https://hdl.handle.net/20.500.12294/514 Fizyoterapi ve Rehabilitasyon Bölümüne ait koleksiyonlar bu alt bölümde listelenir. 2026-04-16T23:50:52Z https://hdl.handle.net/20.500.12294/2802 Atrial Fibrillation Impact Questionnaire (AFImpact): Validity and Reliability of the Turkish Version Zeren, Melih; Demir, Rengin; Karcı, Makbule; Yiğit, Zerrin; Uzunhasan, Işıl; Gürses, Hülya Nilgün Objective: Guidelines recommend measuring and addressing health-related quality of life in the management of atrial fibrillation (AF); however, a disease-specific questionnaire is lacking for the Turkish language. Our aim was to translate and adapt the Atrial Fibrillation Impact Questionnaire (AFImpact) into Turkish and to explore its psychometric properties. Methods: This cross-sectional study was conducted in two phases, including the translation and cultural adaptation of AFImpact into Turkish language and the analysis of psychometric properties of the translated questionnaire. 98 patients diagnosed with AF were evaluated using the Turkish version of AFImpact, Short Form-36 (SF-36) and Pittsburg Sleep Quality Index (PSQI). Reliability, validity, and factor structure of the Turkish version of AFImpact was explored. Results: Cronbach's alpha coefficients for vitality, emotional distress, and sleep domains of AFImpact was 0.956, 0.955, and 0.819, respectively, indicating good-to-excellent internal consistency. No significant difference was detected between the initial and retest scores, and intraclass correlation coefficients of each domain varied between 0.991 and 0.996, indicating excellent test-retest reliability. Each domain of AFImpact highly correlated with similar domains of SF-36 and PSQI, having correlation coefficients between -0.484 and -0.699. AFImpact was able to discriminate between the patients in different functional classes, confirming know-groups validity. Factor analysis revealed AFImpact had the same factorial structure as the original questionnaire. Conclusion: The Turkish version of AFImpact is a valid and reliable questionnaire for evaluating health-related quality of life in patients with AF. 2021-01-01T00:00:00Z https://hdl.handle.net/20.500.12294/2410 Temporary Paraplegia Resulting From Venous Air Embolism Following Lumbar Disc Surgery Kotil, Kadir Lomber disk cerrahisine bağlı bir çok komplikasyon tanımlanmasına rağmen geçici spinal kord iskemisi yaratan bir parapleji olgusu bugune kadar literatürde tanımlanmamıştır. 60 yaşında obez ve kısa boylu bir kadın hastanın bel ve bacak ağrıları nedeniyle lomber MRG çekilmiştir. L4-5 mutlak spinal stenosis zemininde akut disk ekstrüzyonu tespit edilmiştir. Hastaya prone pozisyonunda lomber disk cerrahisi pozisyonunda opere edildi. Postop uyanma esmasında her iki ekstremite TH 10 altı paralizi ile uyandı. Acil çekilen magnetic rozenans çekiminde spinal kanal içinde dev dural venöz laklardan giren hava kabarcıkları tespit edilmiştir. Medikal tedaviye alınan hastanın 6-8 saat sonra önce duyu sonra motor defisiti tam olarak düzeldi. Hem erken dönemde hızla düzelmesi ve MRG de de hava saptanması üzerine fibrokartilogenaz emboli gibi spinal kord seviyesinde görülen diğer nedenler ekarte edilerek etyolojinin venöz hava embolisine bağlı olabileceği düşünülmüştür. Literatürde venöz hava embolisine bağlı olduğu düşünülen lomber dekompresyon cerrahisi esnasında oluşan transient akut spinal iskemi sonucu gelişen paraplejili ilk olgudur.; A spinal cord ischemic injury defined by acute transient paraplegia, following lumbar disk surgery was not reported in the literature. A lumbar MRI was performed to a 60 years old obese and short female patient due to low back and leg pain. An acute disk extrusion was found at the L4-5 absolute spinal stenosis background. The patient had lumbar disc surgery at the prone position. The patient woke up with paralysis in both extremities under T10 level postoperatively. The MRI showed air bubbles in the spinal canal, originating from the giant venous dural lacs. After 6-8 hours with medical treatment, the patient completely regained the sensory first, then the motor function. Since the fast recovery in the early period and the air seen on MRI, the other reasons such as fibro cartilaginous embolism at the spinal cord level were excluded, and the etiology was thought to be the venous air embolism. This is the first case in the literature with paraplegia due to acute spinal ischemia, which is thought to happen due to venous air embolism during the lumbar decompression surgery. 