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Full-Text Articles in Medicine and Health Sciences
Electroencephalographic Abnormalities In Children With Type 1 Diabetes Mellitus: A Prospective Study, Ruken Yildirim, Ceren Günbey
Electroencephalographic Abnormalities In Children With Type 1 Diabetes Mellitus: A Prospective Study, Ruken Yildirim, Ceren Günbey
Turkish Journal of Medical Sciences
Background/aim: The aim herein was to investigate epileptiform discharges on electroencephalogram (EEG), their correlation with glutamic acid decarboxylase 65 autoantibody (GAD-ab) in newly diagnosed pediatric type 1 diabetes mellitus (T1DM) patients and interpret their medium-term utility in predicting epilepsy. Materials and methods: Children presenting with T1DM between July 2018 and December 2019 were included in this prospective longitudinal study. Patients with a history of head injury, chronic illness, neurological disorder, seizure, autism, or encephalopathy were excluded. EEGs were obtained within the first 7 days of diagnosis and later reviewed by a pediatric neurologist. All of the children were clinically followed-up …
Levetiracetam Ameliorates Epileptogenesis By Modulating The Adenosinergic Pathway In A Kindling Model Of Epilepsy In Mice, Muhammad Jamal, Muhammad Azam, Salman Ali Khan, Zaheer Ul-Haq, Shabana Usman Simjee
Levetiracetam Ameliorates Epileptogenesis By Modulating The Adenosinergic Pathway In A Kindling Model Of Epilepsy In Mice, Muhammad Jamal, Muhammad Azam, Salman Ali Khan, Zaheer Ul-Haq, Shabana Usman Simjee
Turkish Journal of Medical Sciences
Background: Levetiracetam (LEV) has been found to have an antihyperalgesic effect via acting on the adenosine system. However, the effects of LEV on the modulation of the adenosine system in the brain have not been elucidated in the prevention of seizures and epilepsy. The present study aimed to explore the possible LEV mechanisms of action in the adenosine signaling systems in an animal model of epilepsy. Methodology: A docking study was initially performed to determine the possible interaction of LEV with adenosine A1 receptors (A1Rs) and equilibrative nucleoside transporters-1 (ENT1). The experimental study was divided into an acute seizure test …
Correlation Of Language Lateralization With Resting State Hippocampal Connectivity In Temporal Lobe Epilepsy Patients, Ali̇ Murat Koç, Ali̇ Yusuf Öner, Hali̇l Özer, Meli̇ke Güryildirim, Emi̇n Turgut Tali, Fati̇h Öncü, Murat Uçar, Erhan Bi̇li̇r, İrem Çapraz, Gökhan Kurt
Correlation Of Language Lateralization With Resting State Hippocampal Connectivity In Temporal Lobe Epilepsy Patients, Ali̇ Murat Koç, Ali̇ Yusuf Öner, Hali̇l Özer, Meli̇ke Güryildirim, Emi̇n Turgut Tali, Fati̇h Öncü, Murat Uçar, Erhan Bi̇li̇r, İrem Çapraz, Gökhan Kurt
Turkish Journal of Medical Sciences
Background/aim: The main purpose of this study is to evaluate the resting state hippocampal connectivity with language areas and to correlate them with laterality index calculations on single subject basis, hence to present hippocampal lateralization for language with rs-fMRI.Materials and methods: Task based and rs-fMRI data were gathered from a total of 45 subjects in 3T scanner. BrainVoyager QX, SPM, and CONN softwares were used for data analysis. LI score of each subject was calculated and converted into normalized LI score (nLI). Intrahemispheric rs-connectivity analysis was performed between hippocampus and Broca's regions on both sides. Correlation between these variables was …
Tuberous Sclerosis: A Review Of The Past, Present, And Future, Sanem Pinar Uysal, Mustafa Şahi̇n
Tuberous Sclerosis: A Review Of The Past, Present, And Future, Sanem Pinar Uysal, Mustafa Şahi̇n
Turkish Journal of Medical Sciences
Tuberous sclerosis complex (TSC) is an autosomal dominant, multisystem disorder that is characterized by cellular and tissue dysplasia in several organs. With the advent of genetic and molecular techniques, mutations in the TSC1 or TSC2 genes were discovered to be responsible for mTOR overactivation, which is the underlying mechanism of pathogenesis. TSC is a highly heterogenous clinical entity with variable presentations and severity of disease. The brain, heart, skin, eyes, kidneys, and lungs are commonly involved in this syndrome, with neurologic symptoms comprising a significant source of morbidity and mortality. In 2012, the diagnostic criteria for TSC were revised by …
Clinical And Demographic Characteristics Of Children And Adolescents With Acute Vertigosymptoms: A Cross-Sectional Study, Arzu Yilmaz, Sema Ni̇lay Abseyi̇
