Makale Arama

Cerebral Venous Thrombosis occurs less frequently in comparison to the arterial diseases of the brain. The diagnosis can only be made through imaging techniques and its mortality and morbidity is relatively high. Cerebral Venous Thrombosis can occur due to primary or secondary hipercoagulopathies. İt is known to have a varied clinical spectrum. We evaluated the patients with CVT etiological, topographical, presentational, clinical features and prognosis of the patients whom have been followed by our inpatient clinic years between 2009 and 2013 retrospectively. We examined the demographical features, signs and symptoms, ethiological factors, neuroradiological findings and treatments of 33 patients with CVT. Thirty three patients with CVT (24 female, 9 male) were identified. The average age was 33.4 (range:24-58). The most common symptoms were headache (81.8%) and nausea (48.4%). Focal neurological deficits were observed in 36.3% of patients and impaired consciousness was observed in 6.06% of cases. In cerebral venography examinations single sinus involvement was recorded in 16 patients and multiple sinus involvement was reported in 17 cases. Genetic and acquired coagulopathies, vasculitis and hormonal changes were the most common detected etiologic causes. All patients were treated with anticoagulants. Mortality was observed two patient. The patients with CVT have quite different etiological causes and the risk of mortality and severe disability could be reduced by early diagnosis and treatment.

In 1989, 200 patientes, admitted to ENT outpatient clinic with the cornpiani of headache were included in ihis researchment. Examinations and history in tetail taken from the patients and with the help of related clirtics the etiologic spread of headache was found out. in 85 cases headache was due to the pathology of the nose and the paranasal sinus. in 115 of cases, the cause of headache was attribuied to the other pathologies.

Duchenne muscular dystrophy is a progressive, hereditary neuromuscular disease with the cause of death usually occurring because of respiratory failure. The development of respiratory failure during wakefulness usually preceded by hypoventilation during sleep. The aim of this study were to assess the presence and severity of nocturnal desaturations and to determine the parameter of daytime lung function associated with nocturnal desaturations in patients with DMD. Material and method: The monitoring of overnight oxygen saturation is widely used for sleep apnoea-hypopnea screening. As our method we choosed aprospective comparison of wakeful respiratory function tests (spirometry, maximum voluntary ventilation, maximal mouth pressures, arterial blood gases) with outcomes of overnight oxymetry. Fourteen clinically stable patients with DMD, mean age (±SD) 13,83 ± 1,86 were studied. Results: The lowest oxygen saturation < 85% was present in 9 (64%) patients and oxygen desaturation index > 5 was found in 10 subjects (71%). Desaturation index was significantly related to maximum inspiratory pressure (r= -0,633, p<0,05), FVC (r= -0,730, p<0,01) and FEV1 (r= 0,664, p<0,05). However logistic regression analysis showed that overnight desaturations could not be reliably predicted from the daytime pulmonary function test results. Conclusion: Sleep-related desaturations are freguently present in clinically stable patients with DMD. Overnight desaturations can not be predicted from daytime respiratory function tests. Even in the absence of sleep-related symptomatology (headache, somnolence, etc.), sleep related respiratory disturbances should be suspected and searchhed in DMD patients.

Certain psychiatric symptoms such as dissociative disorder, anxiety, and depression are more prevalent in migraine patients than in the rest of the society. Identification of these symptoms is important for the treatment success. We define the purpose of our study as the comparison of the levels of dissociative symptoms, anxiety, and depression between patients with chronic migraine and normal individuals, and the analysis of these levels for their relationship with the demographic properties such as severity of pain and frequency of attacks. The study included 77 female patients with chronic migraine who applied to the neurology polyclinic with the complaint of headache and were diagnosed by the criteria defined by International Headache Society, and 44 healthy volunteers with similar age and educational level with those patients. Both groups were applied Short Dissociative Experiences Scale (DES-Taxon), Somatoform Dissociation Questionnaire (SDQ), Beck Anxiety Scale (BAS), and Beck Depression Scale (BDS) by a psychologist. Demographic and clinical properties and Visual Analog Scale (VAS) results of patients with identified types of migraine were recorded. The scale results of patients with migraine and of the control group, and between the patients of migraine aura and without aura were compared. The results were compared by T-test and Pearson Correlation for the independent group. Dissociative symptoms was more common in the group with migraine (p=0,001). While this increase was correlated with depression and severity of pain, it was not correlated with anxiety. There was not any significant difference between migraine patients of migraine with aura and without aura, statistically. The results of this study reveals that the frequency of dissociative symptoms is higher in patients with migraine than in normal population. This difference was found to be in correlation with depression and VAS score. According to these data, it is important for the success of treatment and prevention of disability to question the symptoms of dissociative symptoms in patients with chronic migraine

