Person: BORA, İBRAHİM HAKKI
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BORA
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İBRAHİM HAKKI
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Publication Electro-clinical analysis of ictal kissing automatism(Wiley, 2015-02-01) Taşkıran, E.; Carpraz, I.; Bilir, E.; Bican, Aylin; Bora, İbrahim; Chassoux, F.; Aydoğdu, I.; Özkara, C.; BİCAN DEMİR, AYLİN; BORA, İBRAHİM HAKKI; Uludağ Üniversitesi; CEN-7664-2022; ENI-7759-2022Publication Assessment of the quality of life scores of operated and unoperated patients with temporal and extra temporal lobe epilepsy and their relatives-caregivers(Kare Publ, 2018-01-01) BİCAN DEMİR, AYLİN; BORA, İBRAHİM HAKKI; Atasayar, Gülfer; Demiralay, Ahmet; Uzabacı, Ender; UZABACI, ENDER; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0001-6739-8605; 0000-0002-9634-0055; JPL-5273-2023; JCE-6657-2023; V-7170-2017Objectives: We investigated how seizure syndromes and treatment methods correlated with the quality of life and social functioning of patients with epilepsy and their relatives-caregivers.Methods: A total of 203 patients with epilepsy and their relatives-caregivers were divided into four groups. The patients were administered the following assessments: Quality of Life in Epilepsy Inventory and the Social Functioning Scale. The patients and their relatives-caregivers were administered the Hamilton Depression and Anxiety Rating Scale. The Kruskal-Wallis Test and Mann-Whitney U Test were used for statistical analysis.Results: When the quality of life and social functioning subscales were evaluated, the patient group with resistant temporal lobe epilepsy (TLE) had the lowest scores, while the highest scores occurred in the TLE group that had undergone surgical intervention and had entered remission with medical treatment. For both patients and their relatives-caregivers, the anxiety and depression scores were the highest in the resistant TLE group and the lowest in the surgical and remission group.Conclusion: Control of seizures was the most important variable affecting the quality of life of patients with epilepsy and their relativescaregivers. Treatment plans for epilepsy patients should encompass the quality of life considerations, including measures to increase social functioning such as assessments of comorbid psychiatric conditions like anxiety and depression.Publication Headaches associated with seizure: A prospective comparative cohort study(Turkish Neuropsychiatry Assoc-Turk Noropsikiyatri Dernegi, 2021-03-01) Haki, Cemile; Akdoğan, Özlem; Bora, İbrahim; BORA, İBRAHİM HAKKI; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; ENI-7759-2022Introduction: The purpose of the present study is to examine the frequency of headaches based on their relationship with seizures in epileptic patients as well as types of these headaches, and their clinical characteristics. Methods: 100 patients with epilepsy (60 female, 40 male), who applied to the epilepsy outpatient clinic of Faculty of Medicine of Uludag University, were included in the study after accepting their consent forms. Patients with symptomatic epilepsy, secondary headaches and mental retardation were excluded from the study. Patients with epilepsy were divided into two groups as the patients with or without headaches associated with seizure. In addition, according to their temporal relationships with seizures, headaches were grouped as preictal, ictal and postictal headaches and the characteristics of headaches associated with seizure were examined and the patients with and without headache associated with seizure were compared in terms of their demographic and clinical features. Results: In this study, the prevalence of headache associated with seizure was found as 42%. Headaches associated with seizure were more frequent in the postictal period and they were mostly characterized as migraine-like headache. According to the seizure periods, 22 (52.3%) of the patients experienced pain during every seizure period. It was determined that preictal headache was frequently migraine-like compared to postictal headache and this headache was more frequently accompanied by aura.Conclusion: Headache and epilepsy are the most frequent paroxysmal neurological conditions. However, because the symptoms of epilepsy are more remarkable, and its clinical presentation has a more dramatic picture, additional neurological conditions may be overlooked. Since both epilepsy and headache symptoms decrease the quality of life, it is important to treat both conditions. Examination of the correlation between these two situations can guide the physicians for selecting the treatment type, as well as helping them to