Nükleer Tıp

Nükleer Tıp alanında amaçlarımız, hasta tetkiklerini en iyi kalitede yapmak, yaptığımız tetkik­lerle klinisyenin sorularını net bir şekilde cevaplamak, hasta ile ilgili en doğru bilgiyi vermek, hastanın tanı, tedavi ve takibindeki görev ve sorumluluklarımızı en iyi şekilde yerine getir­mek ve tetkikinin rahat, huzurlu bir ortamda yapılmasını sağlayarak hastayı memnun etmektir. Tüm bunlar bölüm içinde çalışan personelin iyi bir iletişim, dayanışma içinde olması ve gerek­li tüm bilgilerle eksiksiz olarak donanmış olması ile gerçekleşebilir.Bu kitap Nükleer Tıp alanında çalışmaya yeni başlamış hekimlere, ileride bu alanda çalışacak olan tüm öğrencilere ve Nükleer Tıp alanında çalışan hekim dışı personele yönelik olarak ha­zırlanmıştır ve onlara kılavuzluk etmeyi amaçlamaktadır. Kitap, Nükleer Tıp personeline ve öğ­rencilere Nükleer Tıp uygulamaları ile ilgili bilmeleri ve kullanmaları gereken tüm bilgileri sun­maktadır. Kişiler bu kitapta radyofarmasi, NükleerTıp'ta kullanılan cihazlar, kalite kontrol, Nükle­er Tıp tetkikleri, Pozitron Emisyon Tomografisi ile ilgili sorularına da cevap bulacaklardır

Semiological seizure classification of epileptic seizures in children admitted to video-EEG monitoring unit

WOS: 000378167800001PubMed ID: 27186692We aimed to determine seizure characteristics of pediatric patients with epilepsy, and evaluate if Semiological Seizure Classification (SSC) system is applicable in this cohort. We retrospectively studied 183 patients, aged between 3 months-18 years, admitted to the video-EEG monitoring unit (VEMU). Most patients suffered from intractable epilepsy with comorbidities, and had structural lesions. Seizures were classified based on ictal video-EEG recordings by using SSC system; 157 patients had only one seizure type, 26 had more than one seizure types. Overall 211 seizures and 373 semiologies were analyzed; 114 seizures (54%) had more than one semiological subtype. The most frequent semiology was motor seizures (78%), followed by dialeptic seizures (12%). The most common subtypes were simple motor seizures (49%); tonic seizures constituted (28.4%) of all semiologies. We conclude that SSC system is applicable for children with epilepsy admitted to VEMU; complementary EEG and imaging data are required for evaluation of patients with epilepsy

Lesional resective epilepsy surgery in childhood: Comparison of two decades and long-term seizure outcome from a single center

Objective: Epilepsy surgery has shown efficacy in children. We aimed to assess long-term seizure outcome in children who underwent epilepsy surgery and determine predictive factors for seizure freedom.& nbsp;Methods: This is a retrospective study of 196 children who underwent epilepsy surgery between 1994 and 2015 and had a minimum postoperative follow-up of 5 years.& nbsp;Results: The median age at the time of surgery was 9.5 (0.08-19.8) years; 110 (56.1%) had temporal, 62 (31.6%) had extratemporal resections, and 24 (12.2%) had hemispheric surgery. The duration of postsurgical follow-up was between 5 and 20 years (mean +/- SD: 7 +/- 3.2). Overall, 129 of 196 (65.8%) patients had Engel class I outcome at final visit. Among patients who underwent temporal, extratemporal and hemispheric surgery; 84 of 110 (76.4%), 34 of 62 (54.8%), and 11 of 24 (45.8%) patients had complete seizure freedom, respectively (p: 0.016). Patients with tumors had the best outcome, with 83.1% seizure freedom. The number of preoperative antiseizure medications (OR 3.19, 95% CI 1.07-9.48), the absence of postoperative focal epileptiform discharges (OR 8.98, 95% CI 4.07-19.79) were independent predictors of seizure freedom. Across two decades, the age at surgery was decreased (p: 0.003), overall seizure freedom (61.8% vs 68%) did not differ. In the past decade, a higher proportion of malformations of cortical development was operated (14.7% vs 35.9%, p: 0.007).& nbsp;Significance: Our findings showed favorable long-term seizure outcome in children who underwent epilepsy surgery. The results are encouraging for developing centers with limited resources to establish pediatric epilepsy programs