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ÖZMARASALI, ALİ İMRAN

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ÖZMARASALI

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ALİ İMRAN

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2019 - 201912020 - 20232
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    Publication
    Retrospective analysis of decompressive craniectomy performed in pediatric patients with subdural hematoma
    (Travma Acil Cerrahisi, 2019-07-01) Taşkapılıoğlu, Mevlüy Özgür; Özmarasalı, Ali İmran; Ocakoğlu, Gökhan; TAŞKAPILIOĞLU, MEVLÜT ÖZGÜR; ÖZMARASALI, ALİ İMRAN; OCAKOĞLU, GÖKHAN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Beyin Cerrahisi Anabilim Dalı; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı; 0000-0001-5472-9065; 0000-0002-7529-2808; 0000-0002-1114-6051; HLG-6346-2023; AAW-5254-2020; CAI-5927-2022; AAH-5180-2021; ABB-8161-2020
    BACKGROUND: The impact of decompressive craniectomy (DC) on the overall outcome of pediatric acute subdural hematoma patients has not been fully determined to date. In this paper, we aimed to investigate the role of decompressive craniectomy performed to treat traumatic subdural hematoma in patients from the pediatric age group.METHODS: We described our experience with DC in pediatric acute subdural hematoma patients and analyzed the outcomes.RESULTS: Eleven (7 unilateral and 4 bilateral) DCs were performed. The patients' ages ranged from 8 months to 15 years. The mean GCS score at admission was 7.8. All patients underwent DC with duraplasty within 2 hours of injury. All the patients were admitted to the intensive care unit for 10 days postoperatively. The mean hospital stay was 22 days and the mean follow-up period was 3.7 years.CONCLUSION: Early DC for pediatric subdural hematoma patients, independent of their initial GCS, was recommended. Larger studies are needed to define the indications, surgical techniques, and timing of DC in the pediatric population.
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    Epidemiological comparison between two decades of pediatric head injury hospitalization in Turkey in 2000-2010 and 2011-2020
    (Turkish Neurosurgical Soc, 2023-01-01) Taşkapılıoğlu, Mevlüt O.; TAŞKAPILIOĞLU, MEVLÜT ÖZGÜR; Özmaraşali, Ali, I; ÖZMARASALI, ALİ İMRAN; Balcı, Mustafa; Ocakoğlu, Gökhan; OCAKOĞLU, GÖKHAN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroşurji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0002-7529-2808; 0000-0001-9912-3948; 0000-0002-1114-6051; JKH-6642-2023; AAH-5180-2021; CAI-5927-2022
    AIM: To understand the changing trends in pediatric head injury in a university hospital comparing two decades.MATERIAL and METHODS: The medical records of pediatric patients hospitalized for head injuries were evaluated retrospectively between 2000 and 2020 to investigate the epidemiological differences between decades. The patient files were evaluated in terms of age, sex, mechanism of trauma, whether there was additional trauma, radiological findings, Glasgow coma score (GCS), and Rankin scores.RESULTS: A difference was found between the ages of the patients who were hospitalized for head trauma in 2000-2010 (first decade) and 2011-2020 (second decade) (p<0.001). The admission rate of children in the preschool age group was higher in the second decade (p<0.05), whereas the admission rate of school-age children and adolescents was higher in the first decade (p<0.05). The admission rate of patients who had head trauma due to traffic accidents was higher in the first decade (p<0.05). The rate of linear fracture was higher in the second decade (29.90% vs. 55.60%, p<0.05). The incidence of epidural hemorrhage was higher in patients admitted in the first decade (18.50% vs. 7.90%, p<0.05).CONCLUSION: Some classical information has changed over the years. Multicenter studies with a higher number of patients will correct the changing knowledge about pediatric head trauma.
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    Publication
    The association between hematologic parameters and intracranial injuries in pediatric patients with traumatic brain injury running title: Haematologic parameters in paediatric head trauma
    (Taylor, 2022-05-26) Eser, Pınar; Corabay, Seniha; Özmarasali, Ali İmran; Ocakoğlu, Gökhan; Taşkapılıoğlu, Mevlut Özgür; Eser, Pınar; Corabay, Seniha; ÖZMARASALI, ALİ İMRAN; OCAKOĞLU, GÖKHAN; TAŞKAPILIOĞLU, MEVLÜT ÖZGÜR; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Beyin Cerrahisi Anabilim Dalı; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı; 0000-0003-0132-9927; 0000-0002-7529-2808; 0000-0002-1114-6051; 0000-0001-5472-9065; AAH-5180-2021; AAI-2073-2021; CAI-5927-2022; EQP-8538-2022
    Objective Analyzing the association between hematologic parameters and abnormal cranial computerized tomography (CT) findings after head trauma. Material and methods A total of 287 children with isolated traumatic brain injury (TBI) were divided into the 'normal' (NG), 'linear fracture' (LFG) and 'intraparenchymal injury' groups (IPG) based on head CT findings. Demographical/clinical data and laboratory results were obtained from medical records. Results The neutrophil-lymphocyte ratio was markedly higher in the LFG (p = 0.010 and p = 0.016, respectively) and IPG (p = 0.004 and p < 0.001, respectively) compared with NG. Lower lymphocyte-monocyte ratio (p = 0.044) and higher red cell distribution width-platelet ratio (RPR) (p = 0.030) were associated with intraparenchymal injuries. Patients requiring neurosurgical intervention had higher neutrophil-lymphocyte ratio (p = 0.026) and RPR values (p = 0.031) and lower platelet counts (p = 0.035). Lower levels of erythrocytes (p = 0.005), hemoglobin (p = 0.003) and hematocrit (p = 0.002) were associated with severe TBI and unfavorable outcome (p = 0.012, p = 0.004 and p = 0.006, respectively). Conclusions Hematologic parameters are useful in predicting the presence of abnormal cranial CT findings in children with TBI in association with injury severity; surgery need and clinical outcome.