Browsing by Author "Torun, Ebru"

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Cervicofacial and Mediastinum Emphysema Following Dental Intervention
(2015) Akkucuk, Mehmet Husamettin; Avci, Suat; Torun, Ebru; Gonullu, Hatice
Mediastinitis is a clinical case with high mortality and morbidity ratio. Thus, defining the causes beforehand is significantly important. A 65-year-old male patient present to the emergency care unit because of symptoms such as swelling of his face and neck. Crepitation is noted during palpation at the right lateral face and neck of patients, indicating that swelling occurred after medical intervention by the dentist using spray. Emphysema is seen on the face, neck, and mediastinum on X-ray and CT scans. Patients were hospitalized, and parenteral antibiotic therapy was applied in case of the possibility of serious infection, which may occur because of the use of air syringe, causing the permeation of oral flora to the neck and mediastinum via buccal mucosal ruptures during the patient's dental surgery. Because swellings disappeared and the patient did not have fever on the third day of hospitalization, the patient was discharged after oral antibiotics therapy. Physicians working at the emergency care unit will always keep in mind the risk of deep neck infections and mediastinitis occurrence that patients presenting with swelling symptoms on the neck and face may have following dental surgery.
Cystic Meningioma Showing Peripheral Rim Enhancement without Mural Nodule
(2015) Ergun, Tarkan; Torun, Ebru; Lakadamyali, Hatice; 0000-0002-6165-2569; 25287819; JVN-6452-2024
Migraine and Subclinical Atherosclerosis: Endothelial Dysfunction Biomarkers and Carotid Intima-Media Thickness: A Case-Control Study
(2019) Avci, Aynur Yilmaz; Akkucuk, Mehmet Husamettin; Torun, Ebru; Arikan, Serap; Can, Ufuk; Tekindal, Mustafa Agah; https://orcid.org/0000-0001-9004-9382; https://orcid.org/0000-0003-4569-1143; https://orcid.org/0000-0001-5752-3812; https://orcid.org/0000-0001-8689-417X; https://orcid.org/0000-0002-4060-7048; 30645751; F-6770-2019; AAJ-2828-2021; AAJ-1289-2021; AAJ-2999-2021; U-9270-2018
Background Migraine is a common neurovascular disease associated with vascular risks, especially in young adult females, but the mechanism underlying these associations remains unknown. This study evaluated the relationships between plasma endothelial dysfunction biomarkers and carotid intima-media thickness (IMT) in young adult females with migraine. Methods This case-control study included 148 female patients (age range: 18-50years). Migraine was diagnosed according to the International Headache Society-IIIb criteria. Endothelial dysfunction biomarkers, such as von Willebrand factor (vWF), C-reactive protein (CRP), homocysteine, total nitrate/nitrite concentration, and thiobarbituric acid-reactive substances (TBARS), were evaluated in plasma. Carotid IMT was measured by a radiologist with sonography. Results The CRP, TBARS, vWF, and IMT levels were increased in the migraine compared with the control group (p<0.001, p=0.02, p<0.001, and p<0.001, respectively). After adjusting for confounders, multiple linear regression analysis revealed that systolic arterial blood pressure, CRP, vWF, TBARS, and right and left internal carotid artery (ICA) IMT were independently positively correlated with migraine (p<0.01, p=0.004, p=0.023, p=0.024, p=0.032, and p=0.048, respectively). Multiple logistic regression analysis revealed that right ICA IMT was independently associated with ergotamine and triptan and left ICA IMT was independently associated with ergotamine (p=0.013, p=0.026, and p=0.017, respectively). In addition, significant correlations were found between LDL lipoprotein and carotid IMT in the migraine group (p<0.05). Conclusions Carotid IMT enhancement and elevated TBARS, vWF, and CRP levels in migraine subjects during a migraine attack could be regarded as consequences of migraine attack pathophysiology. The independent associations between triptan and ergotamine consumption and enhanced carotid IMT suggest that repeated use of these vasoconstrictive antimigraine agents may have additional effects on carotid IMT.