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Öğe A morphometric evaluation of anterior fontanel and cranial sutures in infants using computed tomography(Ondokuz Mayis Universitesi, 2022) Sasani, Hadi; Tüfekçi, Sinan; Haksayar, AyşenTo retrospectively analyze anterior fontanel (AF) and the morphometric findings of cranial sutures in infants under two years of age who underwent cranial computed tomography (CT). A total of 227 cases, who had cranial CT examination, were studied retrospectively. Forty-five patients were excluded. The study was conducted with 182 patients who had adeqaute imaging with optimum quality. The diameter and area of AF and cranial sutures of the patients were measured using three-dimensional CT reformat and axial CT images. Male patients made up 53.8% of the total patients and the median age was 6 months. Normocephaly in 86.3%, plagiocephaly in 10.4%, scaphocephaly in 2.7% and trigonocephaly in 0.5% of the cases were present. The median AF transverse diameter was 29.75 mm, the median anteriorposterior diameter was 27.25 mm, and the median fontanel area was 400 mm2. AF was closed in 30.4% in 13-18 months old patiets and 85.7% in 19-24 months old patients. Metopic suture was closed 10% in the first 3 months of age / their lives, 74.3% in 7-9 months of age, and 100% in 19-24 months of age. There was a significant negative correlation between head circumference and suture diameters in infants with open and normosephalic AF, in the CT examination (p <0.05. R = - 0.106 -0.271). In this study, it was observed that 14.3% of AF did not close radiologically in 19-24 months in the Turkish population living in the Europe - Balkan region. This suggests that AF closes in some patients after the age of two. © 2022 Ondokuz Mayis Universitesi. All rights reserved.Öğe An unusual acute onset hard and small volume epidural blood clotting after anterior cervical discectomy with tetraparetic neurological findings(Marmara University, 2021) Sasani, Hadi; Sasani, Mehdi; Ozer, FahirAnterior cervical discectomy and fusion (ACDF) is one of the most commonly used surgical method to treat a variety of disorders in the cervical spine. Although, the incidence of complication related to ACDF is low, hematomas can be confronted after surgery. We report a 52-year-old male patient presented with complaints of paraesthesia and sensory loss in the upper extremities. Magnetic resonance imaging (MRI) showed a large central-right paracentral protrusion resulting in narrowing of the spinal channel at the level of C5-C6 accompanied by spinal cord compression and bilateral foraminal stenosis. ACDF was performed at this level. Five hours after surgery, sudden onset paraesthesia and tetraparesis developed. Urgent cervical MRI depicted acute filling half of the discectomy cavity, compressing the dural sac and spinal cord. The patient underwent revision surgery and the symptoms improved postoperatively. The patient received conservative therapy and was discharged without any nerological problem. Despite being a rare condition, sudden onset of neurological symptoms such as tetraparesis after ACDF surgery should remind the presence of hematoma at the surgical site. © 2021 Marmara University Press, All Rights Reserved.Öğe Analysis of the coracoid morphology with multiplanar 2D CT and its effects on the graft size in the Latarjet procedure(Sage Publications Ltd, 2020) Sarı, Abdulkadir; Sasani, Hadi; Çetin, Mehmet Ümit; Günaydın, Burak; Kılınç, Seyran; Yıldırım, İlker; Dinçel, Yaşar MahsutPurpose: In this study, we aimed to reveal the individual differences regarding the size of the coracoid and their effects on the classical and modified Latarjet procedures. Methods: Computed tomography images of 120 patients (mean age: 41.18 +/- 12.01 years) without shoulder complaints or shoulder instability were evaluated retrospectively. The glenoid width, the surgical graft length, and the coracoid total length, width, and thickness were measured using the multiplanar reconstruction method on the Sectra Picture Archiving and Communications System (PACS) system. Age, gender, side, the dominant hand, and the height of the patients were recorded and the correlations between them were investigated. On the created