Browsing by Author "Baydar, C."

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Analysis of the Clinical and Demographic Data of the Patients Diagnosed With Myastenia Gravis Followed-Up in Our Clinic
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Yılgör, A.; Baydar, C.
Objective: The objective of this study is to evaluate the demographic characteristics as well as the clinical course, antibod y, and electrophysiological characteristics of the patients diagnosed with Myastenia Gravis (MG ) followed-up in our clinic. Material and Method: The demographic characteristics as well as the radiological characteristics, clinical follow-ups, antibody results and electrophysiological characteristics of 99 MG patients followed-up in our Neuromuscular and Muscle Diseases Outpatient Clinic for a period of 5 years are examined. Findings: The mean age of the patients was 44,38±15,2. The number of patients followed-up as isolated ocular MG was 22,22% (n=22). Acetylcholine receptor antibody (AntiAChRAb) was found positive in 53,54% (n=53) of the patients and thymus pathology (Thymoma + post-thymectomy thymic hyperplasia) was found in the thoracic tomography of 42,42% (n=42) of the patients. Result: Although the pathologies in the development of MG are well known, in some cases, there may be some problems in the follow-up and treatment of MG patients. Therefore, detailed patient follow-up and long-term clinical monitoring is important in MG patients. There are some limitations due to the fact that this is a h ospital-based study. An example of such limitations is the lack of data related to responses to the treatment. More extensive epidemiological studies on this matter will be more informative. Detailed patient file recording and administration of individuali zed treatments will provide positive results in the long term in MG patients who suffer from a chronic disease which progress with flare ups. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Relationship Between Entrapment Level of The Nerve and Upper Extremity Function and Sleep Quality in Ulnar Neuropathy Patients
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Şah, V.; Baydar, C.; Örün, M.O.; Elasan, S.
There are few studies on sleep and upper extremity dysfunction in ulnar nerve entrapment neuropathy, despite previous demonstrations of deterioration in sleep quality and a decrease in functional activity level in carpal tunnel syndrome. This study aims, for the first time in the scientific literature, to compare sleep and dysfunction between clinical conditions that occu r at the two levels where the ulnar nerve is most commonly entrapped (elbow/cubital tunnel and wrist/Guyon’s canal). This study aims, for the first time in the scientific literature, to compare sleep and dysfunction between clinical condition s that occur at the two levels where the ulnar nerve is most commonly entrapped (elbow/cubital tunnel and wrist/Guyon’s canal). 20 (twenty) patients diagnosed with 'Ulnar entrapment neuropathy' by clinical evaluation and EMG (Electromyelography) were included in the study. The values of motor and sensory conductions were recorded according to the entrapment levels in EMG. The Disabilities of the Arm, Shoulder, and Hand (DASH) index was used to evaluate upper extremity function, and the Pittsburg Sleep Quality Index (PSQI) was used to determine sleep disorders. The average DASH score of patients with wrist entrapment (Guyon's canal) was found to be worse than the DASH score average of patients with cubital tunnel entrapment. However, this difference was not statistically significant (p = 0.210). The mean PSQI score of patients with entrapment in the wrist (Guyon 's canal) was found to be higher than the mean PSQI score of patients with cubital tunnel entrapment. However, this difference was not statistically significant (p = 0.787). Symptom severity in ulnar entrapment neuropathy syndrome negatively affects functi onal status and sleep quality. In the treatment of ulnar entrapment neuropathy, treatments aimed at restoring not only entrapment symptoms but also upper extremity function and sleep quality should be considered. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.