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  • Küçük Resim
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    Epileptic seizures in cerebral venous sinus thrombosis: Subgroup analysis of VENOST study
    (W B Saunders Co Ltd, 2020) Uluduz, Derya; Midi, Ipek; Duman, Taskin; Yayla, Vildan; Karahan, Ali Yavuz; Afsar, Nazire; Ince, Birsen
    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.
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    Relationship Between Foot Muscle Strength with Achilles Tendon Thickness and Plantar Fascia Thickness
    (2022) Bakırcı, Sinan; Çay, Mahmut; Karahan, Ali Yavuz; Şenol, Deniz; Yılmaz, Hakan
    Aim: There is essential coordination between foot muscle strength, Achilles tendon, and plantar fascia. This study aims to show the mathematical relationship between foot muscle strength and plantar fascia thickness and Achilles tendon thickness. Material and Method: The study was conducted with 57 volunteering individuals (30 males, 27 females) between the ages of 18 and 40. Plantar fascia thickness and Achilles tendon thickness were measured with the ultrasound. Foot muscle strength was measured with a digital hand dynamometer. The data obtained were statistically evaluated. Results: A positive, moderately strong correlation was found in men between left side Achilles tendon thickness and plantar fascia thickness (p<0.05). A positive, reasonably strong relationship was found in women between left foot muscle strength average and plantar fascia thickness (p<0.05). However, in all groups, the right foot muscle strength average had a positive, moderately strong correlation with Achilles tendon thickness and plantar fascia thickness (p<0.05). In all groups, it was found that the right-side Achilles tendon thickness had a positive, moderately strong correlation with plantar fascia thickness (p<0.05). On the other hand, when the genders were compared, a statistically significant difference was found between right foot muscle strength and plantar fascia thickness and Achilles tendon thickness (p<0.05).Conclusion: We believe that the fact that there are different results between men and women and even on the right and left sides of the same gender will be useful, especially in terms of clinic physicians’ approaches towards diagnosis and treatment.