Person: EKİNCİ, GAZANFER
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EKİNCİ
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GAZANFER
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Publication Metadata only Corticospinal tract involvement in a patient with 3-HMG coenzyme A lyase deficiency(ELSEVIER SCIENCE INC, 2006) EKİNCİ, GAZANFER; Yylmaz, Yuksel; Ozdemir, Nihal; Ekinci, Gazanfer; Baykal, Tolunay; Kocaman, Canan3-Hydroxy-3-methylglutaryl coenzyme A lyase deficiency, an inborn error of ketone body synthesis and leucine degradation, is a rare disorder. There are few reports demonstrating clinical and neuroradiologic findings of this condition. This report describes a 3.5-year-old previously healthy male who was admitted with complex partial seizures and was diagnosed as having 3-hydroxy-3-methylglutaryl coenzyme A lyase deficiency. The patient's previous medical history was unremarkable. His development and neurologic examination were normal. Cranial magnetic resonance imaging indicated prominent corticospinal tract and pontine involvement with focal cerebral white matter changes which have not been described in the literature before. (c) 2006 by Elsevier Inc. All rights reserved.Publication Metadata only Point- and frequency-specific response of the testicular artery to abdominal electroacupuncture in humans(ELSEVIER SCIENCE INC, 2008) EKİNCİ, GAZANFER; Cakmak, Yusuf Ozgur; Akpinar, Ihsan Nuri; Ekinci, Gazanfer; Bekiroglu, NuralObjective: To clarify the role of the abdominal acupuncture points and the frequency of short-term electroacupuncture (EA) stimulation on testicular blood flow (TBF) in humans. Design: A prospective, randomized study. Setting: University hospital, Department of Radiology, ultrasound unit. Patient(s): Eighty healthy male volunteers were randomly allocated to three groups in stage one and to a single group in stage two. In the first stage of the study, the abdominal acupuncture points ST-29 (guilai) were stimulated using simple needle insertion, 2 Hz burst EA or 10 Hz EA. in three different groups. In the second stage of the study, abdominal acupuncture points ST-25 (tianshu) were stimulated with the frequency found to be more effective in stage one. Stimulation was for 5 minutes in each group. Intervention(S): Electroacupuncture and Doppler flowmeter. Main Outcome Measure(S): Four groups were compared for volume flow and other related parameters of TBF. Result(S): The 10-Hz EA stimulation of ST-29 (guilai) increased TBF, but simple needle insertion and 2-Hz burst stimulation did not. The 10-Hz EA stimulation of ST-25 (tianshu) did not result in significant changes in TBF. Conclusion(s): For the first time point- and frequency-specific effects of abdominal EA on TBF are shown in humans. Further investigation is required to ascertain whether these findings may be helpful in the clinical treatment of infertile men. (Fertil Steril(R) 2008;90:1732-8. (C)008 by American Society for Reproductive Medicine.)Publication Metadata only Büyüme geriliği olgusunda sıradışı hipofiz görünümü kontrast madde tutulumu göstermeyen hipofiz bezi(2007-10-27) ÇİMŞİT, NURİ ÇAGATAY; EKİNCİ, GAZANFER; ÇİMŞİT C., BAYSAL B., ÇİMŞİT N. Ç., EKİNCİ G., KURU L. İ.Publication Metadata only The clinical utility of 99(m)Tc-HMPAO SPECT in Fahr's disease(SPRINGER, 2008) GÜNAL, DİLEK; Ones, Tunc; Dede, Fuat; Gunal, Dilek; Ekinci, Gazanfer; Memis, Hatice; Erdil, Tanju Y.; Inanir, Sabahat; Turoglu, Halil T.Fahr's disease is a rare neurodegenerative syndrome, characterized by massive symmetrical intracerebral