PINAR YALINAY DIKMEN

Acıbadem Mehmet Ali Aydınlar Üniversitesi · Department of Neurology

Measurements are an essential aspect of scientific research. This review will present clinical scales and patient-reported outcome measures (PROMs) for headache disorders and migraine that have been endorsed by the International Headache Society (IHS) and are intended for use by both physicians and researchers. A clinical scale is a tool to assess...

Clinical scales help clinicians and researchers as useful tools of diagnosis and management for headache disorders to improve efficiency and the time limitations required for a patient’s evaluation. These instruments could also have an important role in longitudinal care as well as a measurement of treatment outcomes when applied with scrutiny. Cli...

Different tools addressing cognitive functions, labor efficiency, headache triggers, perception and recognition of pain, loneliness, and headache related dependence as well as migraine are scrutinized in depth in this article. Additionally, a special test applied to measure sensory thresholds for pain research shall be presented to readers. Hence,...

BACKGROUND CONTEXT There is a paucity of information on mid- to long-term clinical and radiographic outcomes of VBT surgery. PURPOSE The aim of the study was to report mid-term outcomes of thoracoscopic thoracic-only anterior VBT surgery. STUDY DESIGN/SETTING Retrospective analysis of prospectively collected data. PATIENT SAMPLE Twenty-three (22...

This cross-sectional study investigates the relationship between problematic metacognitions, negative cognitive content and emotional distress, and migraine-related disability among adult migraine patients. The migraine group consisted of 74 patients. Forty-seven healthy volunteers with similar sociodemographic characteristics were selected as the...

Purpose Schwannoma, a tumor originating from the peripheral nervous system, may arise from the vagus nerve, although it is not very often. Injury of the vagus nerve by surgical attempts may have consequences that will seriously affect the patient’s quality of life. In recent years, continuous monitoring of the laryngeal adductor reflex (LAR) has be...

Background: Migraine (MIG) is a common cause of headache and a leading cause of morbidity in Turkey but comprehensive and comparative data evaluating its burden are scarce. The study aimed to describe clinical characteristics and management of MIG and compare MIG with tension type headache (TTH) regarding the burden of disease and healthcare resour...

Objective: To investigate the possible subgroups of patients with Cluster Headache (CH) by using K-means cluster analysis. Methods: A total of 209 individuals (mean (SD) age: 39.8 (11.3) years), diagnosed with CH by headache experts, participated in this cross-sectional multi-center study. All patients completed a semi-structured survey either face...

CLOVES syndrome is a novel sporadic mosaic segmental overgrowth syndrome, currently categorized under the canopy of PROS (PIK3CA-related overgrowth spectrum) disorders. All PROS disorders harbor heterozygous postzygotic activating somatic mutations involving the PIK3CA gene. As an upstream regulator of the PI3K/AKT/mTOR signal transduction pathway,...

This study investigates the relationship between negative cognitive content and the severity of disability associated with migraine in adult populations.

Background: The caloric vestibular test (CVT) may evoke headache and vestibular symptoms in susceptible people. Patients with migraines have higher susceptibility to motion sickness. In migraines, impaired habituation to repetitive stimuli is a well-known interictal abnormality. Objective: This study is aimed at evaluating CVT-evoked headache, n...

Introduction Headache is a frequent adverse event after viral vaccines. We aimed to investigate the frequency and clinical associations of COVID-19 vaccine-related headache. Methods The characteristics, associations of this headache, main comorbidities, headache history following the influenza vaccine and during COVID-19 were investigated using a...

BACKGROUND CONTEXT Disc health after various growth modulation techniques have been assessed in animal models, and tethering was claimed to prevent degeneration due to its less rigid nature compared to other growth-friendly techniques. Yet, the results of animal studies wherein tethering is applied on healthy spines to create a deformity cannot be...

BACKGROUND CONTEXT There is a paucity of information on clinical and radiographical outcomes of vertebral body tethering (VBT) surgery. Current information is not yet strong enough to convince surgeons to include this surgical technique to their armamentarium. PURPOSE The aim of the study was to report clinical and radiographic outcomes of thoraco...

