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    Nonsurgical treatment of a catamenial pneumothorax with a Gn-RH analogue
    (Karger, 2002) Akal, M.; Kara, M.
    Catamenial pneumothorax is a rarely encountered entity characterized by recurrent pneumothorax concurrent with menstruation. Numerous mechanisms have been postulated in the etiology of catamenial pneumothorax and treatment is still controversial. We report a case of a catamenial pneumothorax successfully treated with a Gn-RH analogue supporting the efficacy of this regimen and the endometriosis theory as an underlying cause of the disease. Copyright (C) 2002 S. Karger AG, Basel.
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    Predictors of clinical outcome following extended thymectomy in myasthenia gravis
    (Elsevier Science Bv, 2003) Özdemir, N.; Kara, M.; Dikmen, E.; Nadir, A.; Akal, M.; Yucemen, N.; Yavuzer, S.
    Objective: Thymectomy remains as the optimal treatment of choice in patients with myasthenia gravis (MG), however, the selection criteria for surgery remains controversial. Methods: We examined the data charts of patients with MG underwent extended thymectomy. We investigated the possible correlations between the clinicopathologic features and clinical outcomes, and analyzed the data to clarify the effect of prognostic factors on clinical outcome. Results: A total of 61 patients with a mean age of 35.8 +/- 12.2 years (range, 13-66 years) were analyzed. The overall improvement/remission and clinical worsening rates were 81.9 and 18.1%, respectively. Ossermann stage (P = 0.011) and presence of mediastinal ectopic thymic tissue (P = 0.007) showed a significant correlation with the clinical outcome. Multivariate analysis confirmed Ossermann stage (P = 0.0158), and presence of mediastinal ectopic thymic tissue (P = 0.0100) as independent predictors on clinical outcome. Conclusion: Ossermann stage and the presence of mediastinal ectopic thymic tissue are potential predictors on clinical outcome in patients with MG undergoing extended thymectomy. (C) 2002 Elsevier Science B.V. All rights reserved.
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    Primary hydatid cyst of the posterior cervical triangle
    (Headley Brothers Ltd, 2002) Akal, M.
    Hydatid cysts in the cervical region are extremely rare. We report herein a case with a hydatid cyst that was primarily located in the posterior cervical triangle without any pulmonary or hepatic involvement. A hydatid cyst of the neck should be considered in the differential diagnosis of lesions in the cervical region, in endemic areas, so as to avoid any dangerous complications such as contamination and a fatal anaphylactic reaction.