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  • Küçük Resim Yok
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    Circle of Willis anomalies in stroke patients related with symptomatic carotid artery disease
    (Turkish Society of Cerebrovascular Diseases, 2012) Kamis?i S.; Kamişli Ö.; Teker U.; Kablan Y.; Saraç K.; Oz?can C.
    PURPOSE: Carotid artery disease, strokes due to hypoperfusion and embolism is composed of two mechanisms, the brain collateral circulation has an important role in the prevention of stroke. We investigated the Circle of Willis anomalies in the anterior circulation ischemic stroke related with carotid artery disease who had transient ischemic attack or ischemic stroke. MATERIAL AND METHODS: The patients whose circle of Willis anomalies in the digital subtraction angiographies fully evaluated in the first week of neurological symptoms included to this study. The relationship between the severity of symptomatic carotid artery stenosis was evaluated with variety of anomalies. Patients with stenosis and posterior cerebral artery first divison hypoplasia or aplasia in the same side had statistical lower stenosis percentages with patients those without this anomaly (p <0.013). CONCLUSION: The existence of Circle of Willis anomalies are as important as the degree of stenosis in symptomatic carotid artery disease. This situation can be considered when treatment decisions.
  • Küçük Resim Yok
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    Sinus thrombosis: Clinical assessment
    (Turkish Society of Cerebrovascular Diseases, 2009) Kamişli Ö.; Arslan D.; Altinayar S.; Kamişli S.; Kablan Y.; Özcan C.
    Cerebral venous sinus thrombosis is a challenging condition because of its variability of clinical symptoms and signs. Diagnosis is not easy at initial presentation. All age groups can be affected. Large sinuses such as the superior sagittal sinus are most frequently involved. Systemic inflammatory diseases, inherited and acquired coagulation disorders are frequent causes, although in up to 30% of cases no underlying cause can be identified. The oral contraceptive pills appears to be an important additional risk factor. The spectrum of clinical presentations ranges from headache with papil oedema to focal deficit, seizures and coma. Magnetic resonance imaging with venography is the investigation of choice; computed tomography alone will miss a significant number of cases. Intravenous heparin is the first-line treatment for cerebral venous sinus thrombosis.

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