Two foreign language automatisms in complex partial seizures

AbstractIctal speech manifestations with or without loss of consciousness can frequently occur in TLE in which sometimes the patient may remain responsive, even in conjunction with automatisms. Foreign language ictal speech automatism (FLISA) is a rare ictal sign in temporal lobe epilepsy arising from the non-dominant hemisphere. While our literature review revealed no report of CPSs with two foreign language ictal speech automatisms, we here represented a rare case of a Turkish woman with TLE experiencing two foreign language ictal speech automatisms

Percepcija epilepsije u Turskoj u svjetlu dvaju gradova

The aim of this study was to investigate the perception of epilepsy in Turkey, from west to east, in Kutahya and Yuksekova, two cities of different sociocultural and ethnic status. This was a retrospective comparison study which evaluated the results of two prior studies investigating stigmatization of patients diagnosed with epilepsy and their first-degree relatives in two different cities of Turkey, Kutahya and Yuksekova. The Survey of Epileptic Patient Relatives on the Knowledge, Attitudes, and Behavior Regarding the Disorder was used and included questions on descriptive characteristics, familiarity with epilepsy, attitudes toward epilepsy, and understanding of epilepsy. Data collected by use of the SPSS 15.0 software were analyzed with χ2-test. In Yuksekova group, 88.5% of first-degree relatives of people with epilepsy felt primarily fear when they heard the diagnosis of epilepsy in their relatives; in Kutahya group, the respective rate was 19.1% (p<0.05). The number of participants who objected their child marrying someone with epilepsy was significantly higher in Yuksekova group (p<0.05); however, if married, the Yuksekova group significantly stated that they should have a baby, revealing the importance of children as an indicator of power and dignity in the eastern region of Turkey (p<0.05). Although understanding of epilepsy was favorable, educating the community about epilepsy and personal contacts are the major strategies against epileptic stigmatization.Cilj istraživanja bio je ispitati percepciju epilepsije u Turskoj, od zapada do istoka, u gradovima Kutahya i Yuksekova različitog sociokulturalnog i etničkog statusa. Istraživanje je provedeno kao retrospektivna, usporedbena studija u kojoj su se procjenjivali rezultati dviju prethodnih studija koje su ispitivale stigmatizaciju bolesnika s dijagnosticiranom epilepsijom i njihovih srodnika prvog stupnja u dva različita turska grada, Kutahya i Yuksekova. Primijenjeno je anketiranje rodbine epileptičnih bolesnika o znanju, stavovima i ponašanju u odnosu na bolest, a obuhvaćena su pitanja o deskriptivnim značajkama, poznavanju epilepsije, stavovima prema epilepsiji i razumijevanju epilepsije. Podaci prikupljeni uz pomoć statističkog programa SPSS 15.0 analizirani su primjenom χ2-testa. U skupini Yuksekova 88,5% srodnika prvog stupnja osoba s epilepsijom osjetilo je prvenstveno strah kad su čuli za dijagnozu epilepsije postavljenu kod njihovih rođaka, dok je u skupini Kutahya taj postotak bio 19,1% (p<0,05). Broj sudionika koji su svom djetetu zamjerali sklapanje braka s nekim tko boluje od epilepsije bio je značajno viši u skupini Yuksekova (p<0,05). No kad je takav brak već sklopljen, značajan broj sudionika skupine Yuksekova ustvrdio je kako bi oni trebali imati djecu, što ukazuje na važnost djece u istočnom dijelu Turske kao pokazatelja snage i dostojanstva (p<0,05). Iako se razumijevanje epilepsije pokazalo povoljnim, izobrazba lokalne zajednice o epilepsiji i osobni kontakti glavne su strategije protiv stigmatiziranja osoba s epilepsijom

Učestalost epilepsije među studentima Sveučilišta Canakkale Onsekiz Mart, Turska

The aim of this study was to investigate the frequency of epilepsy among students of the Canakkale Onsekiz Mart University. This cross sectional epidemiological study was performed on 4762 of 19,988 Canakkale Onsekiz Mart University students in the academic year 2007-2008. Participants that answered “epilepsy” to the question “Do you have any disease diagnosed by a doctor?” in a questionnaire including 4 subgroups were identified. Data were transferred to the Epi-Info Version 6.0 statistics program and controlled data were analyzed in the SPSS 15.0 statistics program. There were 53.1% of female and 46.9% of male students, mean age 20.4±2.1 (range 17-43) years. Twelve (0.25%) students had epilepsy diagnosis, eight (66.7%) female and four (33.3%) male, mean age 20.8±1.8 years. In our study, epilepsy was detected in 0.25% of students (n=12). Age specific prevalence studies related to epilepsy epidemiology are extremely rare, especially in university students with average intelligence. Thus, we considered that it would be epidemiologically significant to share the results of our cross sectional study with all those involved in epilepsy epidemiology and management.Cilj istraživanja bio je ispitati učestalost epilepsije među studentima Sveučilišta Canakkale Onsekiz Mart, Turska. Ova presječna epidemiološka studija provedena je na 4762 od 19.988 studenata ovoga Sveučilišta u školskoj godini 2007.-2008. Identificirani su sudionici koji su na pitanje “Imate li kakvu bolest koju vam je dijagnosticirao liječnik?” odgovorili “epilepsija” u anketnom upitniku s 4 podskupine pitanja. Podaci su preneseni u statistički program Epi-Info verzija 6.0, a provjereni podaci su potom analizirani pomoću statističkog programa SPSS 15.0. Bilo je 53,1% studentica i 46,9% studenata srednje dobi 20,4±2,1(17-43) godina. Dijagnozu epilepsije je imalo 12 (0,25%) ispitanika, osam (66,7%) studentica i četvorica (33,3%) studenata srednje dobi 20,8±1,8 godina. U ovoj studiji epilepsija je utvrđena u 12 (0,25%) ispitanika. Epidemiološke studije učestalosti epilepsije u određenim dobnim skupinama vrlo su rijetke, poglavito među studentima kao populaciji s prosječnom inteligencijom. Stoga smatramo da je važno rezultate ove naše presječne studije podijeliti sa svima koji se bave epidemiologijom i liječenjem epilepsije

