Handan Isin Ozisik

Çanakkale Onsekiz Mart Üniversitesi, Kale-Sultanie, Çanakkale Province, Turkey

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Publications (17)34.07 Total impact

  • Handan Isin Ozisik · Kaya Sarac · Cemal Ozcan
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    ABSTRACT: Intracranial arachnoid cysts (ACs) are usually asymptomatic, benign developmental anomalies. The most frequent clinical manifestations are cranial expansion, hydrocephaly, headache, epileptic seizures, psychomotor retardation, and aphasia. It is unknown whether there is a correlation between intracranial AC and epileptic seizures without obvious intracranial pressure signs. In vivo magnetic resonance spectroscopy is a technique used for the noninvasive investigation of the various metabolites of cerebral biochemical reactions. Magnetic resonance spectroscopy is also being used increasingly commonly in epileptogenic situations as a noninvasive technique. The purpose of this study was to evaluate the proton magnetic resonance spectroscopic pattern of the contents of tissue adjacent to AC and to determine whether there are any characteristic spectral patterns that may be helpful in evaluating whether these lesions are epileptogenic foci. In conclusion, although the number of cases was limited, this finding may be seen as indicating that there is no association between AC and epilepsy.
    The Neurologist 12/2008; 14(6):382-9. DOI:10.1097/NRL.0b013e318177819c · 1.16 Impact Factor
  • Handan Isin Ozisik · Fehim Arman
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    ABSTRACT: Although several studies based on psychometric tests have demonstrated an impairment of higher cortical functions in hyperthyroid and hypothyroid patients, the effect of thyroid hormones on cognitive functions has not yet been clarified. Only a few studies on auditory event-related potentials (ERP) have been reported. To investigate the cognitive effects of thyroid hormones, we studied auditory ERP in a group of 24 hyperthyroid patients, 12 hypothyroid patients, and 27 healthy control subjects. Both hyperthyroid and hypothyroid patients showed prolonged P300 latency as compared with healthy controls (P < 0.05). In addition, the P300 latency values of the hypothyroid patients were significantly longer than those of the hyperthyroid patients (P < 0.05). It is concluded that the P300 component of ERP is more vulnerable to the effect of hypothyroidism than that of hyperthyroidism. The effect of thyroid hormones on ERP is discussed.
    The Endocrinologist 10/2008; 18(6):286-289. DOI:10.1097/TEN.0b013e31819032e4 · 0.12 Impact Factor
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    ABSTRACT: It has been known that in a migraine attack intracranial and extracranial arteries on the headache side dilate and when the migraine attack has subsided, the intracranial arteries show segmental narrowing. We hypothesized that patients with migraine had an underlying systemic vasomotion abnormality and there might be an increased nitrate-mediated vasodilatory response in the brachial artery of migraineurs. Accordingly we aimed to measure endothelium dependent and independent functions of brachial artery in migraineurs and healthy subjects. Twenty-four patients who fulfilled the diagnostic criteria of migraine were enrolled in the study. Twenty-six age- and sex-matched healthy control subjects comprised the control group. Flow-mediated dilatation and nitrate-mediated dilatation were measured in all patients and control subjects by means of brachial artery ultrasonography. Flow-mediated dilatation of patients with migraine was significantly lower than that of control subjects (7.6 +/- 3.7% vs 10.4 +/- 3.5%, respectively, P= .008). However, nitrate-mediated dilatation in migraineurs was significantly higher than that of nonmigraineurs (25% vs 14%, respectively, P< .001). We have shown that migraineurs have decreased endothelium dependent function whereas increased nitrate-mediated response in their brachial artery. It can be suggested that the mechanism underlying migraine may be a diffuse vascular vasomotion abnormalities and migraine may be a local manifestation of systemic vascular abnormality rather than a primary cerebral phenomenon.
