Amaç: Tüberküloz, Mycahacterium tuberculosis basilinin oluþturduðu, önemli morbidite ve mortalite nedeni olan bir enfeksiyon hastalýðýdýr. Bu çalýþmada kliniðimizde 1999-2002 yýllarý arasýnda yatarak tedavi gören 227 tüberküloz olgusu klinik, sosyodemografik ve laboratuar özellikleri açýsýndan retrospektif olarak incelendi.
Gereç ve Yöntem: 1999-2002 yýllarý arasýnda kliniðimizde yatan akciðer tüberkülozu tandý 227 olgunun yatýþ dosyalarý geriye dönük olarak incelendi. Hastalarýn sosyodemografik, klinik, ve bakteriyolojik özellikleri ve toplanan bu verilerin birbirleri ile iliþkileri analiz edildi. Ýstatistik deðerlendirme için SPSS 11.O for Windows paket programý kullanýldý.
Bulgular: Olgularýn ortalama yaþý 35.01 ±13.05, ortalama yatýþ süresi IS.S0±6.SS, ortalama sigara kullanýmý (paket/yýl) 1 S.23±l9.55, PPD‘ de ortalama endürasyon 12.12±5.70 mm, ve ortalama saatlik eritrosit sedimantasyon hýzý 73.23±32.33 idi. Olgularýn %67.4 (n=/53)‘ünde aile temasý öyküsü yoktu ve %3/.l (n=134)’i. yeni olguydu. %34.3 (n—73) BCG skarý yoktu. %9.3 (n=21)’inin ek hastalýðý vardý ve %72.2 (n=/64) olguda balgamda ARB pozitif idi. %l.3 (n=4) olgu yatýþ sýrasýnda eksitus oldu. Lineer regresyon analizinde ölçülen PPD endürasyonu ile nefes darlýðý semptomu arasýnda zayýf korelasyon bulundu (r-0.224, p= 0.03).
Sonuç: Sonuç olarak, tüberküloz halen önemli bir morbidite nedenidir. Olgularýn yarýsýndan fazlasýnda aile içi temas öyküsünün olmamasý iþyeri taramalarýnýn önemini göstermektedir. Aþýlama tüberkülozun aðýr fomlarýndan korunmada önemli ve etkindir.

Aim: Tuberculosis is an infectious disease caused by Mycobecterium tuberculosis that is an important cause of morbidity and mortality. In this retrospective study, 227 cases hospitalised in our clinic between 1999-2002, have been evaluated in terms of clinical, socio-demographical and laboratory features.
Study Design: 227 cases of tuberculosis hospitalised between the years 1999 and 2002 were evaluated retrospectively. In all patients; clinical, bacteriological and demographical features were analyzed. We used SPSS 11.0 Windows packet program to istatistical analysis.
Results: The mean age of the cases was 35.01 ±13.05, mean duration of hospitalisation was 18.80±6.88 days, mean cigarette exposure was 18.23±19.55 pack/years, mean PPD skin test induration was 12.12±5.70 mm and mean erythrocyte sedimentation rate was 78.23±32.33. History of exposure in the family was lacking in 67.4% (n=/53) of the cases and 81.1% (n=184) of the cases were new cases. In 43.8% (n=78) of the cases a BCG scar was lacking, 9.3% (n=21) of the cases had an accompanying disease and in 72.2% (n=164) cases, the sputum was AFB positive. 1.8% (n=4) cases died during hospitalisation. A weak correlation has been found between PPD skin induration and dyspnea at linear regression analysis (r=0.224. p=0.03).
Conclusion: To conclude, tuberculosis remains a cause of morbidity. The lack of exposure in the family in more than half of the cases, point out the importance of screenings at the workplace. Vaccination is important and effective to be protected from the serious forms of tuberculosis.

