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Öğe Accessory occipital suture mimicking fracture in head trauma(W B Saunders Co-Elsevier Inc, 2018) Naldemir, İbrahim F.; Güçlü, Derya; Altınsoy, H. Baki; Çanga, H. Berk; Önbaş, ÖmerThe occipital bone is a complex structure due to its anatomy and accessory sutures. Fracture - accessory suture differential diagnosis should be performed carefully in patients with a history of head trauma [4]. In this case report we wanted to emphasize that accessory sutures can be difficult to diagnose in patients with head trauma. We also specified the points to be considered in the suture - fracture differentional diagnosis. A bilateral, symmetrical fissure line was observed in the occipital bone basal part of the patient who was admitted to our emergency department due to head trauma. The patient was followed up with accessory suture and then discharged after paying attention to important points in the differential diagnosis. (C) 2017 Elsevier Inc. All rights reserved.Öğe Bilateral Conjugating Carotid Body Tumor and Associated Jugular Vein Aneurysm(Sage Publications Inc, 2023) Taydaş, Onur; Güçlü, Derya; Ünlü, Elif Nisa; Oğul, Hayri; Kantarcı, MecitCarotid body tumors (CBTs) originate from the paraganglionic tissue in the bifurcation of the common carotid artery. Magnetic resonance (MR) imaging is a commonly used diagnostic method in the preoperative diagnosis of these tumors. In this study, we demonstrated an isthmus between the right and left carotid body tumors in a patient with bilateral CBT. The left CBT also was associated with a saccular aneurysm of left external jugular vein.Öğe Cemento-Ossifying Fibroma With Cerebral Involvement(Sage Publications Inc, 2023) Güçlü, Derya; Ayyıldız, Veysel; Ünlü, Elif Nisa; Oğul, HayriCemento-ossifying fibroma (COF) is a rare fibro-osseous tumor. The lesion is most commonly seen in people in the third and fourth decade. There are three variants of ossifying fibroma; juvenile trabecular ossifying fibroma, juvenile psammomatoid ossifying fibroma, and COF. COF is highly cellular and contains a fibrous tissue that has different amounts of calcified tissue. Although histologically benign, it has a significant growth potential.Öğe Cerebellar Developmental Venous Anomaly Causing Tinnitus and Hemifacial Spasm: A Case Report(Sage Publications Inc, 2022) Oğul, Hayri; Ünlü, Elif Nisa; Güçlü, Derya; Köksal, Ali[Bastract Not Available]Öğe The Evaluation of Core Needle Breast Biopsy Analyzes Performed with 14 and 18 Gauge Needles: A Single Center Experience for Eight Years(2021) Altınsoy, Hasan Baki; Güçlü, Derya; Coşkun, Sinem Kantarcıoğlu; Boğan, MustafaAim: Percutaneous imaging-guided core needle breast biopsy has become widely used as analternative to incisional biopsy in the diagnosis of breast lesions. In this study, it was aimed toevaluate and report our core needle breast biopsy experiences performed with 14- and 18-gauge needles.Material and Methods: Patients who underwent core needle breast biopsy between March2012 and December 2019 in our radiology department and whose biopsy specimens wereevaluated in the pathology department, of all age groups and both sexes, were included in thisstudy. A total of 628 (615 female and 13 male) patients with breast masses were examined.Results: The mean age of the patients was 52.20±13.94 (median= 51, range, 13-96) years,90.4% (n=568) of the lesions were masses and the majority of lesions (53.2%, n=334) were11-20 mm in size. The most of cases (47.2%, n=268) were BI-RADS 5. There was nosignificant difference between the two needles in terms of gender distribution, age, type ofsurgery, and core needle breast biopsy results. In 86.5% (n=141) of the patients, there wasdiagnostic accuracy between the surgical specimen and the core needle breast biopsy result.Conclusion: We demonstrated that the 14-gauge and 18-gauge needles have similarperformance of results. Smaller needles should be used for ultrasound-guided breast biopsies,which is less invasive, less painful, and creates less risk of hemorrhage. Moreover, no patientadmitted to the emergency department because of the core needle breast biopsy acutecomplications such as hematoma, bleeding, etc. during this time.