Lutfu Hanoglu

• Istanbul Medipol University

Background In the EEG research of Alzheimer's Disease (AD) and other diseases belonging to dementia, the literature is rapidly growing to indicate biomarkers specific to the type of dementia. The literature showed firm conclusions that decreasing event‐related delta and theta responses could be a biomarker showing cognitive decline (Güntekin et al....

Parkinson’s disease (PD) is primarily marked by mitochondrial dysfunction and metabolic abnormalities. We recently reported that the Combined Metabolic Activators (CMA) improved the immunohistochemical parameters and behavioural functions in PD and Alzheimer’s disease (AD) animal models and the cognitive functions in AD patients. These metabolic ac...

Patients with mild cognitive impairment due to Alzheimer’s disease (ADMCI) typically show abnormally high delta (<4 Hz) and low alpha (8–12 Hz) rhythms measured from resting-state eyes-closed electroencephalographic (rsEEG) activity. Here, we hypothesized that the abnormalities in rsEEG activity may be greater in ADMCI patients than in those with M...

The human microbiome is increasingly recognized for its crucial role in the development and progression of neurodegenerative diseases. While the gut-brain axis has been extensively studied, the contribution of the oral microbiome and gut-oral tropism in neurodegeneration has been largely overlooked. Cognitive impairment (CI) is common in neurodegen...

Objective The pathophysiology behind memory impairment in Parkinson's Disease Mild Cognitive Impairment (PD‐MCI) is unclear. This study aims to investigate the hippocampal and cortical atrophy patterns in PD‐MCI patients with different types of memory impairments, categorized as Retrieval Failure (RF) and Encoding Failure (EF). Methods The study i...

Alzheimer’s disease (AD) is a debilitating neurodegenerative disorder with a global impact, yet its pathogenesis remains poorly understood. While age, metabolic abnormalities, and accumulation of neurotoxic substances are potential risk factors for AD, their effects are confounded by other factors. To address this challenge, we first utilized multi...

Recently, the self has become an important focus of conscious mind research. Neuroimaging studies reveal that the self emerges from the spontaneous activity of cortical midline structures (CMS). Prefrontal cortex structures are also mentioned prominently in consciousness theories such as higher-order and global workspace theories. This preliminary...

Introduction Cognitive impairment (CI) is a significant non‐motor symptoms in Parkinson's disease (PD) that often precedes the emergence of motor symptoms by several years. Patients with PD hypothetically progress from stages without CI (PD‐normal cognition [NC]) to stages with Mild CI (PD‐MCI) and PD dementia (PDD). CI symptoms in PD are linked to...

Background Repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising alternative therapy for Alzheimer's disease (AD) due to its ability to modulate neural networks and enhance cognitive function. This treatment offers the unique advantage of enabling real‐time monitoring of immediate cognitive effects and dynamic brain changes...

Background: The pathogenesis of the cognitive impairment associated with migraine is still unknown. However, the recurrence rate is rising rapidly, and recent studies suggest that migraine patients may be at an increased risk of dementia. The aim of the current study is to investigate alterations in hippocampal subfield functional connectivity and...

Here we tested the hypothesis of a relationship between the cortical default mode network (DMN) structural integrity and the resting-state electroencephalographic (rsEEG) rhythms in patients with Alzheimer’s disease with dementia (ADD). Clinical and instrumental datasets in 45 ADD patients and 40 normal elderly (Nold) persons originated from the PD...

Cognitive Impairment (CI) in Parkinson's disease (PD) is one of the important non-motor symptoms that can begin even before the motor symptoms manifest. As the disease progresses into advance stages, however, virtually all patients suffer from cognitive decline. PD Patients hypothetically progress across PD with no CI (PD-NC), Mild Cognitive Impair...

Sense of personal perspective is crucial for understanding in attentional mechanisms of the perception in “self” or “other’s” body. In a hand laterality judgment (HLJ) task, perception of perspective can be assessed by arranging angular orientations and depths of images. A total of 11 healthy, right-handed participants (8 females, mean age: 38.36 y...