Amaç: Inferior miyokard infarktüsüne (MI) eþlik eden sað ventrikül infarktüsü mortalité ve morhiditenin önemli bir nedenidir. Bu nedenle erken taný ve tedavi büyük önem kazanmaktadýr. Çalýþmamýzýn aman akut inferior MI sýrasýnda sað ventrikiU tutulumunu elektrokardiyografik incelemelerle tespit etmek; yaþ, cinsiyet, ek hastalýk, trombolitik tedavi ile prognoz arasýndaki korelasyonu araþtýrmaktýr.
Gereç ve Yöntem: Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Koroner Yoðun Bakým Ünitesi‘nde 2000-2002 tarihleri arasýnda inferior MI geçiren ve sað ventrikül tutulumu gösteren 60 hasta çalýþmaya alýndý. Tüm hastalar klinik ve elektrokardiyografik olarak incelendi.
Bulgular: Vakalarýn 45‘i erkek, 15‘i kadýn olup yaþ ortalamasý 55.72 ± 12.51 olarak saptandý. Yaþ ile ST depresyonu arasýnda anlamlý korelasyon tespit edilemezken yaþ ile ST elcvasyonu arasýnda zayýf derecede negatif korelasyon saptandý. Cinsiyetler arasýnda, ek hastalýðý olan ve olmayan olgular arasýnda prognoz bakýmýndan anlamlý bir fark tespit edilmedi. Trombolitik tedavi almayanlarýn prognozu, ahin olgulara göre anlamlý derecede daha kötü saptandý. Trombolitik tedavi almayan olgularda mortalité daha yüksek bulundu. Akut inferior MI’da sað ventrikül tulumu elektrokardiyografik olarak incelendi. Çekilen EKG‘de D1 ve aVL’deki ST depresyonu, sað ventrikül tutulumunu göstermesi açýsýndan V4R‘daki ST elevasyonu kadar anlamlý derecede duyarlý bulundu.
Sonuç: Mortaliteyi azaltmak amacýyla; akut inferior MI’ lý hastalarda sað ventrikül tutulumu elektrokardiyografik olarak deðerlendirilirken, V4R ile birlikte D1 ve aVL‘deki ST depresyonunun dikkatlice incelenmesi gerektiði, trombolitik tedavinin erken dönemde uygulanmasýnýn þart olduðu kanýsýna vardýk.

Aim: inferior M! accompanied by right ventricular Ml has a high mortality and morbidity rate therefore early diagnosis and treatment carries a vital role. This study was designed to evaluate right ventricular involvement by means of electrocardiographic methods and examine the role of age, gender, additional disease and thrombolytic usage in prognosis of the patients.
Material and Methods: Sixty patients with inferior myocardial infarction and right ventricle involvement, who were admitted to the coronary care unit of Sisli Etfal Hospital between the years 2000 and 2002, are clinically and electrocardiographically evaluated.
Results: Of the sixty patients, 45 were male and 15 were female, and the mean age was calculated as 58.72 ± 12.51. There were no significant correlation between age and ST segment depression, though there was a poor and inverse correlation between age and ST segment elevation. No prognostically significant differance was noticed between the two genders, with cases who have a concomittant disease and who have not. When compared to the cases who received thrombolytic therapy; prognosis was significantly worse with cases who did not. Mortality was apparently high with those had not been utilized thrombolytic therapy. Right ventricle involvement in inferior myocardial infarction was electrocardiographically asesscd. ST segment depression on D1 and aVL of the patients with inferior myocardial infarction was found to he as sensitive as V4R ST segment elevation, with intention to detect right ventricle involvement.
Conclusion: ST segment depression on Dl and aVL derivations should be meticulously evaluated as well as V4R for inferior myocardial infarction patients with right ventricle involvement to reduce mortality, and thrombolytic therapy should he initiated as soon as possible.

