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    Brain Magnetic Resonance Imaging Findings and Distribution of the Findings According to the Age Groups in Childhood Epilepsies
    (University of the West Indies, 2024) Balik S.; Öztürk M.; Göya C.; Ekici F.
    Objective: To retrospectively analyse the magnetic resonance imaging (MRI) observations and the distribution of etiological factors according to age groups in cases with MRI examinations for an epilepsy diagnosis. Methods: The brain MRIof606 casesfrom the 0-17 years -ge -roup were -nalysedretrospectively, and thefindings were evaluated according to the age group. Results: In 274 cases (45.2%) at least one lesionfrom differentpathology groups was observed. The most frequently observed pathologies were parenchymal damage, hippocampal sclerosis and cortical developmental anomalies. Conclusion: An MRI is a non-invasive, irradiation-free imaging method that can be used in the follow-up of epileptic patients to detect underlying pathologies and treatable causes of epilepsy. © 2024 University of the West Indies. All rights reserved.
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    Cerebral venous sinus thrombosis: an analyses of 47 patients.
    (2012) Uzar E.; Ekici F.; Acar A.; Yucel Y.; Bakir S.; Tekbas G.; Oncel O.
    Cerebral venous sinus thrombosis (CVST) is an extremely rare disease and its early treatment is important for decreasing the morbidity and mortality. In present study, it was investigated to clinical and etiological factors, localization features, treatment, and prognosis of patients with CVST. The study group included CVST cases who were followed up between January 2008 and June 2010. Demographical, clinical, radiological, etiological and prognostic characteristics of 47 patients with CVST were retrospectively investigated. Presentation complaints of the patients were as follows in order: acute and/or sub-acute headache (80.8%), impaired consciousness (25.5%), ear complaints (21.3%), paresis (19.1%) and epileptic seizures (14.9%). Chronic daily headache without any signs of neurological deficit was found in 10.6% of cases. Neurologic examinations of 40.4% of the CSVT patients were found to be normal. The most frequently found etiological factors were as follows: MTHFR gene mutation (25.5%), local infections due to chronic otitis complications (21.3%), puerperium (17%), pregnancy (12.8%), lupus anticoagulant positivity (12.8%). The sigmoid sinus was found to be involved in 35 patients (74.5%), the transverse sinus in 29 (61.7%) and superior sagittal sinus in 21 (44.7%). Impaired consciousness (p = 0.046), hemorrhagic infarct (p = 0.017), acute onset (p = 0.026), and presence of hemiparesis (p = 0.019) were found to be associated with increased mortality. New onset sub-acute or chronic headache may be the only neurologic complaint of CVST patients. Early diagnosis and anticoagulant treatment may decrease mortality and/or morbidity rates related with CVST in these patients.
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    Demographic and etiologic data and risk factors of young stroke patient
    (Duzce University Medical School, 2012) Acar A.; Uzar E.; Çevik M.U.; Yücel Y.; Cansever S.; Arikanoğlu A.; Ekici F.
    Purpose:Was to evaluate the etiopathogenesis and vascular risk factors in young patients with ischemic stroke. Methods: Fifty-three young patients (age between 17-45 years) with ischemic stroke were analysed retrospectively. The cases were classified according to TOAST classification. In medical history, smoking, alcohol taking, oral contraceptive, abortion history, pregnancy, hypertension, diabetes mellitus, and atherosclerosis has been evaluated. Results: Of the 53 patients, 23 (43.4%) were males and 30 (56.6%) were females. The risk factors described for the etiology of stroke was found to large vessel disease 17 (32.1%), cardioemboli 12 (22.6%), small vessel disease 11 (20.8%), other factors 11 (20.8%) and undetermined factors 3 (5.7%). Conclusions: We believe that may reduce the incidence of stroke in the young patients by determined risk factors and taking the necessary measures, hereby may prevent mortality and disability in the patients who have risk for stroke. © 2012 Düzce Medical Journal.