Purpose: In this study, it was aimed to examine the psychometric properties of the Catherine Bergego Scale (CBS) which is used to evaluate the neglect syndrome in daily life, by adapting it into Turkish. Material and Methods: A total of 30 volunteer patients aged 18 years and over with a right hemisphere lesion were included in the study. The Natio...

Capgras Syndrome (CS) is a delusion that appears with the beliefs of a person's relatives, such as spouse, parents, or sibling, who have been replaced by another very similar "imposter". It is thought that the emotional component of face recognition and/or hypothesis evaluation defects cause delusions in CS. In this study, electro-neurophysiologi...

The ability to remember, make, and execute one's future intentions in a way that activates them at the appropriate time is called prospective memory (PM). PM is divided into two time-based and event-based, depending on which variable the recall takes place. Event-based PM is when a person remembers to perform a delayed intention when triggered by a...

Background Alzheimer’s disease (AD) is associated with metabolic abnormalities linked to critical elements of neurodegeneration. We recently administered combined metabolic activators (CMA) to the AD rat model and observed that CMA improves the AD-associated histological parameters in the animals. CMA promotes mitochondrial fatty acid uptake from t...

The claustrum is a sheet‐like of telencephalic gray matter structure whose function is poorly understood. The claustrum is considered a multimodal computing network due to its reciprocal connections with almost all cortical areas as well as subcortical structures. Although the claustrum has been involved in several neurodegenerative diseases, speci...

Background: Neurodegenerative diseases (NDDs), including Alzheimer's disease (AD) and Parkinson's disease (PD), are associated with metabolic abnormalities. Integrative analysis of human clinical data and animal studies have contributed to a better understanding of the molecular and cellular pathways involved in the progression of NDDs. Previously...

In Alzheimer's disease (AD), structural and functional changes in the brain may give rise to disruption of specific cognitive functions. The aim of this study is to investigate the functional connectivity alterations in the pulvinar's subdivisions and total pulvinar voxel‐based morphometry (VBM) changes in individuals with AD and healthy controls....

Introduction Alzheimer's disease (AD) is neurodegenerative dementia that causes neurovascular dysfunction and cognitive impairment. Currently, 50 million people live with dementia worldwide, and there are nearly 10 million new cases every year. There is a need for relatively less costly and more objective methods of screening and early diagnosis....

Background Alzheimer’s disease (AD) is associated with metabolic abnormalities linked to critical elements of neurodegeneration. We recently administrated Combined Metabolic Activators (CMA) to the AD rat model and observed that administration of CMA activated the mitochondrial functions and eventually improved the AD-associated histological parame...

Memory storage in the brain is one of the most extensively studied subjects in neuroscience. However, due to the highly complex structure of the memory-related systems in the brain, the mystery remains unsolved. Consolidation is one of the most important parts of the memory process, and one that can be affected by numerous neurodegenerative disease...

Background Brain death in Turkey was defined as death and was accepted by official and religious authorities in a relatively early period without sufficient discussion and social consensus. Thus, there is considerable distrust and hesitation about the concept of brain death and related organ donation in Turkish society. We created a sample story in...

Background: Alzheimer’s disease (AD) is associated with metabolic abnormalities linked to critical elements of neurodegeneration. We recently administrated Combined Metabolic Activators (CMA) to the AD rat model and observed that administration of CMA activated the mitochondrial functions and eventually improved the AD-associated histological param...

Background Charles Bonnet syndrome (CBS) is a prototype phenomenon for investigating complex visual hallucination. Our research focuses on resting state neural networks features of CBS patients with a comparison of patients with equally matched visual loss and healthy subjects in order to investigate the mechanism behind complex visual hallucinatio...

Aim:Patients with chronic diseases were forced into lockdown due to the coronavirus disease-2019 pandemic. Extended quarantine could lead to physical inactivity and psychiatric problems. We investigated the effects of quarantine and social isolation during the pandemic on the motor and non-motor symptoms (NMS) of Parkinson’s disease (PD) patients w...