Akciðer tüberkülozunda taný bakteriyolojik ve radyolojik olarak konulmaktadýr. Ancak tüberkülozun gerek radyolojik olarak diðer akciðer hastalýklarýyla benzer görüntüler verebilmesi, gerek bakteriyolojik olarak basilin her zaman kýsa sürede saptanamamasý tanýyý geciktirmekte ve güçleþtirmektedir Oysa erken taný ve tedavi enfekte bireyin bulaþtýrdýðým engellediðinden cok önemlidir. Bu çalýþmada, kliniðimizde 1999- 2002 yýllarý arasýnda yatarak tedavi gören 227 akciðer tüberkülozla olgunun bilgisayarlý tomografi (BT) görünümleri, tutulumun daðýlýmý ve lezyonun niteliði (asiner, retiküler, nod‘itler, kaviler, hiler geniþleme, kitle) acýsýndan incelendi. En sýk yerleþim yeri %76.3 (n-167) ile üst zonlardý ve olgularýn %53.7 (n=]22)’sinde tipik kaviler lezyon saptandý. %1.3 (n=3) olgu ise lider geniþleme gösteriyordu. Sonuç olarak, akciðer tüberkülozunun erken tanýsýnda BT‘nin önemli ve deðerli olduðu söylenebilir.

The diagnosis is made by bacteriology and radiology in pulmonary tuberculosis. But, the diagnosis is delayed and complicated since tuberculosis mimics other pulmonary diseases radiologically and the bacilli cannot always be defined rapidly. However, early diagnosis is very important as it prevents the contagiosity of the infected subject. In this study, we evaluated computerised tomography (CT) images of 227 subjects hospitalised in our clinic between 1999-2002, for the distribution and the features of the lesion (aciner, reticular, nodular, cavitary, enlargement of the hilus, mass). Upper zones were most frequently involved in 76.3% (n-167) and typical cavitary lesion has been detected in 53.7% (n=122) of the cases. Enlargement of the hilus was present in 1.3% (n-3) of the subjects. To conclude, CT seems to be very important and precious in the early diagnosis of pulmonary tuberculosis.

Amaç: Renkli doppler ultrasonografi ile teþhis edilen subklinik varikoselin semen parametrelerine etkisini araþtýrdýk.
Gereç ve Yöntem: Varikosel tandý 40 infertil lýasta deðerlendirildi. Palpabl varikosel i olmayan fakat renkli doppler ultrasonografide ven çapý 2.7 mm‘nin altýnda ve reflü + olan hastalar subklinik varikosel tanýsý aldý. Hastalar sað subkliniksol klinik varikosel (GRUP I), bilatéral subklinik varikosel (GRUP 2). sadece solda subklinik varikosel (GRUP 3) olarak 3 gruba ayrýklý.
Bulgular: Gruplar arasýnda aþaðýda belirtilen durumlar açýsýndan istatiksel olarak anlamlý fark bulunmadý: Hasta yaþý (p= 0.486), infertilité siiresi (p=o.481 ), sperm mootilitesi (p-0.8305), sperm morfolojisi (WHO ¡1=0.764). Grup 2’nin ortalama test is volümü grup I’den anlamlý olarak fazla bulundu (sað testis p=0.023, sol teslis p= 0.024). Total motil sperm sayýsýnýn tüm gruplarda kötüye gittiði görüldü ve gruplar arasýnda anlamlý fark yoktu (p= 0.550).
Sonuç: Bizim çalýþmamýzda da incelenen gruplar arasýnda semen parametreleri açýsýndan istatiksel olarak anlamlý fark bulunamayýþý, subklinik varikoselin teþhis ve tedavisindeki tartýþmalarý ve bu konudaki belirsizliði haklý çýkarmaktadýr.