improve the quality of life.Publication Who are sleeping in sleep laboratory? A retrospective study(Turkish Neurological Soc, 2012-01-01) Emirza, Mine Ayse Altun; Bican, Aylin; BİCAN DEMİR, AYLİN; Bora, İbrahim; BORA, İBRAHİM HAKKI; Özkaya, Güven; ÖZKAYA, GÜVEN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.; 0000-0003-0297-846X; A-4421-2016Objective: Aim of this study is to compare the results of gold standard in diagnosing sleep disorders polysomnography (PSG) with the physician's preliminary diagnosis and complaints of patients in our data of sleep laboratory.Material and Met hod: 656 patients who made PSG were included in the study. All of the patients' age, gender, comorbid chronic disease, complaints, preliminary diagnosis and PSG diagnosis were evaluated retrospectively.Results: In our study, the average age of patients was 56 and 43% women 57% were male. Complaints of patients were snoring, fatigue, stopped breath during sleep, insomnia, headache, daytime sleepiness, restless legs and abnormal behaviors during sleep. According to preliminary diagnoses and PSG diagnoses; Obstructive Sleep Apnea Syndrome (OSAS), narcolepsy, REM behavior disorder (RBD) reduced (p<0.05), simple snoring and insomnia increased (p<0.05), Restless Legs Syndrome (RLS) and parasomnia comply with (p>0.05). Sleep disorders in patients were accompanied by chronic diseases, hypertension (34.3%), diabetes (12.8%), Chronic Obstructive Pulmonary Disease (COPD) (1.2%), epilepsy (1,8%), Parkinson's disease (3.5%), dementia (3.2%), depression (18,4%), cardiovascular disease (13.3%) and cerebrovascular disease (4.9%).Discussion: We are offering a good clinical history and physical examination with the correct interpretation of PSG for the differential diagnosis can be made true, accurate diagnoses and appropriate treatment modalities in our patients.Publication Evaluation of patients with ictal kissing automatism(Wiley, 2013-06-01) Taşkıran, E.; Çarpraz, I; Bilir, E.; Demir, A.; Bora, İ.; Chassoux, F.; Aydoğdu, I; Özkara, C.; BİCAN DEMİR, AYLİN; BORA, İBRAHİM HAKKI; Uludağ Üniversitesi/Tıp Fakültesi.; KHB-9765-2024; ENI-7759-2022Publication Quality of life measures evalution of the patient's relatives having temporal and extratemporal lobe epilepsy and whom epilepsy surgery applied or not applied(Wiley, 2015-02-01) Bora, İ.; Atasayar, G.; Demir, A. Bican; BORA, İBRAHİM HAKKI; Atasayar, Gulfer; BİCAN DEMİR, AYLİN; Uludağ Üniversitesi/Tıp Fakültesi.; 0000-0001-6739-8605; V-7170-2017; JCE-6657-2023; ENI-7759-2022; CEW-6612-2022Publication Semiology, video-electroencephalography monitoring, neuroimaging, and neuropsychological functions in lateralization/localization in extratemporal lobe epilepsies(Kare Publ, 2019-01-01) Güneş, Aygül; Demir, Aylin Bican; BİCAN DEMİR, AYLİN; Bora, İbrahim; BORA, İBRAHİM HAKKI; Türkeş, Nevin; Hakyemez, Bahattin; HAKYEMEZ, BAHATTİN; Tamgaç, Feyzi; TAMGAÇ, FEYZİ; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nükleer Tıp Anabilim Dalı.; 0000-0001-6739-8605; 0000-0002-2325-7728; JCE-6657-2023; V-7170-2017; AAI-2318-2021Objectives: The present study aimed to determine the semiological signs having high lateralizing/localizing value of epileptogenic area (EA) using video-electroencephalography monitoring (VEM), neuroimaging, and neuropsychological tests in patients with extratemporal lobe epilepsy (ETLE) and to investigate the correlation between these methods.Methods: We enrolled patients who were admitted to the VEM unit between October 2006 and June 2012 due to ETLE. In total, 198 seizures of 34 patients, who were monitored for 24-120 h, were evaluated in detail by two observers. In accordance with the epilepsy protocol, all patients underwent cranial magnetic resonance imaging for anatomic localization and F-18-fluorodeoxyglucose positron emission tomography for functional localization due to drug-resistant epilepsy. Neuropsychological tests were performed by an experienced psychologist for frontal and parietal lobe localizations.Results:The lateralization of EA using semiological signs could be performed in 67.6% of the patients.The signs having the highest lateralizing value were version, unilateral tonic activity, and unilateral clonic activity and those having the lowest lateralizing value were unilateral dystonia, unilateral smiling, unilateral automatism, and sensorial aura. Correlation analysis between anatomical functional foci determined by semiological signs and the results of ictal/interictal electroen-cephalography (EEG), neuroimaging, and neuropsychological tests could not be performed due to inadequate patient number. Nevertheless, only three patients (8.82%) having the same EA were detected by both semiological signs