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    A 17 year old female patient with sigmoid volvulus : considering the diagnosis
    (2014) Uğur, Mustafa; Aydoğan, Akın; Akküçük, Seçkin; Davran, Ramazan; Kaplan, Aydın
    Sigmoid volvulus genç erişkinlerde oldukça nadir görülen bir hastalıktır. Bu durum tanı ve tedavi girişimlerinde gecikmeye neden olarak kolonda hayatı tehdit eden iskemi ve nekroz gelişmesine yol açabilir. Bu yazıda giderek artan karın ağrısı, konstipasyon, obstipasyon ve distansiyon şikayetleriyle acil servise başvuran 17 yaşındaki genç kız hastada sigmoid volvulus tanısından şüphelenilerek yapılan tomografik incelemede tanısı doğrulanan olguyu sunduk. Tanıdaki en önemli adım karın ağrısı, konstipasyon, distansiyon gibi şikayetlerle başvuran hastalarda ayrıntılı bir öykü, fizik muayene ve uygun laboratuar testlerinin incelenmesi ile hekimin tanıdan şüphelenmesidir. Genç hastalarda erken tanıya götürecek en önemli yol öncelikle tanının akılda bulundurulmasıdır. Böylece tanıyı doğrulayacak ileri radyolojik ve endoskopik incelemelerin zaman kaybedilmeden planlanması mümkün olacaktır.
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    Autosplenectomy in severity of sickle cell diseases
    (E-Century Publishing Corp, 2014) Helvaci, Mehmet Rami; Acipayam, Can; Davran, Ramazan
    Background: We tried to understand whether or not there is an association between prevalence of autosplenectomy and severity of sickle cell diseases (SCDs). Methods: All SCDs patients with red blood cell (RBC) transfusions of less than 50 units in their lives were put into the first group and 50 units or higher were put into the second group. Results: The study included 316 patients (155 females). There were 224 cases (70.8%) in the first group and 92 cases (29.1%) in the second group (p<0.001). The male ratio was significantly higher in the second group (64.1% versus 45.5%, p<0.001). Although both the white blood cell and platelet counts were higher in the second group, there was a significant difference in platelet counts (p=0.005), and this was probably due to the small sample sizes. Although the prevalence of autosplenectomy was significantly higher in the first group (56.2% versus 45.6%, p<0.05), the mean number of painful crises per year, digital clubbing, chronic obstructive pulmonary disease (COPD), leg ulcers, stroke, chronic renal disease (CRD) and coronary heart disease (CHD) were significantly higher in the second groups (p<0.05 for all). Conclusion: In contrast to the lower prevalence of autosplenectomy, the mean number of painful crises per year, digital clubbing, COPD, leg ulcers, stroke, CRD, and CHD were significantly higher in the second group. So there may be an inverse relationship between prevalence of autosplenectomy and severity of SCDs, and spleen may act as a chronic inflammatory focus as a filter of blood for these abnormally hard RBCs.
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    BILATERAL PRIMARY BREAST LYMPHOMA: A RARE CASE
    (Aves, 2011) Yetim, Ibrahim; Yetim, Tulin Durgun; Ozkan, Orhan Veli; Diner, Guvenc; Savas, Nazan; Davran, Ramazan; Helvaci, Rahmi
    Primary non Hodgkin's lymphoma of the breast is rare. Bilateral involvement of the breasts is even morerare. Lymphomas are divided into two groups: Hodgkin's Lymphoma and non Hodgkin's lymphoma. Diffuse large cell non Hodgkin's lymphoma is the most common type. A 56 year old female presented with masses in both breasts. An excisional biopsy was obtained from both tumoral masses. Histopathological assessment revealed diffuse large cell non Hodgkin's lymphoma and chemotherapy was started. Here we present the case of bilateral primary breast lymphoma while discussing clinical characteristics, treatment modalities and the outcomes.
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    Bilateral primary breast lymphoma: A rare case
    (2011) Yetim, İbrahim; Durgun Yetim, Tülin; Özkan, Orhan Veli; Diner, Güvenç; Savaş, Nazan; Davran, Ramazan; Helvacı, Rahmi; Kaya, Hasan
    Primary non Hodgkin’s lymphoma of the breast is rare. Bilateral involvement of the breasts is even morerare. Lymphomas are divided into two groups: Hodgkin’s Lymphoma and non Hodgkin’s lymphoma. Diffuse large cell non Hodgkin’s lymphoma is the most common type. A 56 year old female presented with masses in both breasts. An excisional biopsy was obtained from both tumoral masses. Histopathological assessment revealed diffuse large cell non Hodgkin’s lymphoma and chemotherapy was started. Here we present the case of bilateral primary breast lymphoma while discussing clinical characteristics, treatment modalities and the outcomes.