2016-01-01T00:00:00Z https://hdl.handle.net/20.500.12294/2385 Severe Neurologic Deficit Caused By Chronic Ligamentum Flavum Hematoma: The First Case Series Kotil, Kadir Amaç: Lomber kronik ligamentum flavum hematomu (kLFH)nedeniyle şiddetli nörolojik defisit çok nadir oluşan bir durumdur. Bu makale bu konu hakkında sunulan ilk olgu serisidir. Materyal ve Metod: 8 yıllık period süresince lomber bölgede meydana gelmiş kLFH'lu 5 hastayı sunduk. Hastaların yaşları 68 ile 81 idi, kLFH nedeniyle oluşmuş şiddetli nörolojik defisitleri unilateral yaklaşımla uygun seviyeye yaptığımız dekompresyonla tedavi ettik. Bulgular: Tüm hematomlar lomber bölgede idi, ikisi L4-5, ikisi L3-4,ve biri L2-3 bölgesinde idi. Bunlardan ikisi parsiyal kauda equina sendromu ile üçü de unilateral radikulopati ile başvurmuştu. Preoperatif bulgular haftalar içinde düzeldi. Takıp süreleri ortalama 2 yıl ve sorunsuzdular. Sonuç: kLFH'lar nadirdır ve şiddetli nörolojik defisite neden olabilirler hastaların çoğu 7 ve 9 dekattadırlar. Mikrocerrahi ile unilateral yaklaşımla spinal kanal dekompresyonu tedavisinde tercih edilmelidir. Klinik, radyolojik ve cerrahi bulgular tanımlanmıştır. Bu bildiri bu konu hakkındaki ilk vaka serisidir.; Objective: Severe neurologic deficit due to chronic ligamentum flavum hematoma (cLFH) of the lumbar spine has received only very little attention. This article presents the first case series reporting severe neurologic deficits due to cLFH. Material: Tha authors report a case series of 5 patients with cLFH in the lumbar spine seen within a period of 8 years. Five patients (68–81yrs) presented with severe neurological deficits due to cLFH and were all operated by unilateral microsurgical decompression at the according level. Results: All hematomas were localized in the lumbar region; two were at the L4-L5 level, two were at the L3-L4 level, and one was at the L2-L3 level. While two of them had partial cauda equina syndrome, three of them had unilateral radiculopathy. Preoperative symptoms regressed within weeks. Follow-up examinations up to 2 years postoperatively were unremarkable. Conclusion: cLFH is a very rare cause of severe neurologic deficit. The patients are usually in seventh to ninth decades. Microsurgical unilateral spinal canal decompression should be the treatment of choice to resolve symptoms in cLFH. The clinical, radiological and surgical features are described. This report is first case series about cLFH. 2015-01-01T00:00:00Z https://hdl.handle.net/20.500.12294/2058 C1-2 posterior arthrodesis technique with a left segmental and right transarticular fixation. A hybrid novel (Kotil) technique Kotil, Kadir; Müslümanoğlu, Murat Introduction: The most commonly used techniques for C1-C2 posterior arthrodesis are Goel and Magerl fixation techniques. Due to the anatomical variations of the region, the prior determination of the surgical technique might be hard. Right side Magerl, left side Goel?s C1-C2 posterior arthrodesis case is presented as a new surgical combination technique used due to anatomical difficulties. Materials and Methods: Posterior C1-C2 arthrodesis operation was indicated for a 56-year-old female patient for the treatment of atlanto-axial subluxation caused by os odontoideum. First it was fixed from the nondominant arterial side (right vertebral artery) with Magerl (transarticular) technique. The left side was not suitable for the anatomical transarticular fixation, and the contralateral Goel fixation technique (segmental) was performed. Eventually, right side transarticular left side segmental fixation techniques were combined in one patient for the first time and C1-C2 fusion combination technique was presented. Results: Both Goel and Magerl techniques of C1-C2 posterior fusion techniques were successfully used simultaneously. The operation was initiated with Magerl technique with one screw on the nondominant side. The contralateral side was not suitable for Magerl technique therefore we changed to Goel?s technique. Although, fluoroscopy was used 3 times as much during the introduction of the Drill with Magerl technique, twice as much operative time was spent during hemostasis and bleeding, preparation of the C1 entry point, and the reconstruction of polyaxial screws for Goel technique. No neurovascular complications were occurred during both procedures. Discussion: Combination of two C1-C2 posterior fusion techniques, Goel and Magerl, in suitable cases caused by anatomical or other reasons appears to be an alternative surgical procedure that protects the patient from complications. For a collection of better data, other studies that include large numbers of patients with high evidential value should be conducted. 2014-01-01T00:00:00Z