Öğe Evaluation of Thyroid Ultrasound and Thyroid Hormone Levels in Obese Patients who applied to the Outpatient Clinic of Family Medicine(Duzce Univ, 2016) Yılmaz, Aylin; Kara, İsmail Hamdi; Baltacı, Davut; Çeler, Hesna; Hakan, Leziz; Güçlü, Derya; Memişoğulları, RamazanObjective: In the present study, we aimed to evaluate obesity in terms of its effect on thyroid function and morphology. Methods: We included 327 consecutive obese patients (mean age 41.0 +/- 11.6) who applied to the Department of Family Medicine Obesity and Check-up Polyclinic of Dzce University School of Medicine and had an ultrasound scan (USG) between the months January to July 2012. Cases were classified as patients with obesity (n=130), patients with Type 2 Diabetes mellitus (DM) (n=27) and patients with Metabolic Syndrome (METS) (n=170). USG findings, as well as hematological, biochemical and hormonal parameters, were compared among these groups Results: When body mass index (BMI) values were compared between the groups, the highest results were found in DM group, and these results were statistically significant. In USG examinations of patients, 108 (29.2%) patients had nodules. There was no difference between the groups in terms nodule prevalence. When thyroid volumes were compared between the groups, the largest volumes were found in the DM group; however, this was statistically not significant. When thyroid stimulating hormone (TSH) levels were compared, the highest levels were in the obesity group; however, these results were again statistically insignificant. We observed that obese women and women with METS had higher TSH levels. Thyroid disorders were found less frequent in the DM group than the other groups, and these results were statistically significant. Conclusion: Although no significant difference was found between the groups in our study in terms of thyroid pathology, in the light of other studies, the prevalence of thyroid dysfunction in diabetic patients and patients with METS is 2-3 times higher than the normal population. Therefore the measurement of TSH should be made for all obese patients.Öğe Fokal Asimetrik Meme Dansitelerinin Değerlendirilmesinde Tomosentezin Tanıya Katkısı(2023) Güçlü, Derya; Naldemir, İbrahim Feyyaz; Unlu, Elif Nisa; Onbas, OmerAmaç: Bu çalışma ile mamografik incelemelerde fokal asimetrik dansite saptanan ve ek tetkik gerektiren olgularda tomosentezin tanıya katkısını araştırmak amaçlanmıştır. Gereç ve Yöntemler: Hastanemiz Radyoloji Anabilim Dalı Meme Görüntüleme Ünitesine Şubat 2020-Haziran 2022 tarihleri arasında tarama ya da tanısal amaçlı dijital mamografi tetkiki yapılan ve fokal asimetrik meme dansitesi saptanan 56 olguya, ek olarak tomosentez inceleme yapıldı ve bulgular BI-RADS kullanılarak sınıflandırıldı. Hasta yaşı, meme paterni, fokal asimetik dansite bulunan meme ve kadranı kaydedildi. Sonrasında tamamlayıcı ve altın standart tetkik olarak bilateral meme ultrasonografi incelemesi yapılarak bulgular kaydedildi. Bulgular: Dijital mamografi görüntüleme sonucunda fokal asimetrik dansite nedeniyle BI-RADS 0 olarak değerlendirilen 56 kadın olgunun ortalama yaşları 51,5 ± 8,1’dir. %12,5’i (n=7) A tipi, %42,9’u (n=24) B tipi, %41,1’i (n=23) C tipi, %3,6’sı (n=2) D tipi meme paternine sahiptir. Fokal asimetrik dansitelerin % 44,6’sı (n=25) sağ, %55,4’ü (n=31) sol memede saptanmıştır. Dijital tomosentez incelemelerinin değerlendirilmesinde, olguların % 41,1’i (n=23) BI-RADS 1, % 16,1’i (n=9) BI-RADS 2, % 21,4’ü (n=12) BI-RADS 3, 21,4’ü (n=12) BI-RADS 4 olarak sınıflanmıştır. Ultrasonografik incelemede hastaların %42,9’u (n=24) asimetrik fibroglandüler doku, %17,9’u (n=10) olası benign lezyon, % 19,6’sı (n=11) ise malign lezyon olarak değerlendirilmiştir. Histopatolojik inceleme önerilen 12 hastanın ikisi stromal fibrozis, diğer 10’u ise biri lobüler olmak üzere invaziv meme karsinomu olarak değerlendirilmiştir. Sonuç: Bu çalışma mamografik incelemeler ile morfolojisi değerlendirilemeyen ve ek tetkik gerektiren fokal asimetrik dansitelerde tomosentezin tanısal önemini vurgulamaktadır. Tomosentez, son dekatta kullanımı giderek artan ve parankime süperpoze lezyonlarda yaşanabilecek tanı güçlüklerini çözebilecek görece yeni bir tekniktir.