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    BRUCELLAR SPONDYLODISCITIS IN THE CERVICAL REGION
    (Professional Medical Publications, 2010) Evirgen, Omer; Altas, Murat; Davran, Ramazan; Motor, Vicdan Koksaldi; Onlen, Yusuf
    Diagnosis of brucella infection may be difficult, because it can mimic many other diseases. We report a 57-year old man who had presented with the complaints of radiculopathy, and was diagnosed as cervical spondylodiscitis. The spondylodiscitis was diagnosed via rose bengal test, positive serology, and positive culture results after the initial suspicion with magnetic resonance imaging. Streptomycin for 14 days and doxycycline rifampicin for tree months were used for the treatment. Brucellar spondylodiscitis in the cervical region is a rare presentation, beside that prognosis with early diagnosis and adequate treatment is good.
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    Brucellar spondylodiscitis in the cervical region
    (2010) Evirgen, Omer; Altas, Murat; Davran, Ramazan; Motor, Vicdan Koksaldi; Onlen, Yusuf
    Diagnosis of brucella infection may be difficult, because it can mimic many other diseases. We report a 57-year old man who had presented with the complaints of radiculopathy, and was diagnosed as cervical spondylodiscitis. The spondylodiscitis was diagnosed via rose bengal test, positive serology, and positive culture results after the initial suspicion with magnetic resonance imaging. Streptomycin for 14 days and doxycycline rifampicin for tree months were used for the treatment. Brucellar spondylodiscitis in the cervical region is a rare presentation, beside that prognosis with early diagnosis and adequate treatment is good.
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    Brusellozun nadir bir komplikasyonu olan nörobruselloz : Üç çocuk olgu sunumu
    (2012) Arıca, Vefik; Şilfeler, İbrahim; Altaş, Murat; Tutanç, Murat; Arıca, Seçil Günher; Evirgen, Ömer; Davran, Ramazan; Karakuş, Ali
    Bruselloz dünyada yaygın, önemli bir zoonozdur. Bu hastalık gelişmekte olan ülkelerde özellikle Akdeniz Havzası’nda yaygındır. Türkiye’de Doğu ve Güneydoğu Anadolu Bölgeleri’nde sık olarak görülmektedir. Ülkemizde yılda yaklaşık 18 000 yeni olgu saptanmaktadır. Birçok organ veya sistem tutulabilir. Bruselloz, farklı Brusella tipleri ile oluşan ve akut ateş, terleme, güçsüzlük ve baş ağrısı ile belirgin bir enfeksiyondur. Brusella hastalarında merkezi sinir sistemi tutulumu nadirdir. Brusella özellikle kırsal kesimde yaşayan insanlarda önemli bir sağlık sorunu olmaya devam etmektedir. Ayırıcı tanıda hastayı değerlendirirken hekimler çoğu zaman nörobrusellozu göz ardı edebilmektedir. Sunduğumuz üç olgu değişik, özgül olmayan bulgularla bize başvurdu ve sadece ilk olgunun beyin tomografisinde hidrosefali saptanırken diğer iki olgunun beyin tomografileri normaldi. İkinci olgunun otlu peynir yeme öyküsü bulunurken, diğer iki olgudan benzer bir öykü alınamadı. Üç olgunun uzun dönem izlemlerinde sekelsiz olarak ve tamamen düzeldikleri görüldü. Sunumumuzun amacı ülkemiz gibi Brusella enfeksiyonun yaygın olduğu bölgelerde nörobrusellozun önemini vurgulamaktır.
