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    A Case of Maternal Spina Bifida Associated with Tethered Spinal Cord and Mode of Delivery
    (Gazi Univ, Fac Med, 2012) Ugurel, Vedat; Tuncel, Sedat; Varol, Fusun
    Tethered spinal cord syndrome (TCS) or occult spinal dysraphism sequence refers to a group of neurological disorders related to malformations of the spinal cord. Spinal lipomas and cutaneous stigmata are the most common manifestations of the occult spinal dysraphic lesions. The spinal cord normally hangs loose in the spinal canal, free to move up and down with growth, bending and stretching, while a tethered cord is held taut at the end. A 41 year-old 35 weeks and 4 days pregnant woman with a lumbosacral giant lipoma associated with spina bifida and tethered cord syndrome was admitted to our clinic, an uneventful vaginal birth was achieved, and this rare case is hereby presented with MRI findings.
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    Combined Antithrombotic Treatment With Aspirin and Clopidogrel for Patients With Capsular Warning Syndrome A Case Report
    (Lippincott Williams & Wilkins, 2012) Asil, Talip; Ir, Nasif; Karaduman, Fatih; Cagli, Bekir; Tuncel, Sedat
    Capsular warning syndrome is characterized by recurrent transient ischemic attacks and is caused by microthrombosis or hypoperfusion of small-sized vessels. The pathophysiological basis of this syndrome is not well understood and currently a consensus has not been reached on its optimal treatment. In this study, we present 2 cases with favorable clinical outcomes after combined antithrombotic treatment with loading doses of clopidogrel and aspirin.
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    Endocarditis and Calcific Uremic Arteriolopathy: Is it a Coincidence or an Association? Case Report
    (Turk Nefroloji Diyaliz Transplantasyon Dergisi, 2016) Kurultak, Ilhan; Kilic, Ilhan; Sezer, Betul; Tuncel, Sedat; Tastekin, Ebru; Ustundag, Sedat
    The uncommon complications regarding CKD tend to increase in clinical setting because of the chronic kidney disease (CKD) population has been expanding every passing day. Perhaps the most important one of these is calcific uremic arteriolopathy (CUA, calciphylaxis). Calcific uremic arteriolopathy is a clinical syndrome which includes systemic calcification of the small vessels, causes to ischemia, subcutaneous necrosis and it has high mortality and morbidity rates (1,2). There is a large body of data in literature about CUA although very little for its cardiac involvement. Herein we presented a case of calcific endocarditis with CUA and the review of the literature. According to our observation, parathyroidectomy was effective to provide clinical and radiological improvement in the presented case. The clinician should consider adding parathyroidectomy to conventional strategies immediately if the risk of such uncontrolled hyperparathyroidism is present.