Clinical And Demographic Characteristics Of Children And Adolescents With Acute Vertigosymptoms: A Cross-Sectional Study, Arzu Yilmaz, Sema Ni̇lay Abseyi̇
Turkish Journal of Medical Sciences
Background/aim: Vertigo is one of the rarely diagnosed disorders during childhood due to insufficient description of the children regarding their experiences to the physicians. The clinical features of children and adolescents admitted by acute vertigo symptoms were investigated to elaborate the subject retrospectively. Materials and methods: Between January 2017-July 2019, records of cases admitted with acute vertigo complaints to pediatric neurology were retrospectively examined. Results: Of 761 patients, mean age was 13.8 years, 64% (n = 487) were women, 22.6% (n = 172) of which were children (1-11 years). A total of 37.3% of the cases (n = 284) had …
Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya
Optimum Recording Time Of Routine Electroencephalogram For Adults With Epilepsy*, Kemal Tutkavul, Yilmaz Çeti̇nkaya
Turkish Journal of Medical Sciences
Background/aim: This study aimed to reveal the optimum recording time of routine electroencephalogram (EEG) for adults with epilepsy.Materials and methods: In this clinical observational study we investigated features of paroxysms that emerged in EEGs recorded for 45 min in adults with epilepsy.Results: Paroxysms were detected in 38.14% of 97 patients. The probability of occurrence of paroxysm during the first 10 min was found to be statistically significantly low in comparison to the first 30 and 45 min (respectively P = 0.004, P = 0.0001). This probability was found to increase insignificantly when comparing the first 20 min with the first …
High Rates Of Malnutrition And Epilepsy: Two Common Comorbidities In Children With Cerebral Palsy, Kürşad Aydin, Ayşe Kartal, Esma Keleş Alp
High Rates Of Malnutrition And Epilepsy: Two Common Comorbidities In Children With Cerebral Palsy, Kürşad Aydin, Ayşe Kartal, Esma Keleş Alp
Turkish Journal of Medical Sciences
The aim of this study was to evaluate the nutritional status of children with cerebral palsy and determine the particular characteristics of the disorder. Materials and methods: The nutritional status of the children was assessed by the Gomez classification using weight-for-age. The Gross Motor Function Classification System was used to determine the gross and fine motor functions.Results: The study was conducted with 197 children (58.4% males) between the ages of 1 and 18 years old. Asphyxia (44.1%) was the primary etiological factor, and spastic quadriplegia (41.6%) was the most common type of cerebral palsy. Malnutrition was the most frequent comorbidity …
Normative Hippocampal Volumetric Measurements Using Magnetic Resonance Imaging, Meltem Özdemi̇r, Handan Soysal, Önder Eraslan, Alper Di̇lli̇
Normative Hippocampal Volumetric Measurements Using Magnetic Resonance Imaging, Meltem Özdemi̇r, Handan Soysal, Önder Eraslan, Alper Di̇lli̇
Turkish Journal of Medical Sciences
Background/aim: A wide variety of neurological and psychiatric disorders have been shown to be closely related to changes in hippocampal volume (HV). It appears that hippocampal volumetry will be an indispensable part of clinical practice for a number of neuropsychiatric disorders in the near future. The aim of this study was to establish a normative data set for HV according to age and sex in the general population.Materials and methods: Hippocampal magnetic resonance imaging scans of 302 healthy volunteers were obtained using a 1.5 T unit with a 20-channel head coil. The hippocampal volumetric assessment was conducted using the volBrain …
The Effect Of Generalized Seizure Activity On Ischemia-Induced Cardiac Arrhythmias And Myocardial Injury With Histopathological Evaluation In Anesthetized Rats, Ersöz Gonca, Fi̇gen Barut, Deni̇z Şahi̇n
The Effect Of Generalized Seizure Activity On Ischemia-Induced Cardiac Arrhythmias And Myocardial Injury With Histopathological Evaluation In Anesthetized Rats, Ersöz Gonca, Fi̇gen Barut, Deni̇z Şahi̇n
Turkish Journal of Medical Sciences
Background/aim: Epileptic seizure leads to sudden unexpected death in epilepsy (SUDEP) among affected patients. The causes of SUDEP are still unclear. The aim of this study was to research the effect of epilepsy on myocardial injury and arrhythmias during experimentally induced acute myocardial ischemia. Materials and methods: Wistar albino rats were divided into four groups: sham, pentylentetrazole (PTZ) + sham, ischemia, and PTZ + ischemia groups. PTZ (65 mg/kg, ip) was given 2 h before ischemia. Seizure scoring was conducted by evaluating the PTZ-induced behavioral changes in the rats. The left main coronary artery was ligated in anesthetized rats for …
