{"title":"HaNDL syndrome presenting with neuropsychological symptoms and severe papilledema: A case report.","authors":"Beria Nur Ertuğrul, Fatma Yılmaz Can","doi":"10.14744/agri.2023.84666","DOIUrl":"https://doi.org/10.14744/agri.2023.84666","url":null,"abstract":"<p><p>HaNDL is abbreviated from the definition of 'The syndrome of transient Headache and Neurologic Deficits with cerebrospinal fluid Lymphocytosis.' The syndrome consists of symptoms and signs characterized by headache, transient neurological deficits, and lymphocytic pleocytosis in the cerebrospinal fluid (CSF). The clinical presentation may resemble some serious neurological disorders, including stroke and viral encephalitis, and may mimic a migraine attack with aura. In this article, a case of a 21-year-old female patient who presented to the emergency department with complaints of dysphasia, somnolence, and agitation following a migraine attack is presented. Grade 4 papilledema was detected on fundus examination; lymphocytic pleocytosis and protein elevation were found in the CSF examination, and the diagnosis was defined as HaNDL syndrome.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"181-184"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hüseyin Berk Benek, Hakan Yılmaz, Alper Tabanlı, Emrah Akçay, Alaattin Yurt
{"title":"Trigeminal neuralgia secondary to compression of giant quadrigeminal cistern arachnoid cyst in an adult: Case report and review of the literature.","authors":"Hüseyin Berk Benek, Hakan Yılmaz, Alper Tabanlı, Emrah Akçay, Alaattin Yurt","doi":"10.14744/agri.2023.70845","DOIUrl":"https://doi.org/10.14744/agri.2023.70845","url":null,"abstract":"<p><p>A quadrigeminal cistern arachnoid cyst is an extremely rare cause of trigeminal neuralgia in adulthood. This report presents the fourth case in the literature of trigeminal neuralgia caused by a giant quadrigeminal cistern arachnoid cyst. A 52-year-old woman presented with a 3-month history of cerebellar ataxia and vertigo. She had a 2-year history of trigeminal neuralgia that was unresponsive to medical therapy. Neuroimaging studies revealed a cystic lesion in the quadrigeminal cistern associated with hydrocephalic enlargement. Using an infratentorial supracerebellar approach, neuroendoscope-assisted decompression and fenestration of the cyst were performed. Postoperatively, the patient was pain-free and able to walk unaided without symptoms of ataxia.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"175-178"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postoperative analgesic efficacy of preemptive and postoperative lornoxicam in femoropopliteal bypass surgery.","authors":"Demet Sergin, Cengiz Şahutoğlu, Aslıhan Esra Yüksel, Seden Kocabaş, Fatma Zekiye Aşkar","doi":"10.14744/agri.2025.62444","DOIUrl":"https://doi.org/10.14744/agri.2025.62444","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we analyzed the effect of the application time of intravenous (IV) lornoxicam in preventing postoperative pain.</p><p><strong>Methods: </strong>This placebo-controlled study was conducted on 72 patients undergoing elective femoropopliteal bypass surgery. The patients were randomly divided into three groups. Group I (n=25) was administered IV 8 mg lornoxicam 20 minutes before incision and IV 2 mL saline at the end of the surgery; Group II (n=24) was administered IV 2 mL saline 20 minutes before incision and IV 8 mg lornoxicam at the end of the surgery; Group III (n=23) was administered IV 2 mL saline 20 minutes before incision and IV 2 mL saline at the end of the surgery. All patients used IV morphine via a patient-controlled analgesia device. Postoperative pain was measured using the visual analog scale (VAS), and patients with a VAS score >3 were administered intramuscular 75 mg naproxen sodium.</p><p><strong>Results: </strong>The VAS scores were significantly higher in Group III compared with Group I at the 0th, 1st, 2nd, and 3rd hours and with Group II at the 1st, 2nd, and 3rd hours (p<0.05). As far as 24-hour morphine and naproxen sodium consumption were concerned, there was a significant statistical difference between the three groups (p<0.05); comparing Group I and II, there was no difference (p>0.05).</p><p><strong>Conclusion: </strong>Regardless of the time it is applied, lornoxicam reduces postoperative pain and consumption of opioids within the initial 3 hours.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Çağatay Küçükbingöz, Ayşe Bahşi, Tamer Bayram, Fidan Marufoğlu, Sinan Pektaş, Hayri Tevfik Özbek