In this study: the effect of and tolerability to long actinz Verapamil SR 240 mg treatment on ',ordu, mild, moderate and malignant hypenension were in-vestigated.7'he drug was giyen orally once a day. If there was a necessity, a Jose o f 360 mg was used. At the end of Iliis study Verapamil SR 240 mg was found effective in most of thepaıients. Afier theVe-rapamil SR 240 mg treatınent, the patients diastolic blood pressure was ender 90 mın lig. Cardiac and ex-tracardiac tolercllıility to Verapamil SR 240 mg iher-apı. was excelknt. AV-block wasn't seen. In some of the patients, there were Side ellects such as headache, fiıtigue. flushing, nausea, vomiting and dizziness.

Introduction: Migraine is a neurovascular disease that is common worldwide. In a few studies, a relationship was found between vitamin D levels and headache severity and types. In this study, we primarily investigated whether there was a difference in vitamin D levels between migraine patients and healthy controls, and secondarily, whether there was a relationship between types and severity of migraine and vitamin D levels.

 

Patients and Methods: This case-control study was carried out between January 2021 - July 2022 at ***** University ***** Faculty of Medicine, Department of Neurology. 204 patients over the age of 18 who were diagnosed with migraine and 204 healthy volunteers without headache were included in our study. The diagnosis of migraine was made by a neurologist according to the International Headache Society 3 criteria.

 

Results: The mean vitamin D level was 15.30±9.93 ng/dl in the migraine group and 14.62±7.93 ng/dl in the control group. There was no statistically significant difference between the two groups (p=0.976). There was no difference between migraine patients and the control group in terms of vitamin D deficiency and insufficiency (p=0.365).

 

Conclusion: According to the results of our study, we did not find any difference in vitamin D levels between migraine patients and the normal population. There was no statistical difference in vitamin D levels among migraine subtypes. In addition, no relationship was found between severity and frequency of migraine attacks and vitamin D levels. According to the results of our study, the high prevalence of vitamin D deficiency appears to be a common problem in both migraine patients and the healthy population, and randomized clinical studies with large sample numbers are needed on this subject.

 Moyamoya disease is an entity, which is caused by obstruction or stenosis in the area between the internal carotid artery, and anterior and middle cerebral arteries, identified angiographically, and does not have an exactly known etiology. The most frequent symptoms of onset are hemorrhage in adults and ischemia in children. In this paper, we present a case of Moyamoya disease which was diagnosed with a 21 year old male patient who was admitted to our emergency department with headache, nausea vomiting and left hemiparasi complaints and whose radiological findings showed right basal ganglia hemorrhage.

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Migraine is a frequent headache disorder in the population. The aim of this cross-sectional study was to document demografic and clinical features of subjects with migraine headache who admitted to the outpatient department of a university hospital in Konya. The study included 206 patients diagnosed as migraine according to the 2004 International Headache Society criteria and 218 healty controls of identical sex, age, marital status and education level who did not suffer from frequent headaches other than tension type with a frequency of not more than once a month. Using a questionnaire, we evaluated patient demographics, characteristics of migraine headache, family history and associated symptoms in 206 migraine pattients. 173 woman and 33 men were evaluated. The male:female ratios of migraine patients were 1:5. The mean age at consultation was 37.02±10.40 years. Of the 206 patients, 64.4% met criteria for migraine without aura, while 35.4% met criteria for migraine with aura. Most of the women were of lower educational level. Approximately half of the patients had severe and more than 3 attacks per month. Attack treatment was used frequently. Result of the study confirm that migraine is a more common disorder in women with lower educational level. In additon; this article emphasizes the need for informing patients of the hazards of drug overuse.

HaNDL syndrome is a rare syndrome mimicking migraine and stroke with lymphocytosis in the CSF, migraine-like moderate or severe headaches and transient neurological deficit. In this article, we present a 26-year-old male patient with headache, transient neurological deficit and CSF lymphocytosis who was diagnosed as HaNDL Syndrome.

 

Aim: The aim of this study was to primarily investigate the effects of selected anesthesia method on anxiety, patient satisfaction and pain level in elective caesarean section, and secondarily obtain information about quality of service.

