Subclavian Steal Syndrome Treated by Endovascular Approach in the Interventional Neurology Clinic

Subclavian steal syndrome is a clinical feature displayed due to decrease or reverse of blood flow in the ipsilateral vertebral artery resulting from severe stenosis or occlusion of the proximal subclavian artery. Subclavian steal syndrome was first described and defined by angiography. The best treatment of subclavian steal syndrome is still controversial, although balloon angioplasty and/or stenting procedures have been generally accepted during the past decade. We report a case of subclavian steal syndrome successfully treated by stenting of the left subclavian artery in our interventional neurology clini

Crossed aphasia: two case report

Çapraz afazi, non dominant serebral hemisfer lezyonlarına sekonder olarak ortaya çıkan bir afazi tablosudur. Sağ elini kullananlarda sağ serebral hemisfer lezyonlarına ikincil ortaya çıkan nadir bir afazidir. Değişik serilerde sıklığı %0.4-3.5 olarak belirtilmektedir. Çapraz afazinin nörobiyolojik mekanizması tam olarak bilinmemektedir. Çapraz afazinin düzelme profili genellikle iyidir. Bu yazıda klinik pratikde nadir rastladığımız sağ elini kullanan çapraz afazili iki hastamız ilginç oldukları için sunulmuştur.Crossed aphasia is an aphasic syndrome secondary to the non dominant hemispheric lesions. Aphasia due to a right cerebral hemispheric lesion in a right-handed individual is rare. Its incidence varies from 0.4% to 3.5% . The neurobiological mechanism of crossed aphasia is unknown. The recovery profile of crossed aphasia is generally good. In this paper, we present two cases of crossed aphasia in monolingual right handed patients. These cases are found interesting to be reported because it is a rare condition in clinical practice

Permanent Taste and Smell Disorders Induced by Clarithromycin: A Case Report

Clarithromycin belongs to a group of medications called macrolide antibiotics. Other antibiotics in this group include erythromycin, troleandomycin, roxithromycin, spiramycin and azithromycin. The most common use of antibiotics in this group are mild to moderate infections of skin, soft-tissues, mouth and respiratory tract, caused by gram-positive bacteria. This group of antibiotics are known to have side effects such as nausea, vomiting, heartburn, gastrointestinal discomfort, diarrhea, hives, and other forms of skin rashes, drug-induced fever and anorexia when administered perorally. In this article a case who has permanent loss of smell and taste after the clarithromycin therapy has presented. Drugs that often cause taste and smell dysfunction and mechanisms of action are discussed accompanied by literature

DSA Experience In Interventional Neurology Clinic: Analysis of Patients

OBJECTIVE: In recent years, Digital Subtraction Angiography (DSA) and endovascular treatment’s importance increases gradually. We aimed to emphasize the importance of the Interventional Neurology in neurology practice and we aimed to share our experience about DSA examination which we have done for a short time in our Neurology clinic. MATERIAL and METHODS: 27 patients with a diagnosis of carotid stenosis or aneurisym were included in the study between June 2011 and June 2012. Patients were between the ages of 24 and 78 and the average was 59.7 years old. DSA examination was applied in our Interventional Neurology Clinic and their results were analysed. RESULTS: Seven female and 20 male, total 27 patient, with the average age of 59.7, were analyzed. One patient with the diagnosis of subclavian steal syndrome, 4 patient with the diagnosis of the aneurisym, 22 patient with the diagnosis of the carotid stenosis were underwent to DSA examination. Dural arteriovenous fistula was determined in one of four patients with the diagnosis of aneurysm and in another patient, vertebrobasilar and bilateral carotid dolichoectasia was determined. In DSA examination, over 70% of the internal carotid artery stenosis were found in five of 22 patients with the diagnosis of carotid stenosis. In six patients right total internal carotid artery stenosis was determined. Carotid stent implantation were applied in four of 5 patients. CONCLUSION: Despite advances in noninvasive diagnostic neuroimaging, diagnostic cervicocerebral angiography remains the criterion standard for the evaluation of patients with cerebrovascular disease

Sexuality in young adult men aged 18-24 with epilepsy

WOS: 000323263500003The aim of this study was to determine the extent of sexual dysfunction in young male patients (18-24 years) with epilepsy. Forty-five male patients with epilepsy aged between 18 and 24, and forty-four age- matched healthy male volunteers were included in the study. Participants completed a battery of self-reported tests (ASEX: Arizona Sexual Experiences Scale, HADS: Hospital Anxiety and Depression Scale). Demographic and clinical variables were recorded. Serum total testosterone was measured between 8:00 and 10:00 a.m. in patients with epilepsy. Sexual function scores (sexual drive and penile erection) were higher in patients with epilepsy than those of the control group (p < 0.001 and p = 0.008, respectively). the difference between the mean total ASEX scores, which were 13.9 and 11.4 in patients with epilepsy and controls, respectively, was significant (p = 0.009). HAD anxiety scores were significantly higher in patients with epilepsy than controls (p = 0.01) (Table 2). HAD-depression scores of both groups were similar (p = 0.09). This study demonstrates that young male patients with epilepsy have lower levels of sexual activity and drive and more erectile problems. Impaired sexual function is associated with anxiety scores

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