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Öğe Hypomania complicating topiramate therapy for migraine prophylaxis(Wiley, 2007) Okuyucu, E.; Melek, I. M.; Duman, T.; Tunc, T.[Abstract Not Available]Öğe Latanaprost treatment of the heterochromia in a patient with acquired Horner syndrome(Taylor & Francis Inc, 2006) Oksuz, H.; Tamer, C.; Melek, I. M.Horner syndrome results from either congenital or acquired causes of sympathetic denervation. Heterochromia, a clinical feature of congenital Horner syndrome, is quite rare in acquired Horner syndrome, especially after the age of two. There were only a few cases reported previously. We reported a 24-year-old man who was diagnosed up on pharmacological tests and clinical findings as acquired Horner syndrome with heterochromia. The main complaint of the patient was hypochromia on the affected side, which was obviously improved after 19 months of latanoprost treatment.Öğe Peripheral nervous system involvement in patients with sickle cell disease(Wiley-Blackwell Publishing, Inc, 2009) Okuyucu, E. E.; Turhanoglu, A.; Duman, T.; Kaya, H.; Melek, I. M.; Yilmazer, S.Peripheral nervous system involvement is rare in sickle cell disease (SCD). The aim of this study is to determine the peripheral nerve involvement electrophysiologically in SCD patients without clinically evident neurological signs, symptoms and to determine the relationship between the frequency of sickle cell crisis and peripheral neuropathy. Fifty-one patients with SCD and fifty-one healthy controls were enrolled to the study. Conventional electrophysiological studies of peripheral nerves were performed to all subjects. The data about the frequency of sickle cell crisis were obtained. Peripheral nervous sytem involvement was detected in ten (19.6%) patients. Five (9.8%) patients had sensorimotor axonal neuropathy, two (3.9%) sensory axonal neuropathy, one (2%) patient had ulnar sensory neuropathy and two (3.9%) had median sensory neuropathy. Sural nerve sensorial action potential was unobtainable in eight (15.7%) patients and prolonged F latencies were observed in three (5.9%). The frequency of neuropathy was higher in SCD patients when compared with the controls. The frequency of sickle cell crisis was not significantly correlated with peripheral neuropathy. Subclinical peripheral nerve involvement may be seen in SCD patients. Electrophysiological examinations are recommended in routine examination to diagnose early neuropathy in SCD patients without neurologic symptoms.