Object: We investigated the effects of subclinical varicocele on semen parameters detected by color doppler ultrasonography.
Material and method: 40 infertile patients with varicocele were evaluated. Patients with nonpalp able varicocele whose reflux were + and vein diameter smaller than 2.7 mm in doppler ultrasound were diagnosed as subclinical varicocele. Patients were separated in 3 groups: Right subclinical - left clinical varicocele (Group 1), bilateral subclinical varicocele (Group 2), only left subclinical varicocele (Group 3).
Results: No statistical significant difference was found in the patient age (p=0.486), male infertility duration (p= 0.481), sperm motility (p= 0.8305) and sperm morphology (WHO p= 0. 764) among groups..Mean testis volume of group 2 were statistically significant greater than group 1 (right testis p=0.023, left testis p=0.024) Total motil sperm counts were decreased in all groups and there was no statistical significant difference between groups (p=0.550)
Conclusion: There were no statistical significant difference on semen parameters between groups we evaluated. Therefore, our study has justified, that controversery and indefinity on the diagnosis and treatment of subclinical varicocele.

Amaç: 35 ve altý yaþ grubunda meme kanserleri oldukça nadirdir ve daha agresif seyirli olduklarý düþünülmektedir. Bu çalýþmanýn amacý, bu yaþ grubunda yer alan 86 hastada, tümör özellikleri, hastalýk seyri ve saðladým oranlarýnýn retrospektif olarak irdelenmesidir.
Gereç ve Yöntem: Tanýmlayýcý tipteki bu araþtýrmada, Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Radyasyon Onkolojisi Kliniðine 1989-1998 yýllarý arasýnda baþvurup tedavi edilen ve en az 6 ay takipte kalan 86 hasta retrospektif olarak incelenmiþtir.
Bulgular: Hastalarýn ortalama yaþý 30 (23-35) olup, en sýk rastlanan tümör histopatolojisi %87.2 ile invaziv duktal kavsi namadýr 15 (%I7,4) hasta Oral Kontraseptif (OK) kullanmýþtýr. Modifiye Radikal Mastektomi (MRM) %74.4 ile en sýk uygulanan cerrahi yöntem olmuþtur. Hastalarýn %63,9’unda Aks¡11 er lenf nod tutulumu mevcuttur. TNM sýnýflamasýna göre hasta daðýlýmý þöyledir: Evre I, 4 (%4,7) hasta, Evre II, 49 (%56,9) hasta, Evre III, 27 (%31,4) hasta iyj Evre IV, 6 (%7) hasta. Hastalarýn % 76,7’sin e Adjuvant Radyoterapi uygulanmýþtýr. En sýk kullanýlan Kemoterapi rejimi %67,4 ile FEC olmuþtur. Hastalarýn %53,5’i hormonaI tedavi almýþtýr. Ortalama 37 (6-114) aylýk izlemde 27 (%31,4) hastada yerel ve/veya uzak yinelemeler olmuþtur. // (%J2,8) hasta exitus olmuþtur. Bu izlem süresinde Hastalýksýz Saðkalýmý % 68,6 ve Genel Saðkalým % 87 olarak kaydedilmiþtir.
Sonuç: 35 yaþ ve altý meme kanserli 86 hastada medyan 37 (6-114) aylýk takipte Hastalýksýz Saðkalým %68,6 ve Genel Saðkalým % 87 dir. Bu bulgulara göre 35 yaþ ve altý meme kanserlerinin daha agresif özellikler gösterdiði söylenebilir Ancak izlem süresinin kýsalýðý nedeniyle kesin bir kanýya varmak zordur.

