{"title":"Bilateral occipital infarcts due to persistent migraine with aura in an elderly.","authors":"Melek Kandemir Yılmaz, Pınar Kırıklı","doi":"10.14744/agri.2022.79989","DOIUrl":"https://doi.org/10.14744/agri.2022.79989","url":null,"abstract":"<p><p>Migrainous infarction is a rare complication of migraine that mostly occurs in the posterior circulation and in younger women, with an incidence of less than 1%. It is known that migraine, especially migraine with aura, is a risk factor for ischemic stroke in younger adults but not in the elderly. We report a 71-year-old male patient who experienced abnormal visions due to migraine headache and persistent aura, causing bilateral occipital infarcts. He has been suffering from migraine with aura since his adolescence. The frequency and severity of his attacks decreased with age. He has recently been diagnosed with hypertension as a vascular risk factor, in addition to migraine and advanced age. His symptoms have been brought under control with verapamil. Migrainous infarction can present itself at older ages without prominent vascular risk factors, and it can be managed with verapamil.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 4","pages":"281-284"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485170","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":"Effect of erector spinae plane block on postoperative intravenous morphine consumption in open subcostal nephrectomy: A prospective randomized clinical trial.","authors":"Erkan Atıcı, Zehra İpek Arslan, Hasan Yılmaz","doi":"10.14744/agri.2022.71602","DOIUrl":"10.14744/agri.2022.71602","url":null,"abstract":"<p><strong>Objectives: </strong>We began with the hypothesis that the erector spinae plane block (ESPB) would decrease postoperative morphine consumption in patients scheduled for open subcostal nephrectomy.</p><p><strong>Methods: </strong>After obtaining ethics committee approval and informed patient consent, American Society of Anesthesiologists I-II, 46 patients between the ages of 18 and 65 who were scheduled for elective nephrectomy with an anterior subcostal incision were included in this study. Patients were randomly divided into two groups, the ESPB and the control group, using the sealed envelope technique. In the ESPB group, ESPB was applied with 20 mL of 0.25% bupivacaine at the T10 level at the block corner before being taken to the operating room. Patient-controlled analgesia with intravenous morphine was applied to both the ESPB and the control groups.</p><p><strong>Results: </strong>Intraoperative remifentanil consumption in the ESPB group was statistically significantly less than in the control group (1069.5±211.54 micrograms versus 1471.4±202.21 micrograms) (p<0.001). Postoperative morphine consumption of the patients was also lower in the ESPB group (16.8±4.13 milligrams versus 33.65±6.91 milligrams) (p<0.001). The numeric rating scales of the patients in the ESPB group were lower than in the control group (p<0.001). The additional analgesic requirements of patients were less in the ESPB group (35% vs 95%, p<0.001). Patient satisfaction was higher in the ESPB group compared to the control group (p=0.009). Nausea was lower in the ESPB group than in the control group (p=0.007).</p><p><strong>Conclusion: </strong>Preemptive administration of ESPB is a safe and beneficial analgesic method in patients undergoing open subcostal nephrectomy.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 1","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493024","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":"Persistent hiccups as a rare complication after transforaminal epidural steroid injection: A Case Report.","authors":"Ferhat Ege","doi":"10.14744/agri.2022.90688","DOIUrl":"https://doi.org/10.14744/agri.2022.90688","url":null,"abstract":"<p><p>A male patient presented to the clinic with persistent hiccups and the complaint of subacute low back pain. Subsequently, he was administered a transforaminal epidural betamethasone injection (TFESI) plus lidocaine and developed persistent hiccups thereafter, which lasted for 6 days and subsided spontaneously. He presented with similar complaints again 5 months later and was administered TFESI, this time along with betamethasone and saline. Yet, he once again developed persistent hiccups, which this time lasted for 7 days and subsided spontaneously. This case report, featuring a patient who was administered TFESI due to subacute low back pain and subsequently developed persistent hiccups as a rare complication, aims to contribute to the literature in the relevant area of specialization.