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    Catheter induced persistant left main coronary spasm
    (2014) Akçay, Adnan Burak; Karakaş, Fatih; Büyükkaya, Eyüp; Davran, Ramazan
    Fifty one year old female patient was taken into the catheter laboratory for coronary angiography with the diagnosis of typical angina pectoris (CCS Class 2). A 6F JL4 Judkins catheter was placed into the left coronary artery.Immediately after sitting into the left main artery, damping in the pressure tracing was seen and catheter was removed from left main coronary artery (Figure 1). There was a 90% stenosis in the left coronary artery ostium which was seen in the non selectively taken image. LAD and Cx were seemed to be normal. 200 micrograms of nitroglycerin was non selectively administered for the possibility of left coronay artery spasm. 5F JL4 catheter was placed into the left coronary system very delicately. Because damping in the pressure recording recurred, catheter was removed. After administrating 200 micrograms of nitroglycerin a 5F JL4 catheter with two side holes was placed delicately. The procedure was terminated because of the pressure damping and chest pain. RCA was seen to be normal. After taken into the coronary unit, beta blocker therapy was switched to calcium channel blocker therapy and 24 hours of intravenous nitroglycerine infusion was administered. A multislice CT was planned to evaluate the suspected lesion in the left main coronary ostium. In the MSCT was reported that left main coronary ostium was normal and patient was treated medically (Figure 2). The patients with left main coronary lesions are the most risky patients in terms of complication. Therefore, pressure damping should be evaluated immediately after placing into the left coronary system. Damping is entity which is often seen in patients with severe left coronary lesions. Another finding suggestive of severe left main lesion is that no reflux of radiocontrast agent into the aorta is seen. In patients with no other obstructive lesions in the other coronary vessels before preceding to the diagnosis of "isolated coronary ostial lesion", the possibility of catheter induced coronary spasm should be evaluated.This spasm can persist, as occurred in our case, even after recurrent nitroglycerin administration and attempts for placing into the left system with delicate maneuvers and smaller catheters. Multislice CT should be kept in mind to evaluate the left coronary ostium in these group of patients.MSCT is an assisting imaging modality for diagnosis in these group of patients (1,2).
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    Cholethorax (Bilious Effusion in the Thorax): An Unusual Complication of Laparoscopic Cholecystectomy
    (Acad Medical Sciences I R Iran, 2013) Aydogan, Akin; Erden, Ersin Sukru; Akkucuk, Seckin; Davran, Ramazan; Yetim, Ibrahim; Ozkan, Orhan Veli
    Cholethorax or bilious effusion in the thorax, is a rare condition in which bile passes into the pleural space from the abdominal cavity, necessitating urgent treatment. In this article, we present a case of cholethorax as a complication of laparoscopic cholecystectomy (LC). The patient underwent a LC due to the presence of a gallbladder polyp. The clip attached to the Hartman opened, and the abdominal cavity became contaminated with binary fluid. Postoperatively, the patient experienced severe right upper quadrant pain and dyspnea. Both the posteroanterior (PA) chest radiography and thoracic computed tomography (CT) were remarkable for marked effusion in the right hemithorax. The patient underwent thoracentesis which resulted in the removal of 250 cc bilious pleural effusion. The bilirubin level of the pleural fluid was 9.1 mg/dL. Following thoracentesis, the patient experienced significant improvement in dyspnea and pain. The patient was discharged without any complications on the seventh day postoperatively. Cholethorax may occur as a result of diaphragmatic injuries secondary to a laparoscopic instrument and can be successfully treated by a thoracentesis.
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    Çomak parmakla başvuran adolesanda primer progresif tüberküloz
    (2011) Çelik, Tanju; Tutanç, Murat; Davran, Ramazan; Arıca, Vefik; Köse, Mehmet
    Tüberküloz ülkemizde sık karşılaşılan hastalıklardan biridir, bu nedenle kronik solunum yolu yakınması olan çocuklarda kesinlikle araştırılmalıdır. Çomak parmak nedeniyle başvuran bir olgu eşliğinde klinik, radyolojik, bronkoskopik ve biyopsi bulguları ile primer tüberkülozun tartışılması amaçlanmıştır. On beş yaşında erkek adolesan; öksürük, yan ağrısı, kilo kaybı, iştahsızlık ve halsizlik yakınmaları ile başvurdu. Fizik muayene sırasında her iki el parmaklarında çomak parmak görüldü. Radyografisinde sol alt lobda konsolidasyon ve parakardiyak alanda lenfadenopati ile uyumlu dansiteler görüldü. Balgamda asidorezistan bakteri (ARB) arandı. Bronkoskopik inceleme yapıldı. Biyopsi ve bronkoalveoler lavaj sıvısında asidorezistan bakteri (ARB) tespit edildi Tanı, bakteri kültürü ile doğrulandı. Bu olgu adolesanlarda kilo kaybı, kronik öksürük, gece terlemesi, kanlı balgam yanı sıra çomak parmak görüldüğünde kronik akciğer hastalığının nedeni olarak tüberkülozun düşünülmesi gerektiğini vurgulamak için sunulmuştur.