Objective: Breast cancer is quite rare, in the 35 and under age group and it. is believed that it is more agressive when it occurs in this age group. The purpose of our study is retrospectively examine the tumor characteristics, the progression of the disease and survival rates of 86 patients which fall into this age group.
Study Design: 86 patients treated in between. I989-I998 in our department, and followed up for at least 6 months were examined in this study.
Results: The median age was 30 (the youngest being 23; oldest 35) invasive ductal carcinoma was the most frequently observed histological type (87,2 %). Modified Radical Mastectomy was the most applied surgical procedure (74,4 %). 63,9 % of the patients had positive Axillar leaf nodes. According to the TNM was classification, the distruhition of stages among patients was as follows; Stage!: 4 (4,7%) patients, Stagell: 49 (56,9 %) patients, Stage III: 27 (31,4%) patients, Stage IV: 6 (7%) patients. Adjuvant Radiotherapy was applied to 76,7 % of the patients. FEC had been the most utilized chemotherapy regime (67,7 %). 53,5% of the patients were administred hormonal therapy. With a follow-up overage of 37 monthsfmin 6-max 114), in 27 (31,4%) patients, local and!or distant metastasis occured and 11 (12,8 %) patients died. In the above mentioned follow-up period, Disease Free Survival (DFS) rate was 68,6% and Overall Survival (OS) rate was 87%.
Conclusion: In the median 37 (6-114) months follow-up 86 breast. cancer patients 35 and under age group DFS was %68,6 and OS was %87. As a. conclusion, it can be asserted that for the mentioned age group, breast, cancer shows for more agressive tumor characteristics. However, due to the fact, that the average follow-up period was short,this conclusion can not be accepted as fact.,as yet.

Amaç: Bu çalýþmada; meme kanserinde belirlediðimiz prognostik parametreler birbirleri ile karþýlaþtýrýlarak aralarýndaki iliþki deðerlendirildi.
Gereç ve Yöntem: Çalýþmamýza, yaþlarý 35 -83 arasýnda deðiþen modifiye radikal mastektomi uygulanmýþ, patolojik tanýlarý invaziv duktal karsinom olan 73 hasta dahil edildi. Olgular. tiimör boyutu, aksiler lenf bezi durumu, perikapsüler yayýlým, perinöral invazyon ve vasküler invazyon açýsýndan tekrar deðerlendirildi. Verilerin istatistiksel analizinde, Kruskal Wallis ve Mann Whitney u testleri kullanýldý.
Bulgular ve Sonuç: Tümör boyutu ve aksiller lenf bezi metastazý, metastatik aksiller lenf bezi sayýsý ve perikapsüler yayýlým arasýnda istatistiksel olarak anlamlý iliþki saptandý. Perinöral invazyon mevcut olgularda vasküler invazyon daha sýk olarak görüldü.

Objective: The aim of this study is to compare prognostic parameters of breast cancer.
Study Design: In this study 73 patients, with age variation between 35 - 33 years, to whom modified radical mastectomy was applied were examined. Pathologic diagnosis of these patients was invasive ductal carcinoma. The tumor size, status of axillary nodes, pericapsular invasion, perineural invasion and vascular I lymphatic invasion were reexamined. In statistical analysis of the data, Kruskal Wallis and Mann Whitney u tests were used.
Results and Conclusion: There was significant statistical relation between tumor size and metastasis of axillary lymph nodes, the number of metastatic axillary lymph nodes and pericapsular invasion, perineural invasion and lymphatic invasion.

Amaç: Zehirlenmeler çocukluk çaðýnda sýk görülen morbidite ve mortalite nedenlerindendir. Bu çalýþmanýn amacý çocukluk çaðý zehirlenme olgularýnýn deðerlendirilmesidir.
Gereç ve Yöntem: Hastanemiz 1. Çocuk Kliniðinde Ocak 2001- Mart 2005 tarihleri arasýnda zehirlenme tanýsý ile izlenen 300 hastanýn dosyalarý geriye dönük olarak incelendi. Yaþ. cinsiyet, alman madde veya ilaç, baþvuruya kadar geçen süre, klinik bulgular ve ortalama yatýþ süresi deðerlendirildi.
Bulgular: Toplam 300 olgu çalýþmaya alýndý, bunlarýn 154’ü (% 51.3) kýz, 146’sý (% 48.7) erkek idi. Ortalama yaþ 4.9 ± 3.2 (1.9-14) yýldý. En sýk zehirlenme nedeni ilaçlar ve korozif maddelerdi. Baþvuruya kadar geçen süre 5.4 ± 6.2 (0.5-48) saat, ortalama yatýþ süresi 2.5 ± 2.3 (1-17) gündü. 154 hastada (% 51) intoksikasyona ait herhangi bir bulguya rastlanmadý. Olgularýn 24’ü (% 8) intihar amaçlý ilaç almýþtý. Bunlarýn 20’si (% 83) kýz hasta ve 11.5 yaþ üzerindeydi. 12 hasta (% 4) yoðun bakýný ünitesine sevk edildi. Kaybedilen hasta yoktu.
Sonuç: Zehirlenmeler çocuk saðlýðýný tehdit eden önemli bir saðlýk sorunudur. Gerek önlenmesi, gerekse karþý karþýya kalýndýðýnda uygun davranýlmasý için eðitim þarttýr.