and other methods.Conclusion: Our results suggest that the identification of epileptogenic focus in ETLEs is difficult despite multidisciplinary methods. We concluded that the most supportive diagnostic methods in identifying EA were interictal/ictal EEG, neuroimaging, and neuropsychological evaluation.Publication Long term video EEG monitorization(Kare, 2012-01-01) Bican, Aylin; Bilir, Erhan; Bora, İbrahim; BİCAN DEMİR, AYLİN; BORA, İBRAHİM HAKKI; Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı; CEN-7664-2022; ENI-7759-2022Long term video EEG monitorisation is an essential step in the evaluation of patients with intractable epilepsy before the decision of epilepsy surgery. Considerations for long term monitorisation in the evaluation of the onset zone of seizures will be discussed in this paper.Publication A rare cause of epilepsy: Ulegyria revisited in a series of 10 patients(Sage Publications, 2021-09-17) Demir, Aylin Bican; Eser, Pınar; Bekar, Ahmet; Hakyemez, Bahattin; Bora, İbrahim; BİCAN DEMİR, AYLİN; Eser, Pınar; BEKAR, AHMET; HAKYEMEZ, BAHATTİN; BORA, İBRAHİM HAKKI; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı/Epilepsi Merkezi.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Beyin Cerrahi Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; 0000-0001-6739-8605; 0000-0003-0132-9927; 0000-0002-3425-0740; ABX-9081-2022; AAI-2073-2021; V-7170-2017; AAI-2318-2021; ENI-7759-2022Introduction. Ulegyria results from perinatal hypoxic-ischemic brain injury in term infants. The specific mushroom-shaped configuration of ulegyria results from small atrophic circumvolutions at the bottom of a sulcus underlying an intact gyral apex. Clinically, ulegyria is generally associated with epilepsy. Here, we aimed to delineate the characteristics of patients with ulegyria and the epileptic seizures they experience. Material and methods. Medical records including radiology and pathology reports, video-electroencephalographic (EEG) analysis, operative notes, hospital progress and outpatient clinic notes were reviewed retrospectively in a total of 10 ulegyria patients. Results. Patients ages ranged between 24 and 58 years (mean, 32 +/- 9.8 years). Past medical history was confirmed for neonatal asphyxia in 2 (20%). Neurological examination was remarkable for spastic hemiparesis in 1 (10%) patient with perisylvian ulegyria and for visual field deficits in 2 patients (20%) with occipital ulegyria. Ulegyria most commonly involved the temporoparietal region (n = 5, 50%) followed by the perisylvian area (n = 2, 20%). Except the one with bilateral perisylvian ulegyria, all patients had unilateral lesions (n = 9, 90%). Hippocampal sclerosis accompanied ulegyria in 2 patients (20%). All patients experienced epileptic seizures. Mean age at seizure onset was 8.8 +/- 5.4 years (range, 2-20 years). Interictal scalp EEG and EEG-video monitoring records demonstrated temporoparietal and frontotemporal activities in 5 (50%) and 2 (20%) patients, respectively. The seizures were successfully controlled by antiepileptic medication in 8 patients (n = 8, 80%). The remaining 2 patients (%20) with concomitant hippocampal sclerosis required microsurgical resection of the seizure foci due to medically resistant seizures. Discussion. Ulegyria is easily recognized with its unique magnetic resonance imaging characteristics and clinical presentation in the majority of cases. It is highly associated with either medically resistant or medically controllable epileptic seizures. The treatment strategy depends on the age at onset and extends of the lesion that has a significant impact on the severity of the clinical picture.Publication Pituitary gland size in temporal lobe epilepsy(Soc Anatomica Espanola, 2021-09-01) Yücel, Kaan; HAKYEMEZ, BAHATTİN; Hakyemez, Bahattin; BORA, İBRAHİM HAKKI; Bora, İbrahim; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.Reproductive functional disorders and endocrine disorders are common in epileptic patients, particularly in patients with temporal lobe epilepsy (TLE). Pituitary size has been measured in patient populations with several diseases, but not in those with TLE so far. We compared the pituitary gland height and the morphology of its superior margin between patients with TLE and age- and sex- matched controls on magnetic resonance imaging (MRI). We found a smaller pituitary gland in patients with TLE compared to controls without any change of the morphology of its superior margin. The pituitary gland seems to be a site to check on MRI when evaluating a patient with TLE. The implications of this finding related to etiopathogenesis and clinical practice have been discussed.
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