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Öğe Abducens nerve palsy in a girl with incomplete Kawasaki disease(SPRINGER HEIDELBERG, 2016) Emiroğlu, Melike; Alkan, Gülsüm; Kartal, Ayşe; Çimen, DeryaKawasaki disease (KD) is a systemic vasculitis that can involve the nervous system, including the cranial nerves. Central nervous system findings, especially irritability, lethargy, and aseptic meningitis, occur in 1-30 % of KD patients (1). Cranial nerve palsies are seen rarely, and abducens nerve palsy has been reported in only three children. We describe a 2.5-year-old girl with incomplete KD who developed transient abducens nerve palsy after intravenous immunoglobulin (IVIG) treatment.Öğe Acute Necrotizing Encephalopathy of Childhood Associated With A Novel Influenza Type A Virus: A Case Report(2014) Kartal, Ayşe; Şahin, Akkız; Pekcan, Sevgi; Aydın, KürşadAkut Nekrotizan Ensefalit, akut ateşli hastalıkların sıklıkla da viral enfeksiyonların tetiklediği nadir görülen bir ensefalopati formudur. Bu sendrom özellikle talamus, beyin sapı, beyincik ve beyaz maddeyi içeren multifokal simetrik beyin lezyonların varlığı ile karakterizedir. En yaygın anormallikler artmış serum aminotransferaz aktivitesi ve artmış beyin omurilik sıvısı proteini düzeyidir. Hastalığın etyolojisi ve patogenezisi tam olarak bilinememektedir ve spesifik bir tedavisi ve korunma yöntemi yoktur. Prognoz genellikle kötüdür ve hastaların %10'undan azı tamamen iyileşir. Tanı genellikle karakteristik nörögörüntüleme bulguları ile konulur. Biz İnfluenza A enfeksiyonun neden olduğu ve Akut Nekrotizan Ensefalitin tipik klinik ve radyolojik özelliklerini taşıyan 8 yaşındaki olguyu sunarak, influenza enfeksiyonlarının bu nadir ve ciddi formuna dikkat çekmek istedik.Öğe DiGeorge Syndrome with Sacral Myelomeningocele and Epilepsy(MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2017) Alkan, Gülsüm; Emiroğlu, Melike Keser; Kartal, AyşeDiGeorge syndrome (DGS) is the most common microdeletion syndrome. The phenotype of DGS is highly variable involving facial, velopharyngeal, cardiac, immunologic, endocrinal, and neuropsychiatric abnormalities. Although neural tube defects (NTDs) have not been described as components of DGS in standard pediatric textbooks, there have been a few case reports of DGS with NTDs. Furthermore, in patients with DGS, seizures can occur due to hypocalcemia or cortical dysgenesis. Few cases of epilepsy have been reported with NTDs without a cortical defect. Here, we report a case of an infant with DGS with a sacral myelomeningocele inherited from the mother. The infant developed epilepsy without hypocalcemia or cortical dysgenesis which is considered related to the sacral myelomeningocele.Öğe Hydroxyzine-induced vertical nystagmus(SPRINGER INDIA, 2018) Alkan, Gülsüm; Emiroğlu, Melike; Kartal, Ayşe[Abstract not Available]Öğe Neuro-Behcet disease presented with pachymeningitis in a child(SOC ARGENTINA PEDIATRIA, 2019) Alkan, Gülsüm; Kartal, Ayşe; Emiroğlu, Melike; Paksoy, YahyaBehcet's disease (BD) is a rare systemic vasculitis disorder of unknown etiology characterized by recurrent oral and genital apthae and uveitis. It involves the central or peripheral nervous system; occurs rarely during childhood. Isolated acute aseptic meningitis is extremely uncommon. We report here a case of Neuro-Behcetdisease (NBD) diagnosed in a 14-year-old girl. The patient presented acute headache, diplopia, papilla edema,and meningeal irritation. She had a history of recurrent oral ulcers. Brain magnetic resonance imaging revealed pachymeningitis. Pleocytosis and pressure increase were the cerbrospinal fluid findings. Although medical therapy, her complanits were not resolved. Uveitis was not detected, pathergy test was negative. unusual NBD. The patient improved dramatically after steroid meningitis unless an infectious agent is demonstrated. To our knowledge, a case of pachymeningitis with NBD, was not described in children.