The pulvinar is largest thalamic nucleus and has been subdivided into anterior pulvinar (PuA), inferior pulvinar (PuI), medial pulvinar (PuM) and, lateral pulvinar (PuL). Although the function of pulvinar is well known, its role in neurodegenerative diseases is still unclear. We aimed to examine the functional connectivity of PuA, PuI, PuM and, PuL...

The purpose of this study was to investigate the effects of high-frequency repetitive Transcranial Magnetic Stimulation (rTMS) and aerobic exercises (AE) in addition to the pharmacological therapy (PT) in Alzheimer's Disease (AD). Twenty-seven patients with AD aged ≥ 60 years were included in the study and divided into 3 groups (rTMS, AE and contro...

Alzheimer's disease (AD) is a progressive, neurodegenerative brain disorder that generally affects the elderly. Today, after the limited benefit of the pharmacological treatment strategies, numerous noninvasive brain stimulation techniques have been developed. Transcranial magnetic stimulation (TMS), based on electromagnetic stimulation, is one of...

There are few studies investigating the short-term effects of Virtual Reality based Exergaming (EG) on motor and cognition simultaneously and pursue the brain functional activity changes after these interventions in patients with Parkinson’s Disease (PD). The purpose of this study was to investigate the synergistic therapeutic effects of Virtual Re...

Introduction: This report examines the effects of a multimodal rehabilitation program which includes cognitive, physical, and somatosensory rehabilitation after right temporo-parietal tumor resection on cognitive, motor, somatosensory, and electrophysiological parameters. Case description: A 22-year-old patient presented with sensory loss in the...

Here we tested if the reactivity of posterior resting-state electroencephalographic (rsEEG) alpha rhythms from the eye-closed to eyes-open condition may differ in patients with dementia due to Lewy Bodies (DLB) and Alzheimer's disease (ADD), as a functional probe of the dominant cortical neural synchronization mechanisms regulating the vigilance in...

Introduction The microstate analysis is a method to convert the electrical potentials on the multi-channel electrode array to topographical electroencephalography (EEG) data. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive method that can modulate brain networks. This study explores the pathophysiological changes through micro...

Background: Corticobasal degeneration (CBD) is a rare neurological disease caused by the pathological accumulation of tau protein. The primary pathological features of CBD include progressive neurodegenerative processes resulting in remarkable frontoparietal and basal ganglia atrophy. Objective: Like in many other neurodegenerative disorders, th...

Background Parkinson's disease with dementia (PDD) and dementia with Lewy bodies (DLB) are characterized by intracellular Lewy bodies in the brain neurons and clinical symptoms including cognitive impairment and flucations, motor symptoms, and hallucinations with some differences, namely non‐motor symptoms appear earlier in DLB over PDD patients (M...

Background Impairment of facial expression recognition in dementia is one of the cognitive deficits that could affect the social life of dementia patients. The severity of the facial expression recognition in different types of dementia has not been fully addressed. Previous studies showed that EEG event‐related oscillation (ERO) studies could reve...

Background Alzheimer's disease dementia (ADD) and Parkinson's disease dementia (PDD) are the most common types of dementia. ADD and PDD have different pathophysiology and clinical profile. It is important to understand mechanisms underlying pathophysiology, clinical symptoms, and the electrophysiological differences between these two types of demen...

Background The performance of facial expression recognition is affected both in neurocognitive disorders and in healthy elderly. Emotional content processing is expected to be adversely affected in dementia and as well in Parkinson's disease patients. The present study aims to compare the impaired facial expression recognition between different typ...

The therapeutic approaches currently applied in Alzheimer's disease (AD) and similar neurodegenerative diseases are essentially based on pharmacological strategies. However, despite intensive research, the effectiveness of these treatments is limited to transient symptomatic effects, and they are still far from exhibiting a true therapeutic effect...

