Browsing by Author "Üstyol, L."

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Choledochus Cyst: a Case Report
(2011) Kaya, A.; Aktar, F.; Açikgöz, M.; Üstyol, L.; Başaranoǧlu, M.; Arslan, S.
The etiologies of choledochus cysts are not exactly known. Its classic triads are abdominal pain, mass in abdominal area and icter. A 2-year-old girl was brought in with temperature, vomiting and abdominal pain complaints. In her physical examination, there was no sensitivity, defense and rebound in the abdomen. There was also no icter in her body. In the laboratory examination aspartate transaminase and alanine aminotransferase were slightly high, gama-glutamyl transferase and alkaline phosphatase also significantly high. Her abdomen ultrasonography showed a dimensionally cystic dilatation with dimensions of 2x1,5 cm and cholecytitis was seen in choledochus proximals. In abdomen computerized tomography a dimensionally 13 mm cystic structure was observed in choledochus distal terminus adjacency associated with choledochus. Our case was orientated to pediatric surgery in terms of follow-up and therapy.
Clinical and Neurological Findings of Severe Vitamin B12 Deficiency in Infancy and Importance of Early Diagnosis and Treatment
(2013) Demir, N.; Koc, A.; Üstyol, L.; Peker, E.; Abuhandan, M.
Aim Nutritional vitamin B12 deficiency among children in developing countries may lead to a severe clinical status. In this article, the clinical manifestations of vitamin B12 deficiency and the consequences of delay in its diagnosis have been evaluated. Methods A total of 41 patients who were hospitalised and treated with the diagnosis of severe vitamin B12 deficiency in the paediatric haematology department of the hospital were enrolled in the trial. The diagnosis of severe vitamin B 12 deficiency was based on haematological values, a serum vitamin B12 level of <100 pg/mL and a normal level of folic acid. Mental, neuro-motor and social developments of the enrolled patients were assessed by the same physician using the Ankara Developmental Screening Inventory. Results The mean age of 25 male and 16 female patients was determined as 12 (6-18 months) months. Almost all of the children had been fed with breast milk and a poor nutritional state was found in all of the mothers. Non-specific findings such as growth retardation (78%), hyperpigmentation of the skin (78%), diarrhoea (63.4%), convulsion (14.6%), weakness, reluctance to eat, vomiting, irritability and tremor were found in all the patients, in addition to hypotonia, motor retardation and pallor. Treatment with vitamin B12 provided recovery in all the patients. The mean age of the patients with full recovery was 11.7 months, while the mean age of patients with partial recovery was 12.9 months. Conclusion As a delay in the diagnosis causes irreversible neurological damage, early diagnosis and treatment is highly important. © 2013 The Authors. Journal of Paediatrics and Child Health.
Comparıson of Pulse Oxymeter and Cerebral Oxymeter Values in Healthy Newborns in the First Five Mınutes of Life
(Nobelmedicus, 2014) Taskin, G.A.; Kaya, A.; Sal, E.; Üstyol, L.; Peker, E.; Tuncer, O.; Kırımi, E.
Objective: Practical approaches in delivery rooms have been discussed about oxygen usage in recent years. In this study, it was aimed to correlate preductal arterial oxygen saturation (SpO2), heart rate per minute and serebral oxygen saturation (SbO2) values of first five minutes of life and to try the pulse oxymeter (PO) and cerebral oxymeter (SO) usage practice in delivery room. Material and Method: A hundred healthy term uncomplicated newborn babies, who were born via normally spontan vaginal route, were included in the study. SpO2, SbO2, heart rate measurements and blood gase analysis of first five minutes of postnatal life were completed. Babies, who needed oxygen during measurements, were not taken in to the study.. Results: While postnatal 1st minute SpO2 value was 83.0±4.4 (74-94)%; at 5th minute these measurements reached to 92.9±3.5 (85-98)% with gradually increment. Except values of 4th and 5th minutes; SpO2 values were found statistically significant high with each other (p<0.05). At SbO2 measurements, suitable data was taken from 100% of the babies in first minute of life. While postnatal mean SbO2 value of the first minute was 48.9±9.9 (32-74)%; these measurements were reached to 69.9±9.5 (46-89)% at 5th minute gradually increment as like as SpO2 values. Conclusion: SO is complementary to PO in delivery room and can be used routinely. It was seen also in our study; oxygen need of newborns can be determined faster and more accurately with SO use in delivery room so unnecessary oxygen usage and its potential risks can be avoided.. © 2015, Nobelmedicus. All Rights Reserved.
Kluver-Bucy Syndrome Developed After Convulsion: a Case Report
(2011) Okur, M.; Yilmaz, C.; Epçaçan, S.; Üstyol, L.; Kaya, A.; Çaksen, H.
Kluver-Bucy syndrome is characterized by increased appetite, hypersexuality, hypermetamorphosis, memory disorders, visual agnosia, stagnancy, aphasia, bulimia, polyuria, and polydipsia. A 14 year old girl had generalized tonic-clonic convulsions at admission, and an incomplete Kluver-Bucy syndrome with hypersexuality, recent memory disturbance, hypermetamorphosis, speech disturbance, hyperactivity, agitation, aggressiveness, and hallucinations, developed the following day. Here in, we report a case of KBS in a child with epilepsy.
Pierre Robin Sequence With H-Type Tracheoesophageal Fistula and Congenital Heart Disease
(2013) Demir, N.; Peker, E.; Tuncer, O.; Üstyol, L.; Bulan, K.
Pierre Robin sequence (PRs) is a congenital disease characterized by micrognathia, cleft palate, glossoptosis and a wide range of other anomalies. The treatment of patients with PRs may be problematic due to the varying anomalies and high mortality rate. In this case report, a 1-day-old newborn with micrognathia, cleft lip and palate, glossoptosis, a membranous ventricular septal defect and an H-type tracheoesophageal fistula has been evaluated and discussed considering the current literature. To the best of our knowledge, the coexistence of PRs with a membranous ventricular septal defect and H-type tracheoesophageal fistula has not been previously described. © 2013 Elsevier Ireland Ltd.
Two Novel Associations in a Case With Walker Warburg Syndrome; Enophthalmia, Interhemispheric Cyst and Cerebral Hematoma
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Kaba, S.; Doğan, M.; Bulut, M.D.; Bulan, K.; Demir, N.; Üstyol, L.; Ceylan, N.
There were severe brain malformations, hydrocephaly, myopathy and congenital cataract in a 5-month old girl presented with seizure. Walker Warburg syndrome is the most severe form of congenital muscular dystrophy accompanied by brain and eye anomalies. The findings in this case fulfilling diagnostic criteria of Walker Warburg syndrome other than type 2 lissencephaly suggest an intermediate form between Walker Warburg syndrome and muscle-eye-brain disease. In this manuscript, we intended to present this case presenting features (enophthalmia, interhemispheric cyst and cerebral hematoma) not reported previously in the spectrum of congenital muscular dystrophy-dystroglycanopathy with brain and eye anomalies. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.