hypothetical model, the current size of the coracoid was evaluated to determine what size of glenoid defects it could repair by employing the classical and the modified Latarjet techniques. Results: There was no significant difference between the right-hand-dominant group and the left-hand-dominant group in terms of coracoid measurement results (p > 0.05). Again, there was no statistically significant difference between the right and the left side regarding the coracoid size (p > 0.05). A positive correlation could be detected only between age and the coracoid width and thickness (p < 0.05). A positive correlation was also found between the glenoid width and the coracoid width and thickness in both shoulders (p < 0.001). Coracoid thickness could fill in the defects that amounted to 40% of the glenoid width, while the coracoid width could fill in for the defects that were 50% of the glenoid width in both genders. Conclusion: Our study showed that hand dominance and side were not effective on the coracoid dimensions. In addition, it has been shown that the coracoid dimensions did not have a significant effect in the choice of Latarjet technique in terms of defect repair and that repair rates of up to 40% could be achieved in glenoid defects with both techniques.Öğe Atypical Ct Findings and Clinical Correlation of COVID-19 Pneumonia(2020) Gücer Şahin, Gülcan; Kurtoğlu Özçağlayan, Tuğba İlkem; Özçağlayan, Ömer; Sasani, Hadi; Şahin, AyhanAim: Our study aimed to evaluate the atypical CT findings and concomitant pathologies of COVID-19 pneumonia and clinical and laboratory findings and compare them with typical CT findings.Materials and Methods: A total of 69 patients were diagnosed with COVID-19, 14 of which were atypical (20.2%), and 55 of which were typical (79%) chest computed tomography (CT) findings. CT images and clinical and laboratory data of patients with atypical findings were retrospectively analyzed. Lesions of the typical and atypical group and CT severity scores were compared.Results: Atypical CT findings were centrilobular nodule, tree in bud, pleural effusion, lobar/segmental consolidation, bronchiectasis, pulmonary embolism, and mosaic attenuation by typical lesions with ground-glass opacity with/without consolidation. CT severity score was significantly higher in the atypical group (p <0.001). CRP, procalcitonin, the neutrophil rate increased, and the lymphocyte count decreased in patients with a high CT severity score. Comorbidity was common in the atypical group (50%).Conclusion: High CT severity score and widespread lung involvement of the patient group with atypical CT findings may be due to disease progression or other concomitant diseases. Atypical lesions accompanying typical lesions may cause false negativity in reporting. As radiologists' experience with COVID-19 pneumonia increases, it may improve that they categorize these images as typical or atypical.Öğe Bilgisayarlı Tomografi Görüntülerinde Çölyak Mezenterik Trunkusun Morfometrik Analizi ve Literatürün Gözden Geçirilmesi(2021) Sasani, HadiAmaç: Bilgisayarlı tomografi (BT) görüntüleri kullanılarak Tekirdağ ilindeki nadir görülen Çölyak mezenterik trunus (CMT) varyasyon sıklığının ve morfometrik bulgularının değerlendirilmesidir.Gereç ve Yöntem: Herhangi bir indikasyon ile BT anjiyografik incelemesi yapılan 1.919 hastayı (1.313 erkek, 606 kadın; ortalama yaş 60,47±14,88) içeren bir çalışma popülasyonu, retrospektif olarak incelendi. Uzunluk, çap, dikey ve yatay açılar ve oryantasyon (yukarı, aşağı, sağ taraflı, sol taraflı), abdominal aortadan köken aldığı düzey ve CMT tipleri analiz edildi.Bulgular: Toplamda 23 (%1,19) CMT hastası saptandı. Dikey açı değerlendirmesinde 20 (%87) olguda aşağı, üç (%13) olguda yukarı doğru oryantasyon mevcuttu. Yatay açı değerlendirmesinde 11 olguda (%47,8) sağ taraflı, 12 olguda (%52,2) sol taraflı oryantasyon vardı. Tip 1 CMT olgularının %60’ı sağ taraflı oryantasyonlu iken, tip 2 olguların %75’inin sol taraflı oryantasyonu vardı ve her iki tipte de çoğunluğun, aşağıya doğru oryantasyonuvardı. On beş (%65,22) olgu tip 1 ve 8 (%34,78) olgu tip 2 olarak saptandı. CMT’nin uzunluğu ve çapı arasında negatif zayıf bir korelasyon vardı (p=0,048, r=-0,417). CMT’nin aortadan en yaygın orijin seviyesi L1-L2 düzeyi idi (%30,4). Tip 1’de en yaygın seviye L1-L2 (%40, n=6) iken, tip 2’de (%37,5) aynı dağılım ile L1 ve L1-alt end-plate düzeyi idi.Sonuç: CMT’de özellikle cerrahi planlama ve arteriyel girişimsel prosedürler açısından morfometrik değerlendirme son derece önemlidir. Bu çalışmada, CMT’lerin çoğunlukla tip 1, aşağı (17 derece±14,28) ve sol taraflı (73 derece±6,88) oryantasyon olduğu bulunmuştur.