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Öğe Are We Being Unfair to Physical Therapy Agents?(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Kabayel, Derya Demirbag; Yavuz, SelcukPhysical therapy is the treatment of physical dysfunction or injury by the application of various modalities. It has been used for therapeutic purposes since ancient times for a variety of disorders. Due to study limitations, physical agents' clinical efficacy data are limited, despite being very widely used. Through our review of the literature, it is apparent from the publications that the numbers of patients are small and that the application methods are uncertain. In this review, the physiological effects, clinical effectiveness, and indications of physical therapy will be discussed according to literature. The role and importance of physical agents in therapy will be evaluated, and we will attempt to answer the question, Are we being unfair to physical therapy agents?Öğe A case of painful legs and moving toes syndrome treated with gabapentin(Kare Publ, 2016) Guler, Sibel; Yavuz, Selcuk; Nakus, Engin; Dogru, YuceA 58-year-old woman was evaluated following complaints of pain in both lower extremities and brief involuntary movements in her toes, which had begun 2 years prior. No signs were present beyond a curling, flexion/extension, abduction/adduction movement in the toes of both lower extremities, voluntarily stoppable during neurologic examination. During investigation into etiology, lumbar vertebrae MRI revealed a posterior annular protrusion causing partial compression of the dural sac and neural elements by the L3-4 and L4-5 discs. Semirhythmic repetitious movements were detected on electromyography performed on right extensor digitorum brevis (EDB) muscle with 200 mV and 1 Hz frequency. Patient was put on a gradually increased dose of gabapentin, starting at 1200 mg/day. A brief regression in pain and involuntary movements in feet and toes was observed. GABAergic agents are very effective treatment of painful legs and moving toes syndrome. The present clinically and electrophysiologically diagnosed case was considered worth reporting, as painful legs and moving toes syndrome is a very rare condition.Öğe A Case with Symmetrical Intracranial Calcifications and Systemic Lupus Erythematosus Presenting with Optic Neuropathy(Turkish Neurological Soc, 2012) Guler, Sibel; Donmez, Salim; Utku, Ufuk; Yavuz, Selcuk53 years old female patient presented with sudden loss of sight of her right eye. The patient's neurological examination revealed a decrease in visual acuity (2/20) in her right eye. Her optical disc was hyperemic with edema. The patient's brain CT scans showed symmetrical calcifications in cerebellar peduncles, cerebral hemispheres, putamens and thalamus bilateraly. Laboratory examinations showed positive ANA, positive anti-DNA antibodies and lymphopenia leading to the diagnosis of systemic lupus erythematosus (SLE). We report this case with SLE because of the rare comorbity of optic neuropathy with bilateral calcifacitions.Öğe Effects of clinical reanalysis in dual energy X-ray absorptiometry reports(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Tuna, Filiz; Yavuz, Selcuk; Kabayel, Derya Demirbag; Sarikaya, AliObjectives: This study aims to assess poor positioning rates of patients during X-ray and the accuracy of the analysis. Patients and methods: In this study, we reanalyzed 323 dual energy X-ray absorptiometry (DXA) reports, by evaluating the scan images for proper patient positioning and scan analysis. We reviewed reports, according to a checklist prepared considering the proposals of Watts and The International Society for Clinical Densitometry official positions for 2013 (which were the same as in 2015). At least two remaining vertebrae were used to derive new bone mineral density and new T-scores. Results: Positioning failures were found in 64.7% of the spine X-rays, 60.5% of the hip X-rays, and 83.9% of X-rays of both regions. A total of 112 (34.7%) spinal DXA images needed new T-score adjustments. T-scores and bone mineral density differed between the first reports and the clinician reanalysis (p<0.001). Conclusion: The error rate in DXA reports was higher than expected. Clinician analysis of DXA reports are important. To obtain a quality DXA report, all healthcare professionals should be trained and reminded about this topic.Öğe Investigation of Nerve Conduction Studies of Carpal Tunnel Syndrome Cases With Different Risk Factors: An Electrodiagnostic Study(Lippincott Williams & Wilkins, 2017) Solmaz, Volkan; Yavuz, Selcuk; Inanir, Ahmet; Aksoy, Durdane; Pektas, Elmas; Tekatas, Aslan; Kurt, Semiha G.Purpose:The aim of this study was to determine whether there are electrodiagnostic differences between carpal tunnel syndrome (CTS) patients with diabetes mellitus, CTS + hypothyroidism (HT), CTS + fibromyalgia syndrome, CTS + rheumatoid arthritis (RA), and idiopathic CTS cases, by comparing nerve conduction studies.Methods:This research examined electrophysiologic studies of 47 untreated HT + CTS, 47 diabetes mellitus + CTS, 49 RA + CTS, 52 fibromyalgia syndrome + CTS, 50 idiopathic CTS cases, and a healthy control group of 50 individuals (a total of 293 patients and 433 hands with CTS).Results:There were no significant differences between the