A Fahr’S Disease Case Presenting With Dementia

DergiPark: 379009tmsjAims: Fahr’s disease is characterized by a bilateral striopallidodentate calcinosis, related to various neurologic and psychiatric disorders. It is a rare disease which can occur both sporadically or hereditarily. While the clinical symptoms related to calcifications include parkinsonism, dystonia, tremor, chorea, ataxia, dementia and mood disorders, some asymptomatic cases have also been reported. With this study, an overall view of Fahr’s disease is aimed, by investigating the 65-year-old patient considering her clinical, endocrinological and radiologic aspects, also utilizing the available literature Case report: A 65-year-old female patient with a six-year history of forgetfullness and 3-months history of walking difficulty, unbalance and general reduction of spontaneous movement complaints was hospitalized with parkinsonism pre-diagnosis. Laboratory results indicated primary hyperparathyroidism. CT scans also revealed diffuse bilateral intracranial calcifications. The diagnosis of Fahr’s disease was confirmed after clinical investigations and exclusion of other diseases which cause intracranial calcifications. Conclusion: This case implies the importance of keeping Fahr’s disease in consideration in cases with primary degenerative dementia in the foreground and indistinct motor dysfunctions adding subtly to the symptoms, and manifestation of hypocalcaemia

The Evaluation and Interpretation of the Most Common Intervertebral Discs in Cervical Hernias: a Retrospective Study

DergiPark: 379029tmsjAims: In this study it is aimed to determine the most common intervertebral discs in cervical hernias and to discuss the possible causes of prevalence.Methods:The data of 110 patients who were diagnosed with cervical disc hernia in Trakya University Health Center for Medical Research Neurology Clinics EMG lab in between 2012 and 2015 was analyzed retrospectively by looking at the age, gender and herniated intervertebral disc. Chi- Square test was used to determine the frequency of the cervical disc hernia in intervertebral discs in both genders. Independent Samples T Test was used to determine the correlation between prevalence of herniated intervertebral discs, age and gender. Arithmetic mean ± standard deviation, number and percentages, median (minimum-maximum) were used as descriptive analysis.Results: Out of 110 patients, there were 60 males (52.3%) and 50 females (48.7%) with the mean age of 50.43 ±12.67, the youngest patient was 26 and the oldest was 82. The most involved disc was found to be C5-C6 (15 males with a percentage of 25% and 23 females with a percentage of 46%). Conclusion:The most common intervertebral disc in cervical hernia was detected as C5-C6. It may be because of the maximal extension and flexion, functional overloading and micro traumas which affect C5-C6 segmen

A Case of Autoimmune Encephalitis with Refractory Status Epilepticus

Refractory status epilepticus is usually caused by a severe brain injury and has a high rate of mortality and morbidity despite the infusion of antiepileptic drugs and anesthetic agents. Autoimmune encephalitis is one cause of refractory status epilepticus and status epilepticus may be the initial symptom. The seizures are generally resistant to standard treatment and may require immunotherapeutics. This is a description of a patient who had refractory status epilepticus despite appropriate doses of antiepileptic and general anesthetic drugs, but responded to intravenous immunoglobulin therapy. Examinations revealed an ovarian teratoma with a negative serum N-methyl-D-aspartate receptor antibody