Objective: To investigate the frequency, attack characteristics, and treatment experiences of migraine and tension-type headache (TTH) among gender dysphoric female-to-male (FtM) participants as well as in relation to psychiatric comorbidities and real-life experience that relates to being transgender in Turkey. Background: There are only a few...

Background: Our purpose was to investigate the demographics, diagnosis patterns, clinical characteristics, triggers, treatment experiences, and personal burden of patients with Cluster headache (CH) in Turkey, a country located between Europe and Asia. Methods: The study is a cross-sectional investigation based on data from eight headache centers i...

Background Context Vertebral body tethering (VBT), a flexible compression-based growth modulation technique, was claimed to prevent disc degeneration due to its less rigid nature compared to other growth-friendly techniques. Yet, the consequences of VBT surgery on discs and facet joints have not been precisely acknowledged. Purpose The purpose of...

Vestibular migraine (VM) is the most common cause of recurrent spontaneous vertigo. Inclusion of the diagnostic criteria for VM in the last edition of the International Classification of Headache Disorders published in 2013 promoted the establishment of unity in terminology as well as increasing awareness about VM. The diagnosis of VM is based on c...

PurposeAlthough multimodal IONM has reached a widespread use, several unresolved issues have remained in clinical practice. The aim was to determine differences in approaches to form a basis for taking actions to improve patient safety globally.MethodsA survey comprising 19 questions in four sections (demographics, setup, routine practices and reac...

Purpose: Blink reflex (BR) under general anesthesia as an intraoperative neuromonitoring method was used to monitor facial nerves in few studies. This study aimed to test the utility of intraoperative BR during cerebellopontine angle and skull base surgeries, assess its prognostic value for facial nerve functions, and compare it with facial cortic...

Study design: Retrospective analysis of prospectively collected dataObjective. To report the follow-up curve behaviors in different Sanders staging groups. Summary of background data: Vertebral Body Tethering (VBT) is a growth modulation technique that allows gradual spontaneous follow-up curve correction as the patient grows. There is a lack of...

Introduction: The Headache Impact Test (HIT-6) is a self-report questionnaire designed to evaluate the impact of headache on quality of life. The aim of this study is to assess reliability and validity of Turkish version of HIT-6 questionnaire in patients with migraine. Methods: A total of 114 patients with migraine were included in this multice...

The aim of this study was to evaluate the anterior root muscle (ARM) response monitorability during total hip arthroplasty (THA) under spinal anesthesia. A total of 20 adults (64.6 ± 13.87 years old) were monitored using ARM response and free-run electromyography during THA. To elicit the ARM response from muscles, percutaneous stimulation of the l...

Objectives: Psychiatric comorbidities may intensify peripheral vertigo and increase the number of repositioning maneuvers required. This study was designed to examine the relationship between benign paroxysmal positional vertigo (BPPV) and anxiety and assess its association with somatic amplification and health anxiety. Materials and methods: Si...

Objectives: The aim of this single-center prospective cohort study is to record reliable transcranial motor-evoked potentials (TcMEPs) and to determine their thresholds under inhalational anesthesia in infants undergoing spine and spinal cord surgery. Methods: A total of 15 infants (age <12 months) with mean (SD) months: 5.82 ± 3.45 were include...

Preventive treatment in migraine is associated with poor adherence and persistence. In this observational study, our first aim was to evaluate the perceived effectiveness of onabotulinumtoxinA based on our chronic migraine (CM) patients' treatment experience. The second purpose of this study was to determine the compliance with onabotulinumtoxinA t...

Introduction: Electrodiagnostic evaluation provides an important extension to the neurological examination for the evaluation of pediatric neuromuscular disease. Many pediatric neuromuscular diseases are analogous to those seen in the adult. However, the relative frequency of these illnesses varies greatly when different age populations are compar...

