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    Clinical and demographic profile of patients with active epilepsy: Experience from a tertiary care hospital in Turkey
    (2019) Başaran, Şehnaz; Öğün, Muhammed Nur
    ABSTRACT INTRODUCTION: To investigate the clinical and demographic findings of patients at epilepsy outpatient clinic of a tertiary care hospital. METHODS: We retrospectively analysed one hundred and eighty-seven patients with active epilepsy who admitted to our epilepsy clinic between January 2016 and February 2018. In addition to demographic characteristics, we evaluated clinical variables such as; seizure frequency, duration of illness, type of seizures, antiepileptics, electroencephalographic (EEG) and magnetic resonance imaging (MRI) findings. RESULTS: The mean age of the patients were 36,9 ± 13,1 years; and 54.5% were male. Family history of epilepsy was found in 48 patients (25.7%), and 35 patients (18.7%) had a kinship between parents. The most frequent risk factors were head trauma, febrile convulsions and perinatal problems. Partial seizures was seen in 67.9 %, generalised seizures in 29.3% and unclassified seizures in 2.7%. Brain MRI of 107 patients (57.2%) and interictal EEG of 57 patients (30.5%) was normal. A total of 116 (62%) received monotherapy, while 71 (38%) continued on polytherapy. DISCUSSION AND CONCLUSION: In this study, clinical and demographic data of the patients were consistent with the literature. We believe that detailed examination with regular follow- up in comprehensive epilepsy clinics would provide a potential benefit in preventing seizures and better outcome
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    Datura stramonium poisoning case with wernicke aphasia-like symptoms case report
    (2018) Başaran, Şehnaz; Dündar, Gülmine; Öğün, Muhammed Nur
    Datura stramonium (DS), is a hallucinogenic plant which has an anticholinergic toxicity due to the contents of toxic alkaloids, such as atropine, hyoscyamine and scopolamine. DS, found widely in natural flora of our country and used in alternative medicines and pharmaceutical industry. In this case report, we presented an 48-year-old woman who admitted to the emergency department with the acute symptoms of meaningless conversations and diagnosed datura stramonium poisoning.
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    Feel it or deal with it: Oral perception and aspiration risk in early stroke
    (Wiley, 2023) Benli, Enes Tayyip; Avcı, Şebnem; Öğün, Muhammed Nur
    BackgroundSensation and perception impairments are significant problems faced by individuals with early-stage stroke. Sensory inputs needed in swallowing guide the perceptual process with the involvement of cognitive functions. In the absence of sensory input, bolus perception may be altered, and swallowing safety may be compromised. ObjectivesThis study aims to evaluate the oral perception of volume change and the aspiration risk of individuals with stroke and determine the relationship between oral perception and aspiration risk. MethodsTotal participants were 35. The Gugging Swallowing Screening Test (GUSS) was used to determine individuals' risk of aspiration and divide them into groups 'aspiration risk' and 'non-aspiration risk'. The Oral Perception of Liquid Volume Changes Test (OPLVCT) was used to determine the level of oral perception. ResultsThe groups were statistically similar in terms of age and other descriptives. When the OPLVC test was examined, the scores of the aspiration risk group were significantly lower (p < .001). In addition, a moderate negative correlation was found between aspiration risk and the OPLVC scores (r: -0.502; p < .001). ConclusionIn this study, a relationship was found between aspiration risk and oral perception. It also revealed that individuals with stroke who are at risk of aspiration have low oral perception abilities. Based on these results, it was concluded that these individuals cannot reliably determine the maximum volume of liquid to be consumed without assistance. We suggest that evaluations and training of oral perception should be added to the rehabilitation of individuals with stroke.