Öğe Giant aneurysm of the posterior tibial artery revealed by a calf mass(Elsevier Masson s.r.l., 2022) Güçlü, Derya; Ünlü, Elif Nisa; Oğul, Hayri[No abstract available]Öğe Giant aneurysm of tibialis posterior artery presenting as calf mass(Elsevier France-Editions Scientifiques Medicales Elsevier, 2022) Güçlü, Derya; Ünlü, Elif Nisa; Oğul, Hayri[Bastract Not Available]Öğe A Giant Fronto-Ethmoidal Osteoma Presenting With Proptosis and Diplopia(Sage Publications Inc, 2022) Güçlü, Derya; Izgi, Emine; Ünlü, Elif Nisa; Oğul, HayriOsteomas are benign bone tumors commonly involving paranasal sinus walls. They are divided into three groups as ivory, mature, and mixed form. We reported demonstrative radiological features of an unusual case of giant osteoma presenting with proptosis and diplopia.Öğe Median nerve entrapment due to accessory palmaris longus muscle: MRI and sonography findings(BMJ Publishing Group, 2018) Güçlü, Derya; Arıcan, Mehmet; Ünlü, Elif Nisa[No abstract available]Öğe Membranous Nasopharyngeal Stenosis: Case Report(Sage Publications Inc, 2022) Güçlü, Derya; Ünlü, Elif Nisa; Oğul, HayriNasopharyngeal stenosis is a rare condition and occurs usually secondary to nasopharyngeal or oropharyngeal surgery and radiotherapy. It may cause obstructive symptoms in patients and is diagnosed usually with nasopharyngoscopy. Treatment is difficult and requires different surgical techniques including balloon dilatation. Even after a successful surgery, recurrence is very common.Öğe Parkinson hastalarının manyetik rezonans incelemesinde `susseptibilite ağırlıklı görüntüleme' sekansının tanıya katkısı(Düzce Üniversitesi, 2013) Güçlü, Derya; Büyükkaya, RamazanAmaç: Parkinson hastalığı, Alzheimer hastalığından sonra görülen en sık nörodejeneratif hastalık olup 60 yaş üstü toplumun %2?sinde görülmektedir. Parkinson hastalığı gibi nörodejeneratif hastalıklarda ve yaşla beraber beyinde bazal gangliyonlarda demir miktarı artmaktadır. Bu çalışmada, Parkinson hastalarında bazal gangliyonlardaki demir birikiminin susseptibilite ağırlıklı görüntüleme (SWI) ile değerlendirilerek, bu sekansın tanıya katkısının araştırılması amaçlandı. Yöntem ve gereç: Hastanemiz nöroloji polikliniğinde klinik olarak Parkinson hastalığı tanısı almış 35 hasta ile yine nöroloji polikliniğine baş ağrısı nedeniyle başvurmuş benzer yaş grubundan, bilinen bir hastalığı olmayan 19 kontrol hastası çalışmaya alındı. Hastaların var olan manyetik rezonans görüntüleri retrospektif olarak incelendi ve kontrol grubunun görüntüleriyle karşılaştırıldı. Hastaların demografik verileri, hastalık süreleri, tanı alma yaşı ve Parkinson hastalığı klinik skorları kaydedildi. SWI sekansında bazal gangliyonlardan intensite ölçümleri yapıldı. Elde edilen ölçümlerden kantitatif sinyal analizi yapmak amacıyla sinyal-gürültü oranı (SNR) hesaplandı. Bulgular: SWI sekansında bazal gangliyonlardan yapılan SNR ölçümleri hasta grubunda kontrol grubuna göre anlamlı olarak düşük bulundu (p<0,05). Hasta grubu içerisinde UPDRS klinik skoru, hastalık süresi ve tanı alma yaşı ile bazal gangliyonlardan yapılan SNR ölçümleri arasında korelasyon saptanmadı (p>0,05). Sonuç: Manyetik rezonans görüntülemede SWI sekansı Parkinson hastalığının tanısını destekleyici bir yöntem olarak kullanılabilir ancak hastalığın klinik şiddeti, tarafı ve progresyonunu göstermede SWI sekansı çok yararlı bulunmamıştır.Öğe An unusual cause of recurrent spontaneous pneumothorax: the Mounier-Kuhn syndrome(W B Saunders Co-Elsevier Inc, 2016) Ünlü, Elif Nisa; Annakkaya, Ali Nihat; Balbay, Ege Güleç; Aydın, Leyla Yılmaz; Safçı, Sinem; Boran, Mertay; Güçlü, DeryaWe present a case of 63-year-old man who was referred to the emergency department with a right-sided pneumothorax. He had a history of spontaneous pneumothorax for 2 times. The chest computed tomographic scan showed tracheobronchomegaly with an increase in the diameter of the trachea and right and left main bronchus. Fiberoptic bronchoscopy revealed enlarged trachea and both main bronchus with diverticulas. These findings are consistent with a diagnosis of Mounier-Kuhn syndrome. Mounier-Kuhn syndrome is a rare clinical and radiologic condition. It is characterized by a tracheal and bronchial dilation. Diagnosis is made by computed tomography and bronchoscopy. Mounier-Kuhn syndrome should be kept in mind in the differential diagnosis of recurrent spontaneous pneumothorax.