Background Early differentiation between Alzheimer’s disease (AD) and Dementia with Lewy Bodies (DLB) is important for accurate prognosis, as DLB patients typically show faster disease progression. Cortical neural networks, necessary for human cognitive function, may be disrupted differently in DLB and AD patients, allowing diagnostic differentiati...

Introduction The pre-supplementary motor area (Pre-SMA) plays a pivotal role in the control of voluntary motor control and freezing of gait (FOG) pathophysiological mechanism. Here, we aimed to modulate if the pre-SMA would have beneficial effects on motor and behavioural outcomes in freezing of gait. To test this hypothesis, we examined the left p...

In the present retrospective and exploratory study, we tested the hypothesis that sex may affect cortical sources of resting state eyes-closed electroencephalographic (rsEEG) rhythms recorded in normal elderly (Nold) seniors and patients with Alzheimer's disease and mild cognitive impairment (ADMCI). Datasets in 69 ADMCI and 57 Nold individuals wer...

The neuropathologic hallmarks of Parkinson's disease (PD) are associated with mitochondrial dysfunction and metabolic abnormalities. We have reported that the Combined Metabolic Activators (CMA), consisting of L-serine, nicotinamide riboside, N-acetyl-L-cysteine, and L-carnitine tartrate can be used in treating metabolic abnormalities. These metabo...

Alzheimer’s disease (AD) is associated with metabolic abnormalities linked to critical elements of neurodegeneration. Here, we analysed the brain transcriptomics data of more than 600 AD patients using genome-scale metabolic models and provided supporting evidence of mitochondrial dysfunction related to the pathophysiologic mechanisms of AD progres...

Background In relaxed adults, staying in quiet wakefulness at eyes closed is related to the so-called resting state electroencephalographic (rsEEG) rhythms, showing the highest amplitude in posterior areas at alpha frequencies (8–13 Hz). Objective Here we tested the hypothesis that age may affect rsEEG alpha (8–12 Hz) rhythms recorded in normal el...

To investigate a possible deterioration of the symptoms of Alzheimer’s disease (AD) patients during a quarantine period of 60 days, and the impact on caregiver burden. This study consisted of 54 individuals (36 female, 18 male) aged 60 years and over who had been diagnosed with AD. During the quarantine period, caregivers of the patients (child, sp...

Background: Multiple Sclerosis (MS) is a neuroinflammatory, neurodegenerative, demyelinating disease that causes cognitive, olfactory, and other neurological dysfunctions. Radiologically Isolated Syndrome (RIS), in which only radiological findings are monitored, is accepted as the preclinical stage of demyelinating disease and is considered an imp...

Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive neuromodulation technique which is increasingly used for cognitive impairment in Alzheimer’s Disease (AD). Although rTMS has been shown to modify Brain-Derived Neurotrophic Factor (BDNF) and oxidative stress levels in many neurological and psychiatric diseases, there is still no...

Background Parkinson’s disease (PD) is characterized by non-motor symptoms (NMS) as well as by motor symptoms. Together with the impairment of cognitive functions, NMS and sleep also affect motor symptoms negatively. The aim of our study is to examine the correlation of NMS and sleep on balance in PD patients with normal cognition (PD-NC) and with...

Extending Başar's theory of event-related EEG oscillations, here we hypothesize that even in quiet wakefulness, transient increases in delta rhythms may enhance global cortical arousal as revealed by the desynchronization of alpha rhythms in normal (Nold) seniors with some derangement in Alzheimer's disease dementia (ADD). Clinical and EEG datasets...

Background In clinical routine and research, abstract thinking difficulties are often tested by assessing the Alzheimer disease (AD) patient’s ability to understand nonliteral languages. The goal of the present study was to test more specifically the processing of metaphors in AD patients to establish links between clinical observations and measure...