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    Comparison of surgical procedures and percutaneous drainage in the treatment of liver hydatide cysts: a retrospective study in an endemic area
    (E-Century Publishing Corp, 2014) Akkucuk, Seckin; Aydogan, Akin; Ugur, Mustafa; Yetim, Ibrahim; Davran, Ramazan; Oruc, Cem; Kilic, Erol
    Introduction: Surgical procedures are still the golden standard option in the treatment of liver cystic echinococcosis. However, minimal invasive technics like percutaneous drainage are rising trends. We aimed to compare the efficacy of surgical and percutaneous options in the treatment of liver hydatidosis in an endemic area. Methods: Patients who underwent surgical or percutaneous procedures for hydatid disease between January 2007 and December 2012 were retrospectively evaluated. Recurrence rates, hospital stay time, and related factors were analyzed. Results: There were 44 (35.5%) male and 80 (64.5%) female patients in this study. Eighty two patients (Group I) had undergone surgery (66.1%) and 42 patients (Group II) had undergone percutaneous drainage (33.9%). The mean cyst size was 7.28 +/- 2.51 cm in Group I and 8.76 +/- 3.30 cm in Group II. Nine recurrences (7.3%) were detected during study. Five of the recurrences were in Group II (11.9%) and four (4.9%) of them were in Group I. The mean length of hospital stay of all patients was 5.42 +/- 3.16 days. Discussion: Percutaneous drainage techniques can be a good alternative to surgery in selected patients. In complicated cases like cystobiliary fistula, surgery is superior to percutaneous approaches. The hospital stay time, recurrence rate and postoperative complications were not enhanced when compared to percutaneous treatment in our study. Despite all controversy about the low morbidity after percutaneous treatment, surgical approach is still a preferable option in patients with liver hydatidosis when it is performed by experienced surgeons.
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    Congenital abnormalities of the ribs: evaluation with multidetector computed tomography
    (Pakistan Medical Assoc, 2017) Davran, Ramazan; Bayarogullari, Hanifi; Atci, Nesrin; Kayali, Alperen; Ozturk, Fatma; Burakgazi, Guelen
    Objectives: To evaluate congenital abnormalities of ribs using multidetector computed tomography. Methods: The retrospective study was conducted at Mustafa Kemal University Research Hospital, Hatay, Turkey and comprised data of patients aged 1-45 years who attended the Radiology Department for computed tomography of the thorax between January 2010 and July 2013. Multiplanar reconstructions, maximum intensity projections, and 3-dimensional images were acquired to investigate numerical and structural abnormalities of the ribs of the patients who underwent multidetector computed tomography for a variety of indications. Results: The study comprised 650 patients. Of them, 231(35.5%) were female and 419(64.5%) male. The overall mean age was 20.9 +/- 5.1 years. However, data of 90(13.8%) patients was excluded from cervical rib evaluation and of 120(18.5%) from lumbar rib evaluation as these regions were out of the section because of the positioning. Finally, 560(86.5%) patients were included in the cervical rib evaluations, and 530(81.5%) in the lumbar rib evaluations. All the 650(100%) patients were included in the thoracic rib evaluations. Numerical abnormalities were observed in cervical ribs in 19(3.6%), in thoracic ribs in 1(0.15%) and in lumbar ribs in 7(1.3%) cases. The structural abnormalities were bifid rib in 44(6.7%) and fused type in 17(2.6%) cases. Conclusion: Multidetector computed tomography enabled evaluation of the thoracic cage as a whole.
