Long QT Syndrome: A Clinical Entity Resembling Epilepsy

Scientific BACKGROUND: Long QT Syndrome (LQTS) is a cardiac repolarization defect, characterized by lengthened QT interval in the ECG. It can cause syncope due to rapid, polimorphic ventricular tachycardia known as Torsades de Pointes (TdP) or it may cause sudden cardiac death. This clinical entity is frequently mistaken for epilepsy. CASE: In this report, a 24-year old male patient with congenital LQTS is presented. The patient was originally followed-up for epilepsy. During the evaluation process his loss of consciousness attacks were linked with ventricular tachycardia -TdP- periods and thus a diagnosis of LQTS was reached. When cardiac arrest ocurred in this patient, "stellate ganglion blockage” was performed. CONCLUSION: One must bear LQTS in mind in all patients with suspicious-looking syncope attacks and it must not be forgotten that early diagnosis and timely therapy will save the life of the individua

Effects of Medication Adherence in Epilepsy Patients On Quality of Life

Objectives:This study aimed to observe epileptic patients on drug compliance and its effects on their quality of life to reveal the effects of socio-demographic and disease-related characteristics on drug compliance and quality of life.Methods:This study was performed with self-filling and face-to-face interview method with 84 epileptic patients, who were selected by a random sampling method from those who applied to GATA Haydarpaşa Training Hospital, Neurology Polyclinic, between January and June 2014. When data related to patients were collected, an introductive patient interview form, which contains information about the disease, the Morisky Medication Adherence Scale, indicating drug compliance, and the short form-36 scale, which measures quality of life, were used.Results:Patients with a high drug compliance were found to have significantly higher scores on emotional role (p<0.043), viability (p<0.000), mental health (p<0.002), and general health (p<0.000).Conclusion:We recommend making efforts to eliminate the negativity, if there is any, and to increase the quality of life by evaluating the factors that may influence drug compliance in patients on an individual basis considering low drug compliance therefore low quality of life groups

Presentation of moyamoya disease with occipital hemorrhage: a case report

Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions at the distal part of internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage

GEOTECHNICAL AND STRUCTURAL ASSESSMENT OF THE DAMAGES IN BAYRAKLI REGION AFTER SAMOS 2020 EARTHQUAKE

On October 30, 2020, an earthquake with a magnitude of MW = 6.6 occurred due to the rupture of 30 to 40 kmof a normal fault in east-west direction which is approximately 12 km far away from Samos Island, Greece.During this earthquake, Bayraklı district of the city of Izmir, Turkey, which is 70 km to the epicenter, wasseverely affected despite its far location. In the scope of this study, preliminary assessment of geotechnicalaspects and structural damage which occurred in Manavkuyu neighbourhood of Bayraklı district is conducted.In this context, spectral characteristics of strong ground motion and local site effects such as soil amplification,resonance and soil nonlinearity are investigated. It is revealed that a significant amplification of rockacceleration occured due to soft and deep soil layers in the study area. Although the basin effect is consideredto strongly contribute to soil amplification, its assessment is left for further studies. Considerable amount ofsoil nonlinearity is both observed from strong motion records and effective stress based seismic responseanalysis. Finally, the observed structural damages are discussed considering aforementioned aspects.</p

After Stroke: Guidelines Of Turkish Society Of Cerebrovascular Diseases – 2015

In this section, recommendation of recent management approaches about post-stroke complications such as sensorymotor function impairment, drops, epilepsy, depression and dementia will be offered

Epileptic seizures in cerebral venous sinus thrombosis: Subgroup analysis of VENOST study

Purpose: The aim of this study is to evaluate the presence and prognostic impact of early seizures in cerebral venous sinus thrombosis patients (CVST).Method: VENOST is a retrospective and prospective national multicenter observational study. CVST patients with or without epileptic seizures (ES) were analyzed and compared in terms of demographic and imaging data, causative factors, clinical variables, and prognosis in a total of 1126 patients.Results: The mean age of the patients in the ES group was 39.73 +/- 12.64 and 40.17 +/- 14.02 years in the non-ES group (p > 0.05). Epileptic seizures were more common (76.6 %) in females (p < 0.001). Early ES occurred in 269 of 1126 patients (23.9 %). Epileptic seizures mainly presented in the acute phase (71.4 %) of the disease (p < 0.001). Majority of these (60.5 %) were in the first 24 h of the CVST. The most common neurological signs were focal neurologic deficits (29.9 %) and altered consciousness (31.4 %) in the ES group. Superior sagittal sinus (SSS) and cortical veins (CV) involvement were the most common sites of thrombosis and the mostly related etiology were found puerperium in seizure group (30.3 % vs 13.9 %). Patients with seizures had worse outcome in the first month of the disease (p < 0.001) but these did not have any influence thereafter.Conclusions: In this largest CVST cohort (VENOST) reported female sex, presence of focal neurological deficits and altered consciousness, thrombosis of the SSS and CVs, hemorrhagic infarction were risk factors for ES occurrence in patients with CVST