Background Parkinson’s disease (PD) is the second‐most common neurodegenerative disorder that affects 2–3% of the population ≥ 65 years of age and may belong to cognitive deficits and dementia in 50% of cases. Disease with Lewy Bodies (DLB) is emerging as another important cause of dementia in pathological aging. PD and DLB are both due to intra‐ne...

Background Parkinson’s disease (PD) is the second‐most common neurodegenerative disorder that affects 2–3% of the population ≥ 65 years of age and may belong to cognitive deficits and dementia in 50% of cases. Disease with Lewy Bodies (DLB) is emerging as another important cause of dementia in pathological aging. PD and DLB are both due to intra‐ne...

In normal old (Nold) and Alzheimer’s disease (AD) persons, a high cognitive reserve (CR) makes them more resistant and resilient to brain neuropathology and neurodegeneration. Here, we tested whether these effects may affect neurophysiological oscillatory mechanisms generating dominant resting state electroencephalographic (rsEEG) alpha rhythms in...

Objective Here we tested if cortical sources of resting state electroencephalographic (rsEEG) rhythms may differ in sub-groups of patients with prodromal and overt dementia with Lewy bodies (DLB) as a function of relevant clinical symptoms. Methods We extracted clinical, demographic and rsEEG datasets in matched DLB patients (N = 60) and control A...

This study claims that there is shared cortical networks especially on right PFC during emotional and cognitive conflict monitoring.

Objectives: Charles Bonnet Syndrome (CBS) is a rare clinical condition which has been defined as complex visual hallucinations (CVH) due to visual loss. This study investigated differences in the EEG power spectral density (PSD) and magnitude-squared coherences between patients with eye disease and hallucinations (VH+), and the control subjects wit...

In this study, we implemented tDCS and speech rehabilitation spontaneuously with post-stroke aphasia patients. Cognitive exercises with left anodal and right cathodal stimulation of perisylvian area has improving effects on language abilities.

Corticobasal syndrome (CBS) is a rare progressive neurodegenerative disease characterized by a combination of asymmetric motor symptoms and non-motor symptoms. CBS is poorly responsive to levodopa. Non-pharmacological strategies have been found to be useful as components of a multidisciplinary therapeutic approach for patients with CBS. The purpose...

Introduction Although previous evidence suggest that paracetamol decreases psychological reactivity in healthy subjects, there is still no confirmed correlation between the empathy scores and brain activity in healthy and headache patients after paracetamol treatment. Material and methods The study group included 16 patients with tension-type head...

Compared with Alzheimer’s disease (AD), Parkinson’s disease (PD) shows peculiar clinical manifestations related to vigilance (i.e., executive cognitive deficits and visual hallucinations) that may be reflected in resting state electroencephalographic (rsEEG) rhythms. To test this hypothesis, clinical and rsEEG rhythms in age-, sex-, and education-m...

Transcutaneous Electrical Nerve Stimulation (TENS) is used not only in the treatment of pain but also in the examination of sensory functions. With aging, there is decreased sensitivity to somatosensory stimuli. It is essential to examine the effect of TENS application on the sensory functions in the brain by recording the spontaneous electroenceph...

Facial Expression (FE) recognition is a major marker of emotional ability. Behavioral studies show that FE recognition ability decreases with aging. Studying how event-related brain oscillations change with normal aging is important to better understand the underlying mechanisms of emotional processes. The aim of this study is to investigate change...

We have evaluated an 82 years old PD patient who has acutely developed VH secondary to acute visual loss that was associated with increased electroencephalographic activity in the gamma range over the parietal, occipital and frontal regions. In this respect, we have tested the therapeutic effect of occipital lobe oriented rTMS application and its e...

Objectives:Hypoxic encephalopathy (HE) after cardiac arrest is a clinical condition that can cause severe neurological sequelae and death. It is important to determine the prognosis in patients with HE for follow up and developing future treatments in the long term. Our aim was to investigate the effects of age, gender, hypothermia, lesion site in...

