2017-03-01T00:00:00Z, Yalbuzdag, Seniz Akcay, Ince, Buğra, Karatepe, Altinay Goksel, Sengul, Ilker, Kaya, Taciser, İNCE, BUĞRA

In this paper, we present the case of a 27-year-old male patient who was admitted to our clinic with bilateral drop foot and spastic paraplegia after the ingestion of organophosphate (chlorpyrifos) and diagnosed with organophosphate induced delayed neuropathy (OPIDN). Patellar deep tendon reflexes were hyperactive, Achilles reflexes were absent, and patellar clonus were present bilaterally at the neurological examination. The results of electrophysiological studies were compatible with motor axonal polyneuropathy. The patient was admitted to the neurological rehabilitation program and was able to ambulate using a pair of plastic ankle-foot orthosis and walker. Six months after the baseline, Botulinum toxin type A was injected bilaterally to adductor magnus (100 U) and adductor longus (50 U) muscles. After the Botulinum toxin injection, spasticity of the hip adductor muscles was decreased from grade 4 to grade 3 according to the modified Ashworth scale. By the end of seven-month follow-up period, partial improvement was observed in the muscle strength of the patient, and he became independent in his daily activities. In this article, we discuss possible mechanisms of OPIDN, on the basis of clinical features and the rehabilitation process of a 27-year-old male patient diagnosed with OPIDN, with a review of the current literature.

2015-07-01T00:00:00Z, Sengul, Ilker, Akcay-Yalbuzdag, Seniz, Ince, Buğra, Goksel-Karatepe, Altinay, Kaya, Taciser, İNCE, BUĞRA

AimTo compare the Disease Activity Score with 28 joint (DAS28) using erythrocyte sedimentation rate (ESR) (DAS28-ESR) and DAS28 using C-reactive protein (CRP) (DAS28-CRP) with thresholds validated for DAS28-ESR in Turkish patients with rheumatoid arthritis.

2014-09-01T00:00:00Z, HEPGÜLER, ASİYE SİMİN, ÇAPACI, KAZIM, ÇINAR, ECE, Ince, Buğra, İNCE, BUĞRA

Pelvic digit is an unusual developmental anomaly in which bone develops in soft tissues adjacent to normal skeletal bone. It is an asymptomatic entity that is usually discovered incidentally. The importance of recognizing pelvic digit is in distinguishing it from post-traumatic ossification and avulsion injuries of the pelvis. We report pelvic digits discovered in plain films of two patients who presented with hip pain. One patient has accompanying femoroacetabular impingement on the same side, which may explain the presence of hip pain.

2016-01-01T00:00:00Z, Sengul, Ilker, Akcay Yalbuzdag, Seniz, Ince, Buğra, Karatepe, Altinay Goksel, Kaya, Taciser, İNCE, BUĞRA

Objectives: This study aims to explore current disease activity status and simultaneous pharmacological therapies in patients with established rheumatoid arthritis (RA) to determine the extent to which treatment targets are achieved.