Öğe Neuro-Behçet disease presented with pachymeningitis in a child [Enfermedad de neuro-Behçet con paquimeningitis en una niña](Sociedad Argentina de Pediatria, 2019) Alkan, Gülsüm; Kartal, Ayşe; Emiroğlu, Melike; Paksoy, YahyaBehçet’s disease (BD) is a rare systemic vasculitis disorder of unknown etiology characterized by recurrent oral and genital apthae and uveitis. It involves the central or peripheral nervous system; occurs rarely during childhood. Isolated acute aseptic meningitis is extremely uncommon. We report here a case of Neuro-Behçet disease (NBD) diagnosed in a 14-year-old girl. The patient presented acute headache, diplopia, papilla edema, and meningeal irritation. She had a history of recurrent oral ulcers. Brain magnetic resonance imaging revealed pachymeningitis. Pleocytosis and pressure increase were the cerebrospinal fluid findings. Although medical therapy, her complaints were not resolved. Uveitis was not detected, pathergy test was negative. HLA-B51 allele was positive. The findings were considered to unusual NBD. The patient improved dramatically after steroid therapy. BD should be considered in differential diagnosis of meningitis unless an infectious agent is demonstrated. To our knowledge, a case of pachymeningitis with NBD, was not described in children.Öğe Occult Disseminated Tuberculosis with Holocord Longitudinally Extensive Transverse Myelitis: A Rare Phenomenon in a Child(MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2017) Alkan, Gülsüm; Emiroğlu, Melike; Kartal, Ayşe; Peru, Harun; Koplay, MustafaLongitudinally extensive transverse myelitis (LETM) is defined as an inflammatory lesion of the spinal cord that extends to three or more segments. LETM is a commonly characteristic feature of neuromyelitis optica (NMO) or various autoimmune diseases. Manifestation of Mycobacterium tuberculosis (MTB) infection with LETM are rare and usually in the cervicothoracic spinal cord. Our patient presented with holocord LETM, so NMO was considered initially diagnosis. After in further research, MTB was diagnosed and treated successfully. The current case underscores that tuberculosis must be keep in mind when undertaking differential diagnosis of demyelinating diseases even in the absence of symptoms of infection, and especially in endemic regions.Öğe Public awareness, knowledge, and practice relating to epilepsy among adults in Konya(ACADEMIC PRESS INC ELSEVIER SCIENCE, 2016) Kartal, Ayşe; Akyıldız, AbdulbakiIntroduction: This study aimed to determine the familiarity with, knowledge of, misunderstandings, and attitudes toward epilepsy among a group of Turkish adults living in Konya, an urban city in central Turkey. Methods: By using an established familiarity-knowledge-attitudes practice questionnaire, 500 randomly selected adult residents of Konya were interviewed face-to-face. Demographic and sociocultural factors that predicted negative attitudes were determined. Results: More than half of all participants (68.4%) reported hearing or reading about epilepsy, 44% knew someone with epilepsy, and 42.2% had witnessed a seizure. The primary source of knowledge was via relatives and friends; Negative attitudes were about marriage and inability to live alone with epilepsy (63.2% objected to marriage and 84% objected to living alone). A preconception of epilepsy being a dangerous and lifelong disease was the primary reason for negative attitudes. Predictors of negative attitudes were female gender, lower educational status, and living in a rural area. Conclusion: Negative attitudes regarding the marital status of patients with epilepsy still exist. These may stem from misconceptions about the cause and treatability of epilepsy. (C) 2016 Elsevier Inc. All rights reserved.