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ALBAYRAK, OSMAN

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ALBAYRAK

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OSMAN

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    Botulinum toxin application to the internal and external oblique muscles for abdominal spasms in spinal cord injury
    (SPRINGERNATURE, 2021) KARADAĞ SAYGI, NAİME EVRİM; Albayrak, Osman; Coskun, Ozge Kenis; Giray, Esra; Karadag-Saygi, Evrim
    Introduction Abdominal spasms are involuntary contractions that can be caused by denervation due to spinal cord injury. We present a case that benefited from botulinum toxin injections. Case Presentation A 42-year-old male patient was followed up due to spinal cord injury that developed secondary to burst fracture in the 6th thoracic vertebra as a result of falling off the train in 1996, was classified as International Standards for Neurological Classification of SCI (ISNCSCI) T8 American Spinal Injury Association Impairment Scale (AIS) grade-B. His complaint of contraction and spasms in his abdominal muscles has been present for 2 years but has escalated significantly in the last 3 months. His complaint of contraction and spasms in his abdominal muscles has been present for 2 years but has escalated significantly in the last 3 months. He used oral baclofen 20 mg three times a day for the complaint of contraction, but his complaints did not completely disappear. The use of a baclofen pump was recommended to the patient in his previous visits, but the patient did not accept it. Due to the lack of alternatives and considering the local nature of the complaints, we planned botulinum toxin injection for the patient's bilateral internal oblique and external oblique abdominal muscles with ultrasonography guidance. He benefited significantly from botulinum toxin injection, and his complaints decreased. Conclusion In selected patients with spinal cord injury, ultrasound guided botulinum toxin injections to external and internal oblique muscles can be a safe alternative.
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    A case report of lumbosacral plexopathy in a patient with a history of sacral chordoma and radiotherapy: Will the detection of myokymia on the EMG help to solve the case?
    (2023-01-01) ALBAYRAK, OSMAN; KENİŞ COŞKUN, ÖZGE; YAĞCI, İLKER; GÜNDÜZ, OSMAN HAKAN; Giray E., Albayrak O., KENİŞ COŞKUN Ö., YAĞCI İ., GÜNDÜZ O. H.
    BACKGROUND: When a patient with a prior history of malignancy and radiotherapy develops progressive weakness as a presentation of plexus involvement, the differential diagnosis usually rests between radiation-induced plexopathy and invasion from recurrent tumor. The presence of myokymic discharges is helpful in differentiating radiation-induced from neoplastic plexopathy.