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 4","pages":"266-268"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485188","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":"Early diagnosis and treatment management with USG in a patient who developed unilateral diaphragmatic paralysis after interscalene block.","authors":"Zülfü Çevik, Deniz Kara, Ayda Türköz","doi":"10.14744/agri.2022.47750","DOIUrl":"https://doi.org/10.14744/agri.2022.47750","url":null,"abstract":"<p><p>Interscalene brachial plexus block is frequently used for anesthesia and analgesia in shoulder, clavicle, and humerus surgeries. However, complications such as infection, hematoma, vascular injury, local anesthetic toxicity, nerve damage, total spinal anesthesia, diaphragmatic paralysis, and Horner syndrome may occur after an interscalene block. In this case report, a case of unilateral diaphragmatic paralysis that developed after an ultrasound-guided interscalene brachial plexus block for intraoperative and postoperative analgesia, which was rapidly diagnosed and treated bedside with ultrasound, is presented and discussed. We believe that ultrasound has become an indispensable means of monitoring anesthesia practice, both in peripheral nerve block and in the diagnosis and treatment of complications, in recent years.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 4","pages":"276-280"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485185","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}
Burcu Özalp Horsanalı, Hüsnü Yımaz, Meltem Uyar, Can Eyigör
{"title":"Gabapentinoids and lactation: Review of the literature.","authors":"Burcu Özalp Horsanalı, Hüsnü Yımaz, Meltem Uyar, Can Eyigör","doi":"10.14744/agri.2021.55531","DOIUrl":"10.14744/agri.2021.55531","url":null,"abstract":"<p><p>Gabapentin and pregabalin, which belong to the gabapentinoid drug family, are widely used, especially in neuropathic pain treatment, due to their effectiveness in pain management. Although many of the comorbidities and symptoms that limit the use of gabapentinoids are clearly described in the literature, there is limited data on their use during lactation. A 33-year-old female patient was admitted to our clinic with neuropathic pain and muscle weakness in her left lower extremity following spinal anesthesia for a cesarean section. We aimed to present the gabapentin treatment of a breastfeeding patient with persistent neuropathic pain in light of a literature review.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 1","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491271","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 relationship between disability and depression, anxiety, and sleep quality in patients with coccydynia.","authors":"Emel Güler, Hanzade Aybüke Ünal","doi":"10.14744/agri.2023.23865","DOIUrl":"10.14744/agri.2023.23865","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, our aim was to investigate the relationship between sleep quality, anxiety, depression, and disability in patients with coccydynia.</p><p><strong>Methods: </strong>This prospective cross-sectional study evaluated 60 patients diagnosed with coccydynia. Clinical and demographic characteristics of the patients were recorded. Outcome measures included the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Pittsburgh Sleep Quality Index (PSQI), which were analyzed.</p><p><strong>Results: </strong>Depressive symptoms and anxiety were detected in 47 (78.3%) and 49 (81.6%) of the 60 patients, respectively. Additionally, 46 (76.7%) patients were identified as poor sleepers. Our results demonstrated a statistically significant positive correlation between the quality of sleep and anxiety and depressive symptoms scores (p<0.001); there was also a statistically weak positive correlation with disability index values.</p><p><strong>Conclusion: </strong>Depressive symptoms, anxiety, and poor sleep quality are exacerbated by disability in coccydynia. While coccydynia has been previously associated with neurotic disorders, the mechanisms underlying poor sleep quality remain unclear.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492074","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}
Hatice Kaykusuz, Süheyla Karadağ Erkoç, İbrahim Aşık
{"title":"Retrospective evaluation of patients treated with intradiscal discectomy + RFTC using the Disc-Fx method in lumbar discopathy.","authors":"Hatice Kaykusuz, Süheyla Karadağ Erkoç, İbrahim Aşık","doi":"10.14744/agri.2023.20633","DOIUrl":"https://doi.org/10.14744/agri.2023.20633","url":null,"abstract":"<p><strong>Objectives: </strong>Low back pain is an important public health problem that impairs quality of life and causes limitations in both social and working life. It is attempted to be treated with conservative or surgical procedures. However, how wise is it to plan surgery with a high complication rate when conservative treatment fails to respond?</p><p><strong>Methods: </strong>In this study, it was planned to investigate the effectiveness of the Disc-Fx procedure, which is one of the minimally invasive techniques for low back pain. Patients who underwent the Disc-Fx procedure were included. After consent was obtained, questions were asked before and after the procedure. The data of the patients were obtained by telephone and hospital database. Data of 40 patients older than 18 years of age were collected and analyzed retrospectively according to the established protocol. Then, the data were subjected to statistical calculation and the results were obtained.