Malignant glioma development after trauma is a rare occurrence. We report a glioblastoma multiforme case that developed after a depressed skull fracture. A 65-year-old man was admitted because of right sided hemiplegia, epilepsy and changes in consciousness due to a malignant glial tumor. He had been operated on for a left calvarial depression fracture caused by cerebral laceration thirty-five years before. Radiologic imaging revealed a large contrast-enhanced mass lesion at the left frontotemporoparietal junction under the depression site. The patient underwent urgent surgery, and radical excision of the mass was achieved. The histopathologic diagnosis was a highgrade glial tumor. Although the possibility of a pre-existing tumor rather than a trauma-induced tumor is very high, the presented case suggests that traumatic cerebral lesions may also be a predisposing factor for the development of malignant glial tumors. Key Words: Brain injury, Glial cell tumors, Trauma ÖzetTravma sonrasında malign glioma gelişimi çok nadir gelişen bir durumdur. Atmışbeş yaşındaki erkek hasta malign glial tümör nedeniyle gelişen sağ hemipleji, epilepsi ve bilinç kaybı ile kliniğimize kabul edildi. Hasta 35 yıl önce sol kalvaryal depresyon fraktürüne bağlı serebral laserasyon nedeniyle ameliyat edilmiştir. Radyolojik görün-tülemede depresyon alanının altında sol frontotemporoparyetal loblarda kontrast tutan büyük bir kitle lezyonu göstermekteydi. Hasta acil operasyona alınarak radikal kitle eksizyonu uygulandı. Önceden mevcut bir tümör olma olasılığı travma kaynaklı tümörden çok yük-sek olmasına rağmen, sunulan olguda travmatik beyin lezyonu malign glial tümör gelişiminde predispozan bir faktör olabilir.
Objectives The concept of family‐centred service (FCS), which is recognized as the standard of paediatric health care, emerged from Western countries, and integration of FCS can be challenging especially in non‐Western countries. This study aims to explore family‐centred behaviours of paediatric residents and their perspectives on FCS being trained in a non‐Western country before and 6 months after an educational workshop. It was hypothesized that the workshop will increase the awareness of paediatric residents regarding FCS and improve their self‐reported family‐centred practices. Study design Ninety‐nine residents who are in a 4‐year paediatric residency program were included. A 2‐hr interactive workshop was conducted for all participants. The measure of processes of care for service providers was used to measure self‐reported family‐centred practices of paediatric residents, and a study specific questionnaire was utilized to understand their perspectives towards FCS prior to and 6 months after the workshop. Results There were statistically significant increases in the measure of processes of care for service providers scores suggesting improvements in self‐reported family‐centred practices of participants 6 months after the workshop. Moreover, the percentage of participants describing themselves as knowledgeable and competent increased. Viewpoints of paediatric residents on the implementation of FCS and several challenges perceived by participants were highlighted. Conclusion This is the first study conducted in a non‐Western country exploring perspectives of paediatric residents towards the implementation of FCS and measuring their self‐reported family‐centred practices before and after an educational workshop. The study revealed that although a 2‐hr interactive workshop improved the self‐reported family‐centred practices of participants, they still found FCS challenging.
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