Öğe Sjögren-Larsson Sendromu: İki Olgu Sunumu(2014) Kartal, Ayşe; Aydın, Kürşad; Koç, NesibeSjögren Larsson sendromu; otozomal resesif geçişli, yağ aldehit dehidrogenaz enzimini kodlayan ALDH3A2 genindeki mutasyon sonucu oluşan nörokutanöz bir hastalıktır. Görülme sıklığının 1/250.000 olduğu tahmin edilmektedir. Sendrom konjenital iktiyozis, spastik dipleji ve mental retardasyon ile karakterizedir. Klinik bulgular prenatal dönemde ve bebeklik döneminde ortaya çıkar. Hastalığın tanısı deri fibroblast kültürlerinde yağ asidi aldehit dehidrogenaz ya da yağ alkol oksidoredüktaz enzim aktivitesinin ölçülmesi ile konur. Tanı genetik olarak da ALDH3A2 geninin mutasyon analizi ile doğrulanabilir. Bu yazıda iktiyozis, gelişme geriliği ve spastik diplejisi olan iki olgu tariflenmiştir. Bu iki olguyu iktiyozis ve spastik diplejinin birlikteliğinde, ayırıcı tanıda bu sendromun da düşünülmesi gerektiğini vurgulamak amacıyla sunduk.Öğe Tricuspid valve infective endocarditis associated with aseptic meningitis: A rare presentation in a child(SOC ARGENTINA PEDIATRIA, 2020) Alkan, Gülsüm; Emiroğlu, Melike; Sert, Ahmet; Kartal, Ayşe; Öc, MehmetInfective endocarditis (IE) is a rare but a potentially life-threatening infectious disease. Atypical presentations cause delays in the diagnosis. Neurological involvement such as meningitis or meningismus, are especially common in mitral valve endocarditis, but unusual in tricuspid valve endocarditis. Although few cases of right-sided IE have been reported with neurological symptoms in adults, children have not been described in literature. A nine-year-old girl with congenital ventricular septal defect (VSD) was admitted with fever, headache and neck stiffness. Her clinical symptoms and cerebrospinal fluid findings supported the aseptic meningitis. On ceftriaxone therapy day 3, her complaints were resolved; nine days later she was admitted with fever and neck stiffness again. Further investigation for fever source with echocardiogram revealed a tricuspid valve endocarditis. Antibiotic therapy was completed after 6 weeks. Cardiac surgery was performed for VSD and tricuspid valvular insufficiency.Öğe Tricuspid valve infective endocarditis associated with aseptic meningitis: A rare presentation in a child [Endocarditis infecciosa de la válvula tricúspide asociada con meningitis aséptica: Presentación infrecuente en una niña](Sociedad Argentina de Pediatria, 2020) Alkan, Gülsüm; Emiroğlu, Melike; Sert, Ahmet; Kartal, Ayşe; Öc, MehmetLa endocarditis infecciosa es infrecuente pero potencialmente mortal. Las presentaciones atípicas retrasan el diagnóstico. El compromiso neurológico es habitual en la endocarditis de la válvula mitral, aunque infrecuente en la endocarditis de la válvula tricúspide. Si bien se han informado algunos casos e el del lado derecho con síntomas neurológicos en adultos, en la bibliografía no se ha descripto en niños. Se presenta una niña de 9 años con comunicación interventricular (CIV) congénita con fiebre, cefalea y rigidez de nuca. Sus síntomas clínicos y los hallazgos en el líquido cefalorraquídeo respaldaron el diagnóstico de meningitis aséptica. El día 3 del tratamiento con ceftriaxona, se resolvieron los síntomas; tras nueve días, reingresó con fiebre y rigidez de nuca. Un ecocardiograma mostró endocarditis de la válvula tricúspide. Recibió tratamiento antibiótico durante 6 semanas. Se realizó una cirugía cardíaca para la CIV y la insuficiencia de la válvula tricúspide.Öğe Two Different Life-Threatening Cases: Presenting with Torticollis(HINDAWI PUBLISHING CORP, 2016) Alkan, Gülsüm; Emiroğlu, Melike; Kartal, AyşeAcquired torticollis can be the result of several different pathological mechanisms. It is generally related to trauma, tumors, and inflammatory processes of the cervical muscles, nerves, and vertebral synovia. Although upper respiratory tract and neck inflammation are common causes of acute febrile torticollis in children, diseases with as yet undefined relationships may also result in torticollis. This is the case of spinal arachnoid cyst and pneumonia.