{"title":"Efficacy of cervical epidural steroid injection with or without local anesthetic on pain and disability.","authors":"Çağatay Küçükbingöz, Ayşe Bahşi, Tamer Bayram, Fidan Marufoğlu, Sinan Pektaş, Hayri Tevfik Özbek","doi":"10.14744/agri.2025.76376","DOIUrl":"https://doi.org/10.14744/agri.2025.76376","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical epidural injections are frequently applied in the treatment of radicular pain caused by cervical disc herniation. This study aimed to investigate and compare the effectiveness of cervical epidural steroid injection and cervical epidural steroid + bupivacaine injection using Neck Disability Index (NDI) and Visual Analog Scale (VAS) scores.</p><p><strong>Methods: </strong>A total of 91 patients were included in the study. Patients who received cervical epidural steroid and cervical epidural steroid + bupivacaine were classified as Group I and Group II, respectively. Demographic characteristics, pain duration, and baseline VAS (VAS0) and NDI (NDI0) scores were recorded. Patients were also evaluated at the first and sixth months, and VAS1, NDI1, VAS6, and NDI6 scores were assessed.</p><p><strong>Results: </strong>Demographic characteristics and mean pain durations of the groups were similar, and VAS and NDI scores did not differ significantly at baseline, the first, and sixth months. Within each group, the VAS6 score was significantly lower than VAS0 (p=0.01) and VAS1 (p=0.01) scores, while the NDI6 score was also significantly lower than NDI0 (p=0.01) and NDI1 (p=0.01) scores in Group I. Similarly, the VAS3 score was significantly lower than VAS0 (p=0.01) and VAS1 (p=0.01) scores, and the NDI3 score was significantly lower than NDI0 (p=0.01) and NDI1 (p=0.01) scores in Group II.</p><p><strong>Conclusion: </strong>Our findings showed that the combination of epidural steroid + bupivacaine in cervical interlaminar epidural injections yields similar clinical effects to those of steroid alone, providing comparable improvement in functional status.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"168-174"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Remziye Sıvacı, Bilal Atilla Bezen, Elif Doğan Bakı, Gürhan Öz
{"title":"Comparison of the analgesic effects of the erector spinae plane block and thoracic paravertebral block in patients undergoing video-assisted thoracoscopic surgery.","authors":"Remziye Sıvacı, Bilal Atilla Bezen, Elif Doğan Bakı, Gürhan Öz","doi":"10.14744/agri.2025.15689","DOIUrl":"https://doi.org/10.14744/agri.2025.15689","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the effects of paravertebral block (PVB) and erector spinae plane block (ESPB) on intraoperative and postoperative analgesia and pulmonary function in patients undergoing video-assisted thoracoscopic surgery (VATS).</p><p><strong>Methods: </strong>A total of 49 patients aged 18-70 years with ASA scores of 2-3 who underwent elective VATS were included in the study. Patients were randomized into two groups using a web-based system. Those who received thoracic PVB were assigned to Group I, and those who received ESPB to Group II. Patients were monitored using the surgical plethysmographic index and bispectral index during the intraoperative period. Preoperative, intraoperative, and postoperative blood gas samples were analyzed to assess the impact on pulmonary function. Block application time, intraoperative and postoperative analgesic consumption, the presence of block-related complications, and length of hospital stay were recorded.</p><p><strong>Results: </strong>There was no significant difference between the groups in terms of intraoperative and postoperative analgesic consumption, operation time, or length of hospital stay (p>0.05). Postoperative VAS scores were similar, and there was no significant difference in preoperative, intraoperative, or postoperative arterial blood gas values between the two groups (p>0.05).</p><p><strong>Conclusion: </strong>ESPB is as effective as PVB in controlling acute postoperative pain and is easier to perform.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Turgut Yıldızgören, Burak Ekici, Fatih Bağcıer
{"title":"A new treatment for pain physicians to add to their repertoire of treatments: Glucopuncture.","authors":"Mustafa Turgut Yıldızgören, Burak Ekici, Fatih Bağcıer","doi":"10.14744/agri.2023.42708","DOIUrl":"https://doi.org/10.14744/agri.2023.42708","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"187-188"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating neural therapy into family practice.","authors":"Jose Montaño","doi":"10.14744/agri.2023.52280","DOIUrl":"https://doi.org/10.14744/agri.2023.52280","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"189-190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala
