Person: MİDİ, İPEK
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MİDİ
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İPEK
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Publication Metadata only Predictors of refractoriness in a Turkish status epilepticus data bank(ACADEMIC PRESS INC ELSEVIER SCIENCE, 2009) MİDİ, İPEK; Agan, Kadriye; Afsar, Nazire; Midi, Ipek; Us, Onder; Aktan, Sevinc; Aykut-Bingol, CananRefractory status epilepticus (RSE) is known to constitute approximately 10-50% of all cases of status epilepticus (SE) and is associated with significant morbidity and mortality. In the present study, data from a prospectively collected SE database were analyzed. Patients with RSE (defined as a SE episode requiring a second line of intravenous treatment following intravenous phenytoin) were compared with patients with nonrefractory SE (NRSE); 290 episodes of SE were identified, of which 108 (38%) were defined as RSE. Univariate analysis revealed that age, female gender, SE type, SE duration, and acute etiology were associated with refractoriness, whereas electroencephalographic patterns were not. Nonconvulsive SE, which is probably associated with delays in treatment initiation, was a predictor of RSE, although it was not retained as a predictor in multivariate analysis. In the latter analysis, female gender (odds ratio: 1.815, 95% Cl: 1.053-3.126) and acute etiology (odds ratio: 0.619, 95% Cl: 0.429-0.894) were shown to be the only significant independent predictors of refractoriness. (C) 2009 Elsevier Inc. All rights reserved.Publication Metadata only Sefepime bağlı alfa koma olgu sunumu(2016-11-06) KASAPOĞLU, UMUT SABRİ; MİDİ, İPEK; AĞAN YILDIRIM, KADRİYE; ERYÜKSEL, SEMİHA EMEL; KARAKURT, SAİT; KASAPOĞLU U. S., SÜZER ASLAN M., YALÇIN A., GÜVEN P., MİDİ İ., AĞAN YILDIRIM K., ERYÜKSEL S. E., KARAKURT S.Publication Metadata only Süper Refrakter Status Epileptikus Olgu Sunumu(2016-11-06) AKÇAY, SEÇKİN; KASAPOĞLU, UMUT SABRİ; MİDİ, İPEK; AĞAN YILDIRIM, KADRİYE; ERYÜKSEL, SEMİHA EMEL; KARAKURT, SAİT; ÖZDEMİR A., AKÇAY S., KASAPOĞLU U. S., YALÇIN A., MİDİ İ., AĞAN YILDIRIM K., ERYÜKSEL S. E., KARAKURT S.Publication Metadata only Episodes of status epilepticus in young adults: Etiologic factors, subtypes, and outcomes(ACADEMIC PRESS INC ELSEVIER SCIENCE, 2013) MİDİ, İPEK; Ozdilek, Betul; Midi, Ipek; Agan, Kadriye; Bingol, Canan AykutThe aim of this study was to evaluate the type, duration, etiology, treatment, and outcome of status epilepticus (SE) episodes, among patients aged 16-50 years. A total of 101 SE episodes in 88 young adult patients fulfilled our criteria. The mean age was 32 years. Status epilepticus episodes were most frequently observed in patients 21-30 years of age. A total of 53% of the patients were male, and 57% had pre-existing epilepsy. Seventy of the 101 episodes were convulsive SE. The most common etiology was withdrawal of or change in antiepileptic drugs (AEDs), seen in 31% of the SE episodes. This study included treatment of SE with traditional AEDs. Sixty-six episodes were treated successfully with intravenous infusion of 18-mg/kg phenytoin, and six episodes were treated with 10-mg/kg phenytoin. A total of 28% of the SE episodes remained refractory to first-line treatment, which was related to the duration of SE and mortality. The outcome was death in 14% of the patients due to underlying etiologies in the hospital. (C) 2013 Elsevier Inc. All rights reserved.Publication Metadata only Refractory status epilepticus with possible autoimmune etiology treated with plasma exchange(ELSEVIER SCIENCE BV, 2015) MİDİ, İPEK; Agan, K.; Midi, I.; Alibas, H.; Gonul, O.Publication Metadata only Electroencephalographic response to intravenous diazepam during status epilepticus(UNIVERSITATSVERLAG ULM GMBH, 2011) MİDİ, İPEK; Ozdilek, Betul; Agan, Kadriye; Midi, Ipek; Bingol, Canan Aykut; Us, OnderTo determine the electroencephalographic (EEG) response to intravenous bolus administration of diazepam during status epilepticus (SE), we retrospectively evaluated the time to the disappearance of epileptiform activity in EEG recordings after 10 mg intravenous bolus administration of diazepam, and examined the relationship of this response time to the duration, etiology, and outcome of SE. Patients with SE who responded positively to diazepam administration (n = 53; 37 women, 16 men), aged 17-88 years were recruited from our SE registry. According to their response time to intravenous administration of diazepam, patients were divided into four subgroups: Group I response times ranged from 20 to 60 s, group II from 61 to 120 s, group III from 121-180 s, and group IV from 181 to 360 s. The duration of SE was 10.76 +/- 3.46 h in the first group and 27.00 +/- 12.57 h in the last group. According to the etiology, patients with central nervous system tumors and metabolic disorders were the fastest responders, whereas those with cerebrovascular diseases and withdrawal of antiepileptic drugs were the slowest responders. This study revealed a positive correlation between the response time to diazepam administration and seizure duration during status epilepticus. Response time may have a role in predicting outcome of status epilepticus treatment, in particular, the effects of diazepam. Thus, longer-duration EEGs are indicated. (C) 2011 Elsevier GmbH. All rights reserved.Publication Metadata only Non convulsive status epilepticus as a result of cefepime(ELSEVIER SCIENCE BV, 2017) SÜNTER, GÜLİN; Sunter, G.; Agan, K.; Gulatar, B.; Demir, N.; Midi, I.