Öğe Biliary Cystadenoma with High Dysplasia Detected Incidentally in a Young Patient Admitted for Percutaneous Abscess Drainage(Kare Publ, 2023) Gonen, Korcan Aysun; Sasani, Hadi; Acar, Sami; Dulundu, EnderBiliary cystadenomas are uncommon lesions with clinical and radiological characteristics that overlap with other cystic liver lesions. Here, we intended to discuss a biliary cystadenoma found in a 37 -year -old female patient who had been treated for a liver abscess and had been sent to our clinic with a long-term hydatid cyst diagnosis.Öğe Comparison of 3d reformat computed tomography images using different softwares: do they have an incremental value in 3D imaging?(Allied Acad, 2017) Sasani, Hadi; Kayhan, Arda; Zaim Gökbay, İnci; Sasani, Mehdi; Köse, Soner; Gökçe, Alper; Saraçoğlu Varol, GamzeThree dimensional (3D) imaging gained an important diagnostic role because of providing the precise diagnosis in computed tomography (CT) studies. Various 3D softwares such as; VitreaWorkstation - Toshiba, Japan; OsiriX-Switzerland; Volume Viewer-General Electric, USA have been manufactured to improve its diagnostic ability. Providing the deep sense and dimensional perception, the aim of this prospective study is to compare the native 3D (N3D) CT images with 2 anaglyph images by using different softwares and delineate their contribution to 3D CT imaging.Öğe Comparison of Two Minimally Invasive Techniques with Endoscopy and Microscopy for Extraforaminal Disc Herniations(Elsevier Science Inc, 2020) Aydın, Ahmet Levent; Sasani, Mehdi; Sasani, Hadi; Üçer, Melih; Hekimoglu, Mehdi; Öktenoğlu, Tunc; Özer, Ali FahirOBJECTIVE: Extraforaminal disc herniations ate, extraordinary herniations because they are located outside the foraminal bony borders and compress the root exiting at the corresponding level, whereas in median or paramedian herniations, the root 1 level below is compressed. Percutaneous endoscopic discectomy (PED) and microscopic extraforaminal discectomy (MEFD) are 2 popular contemporary techniques that have been performed extensively for these herniations since the 1970s. METHODS: In this study, we retrospectively analyzed 118 patients who underwent either PED (66 patients) or MEFD (52 patients). All the patients were clinically evaluated for neurologic examination findings, visual analog scale (VAS) scores for leg pain and Oswestry Disability Index (ODI) preoperatively and on the seventh postoperative day as well as 6 and 12 months after surgery. The complication rates and types of both techniques were discussed. RESULTS: The preoperative VAS score and ODI were all comparable. Improvements in VAS scores 6 months postoperatively and improvements in ODI at all follow-up periods were statistically significant in favor of PED. However, there was great discrepancy regarding the postsurgical complications in favor of MEFD. CONCLUSIONS: PED is more prone to complications because this technique is strictly dependent on the tubular system and the ideal anatomy of the Kambin triangle. Variations in or degeneration of the Kambin triangle can lead to devastating complications in the PED technique, but normal anatomic conditions are feasible in only approximately 20% of patients. The most important feature of this study was that both techniques were performed by the same experienced team, who developed their own concept.