Kişi: BİCAN DEMİR, AYLİN
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Yayın Sadece Metadata Awareness of sleep and narcolepsy in children(Galenos, 2020-06-01) Demir, Aylin Bican; Okan, Mehmet Sait; Tütüncü, Rabia Toker; TÜTÜNCÜ TOKER, RABİA; Demir, Aylin Bican; BİCAN DEMİR, AYLİN; Okan, Mehmet Sait; OKAN, MEHMET SAİT; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Sağlığı ve Hastalıkları Anabilim Dalı.; 0000-0002-3129-334X; 0000-0001-6739-8605; 0000-0002-9303-5768; IZP-6290-2023; V-7170-2017; JCE-6657-2023Objective: This study aimed to increase the awareness of narcolepsy in children and emphasize the reduction of the socioeconomic burden caused by the delayed or incorrect diagnosis.Materials and Methods: Demographic characteristics, clinical features, and electrophysiological studies of children diagnosed with narcolepsy in the Bursa Uludag University, Health Practice and Research Hospital, Clinic of Pediatric Neurology, were obtained from medical records.Results: Six children were included in the study. The average age at which the initial symptoms were observed was 11.5 years, whereas the average age of diagnosis was 13.5 years. Daytime sleep was accompanied by cataplexy in five cases and hypnogogic hallucinations in one case. Notably, the seizure was primarily considered in the differential diagnosis before diagnosing narcolepsy.Conclusion: It is crucial to increase the awareness of narcolepsy by physicians. Although families and children cannot express sleep disorders, we believe that questioning of sleep patterns during anamnesis in routine neurology practice could prevent delayed diagnosis.Yayın Sadece Metadata Investigating the impact of sleep stage of the patients at which they wake up on the stanford sleepiness scale after polysomnography(Galenos, 2022-06-01) Demir, Aylin Bican; Leba, Leyla Köse; Uslu, Pınar Uzun; Demir, Aylin Bican; BİCAN DEMİR, AYLİN; 0000-0001-6739-8605; V-7170-2017Objective: Sleep inertia is a period that cognitive performance and wakefulness are lower in the transition phase from sleep to wakefulness than during the daytime. The sleep inertia period is reported to extend from 1 minute to 4 hours. In our study, we aimed to investigate the impact of the sleep stage of the patients at which they wake up on the sleep inertia and the Stanford sleepiness scale (SSS) as well.Materials and Methods: Patients who applied to Bursa Uludag University Faculty of Medicine, Department of Neurology between the dates of March and September 2016, with such complaints about sleep disorders and with indications for admission to polysomnography were involved in the study. The patients were informed and their consent was received after PSG to complete the SSS.Results: One hundred patients were involved in the study. There were 55 patients waken up in the 2nd stage of NREM, 35 patients in REM sleep, and 10 patients in the 3rd stage of NREM. The points given by the patients and the number of these patients were as follows: 1-3 points for 37, 28, and 8 patients; 4 points for 1, 1, and 1 patient; and 5-7 points for 17, 6, and 1 patient, respectively.Conclusion: The arousal threshold differs in REM sleep and at the 1st, 2nd, and 3rd stages of NREM. The impact of waking up at any stages on the sleep inertia and/or the performance of the patients during the day is not known. For this reason, revealing the impacts of waking up at different sleep stages on the SSS was aimed in this study.Yayın Açık Erişim Fluoxetine-associated sleep disorders-report of two cases and literature review(Galenos Yayıncılık, 2021-09-01) Leba, Leyla Köse; Demir, Aylin Bican; BİCAN DEMİR, AYLİN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı; 0000-0001-6739-8605; V-7170-2017Narcolepsy is a condition characterised by excessive daytime sleepiness, cataplexy, hypnogogic hallucination and sleep paralysis. Sleep-related eating disorder (SRED) is a parasomnia that occurs while sleeping and manifests itself as paroxysmal episodes of involuntary eating and/or drinking. Both sleep disorders often occur as primary conditions. Sleep disorders secondary to medical treatment less often occur. This report presents the case of a patient with narcolepsy and another with SRED as a result of anamnesis and polysomnography. These sleep disorders are due to recently initiated fluoxetine treatment. Sleep disorder occurring as secondary to medication has been ignored because it has eluded the clinicians.