groups in terms of sex and age. There was no significant difference between the CTS groupsin terms of numberswith mild, moderate, and severe CTS. When the CTS groups were compared with the control group, in all CTS groups on both left and right hands, there was a significant prolongation in median motor latency and median sensory latency (in the 3rd finger); also a significant decrease in median sensory velocity in the 3rd finger. In diabetes mellitus, HT, and RA groups, the median motor amplitudes in both hands were significantly decreased compared with the idiopathic group. There was a moderate significant negative correlation between disease duration and median motor amplitudes (of both right and left sides) in RA (right; P = 0.028, r = 0.761, left; P = 0.041, r = 0.694) and HT groups (right; P = 0.035, r = 0.637, left; P = 0.049, r = 0.697).Conclusions:Electrodiagnostic results showed both demyelinating injury and axonal damage in diabetes mellitus, HT, and RA patients with CTS, in these patients during treatment for CTS. Early treatment planning should include the risk factor diseases.Öğe The last station before fracture: Assessment of falling and loss of balance in elderly(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Koyuncu, Gulay; Tuna, Filiz; Yavuz, Selcuk; Kabayel, Derya Demirbak; Koyuncu, Mesut; Ozdemir, Hande; Sut, NecdetObjectives: This study aims to investigate the rate of balance disorders and risk of falling in the geriatric population who do not complain of a balance disorder. Patients and methods: Sixty-eight elderly participants (24 males, 44 females; mean age 72.1 +/- 5.5 years), who were admitted to outpatient clinic between May 2012 and September 2012, were included in the study. Demographic data were recorded. Participants were divided into two age groups as young old (65-74 years) and old (75-85 years). Static balance was evaluated with Sharpened Romberg and the one-legged stance test. The dynamic balance and walking of the individuals were evaluated with Timed Up and Go (TUG) test, Berg Balance Scale (BBS), Tinetti (balance and gait) test (TT), and 20-meter walk test. Results: None of the participants had sought medical help due to loss of balance or falling. According to BBS, 41% of the participants had a moderate risk of falling; 66% had moderate and high risk of falling according to TT; and 63% of them had a high risk of falling according to TUG. Thirty-four percent of elderly had experienced at least one fall over the last year. Loss of balance was more significant in women and number of falls was more (p<0.05). The total evaluation results in TUG and TT for the individuals in the young old group were better than the individuals in the older age group in terms of balance. Conclusion: Loss of balance is a common finding in geriatric individuals and is associated with the risk of falling. Physicians, who frequently encounter with the geriatric population, should take this condition into account even for the patients who do not complain of a balance disorder. Thus, rehabilitation may be an option to prevent the fall and related complications, through the evaluation of balance.Öğe Postoperative Spinal Epidural Haematoma Causing Cauda Equina Syndrome: Case Report(Derman Medical Publ, 2013) Delen, Emre; Birgili, Baris; Akinci, Ahmet Tolgay; Yavuz, SelcukCauda equina syndrome is a neurological disorder defined by urinary and/or anal sphincter dysfunction, bilateral sciatica and bilateral motor and sensory deficits. Regarding the etiology, lumbar disc disease, spinal stenosis, tumors, haematomas, fractures, infectious diseases and ankylosing spondylitis are pathologies causing this syndrome. Spinal epidural haematomas are common amongst complications after spinal surgery. However the majority of these cases are asymptomatic, thus having little clinical importance. Symptomatic postoperative spinal epidural haematomas is a serious complication, and in order to prevent permanent neurologic deficit it requires urgent surgical intervention. This article aims to present the case of a patient with a spinal epidural haematoma after spinal stenosis surgery, causing cauda equina syndrome.Öğe Spinal Dorsal Meningioma(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Kurtoglu, Hakan Sercan; Yavuz, Selcuk; Tastekin, Nurettin; Birtane, MuratMeningiomas are usually benign, slow-growing tumors that originate from arachnoid cap cells. Spinal meningiomas represent 12% of all meningiomas. They tend to grow slowly and cause different symptoms, depending on the region affected; therefore, the time between the onset of symptoms and diagnosis is variable. Before the frequent use of magnetic resonance imaging (MRI), some cases with spinal meningiomas were reported to be operated on with a misdiagnosis of lumbar disc herniation or knee disorder. Here, we report a case of a patient who had been operated on with the diagnosis of lumbar spinal stenosis but had complaints of weakness in the legs and difficulty walking. The patient did not improve after the operation. Further investigations after the surgery revealed that the patient had spinal meningioma.Öğe Tenosynovial giant cell tumor arising from the posterior cruciate ligament(Cukurova Univ, Fac Medicine, 2017) Yavuz, Selcuk; Ciftdemir, Mert; Tastekin, Ebru; Tastekin, Nurettin[Abstract Not Available]