Objective: Intoxication is a common cause of morbidity and mortality during childhood. The aim of this study was to evaluate the characteristics of patients who were hospitalized for intoxication.
Study Design: Medical records of 300 cases of intoxication followed up in our clinic between January 2001 and March 2005 were retrospectively evaluated. The patients were evaluated regarding age, gender, ingested agent., time interval between ingestion and admission, clinical signs and symptoms, and mean duration of hospitalization.
Results: A total of 300 patients were included; 154 of them (51.3 %) were girls and 146 (48.7 %) were boys. Mean age was 4.9 ± 3.2 (1.9-14) years. The most common ingested agents were drugs and corrosive agents. The mean time interval between ingestion and admission was 5.4 ± 6.2 (0.5-48) hours, the mean duration of hospitalization was 2.5 ± 2.3 ( I - 17) days. 154 patients (51 %) did not have any signs or symptoms of poisoning. 24 patients had (8%) ingested drugs for suicide. 20 of them (83 %) were girls and over 11.5 years old. Intensive care management was required in 12 (4 %) patients. None of the patients died.
Conclusions: Intoxication is a serious health problem threatening children. Education is the main principle for both prevention and proper management in case of intoxication.

Kemik metabolizmasýný yansýtan çok sayýda belirteç’in serum ve (veya) idrardaki konsantrasyonlarý, kemik metabolizmasýný indirekt olarak deðerlendirmemizi saðlar. Kemik oluþumunun deðerlendirilmesinde kullanýlan serum osteokalsin’i, kemik döngüsünün deðerli bir belirteci olmasý nedeniyle diabetik osteoporozun araþtýrýlmasýnda son yýllarda önem kazanmýþtýr. Biz bu çalýþmamýzda 45-30 yaþ arasý komplikasyonsuz Tip II Diabetes Mellitus (NIDDM)’ lu kadýn ve erkek hastalarda, serum osteokalsin düzeylerini kontrol gruplarýyla karþýlaþtýrdýk. Hasta grubumuzu kontrollü NIDDM’lu (7’si erkek 13’ü kadýn) ve kontrolsüz NIDDM’lu (10’ ýý kadýn, 10’u erkek) hasta grubu olarak 2 grupta inceledik. Kontrol grubumuz 12‘si erkek 13’ i kadýn toplam 30 kiþiden oluþturuldu. Kontrollü (1) ve kontrolsüz (2) diabetik hasta grubu, arasýnda serum ALP, fos¬for, kalsiyum, magnezyum ve osteokalsin (OC) acýsýndan an¬lamlý bir fark saptanmadý (p>0.05). Kontrollü (!) ve kontrolsüz (2) diabetik hasta gruplarý ile kontrol grubu arasýnda se¬rum kalsiyum ve osteokalsin deðerleri açýsýndan anlamlý bir fark saptanmýþtýr (sýrasýyla p<0.005 ve p<0.05, p<0.05 ve p<0.001). Kontrolsüz diabetik hasta grubundaki serum osteokalsin deðerleri ile serum ALP, P ve Ca arasýnda bir korelasyon saptanmazken (r deðerleri sýrasýyla; r=0.38, r-0.21, r=-0.27), osteokalsin deðerleri ile Mg arasýnda pozitif bir korelasyon saptandý (r-0.53). Daha önce yapýlmýþ olan çalýþmalarda da Tip II Diabetes Mellitus’lu hastalardaki osteokalsin düzeyleri kontrol gruplarýna göre daha düþük bulunmuþtur. Bu da osteoporoz teþhisinde kullanýlan diðer invaziv metodlara göre kemik metabolizmasýnýn deðerlendirilmesinde osteokalsinin, teþhiste bize daha yararlý olacaðý kanýsýný vermektedir.

