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Öğe A Case with Hereditary Neuropathy with Liability to Pressure Palsy(Derman Medical Publ, 2013) Dağ, Ersel; İnal, Elem; Türkel, Yakup; Gökçe, Nalan; Orkun, SevimHereditary neuropathy with liability to pressure palsy (HNPP) is an autosomal dominant disease which characterized by recurrent mononeuropathies with focal sensory or motor disturbance precipitated by minor trauma or compression. Clinically, it generally presents with painless pressure palsies, typically in the 2nd and 3rd decades of life, being a rare entity in childhood. We reported a case study of a 22 year-old female who presenting with low back pain, After detection of an Achilles reflex loss in her neurological examination and electrophysiological studies and genetic investigation was done than she diagnosed with HNPP. We want to emphasize that, the diagnosis of hereditary neuropathy with liability to pressure palsy is often delayed because it is rare in the practice of medicine and confused with polyneuropathy, careful neurological examination may be the most important factor in the diagnosis.Öğe ABSANS NÖBET İLE BAŞVURAN DYKE DAVİDOFF MASSON SENDROMU OLGUSU(2015) Türkel, Yakup; Alpua, Murat; Adıgüzel, Ahmet; Habipoğlu, Yasin; Dağ, ErselDyke Davidoff Mason Sendromu(DDMS) serebral hemiatrofinin mevcut olduğu hemiparezi ve rekürren epileptik nöbetlerle karakterize bir sendromdur. Biz de absans nöbetlerle prezente olan kranyal MR'ında hemisferik atrofinin mevcut olduğu tipik bir DDMS olgusu sunmak istedik. Olgunun çekilen elektroensefalografisinde jeneralize 3 Hz diken dalga deşarjları izlendi. Hastanın takibinde uygun antiepileptik tedavi ile nöbetleri kontrol altına alındıÖğe A Case of Ventilator-Associated Pneumonia Caused by Ewingella americana: First Report from Turkey(2014) Ecemiş, Kenan; Gül, Serdar; Ecemiş, Emine; Ayaşlıoğlu, Ergin; Türkel, Yakup; Kaygusuz, SedatEwingella americana özellikle immunsuprese hastalarda ciddi enfeksiyonların çok ender bir sebebidir. Biz bu çalışmada bir yoğun bakım hastasında seftriaksonla başarı ile tedavi edilen bir ventilator ilişkili pnömoni olgusu sunduk. Bizim bilgimize göre bu vaka İngilizce literatürde Ewingella americana'nın etken olarak bildirildiği ilk ventilatör ilişkili pnömoni (VİP) olgusudurÖğe Mini-mental state exam versus Montreal Cognitive Assessment in patients with diabetic retinopathy(Medknow Publications & Media Pvt Ltd, 2015) Oğurel, Tevfik; Oğurel, Reyhan; Özer, Murat Atabey; Türkel, Yakup; Dag, Ersal; Örnek, KemalBackground: Mini-mental state exam (MMSE) was used several times but no study has examined cognition on the Montreal Cognitive Assessment (MoCA) in diabetes and diabetic retinopathy (DR). In this study, we compared MMSE with MoCA in patients with DR and searched for an association between the severity of DR and cognitive impairment (CI). Methods: This cross-sectional study comprised 120 consecutive patients with diabetes. Patients were divided into four groups as no DR, mild DR, severe nonproliferative DR (PDR) and PDR. Each group consisted 30 inviduals. CI was assessed using the MMSE and MoCA. Results: The number of subjects with a score > 21 were significantly lower on the MoCA than on the MMSE between groups (all P < 0.05). The mean MoCA score was significantly lower than the MMSE score (P < 0.001) There was a linear association between the grade of DR and a score < 21 on both tests. Conclusion: MoCA provides more insight into the cognitive function in DR.Öğe Öğe Retinal nerve fiber layer thickness in patients with essential tremor(Asean Neurological Assoc, 2015) Türkel, Yakup; Örnek, Nurgül; Dağ, Ersel; Örnek, Kemal; Alpua, Murat; Oğurel, Tevfik; Ölmez, YaşarObjective: To investigate the retinal nerve fiber layer (RNFL) thickness in essential tremor (ET). Methods: Twenty-seven eyes of 27 patients with essential tremor were included in this study. Twenty-seven eyes of 27 healthy volunteers served as controls. All eyes were examined with spectral domain optical coherence tomography (OCT) (Retinascan Advanced RS-3000; NIDEK, Gamagori, Japan) using image filling software program (NAVIS-EX, NIDEK, Tokyo, Japan). Results: No statistically significant difference was detected between ET patients and control group for overall (RNFL) and foveal retinal thickness parameters. [RNFL thickness (Average thickness p=0.86, superior average p=0.22, inferior average p=0.24, nasal average p=0.06, temporal average p=0.88), foveal retinal thickness p=0.63] There was no relationship between OCT parameters and age, gender and duration of ET (all p>0.05). Conclusion: We did not find altered RNFL and foveal thickness values in patients with ET compared to controls. Retinal thickness changes do not seem to be a potentially useful biomarker in ET patients.
