Person: YAPICI, ÖZGE
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YAPICI
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ÖZGE
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Publication Open Access First afebrile seizures: Clinical and radiological view with emergent testing(2022-01-01) YAPICI, ÖZGE; Aksu Uzunhan T., Kacar A., Misirli Ozdemir E., YAPICI Ö.Background The first afebrile seizures in children are an important and common reason for emergency department admissions. We aim to examine the presentation, laboratory/neurodiagnostic investigation, and emergency management of children with first afebrile seizures. Methods The retrospective study included 333 patients aged 1 month to 18 years admitted with a first afebrile seizure to the pediatric emergency department of Prof. Dr. Cemil Tascioglu City Hospital between January 2017 and January 2020. Age, gender, seizure duration and type, treatments for seizures, laboratory, neurophysiological, and radiological investigations, ward or intensive care unit hospitalizations, and antiepileptic drugs on discharge were recorded. Results The average age of the patients was 81.6 +/- 62.9 months; 187 (56.2%) were male and 146 (43.8%) were female. Two hundred and sixty-one (78.4%) patients had only one seizure. In 45 (13.5%) of the patients, the seizure recurred in the emergency department. Hypoglycemia, hyponatremia, and hypocalcemia were detected in 13 (3.9%) patients. Patients with clinically significant cranial computed tomography results were at an increased risk for seizures lasting longer than 5 min. Patients with focal seizures had more recurrences, were given more antiepileptic drugs during the emergency, had better known etiology, more intensive care unit hospitalization, and greater post-discharge antiepileptic drug prescription. Conclusions Biochemical abnormalities remain in the background in the etiology of afebrile seizures. Patients with abnormal neuroimaging on cranial tomography tended to have longer seizures. Patients with focal seizures followed a more complicated course as they had more recurrences and more hospitalization in the intensive care unit.Publication Open Access Successful treatment of fasciola hepatica with metronidazole in a child: A case report(2022-11-01) KEPENEKLİ KADAYİFCİ, EDA; YAPICI, ÖZGE; BATU, UTKU; TUTAR, ENGİN; Ergenç Z., Kepenekli Kadayifci E., Yakut N., Yapıcı Ö., Batu U., Tutar E.Fasciola hepatica is a zoonotic liver trematode that usually causes infection in cattle and sheep, and is transmitted to humans by consuming water and aquatic plants contaminated with metacercaria. The detection of Fasciola eggs in stools, serological evaluation and radiological evaluation are essential for diagnosis. Triclabendazole is the first-line therapy for fascioliasis. However, as triclabendazole is not an easily accessible drug in countries such as Turkey, it reveals a quest for alternative therapies. In this report, we present a 10-year-old boy with fascioliasis successfully treated with a course of metronidazole 1.5 g/ day for 3 weeks in 2020. During the follow-up, eosinophilia and radiological findings completely recovered. Here we report a case of pediatric fascioliasis that was cured with metronidazole successfully.Publication Metadata only İnsan bokavirüs enfeksiyonu ilişkili ensefalit olgusu(2022-03-17) ÖZTÜRK THOMAS, GÜLTEN; AKBEYAZ, İSMAİL HAKKI; KEPENEKLİ KADAYİFCİ, EDA; YAPICI, ÖZGE; Aslan S., Ergenç Z., Yılmaz S., Parlak B., Akkurt V., Varol F., Öztürk G., Akbeyaz İ. H., Yapıcı Ö., Almus E., et al.Publication Open Access Brain death in children: is computed tomography angiography reliable as an ancillary test?(2023-01-01) BIYIKLI, ERHAN; YAPICI, ÖZGE; ÖZTÜRK, MAKBULE NİLÜFER; Almus E., BIYIKLI E., YAPICI Ö., Almus F., Girgin F. I., Ozturk N.Background The diagnosis of brain death is primarily clinical. Sometimes ancillary tests are needed.Publication Metadata only Walker-Warburg sendromu olgusunda klinik ve radyolojik görüntüleme bulguları(2021-03-16) ASLAN, BÜLENT; AKBEYAZ, İSMAİL HAKKI; ÇİMŞİT, NURİ ÇAGATAY; YAPICI, ÖZGE; BIYIKLI, ERHAN; Aslan B., Yapıcı Ö., Almus E., Bıyıklı E., Akbeyaz İ. H., Çimşit N. Ç.Walker Warburg Sendromu Olgusunda Klinik ve Radyolojik Görüntüleme Bulguları. Amaç: Walker-Warburg sendromu (WWS) nadir görülen letal konjenital müsküler distrofi formudur. Otozomal resesif