calcifications of the basal ganglia, dentate nuclei of the cerebellum, and the adjacent parenchyma. Computerized tomography (CT) is considerably more sensitive to detect these intracranial calcifications than other imaging modalities. The clinical, CT scan, and 99(m)Tc-D,L-hexamethylpropylene amine oxime (99(m)Tc-HMPAO) brain perfusion single-photon emission computerized tomography (SPECT) findings in a 42-year-old woman with Fahr's disease are reported, and the clinical utility of 99(m)Tc-HMPAO SPECT findings in Fahr's disease is discussed in this article. In conclusion, 99(m)Tc-HMPAO brain perfusion SPECT seems to be useful in the clinical approach to Fahr's disease, and may provide more specific and clinically relevant information when compared with anatomical imaging.Publication Metadata only Quantification of acromioclavicular reduction parameters after the Weaver-Dunn procedure(SPRINGER, 2009) KÜÇÜKDURMAZ, FATİH; Bezer, Murat; Saygi, Baransel; Aydin, Nuri; Kucukdurmaz, Fatih; Ekinci, Gazanfer; Guven, OsmanThe combination of the reconstruction of the coracoclavicular ligaments with the resection arthroplasty of the distal end of the clavicle is a commonly used technique in acromioclavicular separations. The purpose of the current study was to quantify the reduction parameters using 3-D CT and to analyze their effects on clinical outcomes. Case series. The patients with chronic symptoms after acromioclavicular dislocation (type III) were treated with reconstruction of the coracoclavicular ligaments. The average follow-up was 69.5 months. The patient group consisted of 21 men and 8 women. The initial treatment at the time of injury was nonoperative in 26 of 29 patients. CT was used to document anteroposterior (APD), craniocaudal (CCD) and mediolateral (MLD) acromioclavicular reduction parameters. Constant Shoulder scoring system was used. The mean preoperative Constant score was 56.62 +/- A 18.63 points while the postoperative score was 89.93 +/- A 10.79 points. The mean APD was 9.2 mm, the mean CCD was 1.1 mm and the mean MLD was 8.4 mm. There was no correlation between the APD, MLD and the Constant Scores. However, an inverse correlation between the CCD and the postoperative Constant Scores was found. CCD plays an important role on the postoperative function. If the CCD is larger, the Constant score is lower. The reduction loss is a distinctive parameter of the functional outcome, even when the reconstructed coracoclavicular ligament is intact. Secure fixation may be achieved with techniques preserving CCD.Publication Metadata only Intracranial sewing needle in a man with seziure: A case of child abuse?(ELSEVIER IRELAND LTD, 2007) EKİNCİ, GAZANFER; Tuncer, Nese; Yayci, Nesime; Ekinci, Gazanfer; Inanici, Mehmet Akif; Elmaci, IlhanPhysical abuse in infancy can cause persistent neurological deficits. Although intracranial foreign bodies are generally secondary to penetrating trauma or surgical procedures, rarely they also occur as a result of child abuse. A 32-year-old man presented with the complaint of generalized tonic clonic seizures to the Neurology Department of Marmara, University Hospital. Computerized tomography (CT) scan revealed a sewing needle located within the temporal lobe. The location and the position of the needle suggested that it must have been introduced in infancy through the lamdoid suture before the closure of it, as an unsuccessful deliberate homicide attempt or accidental injury. (C) 2006 Elsevier Ireland Ltd. All rights reserved.Publication Open Access Kolesistektomi ameliyatı sonrası