    Headache The Journal of Head and Face Pain 01/2007; 47(1):104-10. DOI:10.1111/j.1526-4610.2007.00657.x · 2.71 Impact Factor
  • Sibel Kizkin · Rifat Karlidag · Cemal Ozcan · Handan Isin Ozisik
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    ABSTRACT: Evoked potential studies have demonstrated that musicians have the ability to distinguish musical sounds preattentively and automatically at the temporal, spectral, and spatial levels in more detail. It is however not known whether there is a difference in the early processes of auditory data processing of musicians. The most emphasized and studied early process, especially for neuropsychiatric purposes, is sensory gating. The suppression percentage of the midlatency auditory evoked potential P50, and rarely the N100, wave is used for sensory gating studies. Our aim in this study was to investigate whether there was a difference in the auditory P50 and N100 suppression of control subjects who were professional musicians with no psychiatric problems. 34 professional musicians and 19 non-musicians (the control group) were included in this study. P50 and N100 measurements were taken, the suppression percentage of P50 and N100 was calculated and the results compared. Musicians showed significantly less P50 suppression when compared to non-musicians. There was no significant difference for N100 suppression. What the decreased P50 suppression in musicians when compared to non-musician subjects means, when we also take into account that N100 suppression is not decreased, and how it may contribute to the music perception and production processes of these persons is discussed.
    Brain and Cognition 09/2006; 61(3):249-54. DOI:10.1016/j.bandc.2006.01.006 · 2.48 Impact Factor
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    ABSTRACT: Migraine is a common neurovascular disorder characterized by attacks of severe headache, autonomic and neurological symptoms. We hypothesized that patients with migraine had abnormal endothelial function. The vascular theory of migraine assumes that the major pathophysiological events that initiate the migraine attack occur in the perivascular nerves of the major cerebral vessels. Accordingly, we aimed to measure endothelium-dependent vasodilatation in migraineurs by means of flow-mediated dilatation, which reflects endothelium-dependent vasodilatation capacity. Forty-five patients who fulfilled the diagnostic criteria for migraine and 45 age and sex-matched healthy participants were enrolled in the study. Flow-mediated dilatation of the brachial artery was determined using a high-resolution B-mode ultrasonographic system. Flow-mediated vasodilatation was expressed as the change in post-stimulus diameter as a percentage of the baseline diameter. Mean ages of the patients were 33+/-10 years in migraineurs (range: 18-52 years, 36 female, 9 male) and 33+/-9 years in non-migraineurs (range: 17-50 years, 36 female and 9 male). Flow-mediated dilatation of patients with migraine is significantly lower than that of the controls (8.02+/-4.095% vs. 10.72+/-3.52%, respectively, P=0.001). We have shown that migraineurs have decreased endothelium-dependent vasodilatation capacity compared with non-migraineurs. Migraine may be a local manifestation of systemic vascular vasomotion abnormalities.
    Coronary Artery Disease 03/2006; 17(1):29-33. DOI:10.1097/00019501-200602000-00005 · 1.50 Impact Factor
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    ABSTRACT: The aim of the present study was to investigate hemodynamic changes in the medial cerebral artery and also the internal carotid artery in young women with polycystic ovary syndrome (PCOS) and polycystic ovaries (PCO). Twenty-eight patients with PCOS, 16 patients with PCO and 24 healthy control subjects were included in the study. Blood flow rate, pulsatility index and back pressure of both the medial cerebral artery and the internal carotid artery were determined by transcranial Doppler ultrasonography and the results compared between groups. There were no significant differences between the groups in bilateral medial cerebral artery and internal carotid artery blood flow rate, pulsatility index and back pressure. Our results do not indicate whether the risk of cerebrovascular events will increase for PCOS patients in middle and advanced age, but do show that changes in cerebral hemodynamics are not likely in PCOS at an early stage.
    Gynecological Endocrinology 12/2005; 21(5):287-91. DOI:10.1080/09513590500402848 · 1.33 Impact Factor
  • Halil Duzova · Handan Işin Ozişik · Alaadin Polat · M Hanifi Emre · Esin Gullu
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    ABSTRACT: Physical exercise has influence on all organs except its effects on the central nervous system have not been fully elucidated. This study attempts to determine whether the degree of training could affect the response to physical stress by comparing the three groups of males in different levels of the physical fitness. Serum samples from high (n = 11), moderate (n = 10), and low physical activity sportsmen (n = 10) were collected to determine nitrite/nitrate levels before and after carrying out an anaerobic maximal exercise test. An "oddball paradigm" of auditory stimuli was used to evoke the N200 and P300 before and after the exercise. The amplitude of the N200 decreased significantly after anaerobic maximal exercise compared to the values of the recorded pre-exercise at Fz area in high physical activity group. There was a negative correlation between event-related potentials component and both nitrite/nitrate serum level changes and the heart rate changes in low physical activity subjects. However, in high and moderate physical activity groups, these relationships were positive.
