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Öğe Affective Temperaments in Epilepsy(KURE ILETISIM GRUBU A S, 2012) Yazici, Esra; Yazici, Ahmet Bulent; Aydin, Nazan; Varoglu, Asuman Orhan; Kirpinar, IsmetAffective temperaments in epilepsy Objective: Mood disorders (MDs), particularly depression, are often encountered in epilepsy and may negatively affect the treatment and prognosis of the disease. Investigations into the etiology of MDs and the qualities of at-risk groups have revealed that affective temperament characteristics are antecedents of MDs. In this study, our objective was to investigate whether affective temperament characteristics were predictors of MDs in epilepsy patients. Thus, we aimed to establish a first step to determine preliminary parameters for an approach to the comorbidity of epilepsy and MDs. Methods: In total, 73 epilepsy patients and 79 healthy controls were included in this study. The participants were evaluated using the Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A) and the Structured Clinical Interview of DSM Disorders (SCID-I). Results: Epilepsy patients produced high scores in all affective temperament characteristics except hyperthymic temperament. Anxious and irritable temperaments were observed more frequently in epilepsy patients, and anxious temperament was found to be associated with major depressive disorder (MDD). Fourteen participants in the epilepsy group and 6 participants in the control group were diagnosed with MDD. Anxious temperament was determined to be a predictor of MDD. Conclusion: Although it has been shown previously that epilepsy patients tend to suffer from MDs, for the first time, this study has demonstraed that epilepsy patients also tend to have affective temperaments. MDs, particularly depression, are frequently observed in epilepsy patients as comorbid disorders, and they have an adverse effect on epilepsy treatment and prognosis. Determining the predictors of MDs in epilepsy patients may improve the current approach toward at-risk groups and lead to better prognoses.Öğe Cortical and cerebellar atrophy, but no lesion in a patient with neuro-Behcet's disease(SPRINGER WIEN, 2013) Varoglu, Asuman Orhan; Aksoy, Asude; Kocaturk, Idris; Ertekin, Ayfer; Koplay, Mustafa; Odabas, Faruk Omer; Ozbek, SedaNeuro-Beh double dagger et's disease (NBD) is a rare clinical entity. There are no reports about cortical atrophy in NBD. We report a patient with NBD exhibiting only cortical and cerebellar atrophy without any lesions. A 38-year-old male was hospitalized due to gait disorder. He had experienced forgetfulness, irritability, sexual and behavioral dyscontrol, and incontinence for 5 years. Magnetic resonance imaging (MRI) showed cortical and cerebellar atrophy, but there were no lesions. In the differential diagnosis of NBD, physicians should take into account the presence of both brainstem and cerebellar and cortical atrophy even in the absence of typical lesions for NBD, particularly in the presence of cognitive dysfunctions.Öğe Incidental Transient Cortical Blindness after Lung Resection(THIEME MEDICAL PUBL INC, 2016) Oncel, Murat; Sunam, Guven Sadi; Varoglu, Asuman Orhan; Karabagli, Hakan; Yildiran, HuseyinTransient vision loss after major surgical procedures is a rare clinical complication. The most common etiologies are cardiac, spinal, head, and neck surgeries. There has been no report on vision loss after lung resection. A 65-year-old man was admitted to our clinic with lung cancer. Resection was performed using right upper lobectomy with no complications. Cortical blindness developed 12 hours later in the postoperative period. Results from magnetic resonance imaging and diffusion-weighted investigations were normal. The neurologic examination was normal. The blood glucose level was 92 mg/dL and blood gas analysis showed a PO2 of 82 mmHg. After 24 hours, the patient began to see and could count fingers, and his vision was fully restored within 72 hours after this point. Autonomic dysfunction due to impaired microvascular structures in diabetes mellitus may induce posterior circulation dysfunction, even when the hemodynamic state is normal in the perioperative period. The physician must keep in mind that vision loss may occur after lung resection due to autonomic dysfunction, especially in older patients with diabetes mellitus.Öğe Postdural puncture headache: Do not forget the children(SAGE PUBLICATIONS LTD, 2013) Apiliogullari, Seza; Varoglu, Asuman Orhan; Celik, Jale B.[Abstract not Available]
