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    Determination of copper, zinc and manganese in nail and serum from patients with migraine
    (Dustri-Verlag Dr Karl Feistle, 2003) Özerol, E; Ulvi, H; Ilhan, N; Güleç, M; Ilhan, A; Akyol, Ö
    Metallo-enzymes contain trace elements in their molecular structure to be metabolically active. Manganese-superoxide dismutase (Mn SOD) contains Mn and copper, zinc-superoxide dismutase (Cu, Zn SOD) contains Cu. and Zn as prosthetic groups. There have been some studies on the oxidant/anti oxidant status of patients with migraine. In the present study, the levels of copper, zinc and manganese in nail and serum were investigated in 53 patients with migraine and 19 healthy subjects. Copper, Zn and Mn levels were measured by atomic absorption spectrophotometry and results obtained were statistically compared. The concentration of Mn in nail and serum was significantly higher in migraine patients than those of control subjects. Although Zn and Cu concentrations in nail were increased in migraine group compared to control group, the difference was not statistically significant. There was a statistically significant increase in Cu level (p < 0.02) and decrease in Zn level in serum from patients with migraine compared to those of control group. The unchanged or increased levels of trace elements, which play important roles as prosthetic groups in SOD, in both nail and serum may suggest that the antioxidant enzyme activities are not negatively affected from the changes. The results obtained are discussed in the light of the literature on the relationship between migraine and trace elements plus antioxidant systems.
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    Pyridoxine-dependent seizures
    (Oxford Univ Press, 2002) Ulvi, H; Müngen, B; Yakinci, C; Yoldas, T
    Pyridoxine-dependency is a rare autosomal recessive disorder causing a severe seizure disorder of neonatal onset. There are a few reports including neuroimaging studies, such as cranial CT and MRI, and one report with longitudinal MRI findings in two cases with pyridoxine-dependent seizures (PDS). We report long-term follow-up of two siblings with PDS in the light of clinical, EEG, CT and MRI findings, and pyridoxine treatment. The first patient, an 8-year-old female who had neonatal seizures, has sequential cranial CT and MRIs which are normal except for mega cistema magna thus far. She still has mild mental retardation, although the accurate diagnosis was made when she was 6 years old and pyridoxine treatment was initiated. The second patient, a 1-year-old female, who is the younger sibling of the first patient, presented with neonatal seizures and PDS was diagnosed immediately, with resulting pyridoxine treatment (10 mg/kg/day). She is now neurologically normal, seizurefree, and has sequential normal CT and MRIs. These patients show rather benign clinical courses.