</p><p><strong>Results: </strong>Similar to the literature, there was a significant difference between preoperative and postoperative 1st, 6th, and 12th months of VAS, ODI, and MacNab values. In fact, a significant difference was found between the VAS, ODI, and MacNab values in each postoperative period compared to the preoperative period. In addition, factors that may be important in the etiology of low back pain were also evaluated.</p><p><strong>Conclusion: </strong>The Disc-Fx procedure is thought to be a promising procedure for carefully selected patients due to its low complication rates. It has been concluded that more precise results can be obtained as a result of randomized controlled studies with a larger number of patients and longer follow-up of patients.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 4","pages":"236-247"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485189","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":"An atypical survey in a cluster headache patient: A case report.","authors":"Gökhan Özkan, Ali Akyol","doi":"10.14744/agri.2021.86658","DOIUrl":"10.14744/agri.2021.86658","url":null,"abstract":"<p><p>Cluster headache is a rare, severe headache associated with hypothalamic dysfunction or sleep cycles. It is classified in the primary headache group in The International Classification of Headache Disorders-3-2018 (ICHD-3-2018). In this case report, we present a 62-year-old male patient whose cluster headache showed a five times longer remission interval after dental implant treatment and ceased for more than two years following cardiac stent therapy.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 1","pages":"71-74"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493022","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}
Mete Manici, Ilayda Kalyoncu, Hüseyin Erdoğan, Muzaffer Ozan Altuntaş, Yavuz Gürkan
{"title":"Ultrasound-guided greater auricular nerve block for surgical anesthesia of the external ear.","authors":"Mete Manici, Ilayda Kalyoncu, Hüseyin Erdoğan, Muzaffer Ozan Altuntaş, Yavuz Gürkan","doi":"10.14744/agri.2022.93798","DOIUrl":"10.14744/agri.2022.93798","url":null,"abstract":"<p><p>The Greater Auricular Nerve (GAN), a branch of the cervical plexus, is used to provide anesthesia or pain relief in the ear and neck region. This case report details the use of a GAN block in a 71-year-old male patient with basal cell carcinoma on his right auricular helix. Due to multiple comorbidities (myocardial infarction resulting in a cardiac stent, hypertension), regional anesthesia was preferred. We aim to share our experience with the GAN block for ear surgery.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 1","pages":"75-76"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492075","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 effect of colored masks used in pediatric emergency clinics on children's pain perception: Randomized controlled study.","authors":"Eda Gülbetekin, Fatma Gül Can, Selahattin Karagöz","doi":"10.14744/agri.2023.00086","DOIUrl":"10.14744/agri.2023.00086","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted in a randomized controlled manner to examine the effect of colored surgical masks used by nurses in pediatric emergency clinics on children's pain perception.</p><p><strong>Methods: </strong>The study included 81 children aged 1-3 years who applied to the pediatric emergency clinic of a State Hospital located in a province in eastern Turkey. Data were collected using the 'Personal Information Form' and the 'Facial Expression, Leg Movement, Activity, Cry, Consolability (FLACC) Pain Assessment Tool' to measure the level of pain perception. During the vascular access procedure, colored surgical masks were used in the experimental group, while white surgical masks were used in the control group. Children's pain was assessed based on nurse observations. Independent samples t-test and ANOVA were employed to assess the data. The results were evaluated with a 95% confidence interval and a significance level of p<0.05.</p><p><strong>Results: </strong>It was observed that in the white mask group, 35% of the children were 1 year old and 35% were 3 years old. In the colored mask group, 46.3% of the children were 2 years old. Furthermore, 52.5% of the children in the white mask group and 31.7% in the colored mask group were girls. The total mean score of the 'FLACC' scale was 8.92±1.526 in the white mask group and 4.73±2.721 in the colored mask group.</p><p><strong>Conclusion: </strong>The use of colored surgical masks by nurses during vascular access in children aged 1-3 years was found to be effective in reducing children's pain perception.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 4","pages":"227-235"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485190","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}