Browsing by Author "Tekeoǧlu, I."

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Aseptic Spondylodiscitis (Andersson Lesion) Mimicking Vertebral Malignancy: Case Report
(2009) Hiz, Ö.; Toprak, M.; Erden, M.; Alpayci, M.; Tekeoǧlu, I.
A well known complication in cases with ankylosing spondylitis is the development of vertebral and discovertebral lesions localized on the spine. In this report, we have presented a 24 year-old case that had undergone an operative procedure four years ago with the pre-diagnosis of malignancy of the vertebrae, but which had later turned out to be non-malignant after histopathological examinations. The case was diagnosed as ankylosing spondylitis due to the presence of radiological findings of romanus lesion and spondylodiscitis (Andersson lesion), continuous back pain and morning stiffness. When a vertebral-intervertebral disc lesion is detected in cases with chronic back pain, clinical, radiological and laboratory findings should be evaluated together and aseptic spondylodiscitis due to AS should be kept in mind. Copyright © 2009 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.
Atlantoaxial Subluxation in Three Cases
(2007) Tekeoǧlu, I.; Demir, S.S.; Şenol, S.
Atlantoaxial subluxation is a distinctive finding in rheumatoid arthritis which may also occur in early disease process. With chronic and severe disease, subluxation or dislocation of one or several levels of cervical spine may occur. The most important result of atlantoaxial subluxation in rheumatoid arthritis is spinal cord damage. Atlantoaxial subluxation is seen rarely in ankylosing spondylitis with mild neurological signs. In this report we aimed to present atlantoaxial subtuxation in three rheumatic cases, one with ankylosing spondylitis and two having rheumatoid arthritis. One of the patients with rheumatoid arthritis developed neurological signs of medullary cord compression.
Bilaretal Complex Regional Pain Syndrome After Bilateral Calcaneal Fractures: Case Report
(2010) Hiz, Ö.; Ediz, L.; Ceylan, M.F.; Gülcü, E.; Tekeoǧlu, I.
Complex regional pain syndrome (CRPS) is a painful complication of a fracture, surgery, or other type of injury. Currently KBAS is categorized as CRPS-1 when no clear nerve injury is defined, and CRPS -2 when associated with clear nevre injury. Central and peripheral theory have been reported in etiopathogenesis of CRPS -1. Generally, it occurs in the injured limb but, it may ocur in the opposite extremities. İn this article, we have presented a case developing bilateral CRPS -1 after bilateral calcaneal fracture.
Complex Regional Pain Syndrome Type I (shoulder-Hand Syndrome) in an Elderly Patient After Open Cardiac Surgical Intervention; a Case Report
(2011) Ediz, L.; Ceylan, M.F.; Hiz, O.; Tekeoǧlu, I.
We described the first case report in the literature who developed Complex Regional Pain Syndrome (CRPS type I) symptoms in his right shoulder and right hand within 15 days after open cardiac surgery and discussed shoulder-hand syndrome (CRPS type I) and frozen shoulder diagnosis along with the reasons of no report of CRPS type I in these patients. We also speculated whether frozen shoulder seen in postthoracotomy and postcardiac surgery patients might be CRPS type I in fact.
Effect of Weekly Alendronate on Knee Symptoms in Patients With Osteoporosis and Knee Osteoarthritis Coexistence
(2010) Ediz, L.; Hiz, Ö.; Toprak, M.; Tekeoǧlu, I.
Aim: The aim of this study was to examine the effect of alendronate 70 mg weekly on knee symptoms in elderly women with osteoporosis and knee OA coexistence. Material and Methods: Elderly women who diagnosed as osteoporosis between 60-75 years old, underwent radiography of the knee if they reported symptoms of knee OA. Radiographs were read for Kellgren and Lawrence grade and individual features of OA. Osteoporotic patients with Knee OA treated with 70 mg alendronate once weekly for one year. Knee symptoms were assessed by interview before the treatment and 6 and 12 months after the treatment, and knee pain severity was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lequense index, VAS at rest and at movement. Results: Alendronate 70 mg once weekly use was associated with less severity of knee pain as assessed by WOMAC scores, Lequense index, VAS at rest and at movement at 6th and 12th month assessments. Conclusion: This current study has shown that Alendronate 70 mg once weekly use was associated with less severity of knee symptoms in elderly women with osteoporosis and knee OA coexistence. Additional long-term randomised, placebo controlled clinical trials are needed to confirm this effect of weekly Alendronate.