Restless legs syndrome is a common neurological disorder characterized by intense restlessness, relaxed with action, disturbance in the limbs and unpleasant sensations. Treatment should be considered if restless legs syndrome symptoms lead to sleep disturbances or affect daytime functions significantly. The purpose of this review is to summarize th...

The co-existence of psychiatric comorbidities with migraine is well known; however, the relationship between alexithymia and migraine has not been persuasively shown yet. The aim of the study was to assess the relationships between migraine-related disability, depression, anxiety and alexithymia. One hundred and forty-five migraine patients (33.18...

Cocaine abuse may cause stroke, metabolic or multifocal inflammatory leukoencephalopathy. We described a patient with cocaine abuse who presented with Balo's type acute multifocal leukoencephalopathy. Magnetic Resonance Imaging (MRI) of the brain showed onion like patchy concentric ring enhancement on T1-weighted MRI with gadolinium. Balo's Concent...

Background OnabotulinumtoxinA (OnabotA) is considered effective in in patients with chronic migraine (CM) who failed on traditional therapies. This study was designed to evaluate the effect of OnabotA injection series on migraine outcome, negative emotional states and sleep quality in patients with CM. MethodsA total of 190 patients with CM (mean (...

Migraine is a common, the primary debilitating and recurring headache disorder. The main purpose migraine acute pharmacology is to reduce the impact and disability caused by the attack of migraine. This review primarily reminds clinical pearls in acute treatment of migraine and also summarizes the American Headache Society Evidence Assessment of Mi...

This study was designed to evaluate firing rate variability in patients with upper/lower motor neuron disorders. Twenty healthy subjects and 19 patients with motor neuron disorders participated in the study. Consecutive motor unit action potential pairs from extensor digitorum communis (EDC) muscle were recorded from each subject with trigger-delay...

The aim of this study was to evaluate the pain level of each muscle during an EMG study and also search for any association between the pain levels and gender. Two hundred and twenty-seven subjects (166 females and 111 males) participated in the present study. Numeric analogue scale (NAS) was obtained from the patients after needle EMG for each mus...

Servikal arter diseksiyonu, genc hastalarda nonateroskelerotik inmenin en sik nedenidir. Bu hastalar siklikla bas ve boyun agrisi sikayeti ile basvururlar. En sik rastlanan neden minor travmadir. Servikal arter diseksiyonu hem anterior hem posterior sistemi etkileyebilir, sonrasinda kalici veya gecici norolojik bulgulara neden olabilir. Bu yazida 3...

OBJECTIVE: Intraoperative neurophysiological monitoring was carried out in patients with spinal cord tumors. These patients were retrospectively evaluated for postoperative new neurological deficits. METHODS: A total of 32 spinal tumor cases (8 servical, 14 thoracal, 10 lumbosacral); 17 male,15 female patients; between 2-66 years of age (mean 44,1±...

To assess the relationships between migraine, depression, anxiety, stress, and sleep problems. Psychiatric conditions and sleep disturbances are common in migraineurs. Depression, anxiety, stress, migraine, and sleep problems frequently coexist as comorbidities. Eighty-seven episodic migraineurs (62 females, 25 males; 32.8 ± 6.9) and 41 control sub...

Background Depression and anxiety are two phenomena that affect quality of life as well as sexual function. Depression and anxiety levels are reported to be high in migraine sufferers. We aimed to understand whether sexual function in women with migraine was associated to migraine-related disability and frequency of migraine attacks, and whether th...

Introduction: The aim of the present study was to assess pain using a visual analogue scale (VAS) in patients awaiting an EMG procedure (i.e., expected VAS) and after an EMG procedure (i.e., experienced VAS). Methods: Expected and experienced pain in response to nerve conduction studies (NCS) and needle EMG were assessed in 108 patients (61 fema...

Objectives: None of the classifications of psychogenic non-epileptic seizures (PNES) have been widely accepted and used by physicians so far. In this study we aimed at classifying PNES on the basis of a modified version of semiological seizure classification (SSC). We also sought to assess the interrater reliability (IRR) of the PNES diagnosis bas...