    International Journal of Neuroscience 11/2005; 115(10):1353-73. DOI:10.1080/00207450590956387 · 1.52 Impact Factor
  • Handan Isin Ozisik · Ozden Kamisli · Rifat Karlidag · Sibel Kizkin · Cemal Ozcan
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    ABSTRACT: Premenstrual syndrome is a term which includes a broad group of emotional, behavioral and physical symptoms that occur for several days before menses and subside following the menstrual period. Many women experience premenstrual syndrome symptoms, particularly physical ones such as breast tenderness and swelling. Approximately 5-10% women suffer from severe premenstrual syndrome and another 30-40% have moderate symptoms. Premenstrual syndrome continues to be an unsolved problem. In this study, we evaluated 24 premenstrual syndrome patients and 20 healthy women in the control group. The ages of the women were 22-34 years (mean +/- SD: 25+/-3) for the premenstrual syndrome group and 23-34 (25+/-3) for the control group. The sympathetic skin response was recorded from the palms, soles and genital regions by using electrical stimuli to the median nerve at the wrist. The sympathetic skin response was recorded twice, in the follicular and late luteal phases of menstruation. The follicular and late luteal phase sympathetic skin response of the two groups were compared. The amplitudes and latency values of the late luteal and follicular phase sympathetic skin response from the premenstrual syndrome group and control group women were statistically similar. We also did not find any latency or amplitude difference in the sympathetic skin response obtained from the three regions of the premenstrual syndrome patients and the control group. We checked sympathetic skin response in the symptomatic (late luteal phase) and asymptomatic (follicular phase) periods of patients with premenstrual syndrome, a disorder known to have many autonomic symptoms, to determine whether there was sudomotor sympathetic involvement. The results of our PMS patients indicate at the very least that there is no difference with the control subjects as regards peripheral sudomotor functions.
    Clinical Autonomic Research 07/2005; 15(3):233-7. DOI:10.1007/s10286-005-0281-8 · 1.49 Impact Factor
  • T Baysal · M Dogan · R Karlidag · H.I. Ozisik · O Baysal · T Bulut · K Sarac
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    ABSTRACT: Our aim was to investigate whether neurological impairment in chronic Behçet's disease (BD) patients with normal appearing brain can be assessed by means of diffusion-weighted imaging (DWI). The averaged apparent diffusion coefficient (ADC) values were calculated in 22 different radiologically normal appearing brain regions in 32 patients with and without neurological findings and 20 control subjects. The ADC values in bilateral frontal, temporal and occipital normal appearing white matter were significantly higher in the patient groups compared with the control subjects (p < 0.05). In these brain regions, DWI revealed differences in the ADC values between patients with neurological findings (including symptomatic and neuro-Behçet patients) and the asymptomatic patient group. The similarity of the ADC values of patients without symptoms to those of the control group allowed clear discrimination between patients with and without neurological findings. DWI may serve to assess subclinical neurological involvement in BD, even when structural changes are absent.
    Neuroradiology 07/2005; 47(6):431-7. DOI:10.1007/s00234-005-1370-z · 2.49 Impact Factor
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    Handan Isin Ozisik · Rifat Karlidag · Ersoy Hazneci · Sibel Kizkin · Cemal Ozcan
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    ABSTRACT: Behcet's disease (BD) is a multisystem inflammatory disorder characterized by recurrent oral and genital ulcers and uveitis. BD patients without neurological involvement frequently have mild neurological symptoms. The aim of this study was to evaluate whether BD patients without neurological involvement have any changes in cognitive functions. Twenty BD patients without neurological involvement and 13 control subjects were included in the study and were analyzed by neurophysiological and neuropsychological examinations. The cognitive event-related potentials (P300) were recorded from the frontal, central and parietal areas of the right and left hemispheres of the patients and control subjects. Likewise, all individuals were evaluated with neuropsychological tests. In contrast to a study with similar design, we did not find any difference between the cognitive event-related potentials values of BD patients without neurological involvement and the control subjects. All BD patients without neurological involvement exhibit normal results of the neuropsychological test. In conclusion, the results of neuropsychological tests and cognitive event-related potentials values in BD patients without neurological involvement are indistinguishable from those in control subjects and no alteration of cognitive functions is present.