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    Delayed diagnosis of traumatic diaphragmatic hernia may cause colonic perforation: A case report
    (2009) Ozkan, Orhan Veli; Semerci, Ersan; Yetim, Ibrahim; Davran, Ramazan; Diner, Guvenc; Paltaci, Ilhan
    Early diagnosis of diaphragmatic rupture after traumas may be difficult, and delayed diagnosis may result in increased morbidity and mortality. This paper describes the case of a 32-year-old man who experienced a traffic accident and had diagnosis of traumatic diaphragmatic hernia nearly four months later. The patient was referred to our emergency room suffering from ileus symptoms. Physical examination demonstrated an apparent abdominal distention, tenderness at the upper abdominal quadrants, rebound, and defense. Thoraco-abdominal X-rays and computerized tomography imaging demonstrated intestinal segments with air-fluid levels in thorax. Laparotomy was performed after a preoperative diagnosis of a strangulated-diaphragmatic hernia. At abdominal exploration, it was found that transverse colon and omentum entered into thorax through diaphragmatic defect located at the left diaphragm. Herniating colon segment was complicated with ischemic necrosis and perforation. In conclusion, colon necrosis and perforation may develop when early diagnosis of diaphragmatic ruptures are missed. © 2009 Ozkan et al.; licensee Cases Network Ltd.
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    Delayed Seizure With Intracranial Sewing Needles
    (Lippincott Williams & Wilkins, 2013) Aras, Mustafa; Altas, Murat; Serarslan, Yurdal; Davran, Ramazan; Bayarogullari, Hanifi; Cagli, Sedat
    Penetrating head injuries are the main cause of intracranial foreign bodies. They can lead to complaints such as headaches and seizures at a later period. We report the case of a patient with sewing needles inserted within the parietal lobe. The primary complaint of the patient was epileptic seizures. The patient was treated with antiepileptic drugs. Surgical intervention was not considered. The removal of intracranial needles is still controversial in the literature. In our case, needles were not removed because the epileptic seizures were successfully treated with antiepileptic medication.
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    The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report
    (Via Medica, 2010) Altas, Murat; Serarslan, Yurdal; Davran, Ramazan; Evirgen, Omer; Aras, Mustafa; Yilmaz, Nebi
    Hydatid cyst disease is a parasitic illness that is rarely located in the brain. We present a case of a 26-year-old female who complained of headache, nausea, and vomiting. The diagnosis was intracranial hydatid cyst disease and was confirmed with radiological and serological tests. Neurological examination revealed papilloedema and left-sided pyramidal signs. She was operated on using the Dowling-Orlando technique. The cyst was removed without rupture, and therapy was completed with albendazole for a period of four weeks. In this article, we discuss the application of the Dowling-Orlando technique, microsurgery, the Valsalva manoeuvre and the positioning of the patient such that gravity could facilitate surgical removal of a giant cerebral hydatid cyst.
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    Duodenal hematoma, a rare cause of abdominal pain: Case report
    (Duzce University Medical School, 2012) Tutanç, Murat; Arica, Vefik; Akçora, Bülent; Davran, Ramazan; Arica, Seçil Günher; Başarslan, Fatmagül; Çelik, Tanju
    Localisation of the duodenum is usually retroperitoneal and its exposure to trauma is rare. But any damage to the duodenum can have serious consequences. Duodenal hematoma most commonly develops after abdominal blunt trauma. We present a six-year-old boy with duodenal hematoma as a rare cause of abdominal pain. © 2012 Düzce Medical Journal.
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    Effects of sub-Tenon's anaesthesia on ocular hemodynamics
    (Canadian Ophthal Soc, 2014) Coskun, Mesut; Daglioglu, Mutlu Cihan; Davran, Ramazan; Ilhan, Niluefer; Ilhan, Oezguer; Tuzcu, Esra Ayhan; Ayintap, Emre
    Objective: To research the effects of sub-Tenon's anaesthesia (STA) on ocular hemodynamics in patients with cataract using colour Doppler imaging (CDI). Design: Prospective clinical study. Participants: Thirty-four eyes of 34 patients with age-related cataract. Methods: Peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistive index (RI) values of the ophthalmic artery (OA), central retinal artery, and central retinal vein were measured by CDI before and immediately after performing sub-Tenon block using 2 mL of 2% lidocaine with adrenaline (1:200 000). Results: Both PSV and EDV values were significantly decreased after sub-Tenon injection in all the studied vessels of the patients. However, no important changes were observed in the RI values of the vessels. Conclusions: STA markedly reduced ocular blood flow. The reduction may be more acceptable compared with other retrobulbar block methods. Sub-Tenon block should be performed carefully to senile patients with cataract with vascular occlusive disorder.