Öğe Diagnostic Importance of Axial Loaded Magnetic Resonance Imaging in Patients with Suspected Lumbar Spinal Canal Stenosis(Elsevier Inc., 2019) Sasani, Hadi; Solmaz, Bilgehan; Sasani, Mehdi; Vural, Metin; Özer, Ali FahirObjective and Background: To study the efficacy of lumbar (AL) magnetic resonance imaging (MRI) in patients with suspected lumbar spinal stenosis (LSS), with and without AL compression. Supine MRI is used in the assessment of patients with LSS. However, MRI findings may poorly correlate with neurologic findings because of the morphologic changes of the lumbar spinal canal between upright standing and supine positions. In patients without significant stenosis in routine lumbar MRI, by applying AL, MRI can show significant LSS. Methods: This study included 103 consecutive patients (188 disc levels) who presented with neurogenic claudication with and without low back pain. AL was performed using a nonmagnetic compression device for 5 minutes. T1- and T2-weighted axial and sagittal sequences were obtained during AL applied to the spine. The dural sac cross-sectional area (DSCA) appeared to be narrow at each disc level of L4–5 to L5–S1 in all patients and was measured using T2-weighted images in routine supine and AL images. Results: The groups included patients with a reduction in the DSCA (>15 mm2) according to patient age and DSCA in routine spine MRI. The mean DSCA of the disc levels without and with AL were 138 mm2 and 123 mm2, with a mean difference of 15 mm2 at L4–5, 134 mm2 and 125 mm2 and a mean difference of 9 mm2 at L5–S1, respectively. conclusions: The use of AL MRI in patients with clinically suspected LSS could reduce the risk of misdiagnosis of stenosis, leading to inappropriate treatment. © 2019 Elsevier Inc.Öğe Discussion on the Artificial Intelligence (AI) Tools Usage in the Scientific World(2023) Özkan, Mazhar; Sasani, Hadi[Abstract Not Available]Öğe Discussion on the Artificial Intelligence (AI) Tools Usage in the Scientific World(Pera Yayincilik Hizmetleri, 2023) Ozkan, Mazhar; Sasani, Hadi[Abstract Not Available]Öğe Evaluation of epicardial adipose tissue and carotid intima-media thickness as a marker of atherosclerosis in patients with inflammatory bowel disease(ARAN Ediciones S.A., 2021) Ekmen, Nergiz; Can, G.; Yozgat, A.; Can, Hamit; Bayraktar, M.F.; Demirkol, MuhammetE.; Sasani, HadiBackground and aim: this study aimed to compare carotid intima media (CIMT) and epicardial adipose tissue (EAT) measurements, which are considered as markers for the detection of early atherosclerosis in healthy controls and inflammatory bowel disease (IBD) cases. Methods: a total of 60 IBD patients (25 Crohn’s disease and 35 ulcerative colitis) and 60 healthy patients (as a control group) were included in the study. The measurements of CIMT and EAT were performed using echocardiography and ultrasonography, respectively. Statistical analysis was used to determine the relationship between the parameters. Results: the thickness of bilateral (right and left) CIMT and EAT were significantly higher in IBD than in the control group (p < 0.05). There was a positive correlation between EAT and bilateral (right and left) CIMT in IBD patients (p < 0.05). Conclusion: IBD is associated with an increased thickness of EAT and CIMT. Chronic inflammation in IBD may increase the risk of atherosclerotic heart disease. Thus, only measuring the thickness of EAT and CIMT can be used as an objective, easy, simple, affordable, non-invasive and accessible assessment method in order to screen for this risk. © Copyright 2021. SEPD y © ARÁN EDICIONES, S.L.Öğe Evaluation of the Effects of COVID-19 Pandemic Among Patients with Inflammatory Bowel Diseases(2020) Gökden, Yasemin; Ekmen, Nergiz; Adaş, Mine; Atak, Süheyla; Sasani, HadiObjective: The Coronavirus Disease-2019 (COVID-19) pandemic continues to be a concern, especially to people with chronic diseases across the entire world. During this pandemic, we undertook an investigation to assess how the disease state and medical treatments of inflammatory bowel disease (IBD) are affecting the IBD patients, their risky perceptions, as well as the frequency and course of COVID-19. Methods: During the pandemic, the information on the course of the disease, medical treatment status of the patients with IBD, and the course of the disease in IBD patients who had COVID-19 were collected via telephonic interview. Results: A total of 102 IBD patients, including 62 with ulcerative colitis and 40 with Crohn’s disease were included in the study. Of these, 52.9% of the patients believed that having IBD was a risk for COVID-19. During the pandemic, 18.6% of the patients did not take their medication regularly for various reasons. Of all, 64.28% of the patients with active disease could not go to the hospital to avoid the risk of acquiring COVID-19 and 4.90% acquired COVID-19. Conclusion: During the pandemic, both the regular consumption of medicines and the reservations regarding admission to hospitals affect the course of IBD. Therefore, the development of strategic action plans to support and manage changes experienced during the course of this disease is expected to facilitate the management of the disease process in a healthier way for both the physicians and the patients.