    The Tohoku Journal of Experimental Medicine 06/2005; 206(1):15-22. DOI:10.1620/tjem.206.15 · 1.35 Impact Factor
  • Archives of Gynecology and Obstetrics 05/2005; 271(1). DOI:10.1007/BF02954773 · 1.36 Impact Factor
  • Sibel Kizkin · Selim Doganay · Handan Isin Ozisik · Cemal Ozcan
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    ABSTRACT: Crocodile tears syndrome is one of the rare complications of facial paralysis. There have been several reports of cases in which botulinum toxin was found to be useful in the treatment of crocodile tears syndrome. The adverse effects, due to the paralytic action of botulinum toxin, have been reported to involve the palpebral muscle, lateral rectus and superior rectus. Therefore, we considered that it might be more appropriate to carry out the injection procedure under electromyographic guidance in order to inject botulinum toxin selectively into the lacrimal gland and protect the above-mentioned muscles. In conclusion, we recommend EMG guidance in the treatment of crocodile tears syndrome with botulinum toxin.
    Functional neurology 01/2005; 20(1):35-7. · 1.86 Impact Factor
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    ABSTRACT: Brucella melitensis infection is endemic in the eastern and south-eastern Anatolia regions of Turkey. We report an unusual case of brucella meningitis presenting with bilateral papilla stasis, diplopia and absence of other neurological involvement. Diagnosis was made by positive culture of Brucella spp. with a BACTEC 9120 system with inoculation of the patient's cerebrospinal fluid (CSF). This is the first report of isolation of Brucella spp. from CSF on a BACTEC 9120 system for diagnosis of meningitis. This case demonstrated that brucella meningitis may present with very slight symptoms, and inoculation of CSF into BACTEC bottle besides conventional cultures improves the detection of Brucella in endemic areas such as Turkey.
    Microbes and Infection 08/2004; 6(9):861-3. DOI:10.1016/j.micinf.2004.04.012 · 2.86 Impact Factor
  • Ayhan Boluk · Mehmet Guzelipek · Haluk Savli · Ismail Temel · Handan Işin Ozişik · Akif Kaygusuz
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    ABSTRACT: The effect of long-term valproate (VPA) treatment on bone mineral density (BMD) in adult epileptic patients is not clearly known, although several studies have been done in children. In adult epileptic patients (n = 50; 24 men, 26 women) treated with VPA, the bone mineral density at lumbar level (L1-L4) and neck, trochanter, and intertrochanter regions of left femur was studied by dual energy X-ray absorptiometry (DXA) at the beginning of the study and after 6 months, with the specific aim to evaluate the effect of long-term valproate monoteraphy on bone mineral density. Routine biochemical parameters were also evaluated. Sixty healthy control subjects were evaluated. Control subjects were similar to patient group with respect to age, race (all White), geographic area, and socioeconomic status. Lumbar and femural BMD values were significantly lower in patient group than control group (0.814 +/- 0.157 g/cm(2) versus 0.894 +/- 0.102 g/cm(2), P = 0.003) and (0.824 +/- 0.144 g/cm(2) versus 0.906 +/- 0.104 g/cm(2), P = 0.001), respectively. Osteopenia were detected in 13 of 60 control subjects (22%) and the others had no osteoporosis. In epileptic group, osteoporosis and osteopenia were detected in 8 subjects (16%), and in 26 subjects (52%), respectively. In epileptic group 16 subjects were normal (32%) at the lumbar regions, and 7 had osteoporosis (14%), 28 had osteopenia (56%), and 15 were normal (30%) at the femoral region. In the second measurements of the patients on valproate treatment, after 6 months, all of the DXA BMD values had worsened compared with the first measurements (P = 0.001 for lumbar BMD values and P = 0.004 for femural BMD values). In the patient group, a significant inverse correlation was observed between duration of valproate therapy and all DXA BMD values in the first and second measurements. Parathyroid hormone, alkaline phosphatase, and phosphor levels of patients were significantly higher than those of control group (52 +/- 11 pg/ml versus 46 +/- 13 pg/ml, P = 0.013), (113 +/- 32 U/l versus 95 +/- 36 U/l, P = 0.006), and (4.50 +/- 0.5 mg/dl versus 4.0 +/- 0.7 mg/dl, P = 0.0001), respectively. However, all of the parameters were within the normal reference ranges. It has been concluded that long-term (more than one year) valproate treatment induces a decrease in bone mineral density in epileptic adults. However, the multivariate analysis did show no association between BMD changes and parathyroid hormone, alkaline phosphatase or phosphorus levels.
