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    Mydriasis as a falsely localizing sign in epidural hematoma: A case report
    (2007) Is, Merih; Yaltirik, Kaan
    Mydriasis in a trauma patient is a neurologic emergency. Pupil dilation can be the result of uncal herniation causing compression of the third cranial nerve and subsequent brain stem compromise. However, not all patients with nonreactive, enlarged pupils have uncal herniation. We report the case of a 33-year-old epileptic man who developed a fixed, dilated contralateral pupil with a left temporoparietal epidural hematoma. He had a Glasgow Coma Score of 4 (eye opening, 1; motor, 2; and verbal, 1). Although a unilateral fixed dilated pupil commonly occurs ipsilateral to a supratentorial mass, it can also be a "false localizing sign." Preoperative computerized tomography scanning is necessary to diagnose the intracranial pathology. © 2007 Lippincott Williams & Wilkins, Inc.
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    Unoperated giant cerebellar hematoma: Case report
    (Aves, 2005) Gezen, Ferruh; Is, Merih; Yildiz, K. Hakan; Dosoglu, Murat; Tuncer, Cengiz
    The treatment of patients with spontaneous intracerebellar hematoma (SIH) still remains controversial. Computerized tomography (CT) offers early and accurate diagnosis of SIH, the size and location of SIH can be precisely defined. The main prognostic factors affecting the outcome are the clinical state of the patient on admission, the size and localization of the hematoma, compression of brain-stem, and the presence of intraventricular hematoma and hydrocephalus. In this report, a 62 year old female patient with a giant cerebellar hematoma who was treated medically was presented.