Predictors Of Health Related Quality Of Life In Childhood Epilepsy And Comparison Withhealthy Children: Findings From An Indian Study, Dipika Bansal, Chandrika Azad, Kapil Gudala, Anil Dasari
Predictors Of Health Related Quality Of Life In Childhood Epilepsy And Comparison Withhealthy Children: Findings From An Indian Study, Dipika Bansal, Chandrika Azad, Kapil Gudala, Anil Dasari
Turkish Journal of Medical Sciences
Background/aim: Children with epilepsy have reduced health-related quality of life (HRQOL) due to disease and medications. We aimed to assess child-reported HRQOL in Indian children with epilepsy and compare it with that in healthy children. Materials and methods: A cross-sectional study of 256 children with epilepsy aged between 5 and 18 years on antiepileptic drug (AED) treatment for at least 3 months was performed and 125 age and sex matched healthy children were included. A generic version of the Pediatric Quality of Life (PedsQL version 4) scale was used to assess HRQOL. Results: Children with epilepsy had diminished scores in …
Effects Of Linoleic Acid On Generalized Convulsive And Nonconvulsive Epileptic Seizures, Fati̇h Eki̇ci̇, Gönül Gürol, Nurbay Ateş
Effects Of Linoleic Acid On Generalized Convulsive And Nonconvulsive Epileptic Seizures, Fati̇h Eki̇ci̇, Gönül Gürol, Nurbay Ateş
Turkish Journal of Medical Sciences
To comparatively investigate the effects of linoleic acid on convulsive and nonconvulsive epileptic seizures. Materials and methods: Rats were divided into 3 groups: convulsive epileptic rats receiving only pentylentetrazole (PTZ) injections (group 1), convulsive epileptic rats receiving PTZ and linoleic acid (group 2), and Wistar Albino Glaxo rats from Rijswijk with genetic absence epilepsy receiving linoleic acid (group 3). The duration and severity of convulsive activity were determined in groups in which convulsive seizures were induced by PTZ. In group 3, intravenous linoleic acid was administered after 1-h baseline electroencephalography (EEG) recordings. The EEG recordings were analyzed. Results: When groups …
Clinical Features, Eeg Findings And Outcome In Patients With Bilateral Periventricular Nodular Heterotopia And Epilepsy, Aysun Ünal, Serap Saygi
Clinical Features, Eeg Findings And Outcome In Patients With Bilateral Periventricular Nodular Heterotopia And Epilepsy, Aysun Ünal, Serap Saygi
Turkish Journal of Medical Sciences
Aim: To review the clinical, electrophysiological and neuroimaging data of eight adult patients (4F/4M) with epilepsy and bilateral periventricular nodular heterotopia (PNH) after a long duration of follow-up. Materials and Methods: The clinical charts were reviewed for demographic and clinical features, seizure types and frequency, treatment and prognosis of all eight patients who were under follow-up by one of the authors (SS). The recordings of video-EEG monitoring with scalp electrodes in five patients and routine EEGs in all patients were reviewed. Results: The clinical semiology was in accord with seizures originating from temporal lobe region in four patients, while an …
Pregnancy Associated Plasma Protein-A And Epilepsy, Abdurrahman Coşkun, Burcu Özdemi̇rli̇, Ramazan Memi̇şoğullari
Pregnancy Associated Plasma Protein-A And Epilepsy, Abdurrahman Coşkun, Burcu Özdemi̇rli̇, Ramazan Memi̇şoğullari
Turkish Journal of Medical Sciences
In this study, we aimed to investigate the role of pregnancy-associated plasma protein-A (PAPP-A) as insulin-like growth factor binding protein-4 (IGFBP-4) protease in epilepsy patients. We studied 16 epilepsy patients and 10 healthy controls. Serum PAPP-A levels of epilepsy patients (6.8 ± 3.2 mU/L) were higher than of the control group (5.1 ± 1.9 mU/L), but the difference was not statistically significant (P > 0.05). We concluded that PAPP-A may increase the bioavailability of insulin-like growth factors (IGFs) due to decreased neurogenesis and synthesis of IGFs in chronically epilepsy patients.
Late Onset Status Epilepticus As A Sign Of Multiple Sclerosis, Serpi̇l Demi̇rci̇, Nezi̇hi̇ Eren
Late Onset Status Epilepticus As A Sign Of Multiple Sclerosis, Serpi̇l Demi̇rci̇, Nezi̇hi̇ Eren
Turkish Journal of Medical Sciences
EMİRCİ Süleyman Demirel University, School of Medicine Neurology Department, Isparta - Turkey Nezihi EREN Denizli Government Hospital, Neurology Department, Denizli - Turkey