Person: MATUR, ZELİHA
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Publication Metadata only Restless Legs Syndrome in Patients with Behcet-s Disease and Multiple Sclerosis: Prevalence, Associated Conditions and Clinical Features(2020-03-01T00:00:00Z) Onalan, Aysenur; Matur, ZELİHA; Pehlivan, Munevver; Akman, Gulsen; MATUR, ZELİHAIntroduction: To investigate the prevalence and characteristics of Restless Legs Syndrome (RLS) in patients with Behcet-s Disease (BD) and Multiple Sclerosis (MS).Publication Metadata only Neurogenic heterotopic ossification in Guillain-Barre syndrome: a rare case report(2020-03-01T00:00:00Z) Nalbantoglu, Mecbure; Tuncer, Ozlem Gungor; Acik, M. Eren; Matur, ZELİHA; Altunrende, Burcu; Ozgonenel, Ebru; Ozgonenel, Levent; MATUR, ZELİHANeurogenic heterotopic ossification (NHO) is an abnormal development of bone in extra-skeletal tissues, related to neurological disease. NHO is frequently seen after traumatic brain injury or spinal cord injury. NHO may also occur as a rare complication of Guillain Barre Syndrome (GBS). Here, we present a 39 year old man with an acute onset of GBS who developed NHO around both hips two months after the disease onset. Our patient had a history of mechanical ventilation, incomplete tetraplegia and prolonged immobilisation. The pathogenesis of NHO is unclear. Various risk factors have been associated with the development of NHO; prolonged coma, long-term sedation, spasticity, degree of paralysis. NHO is a rare complication of GBS and physicians should be aware that it can develop especially in patients with severe paralysis and in need of mechanical ventilation. Pain and restriction of movements, especially in the hips, should bring NHO to the mind.Publication Metadata only Evaluation of neurological examination, SEP results, MRI results, and lesion levels in patients who had been operated for myelomeningocele(2020-10-01T00:00:00Z) Canaz, Gokhan; Canaz, Huseyin; Erdogan, Ezgi T.; Alatas, Ibrahim; Emel, Erhan; Matur, ZELİHA; MATUR, ZELİHAObjective: Myelomeningocele is the most severe and the most frequent form of spina bifida. Most of the myelomeningocele patients undergo operations in new-born age. In terms of life quality and rehabilitation, follow-up-s of these patients in the growth and development period after the operation is critical. In our study, our aim is to emphasize the correlation of SEP results with MRI results and clinical features of the myelomeningocele patients. Materials and Methods: In our study, we included 36 patients who had undergone myelomeningocele operation and have been followed-up in Istanbul Bilim University Florence Nightingale Hospital, Spina Bifida Research and Treatment Centre. Posterior tibial nerve SEP was performed on each patient and neurological examinations were done in the same session. Results were compared with clinical functional lesion levels, levels of fusion defect and ambulation levels. In order to evaluate SEP results, we used age-related reference values from Boor et al.-s study in 2008. Patients were grouped as normal, unilaterally prolonged, bilaterally prolonged, unilaterally lost, and bilaterally lost. Results: The correlations of posterior tibial nerve SEP results were significant with ambulation levels (r = 0.428, P < 0.01), clinical functional lesion levels (r = 0.477, P < 0.01) and fusion defect levels (r = -0.528 P < 0.05). The lumbar SEP results were only significantly correlated with functional lesion levels (r = 0.443 P < 0.05). Conclusions: Radiological studies are insufficient when evaluating the functionality of the central nervous system. To fully evaluate the functionality and watch the neurological development with accuracy, especially in operated patients, electrophysiological studies should be an indispensable part of myelomeningocele follow-ups.Publication Metadata only Prospective Analysis of the Swallowing Reflex After Sagittal Split Osteotomy: Comparison with Normal Volunteers(2020-10-01T00:00:00Z) GENÇ, Ayşenur; İŞLER, Sabri Cemil; KESKİN, Cengizhan; ÖGE, Ali Emre; Matur, ZELİHA; MATUR, ZELİHAThe aim of this study was electromyographic description of changes in swallowing before and after bilateral sagittal split ramus osteotomy. In this prospective study, twenty-eight patients were divided into 3 groups according to the occlusion pattern: Group I (Angle Class III), Group II (Angle Class II), and Control (Class I). Serial cone-beam computed tomography analyses and electromyographic data were collected preoperatively, 1st and 6th months after setback surgery in Group I, and advancement surgery in Group II. Swallowing reflex with 3-20 ml water bolus were studied. Patients were further divided into two subgroups according to the magnitude of relapse. The mean setback of the mandible was 4.62 +/- 1.92 mm in Group I, and the mean advancement was 4.19 +/- 2.00 mm in Group II. Mandibular relapse rate was 17.40%. Oral preparation phase shortened after surgery in both study groups. Two subjects in Group II and one in Group I had piecemeal deglutition, and two of them became normal postoperatively. Most of the swallowing durations of the relapsed cases were longer than those of stabilized patients. Important clinical considerations are as follows: the oral preparation period becomes shorter after surgery; piecemeal deglutition may disappear after treatment; and individuals with a longer oral period and piecemeal deglutition may have increased tendency to skeletal relapse. This multidisciplinary study enhances our understanding of the adaptive response to the swallowing reflex after orthognathic surgery and provides novel insight into the association between the submental muscle activity and relapse in orthognathic patients.Publication Metadata only Genotypic and phenotypic features of mutations in the HINT1 gene among Turkish patients with hereditary axonal neuropathy(2021-03-01T00:00:00Z) Acarli, Ayse Ozdag; ÇAKAR, Arman; Candayan, Ayse; DURMUŞ TEKÇE, Hacer; Ceylaner, Serdar; Matur, ZELİHA; Oge, Ali; Parman, Yesim; MATUR, ZELİHA