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Background: Median Arcuate L igament S yndrome ( MALS) i s a r are clinical condition w ith a r ate o f 2/100000 in the society. Therefore, MALS cases are diagnosed late.In this article, we aimed to present the findings of five patients who were diagnosed with MALS in our clinic and underwent surgical treatment, in the light of the literature. Materials and Methods: The files of five patients who were diagnosed with MALS and underwent surgical treatment in our clinic between January 2021 and December 2022 were reviewed retrospectively and data were obtained. Results: Five patients who received surgical treatment with the diagnosis of MALS were identified. Three of the patients w ere woman and two were man. All patients complained of weight loss and i ncreased abdominal pain after meals. It was observed the patients gained weightin the ±13,2 (3-24) month followup period after the surgical treatment. In addition, it was determined that his clinical complaints were resolved. Conclusions: Although MALS is a rare disease, it is important because of delay in diagnosis and treatment, loss of workforce and increasing costs on the health system due to chronic complaints of patients. Surgical excision of the fibrous band thst causes the pressure, is very effective in relieving the complaints. [ABSTRACT FROM AUTHOR]

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Objective: Stroke ranks second among the diseases that cause death and third among the causes of disability in Turkey. An average of 1.9 million neurons die every minute due to acute ischemic stroke and therefore 'time is brain'. Intravenous thrombolytic treatment (ITT) and, if possible, endovascular treatment should be initiated quickly. We aimed to share our ITT experience in Sanliurfa with this study. Materials and Methods: We recorded the clinical and demographic characteristics, risk factors, and three-month follow-up of 21 patients with acute ischemic stroke who were given ITT between June 2015 and July 2017. Results: Of the 21 patients, nine were male and 12 were female, and the mean age was 72.1±11.8 (range, 48-87) years. Large vessel occlusion was found in five (23.8%) patients, cardioembolism in 9 (42.9%), and small vessel occlusion in 2 (9.5%) patients; etiology was not determined in five (23.8%) patients. Atrial fibrillation was found in 38.1%, hypertension in 57.1%, diabetes mellitus in 23.8%, coronary artery disease in 33.3%, hyperlipidemia in 19%, and smoking in 33.3% of the patients.The NIHSS score was 11.7±6.7 (range, 2-24) prior to treatment. The symptom-onset to needle time was 185±55.8 minutes when 19 patients were evaluated. Intracerebral hemorrhage was observed in two (9.5%) patients after treatment. One patient was asymptomatic and the symptomatic patient (4.75%) died despite decompression surgery. Ten patients died and the mortality rate was 47.6% at the end of the three-month follow-up period. The modified Rankin scale score was 0-2 in eight patients (38.1%) and was 0-1 in seven patients (33.3%). ITT was given to seven patients aged >80 years, five patients with NIHSS <5, and two patients in whom the treatment window was exceeded, which was non-adherent to the label. Conclusion: ITT is effective and safe. It increases the number of independent living patients. We must strive to perform this treatment all over Turkey and encourage our colleagues. [ABSTRACT FROM AUTHOR]

Vascular TOS occurs as a result of chronic compression of subclavian artery and vein in the thoracic outlet area. Although vascular TOS is less common than neurogenic TOS, it's associated with serious complications. The late onset of significi-ant symptoms and findings may cause delay in diagnosis, and acute arterial occlusion and venous trombosis can occur. Despite neurogenic TOS, diagnosis of vascular TOS should be done by using imaging modalities. While the role of conservative treatment is limited, outcomes of surgical decompression and appropriate vascular repair are satisfactory. [ABSTRACT FROM AUTHOR]

Intra-abdominal pressure (IAP) and intra-abdominal hypertension (IAH) are closely related to morbidity and mortality in intensive care patients. According to the definition accepted in the International Abdominal Compartment Syndrome Consensus Definition Conference conducted in 2004, intra-abdominal is a "steady state pressure". In the IAH assessment algorithm reported by World Society of the Abdominal Compartment Syndrome (WSACS) in 2007, IAH is defined as IAP equal to 12 mmHg and above. If IAH is not early diagnosed it shall lead to Abdominal Compartment Syndrome (ACS). While surgical decompression is commonly proposed as the only treatment option, non-operative medical approach strategies carry a vital role in the treatment and prevention of organ dysfunctions and organ failures induced by IAH. Appropriate IAH/ACS method is based on 4 principles. 1. Serial measurement of IAP, 2. The optimization of systemic perfusion and organ functions, 3. The standardization of specific medical interventions to reduce IAP, 4. Prompt surgical decompression possibility for refractory IAH. [ABSTRACT FROM AUTHOR]

Glaucoma surgical procedures can be summarized as penetrating filtran procedures, non-penetrating filtran procedures and cilary body ablation procedures. Posterior segment complications of glaucoma surgery can be classified as hipotony associated complications that are decompression retinopathy, choroidal detachment, choroidal haemorrhage and hypotony maculopathy, and hypotoni unrelated complications which are infective endophthalmitis and bleb-related endophthalmitis. [ABSTRACT FROM AUTHOR]

Hypochondroplasia was first reported in the English literature by Beals (1969). The features are similar to those of achondroplasia but are less severe and are usually reported not to involve the skull. The foramen magnum and whole spinal canal are reduced in diameter in achondroplasia, but less so in hypochondroplasia. In this study, we present an unique case of a seven month old child with hypochondroplasia with symptomatic foramen magnum stenosis which required surgical decompression. This 7-month-old child with hypochondroplasia presented with hypotonia and severe respiratory disabilities, including apneic episodes requiring continuous positive airway pressure. Magnetic resonance imaging revealed marked foramen magnum stenosis. Foramen magnum decompression was performed. Postoperatively, steady motor improvement has been observed and the patient no longer requires ventilatory support. To the our knowledge, this is the first report of hypochondroplasia and symptomatic foramen magnum stenosis. In this case we wish to emphasize the necessity of the radiological imaging of foramen magnum and spinal cord for the patient who has respiratory distress and hypotonia with skeletal dysplasia. [ABSTRACT FROM AUTHOR]