Öğe Imaging Findings of the Morel-Lavellée Lesion(2020) Ulusoy, Onur Levent; Sasani, Hadi; Aliş, Deniz; Ustabaşıoğlu, Fethi Emre; Barlas, Burçin Sezgi; Onat, Levent; Çolakoğlu, BülentIntroduction: This study aims to evaluate the magnetic resonance imaging (MRI) findings of the Morel-Lavellée lesion (MLL),which described as degloving injury of the subcutaneous fatty tissue.Methods: MRI features of fifteen patients in whom the diagnosis of MLL was established by clinically or surgery retrospec-tively analyzed.Results: All the lesions were located in the lower extremities, and 86.6% (n=13) were located at the knee level or above. Alllesions had an anatomic relationship with deep fascia. The majority of the lesions were in either fusiform or crescentic form.60% (n=9) of the lesions showed a well-defined smooth contour. Pseudocapsules were observed in nine patients (60%).46.6% (n=7) of the lesions had a homogeneous signal property. The intralesional hemorrhagic signal was observed in 26.6%(n=4) of the lesions and intra-lesional fat signal in 46.6% (n=7). One patient had fluid-fluid leveling. In two cases, muscleinjury were accompanied by the MLL. In all cases, no associated bone lesion was noted.Discussion and Conclusion: MLL should be considered if a well-circumscribed, crescentic or fusiform subcutaneous masslesion in association with the deep fascia is present, especially in the presence of a history of previous trauma.Öğe Importance of Eosinopenia in COVID-19 Infection(2022) Özkan Epöztürk, Pınar; Uslu, Neslihan; Taş, Zahide; Sasani, Hadi; Küçükkaya, Reyhan; Yağcı, Buket; Sözen, SemihObjective: Dynamic changes in the number of eosinophils are observed during the diagnosis and follow-up in coronavirus disease-2019(COVID-19). Our aim was to show the role of the absolute eosinophil count in the diagnosis of COVID-19 and the relationship with diseaseseverity and prognosis.Methods: In this study, 191 patients (130 inpatients, 61 outpatients) diagnosed with COVID-19 pneumonia with the polymerase chain reactiontest and lung computed tomography; and 22 patients with positive influenza test were included as the control group. All demographic,biochemical data, clinical and radiological characteristics were recorded.Results: The mean eosinophils on first day of the inpatient COVID-19 group were found to be statistically lower than the influenza group andthe ambulatory groups (p=0.001, p=0.0001).Conclusion: A low eosinophil count in complete blood count, can aid in the early diagnosis of infection. Persistent eosinopenia progresseswith disease severity and may help determine the prognosis of the disease.Öğe Investigation of Brain Impairment Using Diffusion-Weighted and Diffusion Tensor Magnetic Resonance Imaging in Experienced Healthy Divers(Int Scientific Information, Inc, 2018) Seyithanoğlu, Mehmet Hakan; Abdallah, Anas; Dündar, Tolga Turan; Kitiş, Serkan; Aralaşmak, Ayşe; Papaker, Meliha Gündağ; Sasani, HadiBackground: The aim of this study was to understand the changes of decompression illness in healthy divers by comparing diffusion-weighted (DWI) and diffusion tensor MRI findings among healthy professional divers and healthy non-divers with no history of diving. Material/Methods: A total of 26 people were recruited in this prospective study: 11 experienced divers with no history of neuro- logical decompression disease (cohort) and 15 healthy non-divers (control). In all study subjects, we evaluated apparent diffusion coefficient (ADC) and type of diffusion tensor metric fractional anisotropy (FA) values of different brain locations (e.g., frontal and parieto-occipital white matter, hippocampus, globus pallidus, putamen, internal