Akut İskemik İnmede Yeni Bir Biyobelirteç Olan Serum NR2 Düzeyinin İnmenin Şiddeti ve Prognozu ile İlişkisi

Giriş: Akut iskemik inme tanısı için klinik deneyim ve görüntüleme bulgularını destekleyecek kan testine ihtiyaç vardır. Bu çalışma- da serum NR2 antikor düzeyinin akut iskemik inme tanısındaki değerinin ortaya konması amaçlandı. Gereç ve yöntem: Çalışmaya prosfektif olarak, çalışmaya alınma kriterlerini dolduran 64 iskemik inmeli hasta ile 68 sağlıklı gönüllü dahil edildi. İskemik inmenin akut döneminde serum NR2 anikor düzeyi ELİSA yöntemi ile ölçüldü. İnmenin şiddeti ve prognozu, giriş NIH İnme Skalası, 3. Ay modifiye Rankin Skalası ve Barthel indexi skorları ile, enfarkt hacmi AXBXC/2 hesaplamasıyla belirlendi. Sonuçlar Kolmogorov Smirnov, Tukey HSD, Wilcoxon ve Mann-Whitney U Testi kullanılarak NR2 düzeyi ile kıyaslandı. Bulgular: Ortalama serum NR2 antikor düzeyi iskemik inme grubunda 2.64±1.43 iken, kontrol grubunda 2.28±1.13 idi. Gruplar arasındaki fark istatistiksel olarak anlamlı değildi. S100B değerlerinin yaş, cinsiyet, koroner arter hastalığı, diyabetes mellitus, hiperlipidemi, hipertansiyon, periferik damar hastalığı, sigara içiminden etkilenmediği görülmüştür. Sonuç: Bu çalışma sonuçları NR2 antikor düzeyinin akut iskemik inmeli hastalardaki serum düzeylerinin normal kontrollere göre farklı olmadığını gösterdi. Bu verilere göre iskemik inmede NR2 antikor düzeyinin etkili bir rol almadığını düşünüyoru

Facial Emotion Recognition and Discrimination Deficit in Idiopatic Parkinson Patients

OBJECTIVE: Motor symptoms are the primary focus in diagnosis and treatment of idiopathic Parkinson disease (IPD). But facial emotion recognition disorder, one of non-motor symptoms of the disease, reduces quality of life significantly by disrupting social interaction. Facial emotion recognition and discrimination ability is an important part of social interaction. Neuroimaging studies highlight amigdala as the locus of facial emotion recognition disorder in IPD. The aim of this study is to investigate the relationship between clinical features and impairments in facial emotion recognition and discrimination ability. METHODS: This study involves 41 patients followed with IPD in neurology outpatient clinic and 38 healthy controls. Facial Emotion Identification Test (FEIT) and Facial Emotion Discrimination Test (FEDT) were carried out for both groups. Clinical and demographic features of patient and control groups were recorded. Hoehn-Yahr (H and Y) scale was used for staging of disease and Unified Parkinson’s Disease Rating Scale (UPDRS) was used for assessment of clinical severity. The results of both groups were compared with Kruskal Wallis and Pearson’s Chi Square tests. RESULTS: Average of FEIT and FEDT in patients with IPD are 12.64±5.55 and 17.84±4.94, respectively. When these values were compared with control group, they were worse than control group (p<0.01). This impairment was correlated with H and Y and UPDRS stages. The most impaired one among facial exogenous sensations was fear sensation with 2.29±1.26. CONCLUSION: This study shows that patients with IPD have more difficulty than normal population in recognition and discrimination of facial exogenous emotions. This difficulty was correlated with stage and clinical severity of disease. We hope that these findings will be an important step in regulation of impaired social intercourse and functionality in IPD and will help determining rehabilitation targets

Ischemic Stroke Due to Cardiac Involvement: Emery Dreifuss Patient

Emery-Dreifuss muscular dystrophy (EDMD) is a hereditary disease. It is characterized by early-onset contractures, slowly progressive weakness, fatigue related to skapulo-humero-peroneal muscle weakness, cardiomyopathy which develops in adulthood and cardiac conduction system block. Cardiac involvement has a prognostic significance in patients with EDMD and even sudden cardiac death may be the first clinical presentation. In this article, an EDMD patient with ischemic stroke clinic who didn’t have regular cardiac follow-up was reported and the importance of the treatment of cardiac diseases which could play a role in ischemic stroke etiology and the implantation of pace-maker was mentioned

Evaluation of cerebellum volume and trunk oscillation velocity in cases with adolescent idiopathic scoliosis: a preliminary report

Purpose: It has been suggested that the cause of the balance disorder seen in adolescent idiopathic scoliosis (AIS) originates from the central nervous system. However, the extent of the balance problem and the dysfunction of which part of the central nervous system has not been investigated in detail. This study aimed to correlate the values obtained by balance analysis and cerebellum volume measurement in female individuals with AIS with healthy individuals. Methods: Cerebellum volume was calculated via the cloud-based software “ https://volbrain.upv.es ” using brain magnetic resonance images of 27 healthy and 26 individuals with AIS. The duration of stay in the test positions, the movement strategy used during this time and the amount of postural sway were analyzed by using a computer-assisted force platform and compared statistically. Results: Significant differences were found between the AIS and control groups in cerebellum total volume, vermis cerebelli volume (cm3), and trunk oscillation velocity (mm/s) parameters (p < 0.05). Cerebellum and vermis cerebelli volumes were found to be lower and trunk oscillation velocity was found to be greater in patients with AIS. Conclusion: Balance problems in patients with AIS are correlated with decreased cerebellum volume and increased trunk oscillation velocity