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    A retrospective analysis of spinal and cranial injury patterns caused by a fall from a tree in the Karabuk province
    (Elsevier, 2022) Tacyildiz, Abdullah Emre; Cekmen, Bora; Uzun, Ahmet; Ciftci, Temel Cevher; Uzuncu, Halil Berkay; Serdar, Sefa; Ucer, Melih
    Introduction and purpose: Falling from a tree is a common cause of injury in and around the Karabuk province. Such injuries can impair the quality of life by causing permanent damage and can increase morbidity and mortality. This study aimed to reveal the patterns of spinal and cranial injuries in patients admitted to the hospital. Methods: Patients who were admitted to the emergency department after falling from a tree in the Karabuk province over a 2-year period and were diagnosed with injuries caused by falling from a tree were included. The parameters of age, sex, type of tree which the patient fell from, spinal and cranial fracture patterns and pain scores during follow-up were evaluated. Results: We studied 98 patients over a 2-year period. Of these, 5 (5.10%) patients were aged <18 and belonged to the pediatric group and 93 (94.89%) were adults. Moreover, 26 (26.53%) patients were female and 72 (73.46%) were male. The mean age of the patients was 54.4 +/- 15.78 years. Spinal injury occurred in 35 (35.71%), cranial injury in 5 (5.10%), and simple injuries to the scalp and neck in 7 (7.14%), Further, 24 (24.48%) patients had musculoskeletal fractures, including orthopedic fractures, and 27 (27.55%) patients had chest injuries. Conclusion: Falling from trees is a seasonal phenomenon. In addition to being a major cause of morbidity and mortality, it can impair the quality of life by causing disabilities as well as other damage. Occupational safety experts, public health experts, and clinicians and surgeons should work together to find a solution.
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    Anatomical regions of residual hemorrhage in chronic subdural hematoma
    (Springernature, 2025) Tacyildiz, Abdullah Emre; Ucer, Melih; Gezici, Kubra; Canaz, Gokhan; Apaydin, Aydin Sinan
    BackgroundChronic subdural hematoma (CSH) is a persistent challenge for neurosurgeons, with current relapse, mortality, and morbidity rates not meeting desired outcomes. This study aims to identify the anatomical regions of postoperative residual hemorrhage and discuss their potential implications for surgical practice.MethodsThis retrospective, observational study reviewed the demographic, clinical, functional, and radiographic outcomes of 74 patients who underwent surgery for CSH between January 1, 2017, and October 1, 2021, at a single-center. Data were collected from the hospital's electronic database, including patient history, physical examination records, and preoperative and postoperative imaging.ResultsPostoperative day 1 computed tomography scans revealed the most common region for residual hemorrhage was the inferior frontal gyrus in 17 cases (23.0%; valid percentage: 42.5%). Residual hemorrhage was detected in the superior parietal lobe in 9 cases (12.2%; valid percentage: 22.5%). High valid percentages of residual hemorrhage were also noted in the temporal (62.5%) and occipital (66.6%) regions.ConclusionsThe inferior frontal gyrus, temporal, and occipital regions are the most common sites for postoperative residual hemorrhage in CSH patients. Identifying these regions can guide surgical planning and intraoperative focus, potentially improving patient outcomes. This study provides valuable insights for refining presurgical strategies and targeting specific anatomical areas during surgery.