2. CENTER of NEUROSCIENCES
Neurosurgery
Neurology
Neuroanesthesiology and Intensive Care Unit
Neuroradiology
Neuropathology
Neurorehabilitation
3. DEPARTMENT OF NEUROSURGERY
• GENERAL MICRONEUROSURGERY
Neuro-oncologic operations,
Skull base surgery operations,
Cerebrovascular cases,
Microvascular decompression operations,
Spinal surgery operations,
Pediatric neurosurgical operations,
….
4. FACULTY of
MEDICINE
İstanbul Faculty of Medicine, University of İstanbul
1977 - 1983
NEUROSURGERY
RESIDENCY
TRAINING
Department of Neurosurgery
İstanbul Faculty of Medicine, University of İstanbul
1985 - 1991
ASSOCIATE
PROFESSOR in
NEUROSURGERY
1999
DOCTORAL
DEGREE in
ANATOMY (PhD)
Department of Anatomy
İstanbul Faculty ofMedicine, University of İstanbul
1998 - 2004
PROFESSOR in
NEUROSURGERY
2007
5. INTERNATIONAL TRAINING
“Clinical and Microneurosurgical Training”
in the Department of Neurosurgery of Zürich University Hospital
Prof. Dr. M. Gazi Yaşargil
1988
&
1989
“Fellowship in “Cranial Base Surgery and Microneurosurgery”
Department of Neurosurgery of School of Medicine,
George Washington University, Washington, DC, USA
Prof. Dr. L. N. Sekhar
May 1993 –
May 1994
“Fellowship in “Cranial Base Surgery and Microneurosurgery”
Department of Neurosurgery of School of Medicine
Osaka City University, Osaka, Japan
Prof. Dr. Akira Hakuba
June 1994 –
October 1994
6. Neuro-oncology - Case 1
• G.Ç., 38-year-old female patient,
• GCS:13
• Headache for 5 years (progressive)
• Gait disturbance
• Generalized tonic-clonic seizures for two months
• Visual impairment on the left eye
• Left V1,V2,V3 hypoesthesia
• Left hemiparesis (4/5)
• Dysphagia
7.
8.
9.
10.
11.
12. • Combined left transsylvian, anterior temporal,
suboccipital retrosigmoid and transpetrosal-
presigmoid approach
• Total tumor removal was performed
15. • Post-operative 5-day lumbar drainage
• Left facial paresis, partially improved
• Right hemiparesis (4/5), resolved
• Pathology: Meningioma
• No residual tumor/recurrence in the long-term
follow-up.
16. Neuro-oncology - Case 2
• M.M.T. 14-year-old girl
• Right-sided severe headache -1 year
• VI. nerve paresis
• Diplopia
• Blurred vision
• Nausea, vomiting
• Bilateral papilloedema
17.
18.
19.
20.
21. • Right extended frontotemporosphenoidal
craniotomy
+ Right orbitozygomatic osteotomy
+ Drilling of the greater sphenoid wing,…
Combined transsylvian and anterior
temporal approach
• Total tumor removal was achieved.
49. • Normal neurological examination,
without any deficit/complication
• Histopathology: Transitional meningioma
• Follow-up three years: No recurrence
50. Neuro-oncology - Case 6
• 35-year-old-male,
• Progressive
headache and
loss of vision for
three months.
52. - Bifrontal craniotomy, subfrontal approach,
- Total resection of the tumor,
- Partial improvement in vision postoperatively,
- No complication,
- Pathology: Meningoteliamatosis type meningioma.
60. Cerebro-vascular - Case 2
• 56-year-old-man,
• Headache (chronic-progressive, for about one-year)
• Neurologically intact
• Cranial MRI:
• pituitary macroadenoma
• incidental AComA aneurysm
61.
62.
63.
64. SURGERY
• Left pterional trans-sylvian approach
• AComA Aneurysm clipped
• Discharged without any
deficit/complication.
65.
66. Cerebro-vascular - Case 3
• ST: 43-year-old-female patient
• Headache (acute, severe, for the last a few hours)
• GKS 13 (WFNS grade 2)
• Fisher grade III