Materials and Methods: The study was carried out as a prospective questionnaire in the Department of Anaesthesiology and Reanimation the Meram Medical Faculty Hospital of Necmettin Erbakan University between June 2017 and August 2017, on 160 volunteers aged between 18 and 45 years for whom elective cesarean section under General Anesthesia (GA) or Spinal Anesthesia (SA) was planned. Demographic data of the patients such as age, place of residence, education level, number of children, and cesarean experiences were recorded. In the preoperative and postoperative period, anxiety levels were measured by State-Trait Anxiety Inventory (STAI-D), pain levels were measured by Visual Analog Scale (VAS) scores and satisfaction levels were evaluated at postoperative 6th and 24th hours by (Quality of Recovery: QoR 40 T) questionnaire.

Results: There was no statistically significant difference between the patients' preoperative and postoperative anxiety scores and demographic data (p> 0.05). Patients with previous cesarean experience had lower preoperative anxiety levels (p <0.05). The STAI-D scores and the numbers of patients with anxiety in the GA and SA groups were similar (p> 0.05).Postoperative anxiety levels were significantly lower in both groups than in the preoperative period (p <0.05). VAS values of the SA group at the 6th and 24th hours were significantly higher than the group treated with GA.(p<0.05). The 24th hour VAS values of the SA group were higher than the VAS values at the 6th hour (p <0.05). In the GA group, VAS values at 24th hour were lower than the VAS values at 6th hour (p <0.05). The satisfaction levels of general anesthesia and spinal anesthesia were similar in the postoperative period (p> 0.05). Complaint of headache was high in SA group while complaint of sore throat was high in GA group(p<0.05). While there was no correlation between anxiety level, VAS values and satisfaction level (p> 0.05), there was a negative correlation between VAS values and pain parameters, which are the subgroup of satisfaction questionnaire, in both groups (p <0.05).

Conclusion: It is concluded that the preferred anesthesia method in elective cesarean section has no effect on anxiety and satisfaction, and the patient satisfaction level and service quality will be improved by providing effective analgesia by reviewing our postoperative pain algorithm.

 

This study was carried out to find out the clinical affect, tolerance, side affect and metabolic affects of nitrendipine on 43 hypertensive patients. The pa-tients were divided tn to 3 groups as light, rnild and severe. In study group 11 patients had atherosciehot-ic heart disease, 3 had congestive heart failure and 13 had diabetes mellitus. Nitrendipine was giyen ta all patients 20 mg one dese daily in the morning. The patients were examined upon his application, in the firsth, the third and the sixth weeks. At the end of the six week treatment, the affect and the side affect of nitrendipine were evaluated. The success rate of nitrendipine in light hypertension was 86.66%, in mild hypertension was 81.81%, 64.70% in severe hypertension and considering the total 43 patients, the success was 76.74% in our study. While meaningful decrease in blood pressure in all hypertensive groups was observed at the end of six week treat►ent, meaningful increase in pulse rate was noticed in all except diabetic and the old pa-tients. The side affects such as particularly palpita-tion, headache and flushing, dizziness, feel of vomit-ing and exhoustion were noticed 44.18% of all groups. In conclusion, nitrendipine was proved to be ef-fectiw and reliable drug in all hypertensive patients.

İn this study a revievv of 9 arteriovenous malformation eases surgically treated between October 1991 and Oc- tober 1999 is presented. Of these cerebral AVM cases, 5 were presented with intracranial hemorrhages, 2 had Progressive neurologic deficit, 2 had headaches initially. Surgical mortality was 1/9 in the series. The clinical di- agnostic and therapeutic aspects of cerebral AVM' s ar e emphasized and the literatüre on this subject has been reviewed.

Aim: In this case report, it is aimed to discuss the ‘HaNDL Syndrome’ with the relevant literature. Case Report: A 20 year-old woman was admitted to the emergency department with left-sided, severe, throbbing headache accompanied with nausea, vomitting, sonophophia and phonophophia. Approximately 30 minutes after the pain emerged, she had suffered numbness and mild paresis on the right side of the body including the right side of her face accompanied with difficulty in speech which improved in approximately 20-25 minutes. She reported that 2 weeks prior these symptoms, she had suffered severe nausea and diarrhea that had lasted for 3 days. A diagnosis of viral gastroenteritis had been made and supportive therapy had been advised by a doctor. In the clinic, spinal tap was performed which revealed lymphocytic pleocytosis and mild elevation of protein level (49 mg/dL). Brain computerized tomography and the contast MR were normal. After the exclusion of other conditions which may cause CSF pleocytosis and severe headache; a diagnosis of HaNDL Syndrome was made. Conclusion: Recognition of this bening syndrome, is important as performing a diagnostic angiography may cause severe complications.