Genotyping of Echinococcus granulosus obtained from cattle slaughtered in Kirikkale Province

YILDIZ, Kader/0000-0001-5802-6156WOS: 000394481100009Strain differences are responsible from some important differences such as host specifity, growth rate, antigenic properties, sensitivity to chemotherapeutic agents, transmission dynamics and epidemiological variations in Echinococcus granulosus. In this study, it was aimed to detection strain identification of E. granulosus obtained from liver and lungs of cattle slaughtered in Kirikkale region. For this aim, mitochondrial cytochrome c oxidase subunit 1 (COI) and 12S rRNA genes of E. granulosus isolates amplified by specific primers and then COI gene sequence was made. In the present study, the isolates were identified as G1-G3 complex according to COI sequencing results

Lightning Strike: A First Case of Unilateral Diaphragmatic Paralysis

Lightning injury is the second most common cause of weather-related deaths in the United States. Despite the several neurological complications such as polyneuropathy, myelopathy, spinal cord injury, motor neuron disease due to the lightning-induced injury, there is no documented case of unilateral diaphragmatic paralysis. We describe the case of a patient with a history of lightning strike at childhood period, prior the onset of isolated, diaphragmatic paralysis, unilaterally. Clinical and electrophysiological findings suggest an injury restricted to the phrenic nerve, unilaterally

Serum seladin-1 levels in diabetes mellitus and Alzheimer's disease patients

Background Diabetes mellitus (DM) has been shown to increase the risk of Alzheimer's disease (AD). Downregulation of selective Alzheimer's disease indicator-1 (seladin-1) occurs in the cerebral regions affected by AD. However, inconsistent results have been reported for the relationship between seladin-1 levels and AD. The effect of DM on serum seladin-1 levels in AD is unknown. The present study is aimed to investigate serum seladin-1 levels in diabetic and non-diabetic patients with AD. Methods Forty-six patients with AD and 25 healthy volunteers over 65 years of age were included in this study. The patients were divided into three groups-those with AD only, those with DM and AD, and control groups. Demographic characteristics and serum seladin-1 levels were compared among the groups. Results There was no statistically significant difference in seladin-1 levels in the AD only group compared to the control group (p = 0.376). However, seladin-1 levels were significantly lower in the DM and AD group compared to the AD only and control groups (p = 0.002, p = 0.001; respectively). Negative correlations were present between seladin-1 and fasting glucose, postprandial glucose, HbA1c, and insulin (p < 0.05; all). Conclusion Decreased serum seladin-1 values in the presence of DM and inverse correlations with diabetic parameters in patients with AD, together with a non-significant difference from the control group, suggests that seladin-1 may be altered only in the presence of DM in patients with AD. Lower serum seladin-1 levels may also play a role in the pathogenesis of AD in patients with DM.WOS:0005383453000022-s2.0-85085994149PubMed: 3250635

Athlete presentations and injury frequency by sport at a sports medicine university clinic

BACKGROUND: We aimed to investigate the profile of athletes by determining the branch of sports, type, and area of sustained sports injury, and the frequencies through athletes' presentations to the largest university clinic in one of the most crowded and athlete-populated cities of Turkey, Istanbul

Prognostic value of auditory brainstem response for neurologic outcome in patients with neonatal indirect hyperbilirubinemia

To investigate the value of the auditory brainstem response as a reliable test for the neurologic prognosis. of infants. with neonatal indirect hyperbilirubinemia, auditory brainstem response studies were performed in 22 infants. The patients were followed up until 12 months of age. Two patients demonstrated pathologic auditory brainstem response consistent with auditory neuropathy but had no neurologic finding except a lack of speech at 12 months of age. Two other patients had neurologic sequelae, one showing severe dyskinetic cerebral palsy, the other mild hypotonia and motor retardation, but their auditory brainstem response results were normal. These results suggested that auditory brainstem response examination might not provide reliable information for the neurologic prognosis. Neurologic disturbances resulting from bilirubin neurotoxicity can be seen in patients with a normal auditory brainstem response, but patients with an abnormal auditory brainstem response may not have any neurologic dysfunction apart from speech retardation