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    Assessment of sleep quality in spouses of patients with restless legs syndrome; Are they also restless at night?
    (SPRINGER JAPAN KK, 2020) Say, B.; Hamamci, M.; Ergun, U.
    Purpose The aim of this study was to investigate the sleep quality of spouses of patients with restless legs syndrome (RLS). Methods Total 49 spouses of patients with RLS (Group 1) and 47 age- and sex-matched healthy volunteers (Group 2) were enrolled. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI). Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were applied to all participants. High risk of the sleep apnea was excluded by Berlin Questionnaire. The RLS severity of patients was determined by International Restless Legs Syndrome rating scale. Results The mean age was 44.91 +/- 12.81 in Group 1 (25 female, 24 male) and 41.48 +/- 8.20 in Group 2 (25 female, 22 male). 35 (71.4%) participants in Group 1 and 20 (42.6%) participants in Group 2 had poor sleep quality (p = 0.004). Sleep quality was poor in 84% (n = 21) of female and 58.3% (n = 14) of male in Group 1 (p = 0.05). Sleep quality, insomnia and daytime sleepiness found to be correlated significantly with RLS severity (p < 0.05). Scores of BDI and BAI also correlated with PSQI (p = 0.002, p = 0.03). The significant relationship was observed between subjective sleep quality, sleep latency, and disease severity (p = 0.03, p = 0.005). Conclusion Restless legs syndrome may be a factor that may impair the quality of sleep in spouses of patients. Sleep quality is important in an individual's relationship with his / her health and spouse. In the treatment and follow-up of patients with RLS, their spouses should also be evaluated in this respect.
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    Assessment of the optic nerve using strain and shear-wave elastography in patients with pseudotumour cerebri
    (W B SAUNDERS CO LTD, 2020) Asal, N.; Inal, M.; Sahan, M. H.; Say, B.
    AIM: To evaluate the optic nerve using strain elastography (SE) and shear-wave elastography (SWE) in idiopathic intracranial hypertension (IIH) patients in comparison to participants in the control group. MATERIALS AND METHODS: Eighty eyes were evaluated in 40 cases consisting of 20 IIH patients and 20 participants in the control group. This study was conducted using SE and SWE in addition optic nerve sonography measurements of participants in the IIH patient group and the control group. SE patterns were categorised using three main types and two subtypes. Quantitative measurements of optic nerve stiffness with SWE were expressed in kilopascals. RESULTS: In the IIH patient group, type 2 and type 1 elasticity patterns were primarily observed, followed by type 3 patterns. In the control group, type 3 elasticity patterns were most often observed, while type 2 elasticity patterns were seen less frequently. Statistically significance differences in the types of elasticity strain patterns were observed between the groups (p<0.01). Quantitative analysis was also performed, and the SWE moduli were obtained for the control group (10.1 +/- 0.28 kPa) and the IIH patient group (26.97 +/- 1 kPa). A statistically significant difference in the SWE modulus was found between the groups (p<0.01). CONCLUSION: Biomechanical changes may have occurred in the optic nerve secondary to increased intracranial pressure in IIH patients. Strain and shear elastography may have potential as assistive diagnostic techniques for the detection and follow-up of these changes. (C) 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.