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Öğe ARACHNOID CYST CAUSING SUBFALCINE HERNIATION IN A CHILD FAILURE TO THRIVE(Nobel Ilac, 2011) Dogan, Murat; Yilmaz, Cahide; Ustyol, Lokman; Caksen, HuseyinArachnoid cysts represent only 1% in all intracranial masses. The signal and density of arachnoid cysts are mostly the same as cerebrospinal fluid unless be complicated. They do not have calcification and do not retain contrast material but they are benign lesions. Although they can be seen in all ages, they are mostly detected in children. Male-female ratio is In this case report., 18 months-old-boy with subfalcine herniation because of an arachnoid cyst who was brought to our hospital only with complaint of failure to thrive was presented due to its atypical and rare presentation.Öğe Chronic mercury poisoning: Report of two siblings(2010) Yilmaz, Cahide; Okur, Mesut; Geylani, Hadi; Caksen, Huseyin; Tuncer, Oguz; Ataş, BulentMercury exists as organic inorganic and elementary forms in nature and is one of the most toxic metals that are poisonous for human beings. Mercury is commonly used in many different sectors of industry such as in insects formulas, agriculture products, lamps, batteries, paper, dyes, electrical/electronic devices, jewelry, and in dentistry. In this study, two siblings (one a 7-year-old boy and the other a 13 years old girl) are reported who developed chronic mercury poisoning as a result of long-term contact with batteries. Our aim is to emphasize the importance of mercury poisoning that is extremely rarely seen in childhood.Öğe Clinical Outcome and Magnetic Resonance Imaging Findings in Infants With Hypoglycemia(Sage Publications Inc, 2011) Caksen, Huseyin; Guven, Ahmet Sami; Yilmaz, Cahide; Unal, Ozkan; Basaranoglu, Murat; Sal, Ertan; Kaya, AvniThe authors examined clinical outcome and cranial magnetic resonance imaging (MRI) findings in infants with hypoglycemia to determine the effects of hypoglycemia on the developing brain. A total of 110 infants with hypoglycemia were included in the study. Of the patients, 36 were females and 74 were males. The age of the infants was between 1 day and 22 months. Of the 110 infants, 47 were preterm neonates, 40 were term neonates, and 23 were older than 28 days. No difference in serum glucose level was noted between symptomatic and asymptomatic infants. The most common observed abnormal findings were hyperintense lesions, encephalomalacia, and cerebral atrophy. Abnormal MRI findings were found in 4% of preterm infants, in 32.5% of term infants, and in 43.5% of older infants. Abnormal MRI findings were statistically significantly more common in symptomatic infants than in asymptomatic infants. Of the infants, 45.5% of hypoglycemic infants had cerebral palsy and/or cerebral palsy plus epilepsy.Öğe LATE ONSET ARGININE SUCCINATE LYASE DEFICIENCY WITH NORMAL PLASMA AMMONIA LEVEL(Nobel Ilac, 2011) Yilmaz, Cahide; Dogan, Murat; Cesur, Yasar; Caksen, Huseyin; Yuca, Sevil Ari; Atas, Bulent; Tuncer, OguzArginine succinate lyase (ASL) deficiency is one of the most common cause of urea cycle defect and shows all characteristics of this disorders. This disease is presented with hyperammonemia, abnormally kinky hair and mental retardation. 6-years-old-girl was brought to our hospital because of skin eruption, weight loses, abdominal pain, having no appetite, polydipsia and pollakiuria. In physical examination, especially occipital balding, mental retardation, hepatomegaly, ataxia and articulation defect were found. She, who was diagnosed as ASL deficiency after the laboratory examinations, had normal blood ammonia levels. Finally in this study, we emphasize; ASL deficiency must be thought when a child has mental retardation and cerebellar ataxia, even if normal ammonia levels.Öğe Occuring Transverse Sinus Thrombosis Secondary to Chronic Otitis Media and Pseudotumor cerebri: Case Report(Duzce Univ, 2010) Okur, Mesut; Yilmaz, Cahide; Acar, Mehmet Nuri; Caksen, Huseyin; Kir, Faruk; Unal, Ozkan; Tuncer, OguzTransverse sinus thrombosis (TST), although not common as the former still, is a major complication of middle ear infection. In this study, with the diagnosis of middle ear infection for a period of 3 years followed outpatient and the developing transverse sinus thrombosis, 12 years old patient due to a rare case were presented. This case, therefore, children with chronic otitis media in terms of transverse sinus thrombosis and pseudotumor cerebri should be closely followed would like to emphasize.Öğe OPHTALMOPLEGIC MIGRAINE(Nobel Ilac, 2010) Dogan, Murat; Yilmaz, Cahide; Caksen, Huseyin; Guven, A. SamiOpthalmoplegic migraine is characterized with recurrent 3rd, 4th and/or 6th nerve palsy during or following ipsilateral periorbital or temporal headache. In this study, we report four years old child with opthalmoplegic migraine because of a rare occasion. The patient was brought to our hospital for the first time due to ptosis following headache, which continued for 4 days. From the history, it was learned that one year ago, ptosis which lasted for one week following headache, had occurred too. Neurological examination was normal except the complete third nerve palsy. Cranial magnetic resonance imaging and electroencephalography examinations were normal. One year later, the patient was brought to us again with the same complaint. Since the attacks were so few we didn't give him migraine proflaxy and we advice him to use analgesic during the attacks. The patient still comes to our hospital for periodic controls