capsule, thalamus, cerebral peduncle, pons, cerebellum, and corpus callosum). Results: ADC values of hippocampus were high in divers but low in the control group; FA values of globus pallidus and putamen were lower in divers compared to the control group. DWI depicted possible changes due to hypoxia in different regions of the brain. Statistically significant differences in ADC values were found in hypoxia, particularly in the hippocampus (p=0.0002), while FA values in the globus pallidus and putamen were statistically significant (p=0.015 and p=0.031, respectively). We detected forgetfulness in 6 divers and deterioration in fine-motor skills in 2 divers (p=0.002 and p=0.17, respectively). All of them were examined using neuro-psychometric tests. Conclusions: Repeated hyperbaric exposure increases the risk of white matter damage in experienced healthy divers without neurological decompression illness. The hippocampus, globus pallidus, and putamen are the brain areas responsible for memory, learning, navigation, and fine-motor skills and are sensitive to repeated hyperbaric exposure.Öğe Investigation of the Effect of Tinnitus and Hearing Loss on Hippocampus Volume(2024) Sasani, Hadi; Ozkan, Mazhar; Ersozlu, TolgaObjective: This study aims to compare hippocampal changes with a correlation of audiological testing results in patients suffering from tinnitus. Methods: Patients diagnosed with tinnitus in the university hospital between February 2021 and March 2022 were prospectively included in the study by performing magnetic resonance imaging. The volume was determined by manually tracing the hippocampus’ margins on the images using the Vitrea2® workstation (Canon Medical Systems Vital Images, Minnesota, USA). Statistics were used to assess the correlation between the parameters of the hearing test. Results: The distribution of the patient group (21 males, 19 females) and control group (15 males, 15 females) was uniform, and the mean ages of the two groups were 50.23±12.09 and 32.30±7.97, respectively. Significant statistical differences existed in the mean ages of the groups (p<0.05). Bilateral hippocampal volumes, right bone, and air conduction all differed significantly (p<0.05). The median values in the patient group were as follows: right HC 2620 mm3 (range 1600-3610), left HC 2450 mm3 (range 1610-3990), right air conduction 20 dB (range 10-61), left air 21 dB (range 11-65), and right bone 13.5 dB (range 8-49). Age was positively correlated with bilateral measurements of air and bone hearing levels (p 0.05; right air r=0.513, right bone r=0.438, left air r=0.589, left bone r=0.487). Between the 30-39 and 60-69 age groups, there was a significant difference in bone and air conduction levels (p<0.05). Conclusion: In this study, it was found that the hippocampus volumes of healthy hearing people with tinnitus complaints were significantly higher in MRI examinations compared to the control group. In addition, in cases of tinnitus accompanied by bone conduction hearing loss, hippocampus volumes were found to be less than those of tinnitus alone, but not less than in the control group. It is suggested that chronic acoustic stimulation caused by tinnitus causes an increase in hippocampus volume and that problems in sensorineural integrity prevent this increase.Öğe Investigation of the Effect of Tinnitus and Hearing Loss on Hippocampus Volume(Pera Yayincilik Hizmetleri, 2024) Sasani, Hadi; Ozkan, Mazhar; Ersozlu, TolgaObjective: This study aims to compare hippocampal changes with a correlation of audiological testing results in patients suffering from tinnitus. Methods: Patients diagnosed with tinnitus in the university hospital between February 2021 and March 2022 were prospectively included in the study by performing magnetic resonance imaging. The volume was determined by manually tracing the hippocampus' margins on the images using the Vitrea2 (R) workstation (Canon Medical Systems Vital Images, Minnesota, USA). Statistics were used to assess the correlation between the parameters of the hearing test. Results: The distribution of the patient group (21 males, 19 females) and control group (15 males, 15 females) was uniform, and the mean ages of the two groups were 50.23 +/- 12.09 