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  • [ X ]
    Öğe
    Association Between Carpal Tunnel Syndrome and Abdominal Obesity
    (Turkish Neurological Soc, 2010) Uzar, Ertugrul; Ilhan, Atilla; Ersoy, Alevtina
    Objective: Obesity has been suggested as a risk factor for carpal tunnel syndrome (CTS). Previous studies on the association of CTS and obesity have generally considered body mass index (BMI). However, the relationships between CTS and waist circumference or waist-to-hip ratio (WHR), which are known as more sensitive measures for abdominal obesity, have not been studied previously. In this study, it was aimed to evaluate the role of BMI and abdominal obesity in patients with CTS. Materials and Methods: Female patients who applied to the neurology outpatient clinics with pain, numbness, paresthesia, or dysesthesia in the hands were included. The patients were divided into two groups, according to the clinical evaluation, as CTS or non-CTS. CTS diagnosis was electrophysiologically confirmed in 44 patients. Thirty-one subjects who were not diagnosed as CTS electrophysiologically were recruited as the control group. Clinical findings, nerve conduction studies and anthropometric measurements (height, weight, BMI, hip circumference, waist circumference and WHR) of CTS patients were compared with those of the control group. Results: The CTS group had significantly higher BMI, waist circumference and WHR values compared to the control group (for each parameter, p< 0.0001). The rates of obesity in the CTS group were 55.8%, 47.7% and 34.9%, respectively, according to waist circumference, BMI and WHR measurements. In the CTS group, 16% of the patients, who were defined as non-obese according to BMI, were determined as obese according to waist circumference. In the CTS group, significant positive correlations were found between BMI and WHR and median-ulnar sensory interpeak latency of the fourth digit (r= 0.26, p< 0.05; r= 0.25, p< 0.05, respectively). Conclusion: In this study, it was found that abdominal obesity is an important risk factor for CTS, and nerve conduction may be affected by waist circumference, BMI and WHR. In addition to general obesity, abdominal obesity may be an important risk factor for CTS.
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    Öğe
    Cryptogenic Isolated Cortical Venous Infarct: A Report of Three Cases
    (Galenos Publ House, 2011) Uzar, Ertugrul; Ilhan, Atilla; Cakir, Banu; Ersoy, Alevtina; Duzgun, Ulkuhan; Uz, Burak
    Cortical vein infarction without dural sinus involvement is extremely rare. Herein, we present three patients with headache, partial seizure and right-sided numbness. On neurological examination, focal neurologic deficit was not observed in our patients. Magnetic resonance imaging revealed cerebral ischemia which showed as hypointense on T1-weighted images and hyperintense on T2-weighted images that do not follow the boundary of arterial territories, indicating cortical venous infarct. Cortical venous infarct should be suspected in patients who present with sudden onset headache and/or focal epileptic seizures even if there is no neurologic deficit. The diagnosis and treatment of cortical venous infarct should be considered as an emergency because of the high potential for full recovery with anticoagulant treatment.
  • [ X ]
    Öğe
    Karpal Tünel Sendromu ve Abdominal Obezite İlişkisi
    (2010) Ersoy, Alevtina; İlhan, Atilla; Uzar, Ertuğrul
    Amaç: Obezitenin karpal tünel sendromu (KTS) için önemli bir risk faktörü oldu¤u ileri sürülmektedir. KTS ile obezite iliflkisini araflt>- ran önceki çal>flmalarda genel olarak beden kitle indeksi (BK<) dikkate al>nm>flt>r. Abdominal obezitenin daha hassas göstergeleri olan bel çevresi ve bel-kalça oran> (BKO) ile KTS iliflkisi flu ana kadar araflt>r>lmam>flt>r. Bu çal>flmada KTS'lilerde BK< ve abdominal obezitenin rolünü araflt>rmak amaçland>. Hastalar ve Yöntem: Çal>flmaya ellerde a¤r>, uyuflma, parestezi veya dizestezi yak>nmas> ile nöroloji poliklini¤ine baflvuran kad>n olgular dahil edildi. Klinik de¤erlendirme ile olgular KTS grubu ve non-KTS grubu olarak iki gruba ayr>ld>. K>rk dört olgunun KTS tan>s> elektrofizyolojik olarak do¤ruland>. Elektrofizyolojik olarak KTS tan>s> almayan 31 kifli kontrol grubu olarak al>nd>. KTS'li olgular>n klinik bulgular, sinir iletileri ve antropometrik ölçümleri (boy, a¤>rl>k, BK<, bel çevresi, kalça çevresi, BKO) kontrol grubuyla karfl>laflt>r>ld>. Bulgular: KTS'li hastalar>n>n BK<, bel çevresi ve BKO kontrol grubuna göre istatistiksel olarak anlaml> flekilde yüksek bulundu (her bir karfl>laflt>rma için p< 0.0001). KTS grubu hastalar bel çevresine göre %55.8, BK<'yi göre %47.7, BKO'ya göre %34.9 oranlar>nda obez olarak belirlendi. BK<'ye göre obez olmayan KTS'lilerin %16's> bel çevresine göre obezdi. KTS'lilerde BKO ve BK< ile 4. parmak median-ulnar tepe latans fark> aras>nda anlaml> pozitif korelasyon saptand> (s>ras>yla; r= 0.26, p< 0.05; r= 0.25, p< 0.05). Yorum: Abdominal obezitenin KTS için önemli bir risk faktörü oldu¤u; bel çevresi, BK< ve BKO sinir iletilerini etkileyebilece¤i bu çal>fl- mada belirlendi. Genel obezitenin yan> s>ra abdominal obezite KTS'de bir risk faktörü olabilir.