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  • Küçük Resim
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    Investigating the Frequency of Stroke in SARS-CoV-2 Cases in Sakarya City, Turkey
    (2020) Kotan, Dilcan; Ateş, Ömer Faruk; Taydas, Onur; Öztürk, Mehmet
    Aim: The aim of this study is to identify the frequency of stroke among severe acute respiratorysyndrome coronavirus 2 (SARS-CoV-2) cases in Sakarya city, to find out the clinicalcharacteristics of patients diagnosed with stroke and to contribute to the national database.Material and Methods: This retrospective study was carried out with 783 cases diagnosedwith SARS-CoV-2 between April-June 2020 at the pandemic hospital in Sakarya city. Patientswere compared in terms of age, National Institute of Health Stroke Scale (NIHSS), risk factors,radiological findings, inpatient treatment, intubation, and mortality rates.Results: Out of 26 cases of ischemic stroke, 11 (42.3%) were male and 15 (57.7%) werefemale. In terms of infarction localization, the cause was medial cerebral artery (MCA) in 4(15.4%) patients, top of the basilar in 2 (7.7%) patients, basilar artery in 1 (3.8%) patient,lacunar in 9 (34.6%) patients and anterior system in 10 (38.5%) patients. There was nosignificant difference in terms of D-dimer and C-reactive protein (CRP) levels according todisease severity (both p=0.262). Three (0.38%) patients presented with stroke findings andwere diagnosed with SARS-CoV-2. Cryptogenic stroke was detected in 8 (30.8%) of theSARS-CoV-2 cases. Stroke frequency was calculated as 3.3% among the SARS-CoV-2 casesin Sakarya city.Conclusion: This is the first study to identify the frequency of stroke among SARS-CoV-2patients in Sakarya city and Turkey. Our study is important as it shows that preventing ortreating ischemic stroke in SARS-CoV-2 cases contributes greatly to the reduction ofmortality.
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    Posterior shoulder labrocapsular structures in all aspects; 3D volumetric MR arthrography study
    (British Inst Radiology, 2021) Ogul, Hayri; Taydas, Onur; Sakci, Zakir; Altinsoy, Hasan Baki; Kantarci, Mecit
    Pathologies of the posterior labrocapsular structures of the shoulder joint are far less common than anterior labrocapsuloligamentous lesions. Most of these pathologies have been associated with traumatic posterior dislocation. A smaller portion of the lesions include posterior extension of superior labral anteroposterior lesions, posterior superior internal impingement, and damage to the posterior band of the inferior glenohumeral ligament. Labrocapsular anatomic variations of the posterior shoulder joint can mimic labral pathology on conventional MR and occasionally on MR arthrographic images. Knowledge of this variant anatomy is key to interpreting MR images and studying MR arthrography of the posterior labrocapsular structure to avoid misdiagnosis and unnecessary surgical procedures. In this article, we review normal and variant anatomy of the posterior labrocapsular structure of the shoulder joint based on MR arthrography and discuss how to discriminate normal anatomic variants from labrocapsular damage.