{"title":"Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication.","authors":"Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala","doi":"10.14744/agri.2022.23090","DOIUrl":"https://doi.org/10.14744/agri.2022.23090","url":null,"abstract":"<p><p>Damage to an epidural catheter by a spinal needle is a hypothetical complication, as mentioned in the literature. We present a case report where the epidural catheter was damaged and sheared by a spinal needle when the same interspace was used for the introduction of both the epidural and spinal needles. The damage to the catheter went unnoticed until drug infusion via the catheter was planned. The intended drug could not be delivered. In a scenario where the drug could have been delivered via the damaged catheter, the tissue plane in which the drug extravasates and its possible implications may not be known. What was once purported to be a rare and hypothetical complication could no longer be just that.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"179-180"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impacts of facet radiofrequency and/or transforaminal steroid injection on level of pain, life quality and degree of depression in patients with chronic low back pain: A retrospective study.","authors":"Faruk Altaş, Ayten Bilir, Meryem Onay","doi":"10.14744/agri.2025.47154","DOIUrl":"https://doi.org/10.14744/agri.2025.47154","url":null,"abstract":"<p><strong>Objectives: </strong>Low back pain is a widespread medical condition seen in middle-aged and elderly individuals, causing labor loss, high treatment costs, depression, and poor life quality. This study aimed to investigate pain levels, life quality, and depression in patients undergoing facet radiofrequency (RF) and/or transforaminal epidural steroid injection (TFESI) for the treatment of chronic low back pain (CLBP).</p><p><strong>Methods: </strong>The records of 51 patients with low back pain lasting more than three months who underwent interventional procedures for pain management were reviewed retrospectively. Patient data including age, sex, type of interventional treatment, visual analog scale (VAS) scores before and after the procedure, SF-36 life quality scores, and Beck Depression Scale (BDS) scores were obtained from patient tracking forms and the hospital information system.</p><p><strong>Results: </strong>A total of 51 patients (35 males, 16 females) who received interventional treatment were included in the study. The mean age of the patients was 48.37±13 years. Patients underwent facet RF (n=14), TFESI (n=23), or both procedures combined (n=14). Compared to pre-procedure values, VAS and BDS scores at the third and sixth months were significantly lower (p<0.05), while SF-36 life quality scores were significantly higher (p<0.05). No significant difference was observed between the third and sixth months (p>0.05).</p><p><strong>Conclusion: </strong>In chronic low back pain, interventional treatments such as facet RF and/or TFESI were found to reduce pain and depression levels and improve life quality.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the efficacy and safety of combined pulsed radiofrequency and transforaminal epidural steroid injection in herpes zoster-related pain.","authors":"Esra Ertilav, Öznur Yıldırım, Osman Nuri Aydın","doi":"10.14744/agri.2024.70104","DOIUrl":"https://doi.org/10.14744/agri.2024.70104","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to evaluate the effectiveness of pulsed radiofrequency (PRF) and transforaminal anterior epidural steroid injection (TFAESI) applied to the dorsal root ganglion (DRG) in herpes zoster pain.</p><p><strong>Methods: </strong>The results of patients who underwent DRG PRF and TFAESI for herpes zoster-related pain in the algology clinic were evaluated retrospectively. Demographic and clinical examination findings (gender, age, involved dermatome, side, neurologic examination, medications used), VAS scores, and complications were recorded at 1, 6, and 12 months after the procedure.</p><p><strong>Results: </strong>Data of 93 patients were evaluated. Sixty-six patients were in the acute/subacute pain phase, while 27 patients had postherpetic neuralgia (PHN) at presentation. Eleven patients (C2-4: 1, C3-5: 2, C4-6: 2, C5-7: 2, C6-8: 2, C7-T1: 2) underwent cervical DRG PRF and TFAESI. Seventy-five patients underwent thoracic DRG PRF and TFAESI (T1-3: 2, T2-4: 6, T3-5: 4, T4-6: 11, T5-7: 9, T6-8: 9, T7-9: 6, T8-10: 5, T9-11: 9, T10-12: 7, T11-L1: 3, T12-L2: 4). Seven patients underwent lumbar DRG PRF and TFAESI (L1-3: 3, L2-4: 1, L5-S2: 3). VAS scores for all three regions were significantly lower than pre-procedure scores at 1, 6, and 12 months after the procedure (p<0.001, p<0.001, p=0.008, respectively). While 2 patients developed nausea and dizziness due to subdural and intravenous leakage after the procedure, no fatal complications were recorded in any patient.</p><p><strong>Conclusion: </strong>In herpes zoster-associated refractory neuropathic pain, fluoroscopy-guided combined DRG and TFAESI application methods provide long-term effective pain control and are safe both in the acute/subacute phase and in patients who develop PHN.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 2","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}