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Juguler ve Sigmoid Çentik Alanları ile İntrakranyal Kanama Tarafı Arasındaki İlişkinin Değerlendirilmesi

Yıl 2023, Cilt: 33 Sayı: 1, 41 - 43, 28.02.2023
https://doi.org/10.54005/geneltip.1186375

Öz

Amaç: Sigmoid ve juguler çentik alanları ile spontan intrakranyal kanamanın (ICH) geliştiği taraf arasında ilişki olup olmadığını saptamak.
Yöntem: Spontan intrakranyal kanama tanısı alan ve ortalama yaşları 68.8±11.7 (50 ila 90 yaş) olan toplam 265 hasta (111 kadın ve 154 erkek) retrospektif olarak çalışmaya dahil edildi. Kontrol grubu, ortalama yaşı 68.3±11.9 (50 ila 90 yaş) olan 45 (19 kadın ve 26 erkek) hastadan oluşmaktaydı. Sigmoid ve juguler çentik alanları, çalışma ve kontrol grupları için sağ ve sol hemikranyumdan aksiyal düzlem bilgisayarlı tomografi (BT) kesitlerinde ölçüldü. ICH ile sigmoid ve juguler çentik alanları arasındaki ilişki student t test ile değerlendirildi. Sağ ve sol sigmoid çentik ile sağ ve sol juguler çentik arasındaki ilişki Pearson korelasyon kullanılarak değerlendirildi.
Bulgular: Sağ ve sol sigmoid ve juguler çentik alanları ile sağ taraflı ICH tanısı olan hastalar ve sol taraflı ICH tanısı olan hastalar arasında anlamlı ilişki bulundu (sırasıyla p<0.001 ve p<0.001). Ancak kontrol grubu ile sağ taraflı ICH tanısı olan hastalar arasında sağ sigmoid ve sağ juguler çentik alanları açısından anlamlı ilişki bulunmadı (sırasıyla p=0.156 ve p=0.483). Benzer şekilde, kontrol grubu ile sol taraflı ICH tanısı olan hastalar arasında sol sigmoid ve sol juguler çentik alanları açısından anlamlı ilişki bulunmadı (sırasıyla p=0.118 ve p=0.449).
Sonuç: Sigmoid ve juguler çentik alanları ile intrakranyal kanama tarafı arasında anlamlı ilişki bulunmamıştır.

Kaynakça

  • Referans1. McGurgan IJ, Ziai WC, Werring DJ, et al. Acute intracerebral haemorrhage: diagnosis and management. Pract Neurol 2020;21:128–136.
  • Referans2. Reynolds MR, Lanzino G, Zipfel GJ. Intracranial Dural Arteriovenous Fistulae. Stroke 2017;48:1424-1431.
  • Referans3. Chung CP, Hsu HY, Chao AC, et al. Transient global amnesia: cerebral venous outflow impairment-insight from the abnormal flow patterns of the internal jugular vein. Ultrasound Med Biol 2007;33:1727-1735.
  • Referans4. Zamboni P, Galeotti R, Menegatti E, et al. Chronic cerebrospinal venous insufficiency in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2009;80:392-399.
  • Referans5. van Asch CJ, Luitse MJ, Rinkel GJ, et al. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol 2010; 9:167–176.
  • Referans6. Fewel ME, Thompson BG Jr, Hoff JT. Spontaneous intracerebral hemorrhage: a review. Neurosurg Focus 2003;15;15:E1.
  • Referans7. Garcia JH, Ho KL. Pathology of hypertensive arteriopathy. Neurosurg Clin N Am. 1992;3:497-507.
  • Referans8. Kayalioglu G, Gövsa F, Ertürk M, et al. An anatomical study of the sigmoid sulcus and related structures. Surg Radiol Anat 1996;18:289-94.
  • Referans9. Ichijo H, Hosokawa M, Shinkawa H. Differences in size and shape between the right and left sigmoid sinuses. Eur Arch Otorhinolaryngol 1993;250:297-9.
  • Referans10. Lang J, Hack C. Uber die Kanalsysteme im Os temporale und deren Rechts-links-Unterschiede [Canal systems in the temporal bone and their right-left differences]. Acta Anat (Basel) 1987;130:298-308.
  • Referans11. Uysal A, Ozturk L, Pala S. Jugular foramen ile sulcus sinus sigmoideus ve fossa jugularis arasmdaki iliskilerin incelenmesi. Ege Tip Fak Dergisi 1992;31:111-114.
  • Referans12. Van Osch K, Allen D, Gare B, et al. Morphological analysis of sigmoid sinus anatomy: clinical applications to neurotological surgery. J Otolaryngol Head Neck Surg 2019;11;48:2.
  • Referans13. Kitamura MAP, Costa LF, Silva DOet al. Cranial venous sinus dominance: what to expect? Analysis of 100 cerebral angiographies. Arq Neuropsiquiatr 2017;75:295–300.
  • Referans14. Aslan A, Kobayashi T, Diop D, et al. Anatomical relationship between position of the sigmoid sinus and regional mastoid pneumatization. Eur Arch Otorhinolaryngol 1996;253:450–453.
  • Referans15. Sarmiento PB, Eslait FG. Surgical classification of variations in the anatomy of the sigmoid sinus. Otolaryngol Head Neck Surg 2004;131:192–199.

