; Kilincer, Cumhur; Ersahin, Yusuf; Cagli, SedatBACKGROUND CONTEXT: Primary tumors of the cervical spine are rare, and many issues regarding their surgical management remain unanswered yet. PURPOSE: To demonstrate results of surgery for primary tumors of the cervical spine and to elucidate which factors influence outcome. STUDY DESIGN/SETTING: Retrospective study. PATIENT SAMPLE: Sixty-six surgeries were performed on 35 patients, ranging in age from 7 to 70 years. OUTCOME MEASURES: Preoperative and postoperative degree of pain and neurological status were quantified. Radiological investigations were used to detect recurrence and evaluate the stability and fusion. METHODS: Data were collected on patient characteristics, therapy, and results. Follow-up ranged from 6 months to 15 years (mean 59.9 months). RESULTS: Posterior (26), anterolateral (24), retropharyngeal (9), combined (4), lateral (2), and transmandibular approaches (1) were used. Chordomas (n = 8) and 17 different types of tumors were encountered. One patient died 3 weeks postoperatively and 5 died of their disease at follow-up. Twenty patients had no evidence of disease, and 7 patients had recurrent tumors. According to the Weinstein-Boriani-Biagini classification, tumor extension into both anterior and posterior columns of a vertebra was correlated with a poor outcome. Incomplete resections resulted in tumor recurrence which warranted subsequent surgeries (up to 9), especially in chordoma cases. CONCLUSIONS: Complete tumor resection is the oncologically best surgical strategy and should be attempted whenever possible. However, this may not be feasible in every case because of the complexity of the cervical spine. In these cases, acceptable mortality-morbidity rates and symptom-free years could be achieved by subtotal resections, even for malignant tumors. (c) 2007 Elsevier Inc. All rights reserved.Öğe Resolution of a fourth ventricle epithelial cyst after ventriculoperitoneal shunting(Elsevier Science Inc, 2007) Tatli, Mehmet; Guzel, Aslan; Kilincer, Cumhur; Sav, AydinBackground: Symptomatic cysts of epithelial origin occurring in the fourth ventricle are very rare. When such a cyst is encountered, the treatment strategy includes surgical removal or fenestration of the cyst into subarachnoid space. Case 1: A 23-year-old male was diagnosed as having a cyst located in the fourth ventricle causing hydrocephalus; the patient underwent cyst removal via craniotomy. The histopathologic diagnosis was neuroepithelial cyst. Because clinical and neuroradiological findings persisted, he underwent VP shunting. The cyst disappeared and did not recur. Case 2: A 54-year-old woman was diagnosed as having a cystic mass in the fourth ventricle and dilatation of the ventricles. Magnetic resonance imaging showed the same findings as those of the first case. The patient refused craniotomy for total mass excision. Therefore, a VP shunt was applied. Postoperatively, the clinical findings and hydrocephalus improved, and complete disappearance of the cystic mass was observed unexpectedly. Both cases had 2 years of follow-up. Conclusion: There is no proven mechanism to explain resolution of fourth ventricle cysts after a supratentorial VP shunting. We hypothesize that disappearance of the cyst could result from rupture of its wall because of pressure gradient, which might be facilitated by a VP shunt. The current report should not be taken as an argument against cyst removal, which is the established way of treatment. However, considering that the pathogenesis and pathophysiology of these cysts are unclear, VP shunting should be considered especially for recurrent cases accompanied by hydrocephalus. (c) 2007 Elsevier Inc. All rights reserved.