and 32.30 +/- 7.97, respectively. Significant statistical differences existed in the mean ages of the groups (p<0.05). Bilateral hippocampal volumes, right bone, and air conduction all differed significantly (p<0.05). The median values in the patient group were as follows: right HC 2620 mm3 (range 1600-3610), left HC 2450 mm3 (range 1610-3990), right air conduction 20 dB (range 10-61), left air 21 dB (range 11-65), and right bone 13.5 dB (range 8-49). Age was positively correlated with bilateral measurements of air and bone hearing levels (p 0.05; right air r=0.513, right bone r=0.438, left air r=0.589, left bone r=0.487). Between the 30-39 and 60-69 age groups, there was a significant difference in bone and air conduction levels (p<0.05). Conclusion: In this study, it was found that the hippocampus volumes of healthy hearing people with tinnitus complaints were significantly higher in MRI examinations compared to the control group. In addition, in cases of tinnitus accompanied by bone conduction hearing loss, hippocampus volumes were found to be less than those of tinnitus alone, but not less than in the control group. It is suggested that chronic acoustic stimulation caused by tinnitus causes an increase in hippocampus volume and that problems in sensorineural integrity prevent this increase.Öğe Is there any link between atrial arrhythmias and inflammatory bowel disease?(Wolters Kluwer Medknow Publications, 2021) Can, G.; Ekmen, Nergiz; Can, Hamit; Bayraktar, M.F.; Demirkol, MuhammetE.; Kayhan, M.A.; Sasani, HadiBackground: Inflammation plays an important role in the development of cardiovascular disease, including atherosclerosis and arrhythmia. The aim of this study was to evaluate atrial conduction times (ACTs) in patients with inflammatory bowel disease (IBD) in which systemic chronic inflammation is evident. Methods: In this cross-sectional, prospective, single-center study, 79 IBD patients (51 ulcerative colitis; 28 Crohn's disease) and 70 healthy controls were included. Atrial electromechanical properties were measured by recording simultaneous surface electrocardiography (ECG) with transthoracic echocardiography (ECHO) and tissue Doppler imaging methods. The relationship between age, disease duration, and ACT was evaluated. Results: There were significantly increased conduction durations of lateral-PA (time interval from the onset of the P-wave on surface ECG to the beginning of the late diastolic wave), septal-PA, tricuspid-PA, and interatrial-electromechanical delay (IA-EMD), right intraatrial EMD, and left intraatrial (LI-EMD) durations in IBD patients (P < 0.001). In IBD patients, there was a positive correlation with age, lateral PA, septal PA, tricuspid PA, IA-EMD, and LI-EMD (P < 0.05). A positive correlation was found between disease duration and only lateral PA and tricuspid PA (P < 0.05). Conclusion: In IBD patients, prolonged ACT consists a potential risk for severe atrial arrhythmias. ECG and ECHO screening can be useful in identifying risk groups in IBD patients and taking precautions for future cardiac complications. © 2021 Saudi Journal of Gastroenterology Published by Wolters Kluwer - Medknow.Öğe Multiorgan failure due to strongyloides infection in liver transplant recipient: A case report and literature review(Ondokuz Mayis Universitesi, 2022) Ekmen, Nergiz; Bilger, Nirgül; Kirman, Derya; Sasani, HadiStrongyloidasis is caused by an intestinal nematode Strongyloides stercoralis which is widely distributed in tropical and subtropical countries. In immunocompetent individuals, Strongloides stercoralis infection usually does not produce any symptoms or causes gastrointestinal, cardiopulmonary, or skin symptoms. However, in some patients especially immunsupressive (e.g post-transplant, taking exogenous corticosteroids), its infection associated with severe and life-threatening disease like hyperinfection syndrome and disseminated tissue infestation. The limitation of diagnostic test make it challenging to diagnose strongyloidasis. Therefore, it is important to suspect infection of Strongyloides stercoralis. We describe a case of Strongiloides infection with a fatal outcome in liver transplant recipient. © 2022 Ondokuz Mayis Universitesi. All rights reserved.
