Browsing by Author "Turhan, Nur"

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    Medical complications experienced by first-time ischemic stroke patients during inpatient, tertiary level stroke rehabilitation
    (SOC PHYSICAL THERAPY SCIENCE, 2016-01-01) Civelek, Gul Mete; Atalay, Ayce; Turhan, Nur
    {[}Purpose] The aim of this study was to assess the medical complications in first-time ischemic stroke patients, to identify the factors related to occurrence of complications. {[}Subjects and Methods] First-time ischemic stroke patients (n=81) admitted to a tertiary level inpatient rehabilitation center during a 5 year period were included in the study. The attending physiatrist noted the presence of specific medical complications and complications that required transfer to the acute care facility from patient records. The Oxfordshire Community Stroke Project classification was used to define the clinical subtypes of the ischemic stroke patients. The Charlson comorbidity index was used to evaluate co-morbid conditions. Functional disability was assessed using the Functional Independence Measure at admission and discharge. {[}Results] We found that 88.9\% of the patients had at least one complication. The five most common complications were urinary tract infection (48.1\%), shoulder pain (37.0\%), insomnia (37.0\%), depression (32.1\%), and musculoskeletal pain other than shoulder pain (32.1\%) and 11.1\% of patients were transferred to acute care facility during rehabilitation period. Functional Independence Measure scores both at admission and discharge were significantly lower in patients with at least one complication than in patients with no complications. {[}Conclusion] Medical complications are common among patients undergoing stroke rehabilitation. Close interdisciplinary collaboration between physiatrists and other medical specialities is necessary for optimal management.
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    Metachromatic Leukodystrophy Diagnosed after Traumatic Brain Injury: A Case Report
    (GALENOS YAYINCILIK, 2011-01-01) Guzel, Selcuk; Atalay, Ayce; Turhan, Nur; Benli, Ulku Sibel; Tore, Huseyin Gurkan
    Metachromatic leukodystrophy (MLD) is a rare inherited neurodegenerative disorder caused by a deficiency of a lysosomal enzyme arylsulphatase A. Herein, we report the case of a patient with late-onset MLD who presented with symptoms inconsistent with traumatic brain injury. The diagnosis of MLD was based only on MRI findings and low levels of arylsulphatase A. Although there was an underlying serious neurodegenerative disorder