kalıtım formu özelliğine sahip bu hastalık serebral, serebellar, göz ve kas anomalileri ile karakterizedir. HARDE (Hidrosefali, Agiri, Retinal Displazi, Ensefalosel) sendromu olarak da adlandırılmıştır. Bu sendromun tanısı için tip II lizensefali, serebellar anomali, retinal anomali ve konjenital müsküler distrofiden oluşan 4 kriter gereklidir.Ayrıca Talenti ve ark 2021’de yayımladıkları bir makalede 13 WWS’li olgunun 12’sinin görüntülemesinde kohlear orta ve apikal dönüşlerin hipoplazik ve anteromediale deplese ol duğu tip 4 kohlear hipoplazi formunu saptamışlardır.3 Biz de bu yazımızda, klasik WWS radyolojik bulgularına ek olarak yeni tanımlanmış tip 4 kohlear hipoplazisi de bulunan olgumuzu sunmayı amaçladık. Olgu: Bir aylık erkek hasta, hastanemiz çocuk acil servisine nöbet nedeniyle başvurmuştur. Antenatal takiplerinde hidrosefalisi saptanan olgunun, dış merkezde 27 gün boyun ca yenidoğan yoğun bakım ünitesinde tekrarlayan nöbetler nedeniyle takip edildiği öğrenilmiştir. Fizik muayenesinde hipotonik olan olgunun laboratuvar incelemelerinde kreatin fosfokinaz değeri ileri düzeyde yüksek bulunmuştur. Acil servisimizde çekilen bilgisayarlı tomografi (BT) incelemesinde belirgin triventriküler hidrosefali, serebellar hipoplazi/displazi, malforme beyin sapı ve tip 4 kohlear hipoplazi saptanan olguya ileri tetkik olarak manyetik rezonans görüntüleme (MRG) yapılmıştır. MRG’de tip 2 (cobblestone) lizensefali, triventriküler hidrosefali, Z şeklinde büklüntülü beyin sapı, mikrokistlerin eşlik ettiği serebellar hipoplazi/ displazi ve korpus kallosum agenezisi izlenmiş olup WWS ile uyumlu olarak değerlendirilmiştir. Tanının konulmasından yaklaşık 3 ay sonra olgumuz exitus olmuştur. Sonuç: Nadir bir sendrom olmakla birlikte Walker-Warburg sendromun tanısı klinik/laboratuvar ve görüntüleme ile yüksek doğrulukla konulabilmektedir. Günümüzde kesin tedavisi olmayan sendromun tanısının konulması ebeveynlere genetik danışmanlık verilmesi açısından da büyük önem arz etmektedir. Anahtar Kelimeler : Hidrosefali, Konjenital müsküler distrofi, Walker-Warburg sendromuPublication Metadata only Pediatrik sellar ve suprasellar kitlelerde kranial manyetik rezonans görüntüleme bulgularımız(2023-05-11) YAPICI, ÖZGE; Yapıcı Ö., Hurmuzlı M., Almus E.Publication Open Access Cytotoxic lesions of the corpus callosum in children: Etiology, clinical and radiological features, and prognosis(2021-10-01) YAPICI, ÖZGE; Uzunhan T. A., Genc H. M., Kutlubay B., Kalin S., Bektas G., YAPICI Ö., Ciraci S., Sozen H. G., Sevketoglu E., Palabiyik F., et al.Objectives: Cytotoxic lesions of the corpus callosum (CLOCCs) are secondary lesions associated with entities like infection manifested by restricted diffusion on diffusion-weighted cranial magnetic resonance imaging. Our objectives are to evaluate the clinic-radiological spectrum of pediatric patients with cytotoxic lesions of the corpus callosum (CC).Publication Open Access Prediction of clinical outcomes of single- and double-bundle anterior cruciate ligament reconstruction techniques using magnetic resonance imaging(2021-09-01) YAPICI, ÖZGE; Bankaoglu M., Ugurlar Ö., Ugurlar M., Gunaydin B., ERTÜRK Ş. M., Eren O. T.BACKGROUND: The objective of the study is to compare the clinical results of the single-bundle (SB) and double-bundle (DB) anterior cruciate ligament (ACL) repairing techniques using magnetic resonance imaging (MRI).Publication Open Access Unusual presentation of cat scratch disease: case report(2024-01-01) AKKOÇ, GÜLŞEN; DİZİ IŞIK, AYLİN; CANİZCİ ERDEMLİ, PINAR; PARLAK, BURCU; YAPICI, ÖZGE; ÇELİKEL, ÇİĞDEM; ÖCAL DEMİR, SEVLİYA; Aslan Tuncay S., AKKOÇ G., Yilmaz S., DİZİ IŞIK A., CANİZCİ ERDEMLİ P., Parlak B., Buyuktas Aytac D., Abaci Capar M. C., Almus E., YAPICI Ö., et al.Cat scratch disease (CSD) is an infection caused by Bartonella henselae, presents with non-specific symptoms like lymphadenopathy, fever, and fatigue. It can progress to disseminated disease, leading to complications such as liver and splenic micro abscesses, osteomyelitis, encephalitis, and uveitis. Diagnosis is challenging due to varied presentations and limited tests. Treatment involves supportive care, with severe cases requiring antimicrobial therapy. In this report, we present a case of Cat scratch disease characterized by an atypical clinical manifestation, hepatosplenic and paravertebral involvement.