hastaların memnuniyeti ve koledok çapındaki değişiklikler: uzun dönem sonuçları(2001-02-01) SEMİZ OYSU, ASLIHAN; GÜLLÜOĞLU, MAHMUT BAHADIR; TÜNEY, DAVUT; EKİNCİ, GAZANFER; ÖNER O. Z. , SEMİZ A., GÜLLÜOĞLU M. B. , TÜNEY D., EKİNCİ G., AKTAN Ö.Amac: Kolesistektomi amellyati olmu§olgularda uzun dOnemde koiedok kanali capindakive ameliyat Oncesi ve sonrasi semptomlardaki degi§ikliklerin saptanmasi, koledok kanali cap! ile semptomatik iyile§me arasindaki ili§kinin ara§tirilmasi. Durum degerlendirilmesi: Daha Once yapilan call§malar kolesistektomi sonrasi erken dOnemde koledok kanali capinda anlamli bir art oldugunu gOstermektedir. Ancak uzun dOnemde yapilan cali§malarda bOyle birarh§saptanmami§tinSemptomatik iyile§me Ile cap deg§iklikleri arasindaki ill§kinin ise halen bilinmemektedir. Yontem: Elektif §artlarda semptomatik safra kesesi tai nedeni ile acik veya laparoskopik yOntemle kolesistektomi yapilmi olan ve preoperatif donem koledok kanali cap bilinen 28 olgu de 'Oerlendirmeye aiindi. Postoperatif donemde en az dortyilini dolduran olgularin koledok kanali cap ultrasonografi ile olcOlerek preoperatif OlcOmler ile kar ila tinldi. Ayrica hazirlanan anket formu ile olgulann ameliyat Oncesi varolan yakinmalannin ameliyatsonrasindaki durumu sorgulandi. pkanmlar: Olgular medyan 98.5 ay (53 -135 ay) takip ediidi. Postoperatif ultrasonografi incelemelerinde %29 olguda koledok kanali gape 7 mm`nin Ozerinde olguldu. Preoperatif clOnemde bu oranin%43 oldugu saptandi. Preoperatif ye postoperatif Olciamler arasinda istatistiksel olarak anlamli fork bulunmadi. Olgulann tOmOnde anneliyat Oncesinde var olan koliktarzda kann agrisi yakinmasinin ameliyattan sonra ortadan kalktigi saptandi. Ameliyatsonrasinda hastalann medikal tedavi gerektirmeyen yakinmalannin ise koiedok kanali capindaki degi§iklikler lie iii kisi olmadigi gbrOld0. Sonuclar: Kolesistektomi sonrasi uzun donem sonunda yapilan incelemelerde hastalann koledok kanali cap OlcCimlerInde aniamli bir degi§iklik saptanmadi. Postkolesistektomi yakinmalannin derecesi Ile koledok kanali cap' arasinda ili§ki saptanmadi. Olgularda elde edilmi§ klinik ba§annin uygun hasta segimine bagli oldugu dO§C.InUld6.Publication Metadata only Akut apandisit olgularında kontrastsız helikal BT’nin tanı değeri(2003-01-01) TÜNEY, DAVUT; SEMİZ OYSU, ASLIHAN; EKİNCİ, GAZANFER; TÜNEY D., SUNGURLU F., TÜRK A., CİMŞİT Ç., YILDIZ M. E. , SEMİZ A., EKİNCİ G.Amaç: Akut apandisit olgularında kontrastsız helikal BT'nin tanısal etkinliğini belirlemek. Gereç ve Yöntem: Acil servis tarafından akut apandisit ön tanısıyla servisimize gönderilen toplam 22 olguya helikal BT incelemesi yapıldı. Tarama alanı T12 vertebra korpusu düzeyi ile simfiz pubis arası ve kesit kalınlığı 5 mm olarak belirlendi. İnceleme sırasında oral ya da intravenöz kontrast madde kullanılmadı. Apendeks çapının 6 mm ve üzerinde olması ile apendeks lojunda yumuşak doku dansitesinde kitle varlığı, akut apandisit açısından pozitif bulgular olarak kabul edildi. İki ayrı radyolog tarafından değerlendirilen filmler cerrahi girişim veya 15 günlük klinik takip sonuçları ile karşılaştırıldı. Bulgular: Cerrahi girişim ve klinik takipler sonucunda 12 olguda akut apandisit saptandı. BT ile 1 hastada yanlış pozitif sonuç alındı. Elde edilen verilerin değerlendirilmesinde helikal BT'nin akut apandisit tanısında duyarlılığı % 100, özgüllüğü % 91, pozitif öngörü değeri % 92, negatif öngörü değeri % 100, doğruluk oranı % 96 olarak saptandı. Sonuç: Kontrastsız helikal BT incelemesi akut apandisit şüphesi olan olguların değerlendirilmesinde güvenilir bir yöntemdir.