Electroacupuncture in the Treatment of a Ganglion of the Wrist - a Case Report
(2006) Tekeoǧlu, I.; Doǧan, A.
A ganglion is a cystic swelling that occurs most commonly in women. Recurrence is possible after conservative or surgical treatment. A novel method of therapy, electroacupuncture stimulation, was performed in a 53 year old woman with a large, recurrent dorsal wrist ganglion. After treatment it rapidly disappeared and there was no recurrence during the one year follow-up period. Although the mechanism is obscure, it is our impression that electroacupuncture may have a local action on such cysts in addition to needle drainage.
Evaluation of Fatigue in Behçet's Syndrome; Relationship With Disease Activity, Clinical Manifestations, Anxiety, Depression, and Daily Living Activities
(2010) Karaaslan, G.; Hiz, O.; Ediz, L.; Tekeoǧlu, I.; Keskin, S.
Objective: The aim of this study was to assess fatigue in patients with Behcet's Syndrome and to identify the relationship between fatigue and clinical signs, psychological status and activities of daily living in these patients. Material and Methods: Seventy-six Behcet's Syndrome (BS) patients who were diagnosed with at least one year and the same number of healthy control subjects with similar demographic features were included in the study. Multidimension Assessment of Fatigue (MAF) used for evaluation of fatigue in both groups. In addition, hospital depression and anxiety scale and short form 36 were filled by the patients. Results: A negative correlation between level of education and the degree and severity of fatigue was found, while there was a positive correlation between disease duration and degree and severity of fatigue, and the global score. Threre was correlation between clinical signs of Behcet's disease and some sub-groups of the MAF, however the global score was not significantly correlated. Statistically significant high scores of MAF values were found in patients with BS in comparison with the control group. There was a positive correlation between anxiety, depression and fatigue values in patients with BS. Negative correlation determined between all parameters of daily living quality (SF-36) and fatigue values of the patients. Conclusion: Fatigue is common in BS and closely associated with psychological status and affects negatively activities of daily living. Therefore, it should be taken into account in the evaluation of BS patients. Copyright © 2010 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.
Juvenile Scleroderma and Calcinosis Cutis: Case Report
(2009) Tekeoǧlu, I.; Hiz, O.; Özkan, Y.; Söker, D.; Özçelik, R.
Calcinosis cutis is a tissue calcification of cutaneous tissues. It is divided into four categories: dystrophic, metastatic, idiopathic and iatrogenic. The dystrophic type, which develops secondary to non-metabolic diseases, is the most common type. It may be observed in collagen tissue diseases including scleroderma, CREST syndrome, dermatomyositis and systemic lupus erythematosus. In this report, we present a 9-year-old patient with swelling and roughness on both hands and arms, solid nodules on the anterior aspect of both arms next to the elbows- more prominent on the left side- who was under follow-up for juvenile rheumatoid arthritis (JRA) for the last 3 years. Histopathological examination of the cutaneous biopsy material obtained from a nodular lesion and magnetic resonance images revealed the diagnosis of scleroderma and calcinosis cutis. In accordance to the result of the assessment of the patient, we suggest that scleroderma should always be kept in mind in the differential diagnosis of calcinosis cutis in patients with JRA. Copyright © 2009 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.
Osteoporosis in a Male Patient With Leprosy: a Case Report
(2010) Hiz, Ö.; Özkan, Y.; Gülcü, E.; Tekeoǧlu, I.
Leprosy is a chronical infectious disease caused by Mycobacterium Leprae involving peripheral nerve, skin, reticuloendothelial system, eyes, testicles and other internal organs. Low bone mineral density in male patients with leprosy due to inactivity, neuropathy, musculosceletal pathology, testicular atrophy and hypogonadism is possible. In this report, we present a male case with hypogonadism and testicular atrophy caused by leprosy and aim to discuss its effects on androgen and bone mineral density.
Postpartum Septic Sacroiliitis: a Case Report
(2007) Tekeoǧlu, I.; Toprak, M.