Is There Any Association Between the Jugular and Sigmoid Notch Areas and Intracranial Hemorrhage Side?

Yıl 2023, Cilt: 33 Sayı: 1, 41 - 43, 28.02.2023
https://doi.org/10.54005/geneltip.1186375

Öz

Purpose: To evaluate the association between the side of the spontaneous intracranial hemorrhage (sICH) and the jugular and sigmoid notch areas.
Methods: A total of 265 patients (111 women and 154 men) with a mean age of 68.8±11.7 years (range between 50 to 90 years) and with sICH, were retrospectively enrolled. Control group harbored 45 patients (19 women and 26 men) with a mean age of 68.3±11.9 years (range between 50 to 90 years). Jugular and sigmoid notch areas were measured on axial plane CT images, for both the right and left side in the study and control groups. The association between ICH and sigmoid/jugular notch areas were assessed by student t test. The correlation between right/left sigmoid and right/left jugular notch areas were assessed by Pearson correlation.
Results: There was a significant difference between right and left sigmoid/jugular notch areas in patients with right sided ICH (P<0.001) and left sided ICH (P<0.001) There was a significant difference between right and left sigmoid/jugular notch areas in patients with right sided ICH (P<0.001) and left sided ICH (P<0.001). No significant difference was found in terms of right sigmoid and right jugular notch areas between patients with right sided ICH and control group (P=0.156 and P=0.483, respectively). No significant difference was detected in terms of left sigmoid and left jugular notch areas between patients with left sided ICH and control group (P=0.118 and P=0.449, respectively).
Conclusion: There was no direct association between the sigmoid and jugular notch areas and intracranial hemorrhage side.

Kaynakça

  • Referans1. McGurgan IJ, Ziai WC, Werring DJ, et al. Acute intracerebral haemorrhage: diagnosis and management. Pract Neurol 2020;21:128–136.
  • Referans2. Reynolds MR, Lanzino G, Zipfel GJ. Intracranial Dural Arteriovenous Fistulae. Stroke 2017;48:1424-1431.
  • Referans3. Chung CP, Hsu HY, Chao AC, et al. Transient global amnesia: cerebral venous outflow impairment-insight from the abnormal flow patterns of the internal jugular vein. Ultrasound Med Biol 2007;33:1727-1735.
  • Referans4. Zamboni P, Galeotti R, Menegatti E, et al. Chronic cerebrospinal venous insufficiency in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2009;80:392-399.
  • Referans5. van Asch CJ, Luitse MJ, Rinkel GJ, et al. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol 2010; 9:167–176.
  • Referans6. Fewel ME, Thompson BG Jr, Hoff JT. Spontaneous intracerebral hemorrhage: a review. Neurosurg Focus 2003;15;15:E1.
  • Referans7. Garcia JH, Ho KL. Pathology of hypertensive arteriopathy. Neurosurg Clin N Am. 1992;3:497-507.
  • Referans8. Kayalioglu G, Gövsa F, Ertürk M, et al. An anatomical study of the sigmoid sulcus and related structures. Surg Radiol Anat 1996;18:289-94.
  • Referans9. Ichijo H, Hosokawa M, Shinkawa H. Differences in size and shape between the right and left sigmoid sinuses. Eur Arch Otorhinolaryngol 1993;250:297-9.
  • Referans10. Lang J, Hack C. Uber die Kanalsysteme im Os temporale und deren Rechts-links-Unterschiede [Canal systems in the temporal bone and their right-left differences]. Acta Anat (Basel) 1987;130:298-308.
  • Referans11. Uysal A, Ozturk L, Pala S. Jugular foramen ile sulcus sinus sigmoideus ve fossa jugularis arasmdaki iliskilerin incelenmesi. Ege Tip Fak Dergisi 1992;31:111-114.
  • Referans12. Van Osch K, Allen D, Gare B, et al. Morphological analysis of sigmoid sinus anatomy: clinical applications to neurotological surgery. J Otolaryngol Head Neck Surg 2019;11;48:2.
  • Referans13. Kitamura MAP, Costa LF, Silva DOet al. Cranial venous sinus dominance: what to expect? Analysis of 100 cerebral angiographies. Arq Neuropsiquiatr 2017;75:295–300.
  • Referans14. Aslan A, Kobayashi T, Diop D, et al. Anatomical relationship between position of the sigmoid sinus and regional mastoid pneumatization. Eur Arch Otorhinolaryngol 1996;253:450–453.
  • Referans15. Sarmiento PB, Eslait FG. Surgical classification of variations in the anatomy of the sigmoid sinus. Otolaryngol Head Neck Surg 2004;131:192–199.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Elif Dilara Topcuoğlu 0000-0001-8420-0752

Yayımlanma Tarihi 28 Şubat 2023
Gönderilme Tarihi 9 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 1

Kaynak Göster

Vancouver Topcuoğlu ED. Is There Any Association Between the Jugular and Sigmoid Notch Areas and Intracranial Hemorrhage Side?. Genel Tıp Derg. 2023;33(1):41-3.