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    Ektopik böbrekler ve damarlarının konjenital varyasyonları
    (2014) Bayaroğulları, Hanefi; Rifaioğlu, Mehmet Murat; Akküçük, Seçkin; Davran, Ramazan; Davarcı, Mürsel; Demirbaş, Onur
    Amaç: Böbrek ektopilerinde damar anomalilerine sıklıkla rastlanılır. Multiple detector-row computerized tomography angiography (MDCTA), üriner sistem ve böbrek damarlarının değerlendirilmesinde günümüzde artan bir yere sahiptir. Bu çalışmamızda amacımız ektopik böbrekteki damar varyasyonlarını MDCTA kullanarak ortaya koymaktır. Gereç ve Yöntem: Hastanemize 2009 ila 2011 arasında altı ektopik böbrek hastası araştırıldı. MDCTA, dört erişkin hastaya hipertansiyon nedeniyle, bir böbrek taşı olan erişkin hastaya nefrektomi öncesi, bir çocuk hastaya ise diafram hernisi operasyon öncesi yapıldı. Bulgular: Altı hastanın 12 böbreğinin 20 renal arteri araştırıldı. İki vakanın birinin sol böbreğinde dört, diğerinde üç renal arter saptandı. Üçü ektopik biri normal olan dört böbrekte, bir ana bir de aksesuar arter saptandı. 17 ven inferior vena cava’ya, sol böbrekten çıkan bir ven sol common iliac vene, 2 sağ böbrek veni sol renal vene dökülüyorlardı. Sonuç: Günümüzde MDCTA ektopik böbreğin damarlarını değerlendirilmesinde önem kazanmıştır.
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    Evaluation of the postnatal development of the sternum and sternal variations using multidetector CT
    (Turkish Soc Radiology, 2014) Bayarogullari, Hanifi; Yengil, Erhan; Davran, Ramazan; Aglagul, Ela; Karazincir, Sinem; Balcı, Ali
    PURPOSE We aimed to evaluate the postnatal development and the maturation of the sternum and sternal variations using multidetector computed tomography (MDCT). Additionally, we aimed to examine the roles of gender and age in sternal development. MATERIALS AND METHODS Two hundred and fifty patients who underwent thorax MDCT examinations were evaluated for sternal development and variations. Coronal curved planar reconstruction and maximum intensity projection images were used to better assess the ossification centers in the manubrium and the body of the sternum. Multiplanar images were used to accurately measure the thickness and the sagittal dimension of the manubrium, the sagittal dimension of the body, and the total sagittal dimension of the sternum in the sagittal plane. RESULTS No significant differences in the manubrium measurements were observed between the genders. The thickness and sagittal dimension of the manubrium, sagittal dimension of the body, and total sagittal dimension of the sternum in the sagittal plane were significantly different between the age groups. We evaluated the ossification centers; shape and developmental variations in the manubrium and body; direction, calcification, and termination of the xiphoid process; developmental variations in the xiphoid process; and manubriosternal and sternoxiphoidal fusion. Significant variations were observed from person to person. CONCLUSION The anatomy and the developmental properties of the sternum should be well understood in cases of potential chest and sternum injuries and in several surgical procedures. Therefore, knowledge of the development and the maturation of the sternum, and sternal variations and anomalies is important. We suggest that the postnatal development and the morphogenesis of the sternum can be adequately assessed using MDCT.
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    Fukuyama congenital muscular dystrophy
    (Professional Medical Publications, 2012) Silfeler, Ibrahim; Arica, Vefik; Davran, Ramazan; Tutanc, Murat; Basarslan, Fatmagul
    Muscular dystrophy is an inherited group of disorders that affects skeletal and many other systems. It is transferred to the next generations with autosomal recessive trait. Congenital muscular dystrophy is a rare disorder characterized by findings emerging from birth. There are 12 different forms of mutation according to defects. Fukuyama syndrome is a rare form of congenital muscular dystrophies in our country. There is FKTN gene mutation. Because it is a rare disease in Turkey, we find this case to be worthy of presentation. After the delivery, patients with recurrent convulsion and hypotonia were admitted to pediatric emergency department. Patients were diagnosed as Fukuyama congenital muscular dystrophy after evaluation based on clinical findings, imaging techniques and gene analysis. Congenital muscular dystrophy should be considered, whereas it is a group of disease in which hypotonia and recurrent convulsions are seen in early infancy period.