In this report we presented a patient with post-partum sacroiliitis. Pyogenic sacroiliitis occurs infrequently during the peripartum period. Pyogenic sacroiliitis often presents unilaterally, but it can also occur bilaterally. It is usually accompanied with pain in the buttocks. A 28-year-old female patient gave birth to her fourth child through vaginal delivery. Eight days postpartum, she had pyrexia, sweating, coxalgia and low back pain. On admission she had tenderness in the left hip and sacral area with a body temperature of 38.5 °C, a total white cell count of 21.800/mm3, a C-reactive protein level of 120 mg/dl (N: 0-5), and an erythrocyte sedimentation rate of 40 mm/h. She was found negative for brucellosis. The patient who had been hospitalized in the infection disease clinic due to high fever on the postpartum eighth day was transferred to Physical Medicine and Rehabilitation/Rheumatology clinic because of hip and low back pain on the postpartum twentieth day. Sacroiliac magnetic resonance imaging examination was consistent with left sacroiliitis and fluid collection in left psoas muscle. She responded positively to the treatment, obviating any need to artrosynthesis.
Rheumatoid Arthritis-Like Hand Deformities in a Case With Osteogenesis Imperfecta: a Case Report
(2010) Hiz, Ö.; Ediz, L.; Ceylan, M.F.; Özkan, Y.; Tekeoǧlu, I.
Osteogenesis imperfecta is a disease that involves mesodermal tissues and characterized by decreased bone mass and increased bone fragility. Bone fractures developed due to ligamentous laxity, low energy trauma and joint deformities and contractures due to dislocations may be seen during the disease process. For that reason, it could be confused especially with rheumatoid arthritis. In this article we presented a case with osteogenesis imperfecta that misdiagnosed as rheumatoid arthritis because of joint deformities and common joint pain.
Sleep Quality and Pain Threshold in Patients With Fibromyalgia
(W.B. Saunders, 1999) Aǧargün, M.Y.; Tekeoǧlu, I.; Güneş, A.; Adak, B.; Kara, H.; Ercan, M.
The purpose of the study was to examine the association between the subjective sleep quality and pain threshold in fibromyalgia. Sixteen patients with fibromyalgia were included in the study. The pain threshold was determined using a manual algometer. The Pittsburgh Sleep Quality index (PSQI) was used to assess sleep quality. The pain threshold was negatively correlated with the scores for subjective sleep quality, habitual sleep efficiency, and sleep disturbance and the PSQI global score. We conclude that there is a negative correlation between pain and sleep disturbance: increased pain sensitivity is associated with greater sleep disturbance.
Sleep Quality, Depression and Anxiety in Carpal Tunnel Syndrome
(2008) Tekeoǧlu, I.; Gülcü, E.; Sayin, R.; Beşiroǧlu, L.; Yazmalar, L.
Objective: The purpose of this study was to examine the sleep disorders, anxiety and depression caused by CTS in patients, and whether electrodiagnostic study findings were associated with the severity of symptoms of sleep quality, anxiety and depression in patients. Materials and Methods: Using a case-control methodology, 87 electrophysiologically confirmed CTS patients with a mean age of 45±13 (27-62) years (86.9% women, n=73) and 50 controls with a mean age of 40±9.2 (21-56) years (54% women, n=27) were examined. Clinical neurological examinations of CTS patients and validated Turkish version of self-reported Sleep Quality Index, Beck Depression Scale and Beck Anxiety Scale were employed. Results: The majority of patients in the CTS group had worse symptoms of depression and anxiety, compared with the control group (p<0.05). The severity of CTS was not significantly associated with right and left hand utilization and the severity of symptoms of self-reported sleep quality, anxiety and depression scales. There were no statistically significant relationships between the electrodiagnostic findings and the patient functional status and symptom severity. Conclusion: Electrodiagnostic findings and patient CTS-related symptoms and sleep, anxiety and depression appear to be independent measures. Clinicians and researchers interested in CTS outcomes need to assess both. While depression and anxiety levels are found to be high in CTS, sleep-quality is relatively low. However, knowing that there is no correlation between the intensity of the illness and the number of symptoms with those variables, leads us to consider that the severity of the illness is evaluated on the self reports of patients. For this reason, physical impacts of the illness should also be evaluated as subjective.