Serum and/or urine consantrations of a number of markers allow us to evaluate indirectly bone metabolism. Recently, serum osteocalcin (OC) used in the assessment of bone formation, is becoming more important in diabetic osteoporosis researches as a valuable marker of bone turnover. In our study, we compared serum OC levels in patients of uncomplicated NIDDM, aging 45 and 30, and control group. We divided our patient group into 2 subgroups: controlled (7 male and 13 female) and uncontrolled (10 male and 10 female). Our control group consisted of 30 indivuduals, 12 males and 13 females. There were no significant differences between controlled (!) and uncontrolled (2) groups with respect to serum ALP, phosphorus (P), calcium (Ca), magnesium (Mg) and OC (p>0.05) values. A significant difference was found between controlled (1) and uncontrolled (2) patient groups and control group’s calcium and OC levels (p<0.005 and p<0.05, p<0.05 and p<0.001 respectively). While there was not any correlation between serum OC and serum ALP, P and Ca values (r values respectively: r=0.38, r=0.21, r=0.27), a positive correlation was observed between OC and Mg values (r=0.53). In previous studies in Type II Diabetes Mellitus, OC levels in patient groups were found lower than those of control groups. This suggests that in evaluating bone metabolism, serum OC values are more useful than the other invasive methods used in the diagnosis of osteoporosis

Klinik olarak dirençli epileptik nöbetler, fasial asimetri, mentol retardasyon ve serebral hemiatrofi He karakterize bir sendrom olan Dyke-Davidoff-Masson sendromu (DDMS) oldukça nadir görülmektedir. Manyetik rezonans görüntüleme (MRG), epilepsi etyolojisinin deðerlendirilmesinde tercih edi¬len etkin görüntüleme yöntemlerinden birisidir. Biz olgu sunumumuzda, kliniðimize dirençli epilepsi tanýsý ile refere edilen 22 yaþýndaki erkek hastada DDMS sendromunu gösterdik ve bu sendromun klinik görünümünü, patolojisini ve tanýsýnda MRG yönteminin deðerini tartýþtýk.

Dyke-Davidoff-Masson syndrome, clinically characterized, by intractable epileptic seizures, facial asymmetry, mental retardation and cerebral hemiatrophy is very rare and that might cause resistant seizures. Magnetic Resonance Imaging (MRI) is one of the imaging methods of choice to demonstrate the etiology of epilepsy. In this study we have presented Dyke- Davidoff-Masson syndrome in a 22 years old male patient with medically intractable epilepsy and discussed clinical appearance, pathology and the value of the magnetic resonance imaging in the diagnosis of this syndrome.

Anterior sakral meningosel (ASM) sakrum ön duvarýndaki kemik defektinden meningeal membranlar ve beyin omurilik sývýsýnýn herniasyonu ile karakterize nadir bir konjenital anomalidir. Hastalar genellikle pelvik kitle ile ilgili kronik konstipasyon ve üriner rahatsýzlýklar gibi semptomlar gösterirler. Bu makalede ASM vakasýnýn radyolojik bulgularý sunuldu.

Anterior sacral meningocele is a rare congenital malformation by the herniation of meningeal membranes and cerobrospinal fluid through a bone defect in the anterior sacral wall.Patients usually present with symptoms related to the pelvic mass itself, such as chronic constipation and urinary disturbances.In this paper, we present radiologic findings of a case of ASM.