Galip Akhan

Epidemiology of enuresis in Turkish children

To establish the prevalence of enuresis in Turkish children and to identify common methods of managing enuresis, a self-administered questionnaire was distributed to parents of 5754 children aged 7-12 years. From a response rate of 96% the overall prevalence of any reported nocturnal enuresis was 11.5% and diurnal enuresis was 0.5%. The prevalence of enuresis was higher in boys than in girls. Turkish parents primarily administered behavioural techniques for the management of enuresis. These results suggest that prevalence rates for nocturnal enuresis in Turkish children are similar to those in previous studies reported from Western Europe, the USA and Australia.

Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome

Abstract. To compare the efficacy of local steroid injection and open carpal tunnel release, a symptom and functional status questionnaire (Boston Questionnaire) and sensory and motor nerve conduction studies were performed in 90 patients with electrophysiologically proven idiopathic carpal tunnel syndrome, of whom 44 were treated surgically and 46 by two-dose steroid injection. Electrophysiologic studies and the Boston Questionnaire were applied before and at the 3rd and 6th months after treatment. Both groups showed significant improvement at first follow-up. The surgically treated group showed a significant and further improvement of symptoms and conduction values between the 3rd- and 6th-month evaluations, whereas no significant change was observed in the patient group treated by steroid injection. By the end of follow-up, 5% of the hands in the open carpal tunnel release (OCTR) group and 13% of the hands in the local steroid injection (LSIG) group showed electrophysiological worsening, and 5% of the hands in the OCTR group and 22% of the hands in the LSIG group showed symptomatic worsening. Our results show that steroid injection provides an improvement comparable with that from surgical release of the median nerve at a 3-month interval. However, this improvement is not long-lasting.

Electrocardiographic changes in patients with ischaemic stroke and their prognostic importance.

We investigated prognostic importance of electrocardiographic (ECG) changes in ischaemic stroke patients without primary heart disease because of the limited evidence. This study consisted of 162 patients (92 male, age 64 ± 14 years) with first ischaemic stroke presenting to hospital during 18 months. One‐month mortality was analysed by means of ischaemia‐like ECG changes, long QT and arrhythmia. Ischaemia‐like ECG changes were observed in 79% of stroke patients and long QTc in 26% and arrhythmias in 44%. Early mortality rate was 27% (n = 44). Age, ST‐segment change and abnormal U wave were univariate predictors of early mortality (each p < 0.05). In multivariate analysis, age > 65 years (OR = 1.4, p = 0.02) and presence of ST‐segment change (OR = 2.6, p = 0.01) were only independent predictors. Although sensitivity and specificity of ST‐segment change were relatively low to identify patients at risk of death, its negative predictive value was 82%.

Pheochromocytoma presenting with bithalamic infarction, dementia, and increased intraocular pressure.

The anatomic response to intravitreal bevacizumab injection in three patients with aggressive, posterior retinopathy of prematurity is described. In all cases, the worse eye was treated with a single intravitreal injection of 0.75 mg of bevacizumab as monotherapy or complementary to laser therapy. In 24 hours, all injected eyes showed regression of the tunica vasculosa lentis and iris vessel engorgement and disappearance of iris rigidity. In addition, plus disease and retinal proliferation began to regress. None of the eyes required additional treatment. Follow-up of up to 10 months

Karbonmonoksit Zehirlenmesi Sonucu Oluşan Demans (Olgu Sunumu)

SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 1995 Eylul; 2(3) Karbonmonoksit Zehirlenmesi Sonucu Olusan Demans (Olgu Sunumu) Galip Akhan Nezihi Eren Meltem Cetin

İntrakranial Kavernomalar (Olgu Sunumu)

SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 1995 Aralik; 2(4) Intrakranial Kavernomalar (Olgu Sunumu) Erdal Kalkan Galip Akhan Hasan R. Koyuncuoglu Gulsen Aydin Haci Kaymaz Aliye Sari Ahmet Dagtekin Ozet Santral sinir sisteminin oldukca nadir gorulen konjenital vaskulcr malformasyonlar grubundan olan kavernomalar; epileptik nobet yakinmasi ile basvuran ve cerrahi olarak tedavi edilen bir olgu nedeniyle literatur isiginda gozden gecirildi.Anahtar Kelimeler: Kavernoma, kavernoz hemanjiorna, konjenital vaskuler malformasyon. Abstract Intracranial Cavernomas (Case Report) in this article we prcsented a patient \vith a congenital cavernoma which was a rare congenital vascular rnalforniation. Patient suffering from epileptic seizures have been operated. Key Words: Cavernoma, cavernous hemangiotna, congenital vascular rnalforniation.