Since botulinum toxin might have a therapeutic effect on pain, many studies investigating the efficiency of botulinum toxin in headache treatment have been done. The most satisfying results were achieved by botulinum toxin type A (BoNT/A) in the treatment of chronic migraine. In this paper, we reviewed the clinical effectiveness of BoNT/A in migrai...

The aim of this study is to investigate the associations between migraine related disability and somatosensory amplification, depression, anxiety, and stress. Fifty-five migraine patients who applied to the outpatient unit of the Neurology Department of Acibadem University School of Medicine, Maslak Hospital in Istanbul, Turkey, and twenty-eight su...

Objective/Context: Dermatomal somatosensory-evoked potentials (dSEPs) may be valuable for diagnostic purposes in selected cases with spinal disorders. Reports on cases with successful use of dSEPs. Cases 1 and 2 had lesions causing multiple root involvement (upper to middle lumbar region in Case 1 and lower sacral region in Case 2). Cystic lesions...

ABSTRACT Acute disseminated encephalomyelitis (ADEM) is an immunemediated inflammatory demyelinating disorder of the central nervous system. The white matter of the brain and spinal cord is predominantly affected although cortical gray matter, thalamus, and basal ganglia are often involved. A 24-year-old female presented with complaints of headache...

Purpose: To evaluate the electrophysiological and ultasonographic parameters of the sural nerve among 60 healthy volunteers in terms of the possible correlation between the electrophysiological and ultrasonographic findings and the variations related to age, height, weight and body mass index of the subjects. Material and Methods: Electrophysiologi...

To evaluate therapeutic potential of the immunoglobulin G (IgG)-based elimination diet among migraine patients with irritable bowel syndrome (IBS). Food elimination has been suggested as an effective and inexpensive therapeutic strategy in patients with migraine and concomitant IBS in the past studies. A total of 21 patients (mean [standard deviati...

Objective: The aim of this study is to investigate the relationship between anxiety, depression and expected-experienced pain levels in patients undergoing electromyography (EMG). Methods: One hundred and eight patients were asked to complete Visual Analog Scale (VAS) immediately before and after Nerve Conduction Studies (NCS) and needle EMG (nEMG)...

Objectives: None of the classifications of psychogenic non-epileptic seizures (PNES) have been widely accepted and used by physicians so far. In this study we aimed at classifying PNES on the basis of a modified version of semiological seizure classification (SSC). We also sought to assess the interrater reliability (IRR) of the PNES diagnosis base...

But de l’étude Nous avons montré dans deux études antérieures que lors d’une dégénérescence wallérienne (DW), la diminution d’amplitude du potentiel d’action musculaire composite (PAMC) était significativement plus marquée que la perte estimée du nombre d’unité motrices. En vue d’exclure tout biais méthodologique, nous avons utilisé une méthode sta...

Ulnar nerve lesions may occur at different sublocations at wrist and may involve various branches of the nerve. Standard neurophysiological studies are generally insufficient in revealing these lesions. Demonstration of conduction block and/or focal slowing of nerve conduction is the most definitive electrodiagnostic evidence for the localization o...

Objective: Double peak sensory responses elicited with submaximal stimulation is an electrophysiological method that has not been studied previously in pathological conditions. The second peak of the response was claimed to be produced by anodal stimulation and originated from the most distal regions of the nerve fibers. The objective of the study...

Wilson’s disease usually presents with neuropsychiatric manifestations in young adults. A 25-year old man who had no complaint other than cramps in his legs developed involuntary movements in his arms, speech and motion disturbance at the same day. The patient had generalized anxiety, inappropriate affect and had a suicide attempt as a result of ps...

To clarify the optimum trace count for jitter calculation. Single-fiber electromyography was performed during voluntary contraction (VC-SFEMG) of extensor digitorum muscle in six healthy and five myasthenic subjects. Twenty single-fiber action potential (SFAP) pairs were recorded from each subject. For each pair, 100 consecutive traces were recorde...