Characterising brain activity at rest is of paramount importance to our understanding both of general principles of brain functioning and of the way brain dynamics is affected in the presence of neurological or psychiatric pathologies. We measured the time-reversal symmetry of spontaneous electroencephalographic brain activity recorded from three g...

Behavioral studies have shown that the recognition of facial expressions may be impaired in patients with Alzheimer's disease (AD). The identification and recognition of a facial expression might be represented by event-related brain oscillations. The present study aims to analyze EEG event-related oscillations and determine the electrophysiologica...

Background Studies on Event Related EEG Brain Oscillations presented essential results on the understanding of cognitive brain function and cognitive decline in different pathologies. Event related oscillatory dynamics in Parkinson’s disease (PD) have not been studied comprehensively. In the last three years, our group aimed to fulfill this critica...

Background Event-related beta responses are related to the visual cognitive process. Beta phase-locking had decreased in subjects with cognitive deficits. Parkinson’s disease dementia (PDD) and dementia with Lewy bodies (DLB) have similar pathophysiology and have different clinical symptoEEG event-related responses in neurodegenerative diseases are...

Introduction Subacute sclerosing panencephalitis (SSPE) is a progressive encephalitis, that rarely affects adults. The brain damage occurs in about 5 years after the patient is infected by measles virus. The survival rate is low. Spontaneous alpha activity is a sign of healthy brain. Here we aimed to present electroencephalography (EEG) power spect...

Objectives: The present study aims to evaluate the amplitude and latency of event-related potentials (ERPs) P100, N170, VPP and N230 in individuals with Alzheimer's disease (AD) compared to healthy elderly controls, using a passive viewing task of emotional facial expressions. Methods: Twenty-four individuals with mild to moderate AD and 23 demo...

Background and Aim Recent data have shown that olfactory dysfunction is strongly related to Alzheimer’s Disease (AD) that is often preceded by olfactory deficits suggesting that olfactory dysfunction might represent an early indicator of future cognitive in prediabetes. Methods We have applied to a group of normal (n=15), prediabetic (n=16) and ty...

The Effect of Lateral Parietal Cortex TMS Stimulation on Memory Functions and Brain Connection in Alzheimer Patients

Previous evidence has shown different resting-state eyes-closed electroencephalographic delta (<4 Hz) and alpha (8–10.5 Hz) source connectivity in subjects with dementia due to Alzheimer's (ADD) and Lewy body (DLB) diseases. The present study tested if the same differences may be observed in the prodromal stages of mild cognitive impairment (MCI)....

Repetitive transcranial magnetic stimulation (rTMS) has gained interest as a non-invasive treatment for stroke based on the data promoting its effects on functional recovery. However, the exact action mechanisms by which the rTMS exert beneficial effects in cellular and molecular aspect are largely unknown. To elucidate the effects of high- and low...

List of qPCR primers used. Primer sequences were obtained from Harvard Primerbank.

Aim: Behavioral Variant of Frontotemporal Dementia (bvFTD) is characterized by progressive behavioral abnormalities, personality changes, impaired social behavior, and impaired executive functions. In addition to these features, since the first diagnostic criteria of bvFTD were proposed by Neary et al. in 1998, eating abnormalities and overeating a...

Objective: Parkinson’s disease dementia (PDD) and dementia with Lewy bodies (DLB) have similar pathophysiology. The clinical symptoms of these two disease are different. Investigation of EEG event-related responses in PDD and DLB is significant to understand the mechanisms underlying the pathophysiology. The aim of the present study was to investig...

Background Antibiotic therapies targeting multiple regenerative mechanisms have the potential for neuroprotective effects, but the diversity of experimental strategies and analyses of non-standardised therapeutic trials are challenging. In this respect, there are no cases of successful clinical application of such candidate molecules when it comes...

After we have obtained the signed release from the patient, we present a 37‐year‐old man with erythema‐like lesions which were developed after two different headache episodes after they did not respond to sumatriptan treatment and gradually resolved over the next few days. This article is protected by copyright. All rights reserved.