    Pharmacological Research 08/2004; 50(1):93-7. DOI:10.1016/j.phrs.2003.11.011 · 4.41 Impact Factor
  • Sibel Kizkin · Kaya Sarac · Handan Isin Ozisik · Cemal Ozcan
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    ABSTRACT: Although a pontine lesion on cranial MRI is frequently associated with an extrapontine lesion, few cases report solitary pontine involvement in Wilson disease, and it is usually recognized as central pontine lesions related to hepatic dysfunction. A patient with Wilson's disease having a solitary pontine lesion without basal ganglia involvement in cranial MRI with cerebellar symptoms is presented. Based on MR spectroscopy findings, this solitary pontine lesion could be regarded as central pontine myelinolysis rather than the neurologic involvement in Wilson's disease.
    Magnetic Resonance Imaging 02/2004; 22(1):117-21. DOI:10.1016/j.mri.2003.08.004 · 2.09 Impact Factor
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    ABSTRACT: A functional maturational delay in the central nervous system is dwelled upon in the pathogenesis of monosymptomatic nocturnal enuresis (MNE). In this study we studied whether according to controls N200 and P300, components of the event-related potential (ERP), which is related to aspects of cognitive processing, showed any difference in its topographic distribution in children within the age group 10-13 with monosymptomatic nocturnal enuresis and discussed its relation to the pathogenesis of MNE. We performed P300 in 18 patients with MNE and in 16 age-matched healthy subjects. P300 were evoked by an auditory oddball paradigm consisting of 150 tone bursts (80% 1 kHz; 20% 2 kHz). The latencies of the N200 and the P300 waves and the amplitude of the P300 wave were measured. There was no statistical difference between the enuretic group and the controls in N200 and P300 latency and amplitude in the midline frontal (Fz), central (Cz), and parietal (Pz) recording site of the 10-20 International System. In the enuretic group while P300 amplitude in the Fz site was significantly less than the P300 amplitude in the Cz site, there was no statistical difference between the Fz and Pz P300 amplitude values. When different levels of maturational delay are considered in MNE, it may be claimed that maturational delay in children whose enuresis lasts until older ages will be different from those whose enuresis ends at an early age. The determination of P300 amplitude in parietal records being less in enuretics when compared to the controls may show that there are regional differences in stimuli processing rate/quality.
    Neurourology and Urodynamics 01/2004; 23(3):237-40. DOI:10.1002/nau.20031 · 2.87 Impact Factor
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    T Baysal · H I Ozisik · R Karlidag · K Sarac · O Baysal · A Dusak · E Hazneci · C Ozcan
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    ABSTRACT: Our aim was to investigate whether neurological impairment in Behçet's disease (BD) can be assessed by means of proton MRS and whether it can assist in prognosis. We used single-voxel MRS to measure metabolites in regions of normal-appearing pons, basal ganglia and periventricular white matter (PWM) in 32 patients with chronic BD patients with and without neurological deficits and 29 control subjects. Patients had significantly higher N-acetylaspartate (NAA)/creatine (Cr) and choline (Cho)/Cr ratios in the basal ganglia than the controls. The Cho/Cr ratio in the PWM was also significantly higher in the patients. MRS enabled clear discrimination of patients and controls and also revealed spectral differences between non-neuro-Behçet's disease and neuro-Behçet's disease in the basal ganglia. MRS can be used to assess brain involvement in BD even if structural changes are absent.
    Neuroradiology 01/2004; 45(12):860-4. DOI:10.1007/s00234-003-1052-7 · 2.49 Impact Factor