Publications by authors named "Incesu L"

Cavernous malformations, low-flow vascular lesions predominantly found in the brain and occasionally in the spinal cord, can be congenital or acquired, with acquired forms often being single and congenital ones multiple. While many patients remain asymptomatic, hemorrhage from these lesions can lead to significant neurological symptoms. This case report describes a 35-year-old female with a hemorrhagic lesion in the right precentral gyrus, initially challenging to diagnose due to atypical imaging findings.

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  • The study investigates microstructural abnormalities in white matter among patients with Behcet's disease (BD) and neuro-Behcet's disease (NBD) using tract-based spatial statistics (TBSS).
  • It includes 43 BD patients without neurological symptoms, 15 NBD patients with normal MRI, and 54 matched healthy controls, analyzing various diffusion metrics.
  • Findings show that both BD and NBD patients had lower fractional anisotropy and higher mean and radial diffusivity in white matter, suggesting issues like impaired fiber integrity and demyelination as potential underlying causes.
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Thyroid hormones play a critical role in brain development, but paradoxically, patients with hyperthyroidism often exhibit cognitive decline and irritability. This study aims to explore the pattern of atrophy in hyperthyroid patients, changes in specific areas of the brain, including hypothalamic subfields and limbic structures, and their relationships with hormonal levels and psychometric tests. This prospective cross-sectional study involves 19 newly diagnosed, untreated hyperthyroid patients, and 15 age and gender-matched control subjects.

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Purpose: Glioblastoma patients develop recurrence in the opposite hemisphere far from the primary tumor site even after complete resection. This is one of the main reasons for short disease survival. Our aim in this study is to detect microstructural changes in the contralateral hemisphere of glioblastoma patients using different diffusion models with the fully automated tract-based spatial statistics (TBSS) method.

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Purpose: Multiple sclerosis (MS) is a disease that progresses not only with demyelination but also with neurodegeneration. One of the goals of drug treatment in MS is to prevent neurodegeneration. Cortical thickness (CT), sulcal depth (SD), and local gyrification index (LGI) are indicators related to neurodegeneration.

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Background And Purpose: Conventional MRI sequences in neuro-oncology are insufficient for glioma grading. However, newly developed diffusion-weighted imaging techniques have been shown to have a great potential for glioma grading. This study examined the diagnostic performance of diffusion tensor imaging (DTI), diffusion kurtosis imaging (DKI), neurite orientation dispersion and density imaging (NODDI), and their combinations in glioma grading.

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Purpose: Studies on hypothalamic changes in patients with relapsing remitting multiple sclerosis (RRMS) are very scarce, despite the fact that the relationship with the hypothalamus is frequently reported. The aim of the study was to determine the volume of the hypothalamic subunits and the total hypothalamus and its relationship with the total demyelinating lesion volume (TLV) and expanded disability status scale (EDSS) in RRMS patients.

Methods: In this cross-sectional study, anterior-superior, superior tubular, posterior hypothalamus, anterior-inferior, inferior tubular subunits of hypothalamus, and total hypothalamus volume were calculated, with fully automatic analysis methods using volumetric T1 images of 65 relapsed RRMS patients and 68 healthy controls (HC).

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Purpose: To evaluate the spatial distribution of cortical damage in Behcet's Disease (BD) with or without neurological involvement using a cortical thickness measurement approach using three-dimensional T1-weighted imaging.

Material And Methods: Fifty-eight BD patients without neurological involvement, twenty-two Parenchymal Neuro-Behçets disease (PNBD) patients, and fifty healthy controls were included in the prospective study. Anatomical 3D T1 images were obtained from all participants using 3T MRI.

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Objective: The aim of this study was to investigate the role of apparent diffusion coefficient of diffusion-weighted imaging in differentiating histological subtypes of brain metastasis of lung cancer.

Methods: Diffusion-weighted imaging of 158 patients (mean age: 61.2±10.

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  • Hypothyroidism can lead to various neuropsychiatric issues such as depression and cognitive disorders, prompting research on its impact on white matter integrity in the brain.
  • In this study, 18 patients with hypothyroidism were compared to 14 healthy controls using tract-based spatial statistics (TBSS) to analyze changes in white matter properties through diffusion tensor imaging.
  • Results showed significant reductions in fractional anisotropy (FA) and alterations in diffusivity across several white matter tracts, suggesting that hypothyroidism may cause demyelination that correlates with clinical symptoms like depression.
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  • This study investigates white matter changes in the brains of patients with untreated or newly diagnosed hyperthyroidism using advanced imaging techniques.
  • Researchers compared brain scans of 18 hyperthyroid patients to 14 healthy controls, focusing on various measurements of brain structure.
  • Findings revealed significant increases in radial diffusivity and decreases in axial diffusivity in specific brain regions, suggesting that demyelination may be a key factor in the observed brain dysfunctions associated with hyperthyroidism.
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Objective: The aim of this study is to assess the microstructural changes to the olfactory bulb (OB) in patients with nasal septum deviation (NSD) using diffusion tensor imaging and to research the association between these changes and the degree of NSD.

Methods: Ninety-six patients with NSD (46 males, 50 females) who received diffusion tensor imaging were assessed by 2 independent readers. The patients were separated into 3 groups according to the NSD angle.

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  • The study aimed to find out if combining special brain imaging techniques (DWI, MRS, and DSCI) could help doctors tell the difference between two types of brain tumors: high-grade glioma (HGG) and solitary brain metastasis (SBM).
  • They looked at 56 patients who had these imaging tests before their surgeries and compared certain measurements from each imaging technique to see which ones worked best.
  • The best combination of measurements that helped differentiate between HGG and SBM included three specific values, making it a really effective method with a high accuracy score of 0.970.
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  • This study looked at how using special MRI techniques can help doctors tell the difference between low-grade and high-grade meningioma tumors.
  • They examined 45 patients and measured different MRI values related to the tumors before surgery.
  • The best way to identify high-grade tumors was by combining three specific MRI measurements, which made the diagnosis more accurate.
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Introduction: The etiology of Tolosa-Hunt Syndrome (THS) is still unknown. The initial standard magnetic resonance imaging (MRI) may not be sufficient for diagnosis, so dynamic contrast-enhanced MRI may be necessary to demonstrate the presence of lesions.

Methods: Seven patients diagnosed with THS according to the International Headache Society criteria (beta version) were included into the study.

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  • The study aimed to determine if combining quantitative metrics (like mamillopontine distance) with qualitative signs (such as dural enhancement) improves the diagnosis of intracranial hypotension (IH).
  • Researchers analyzed data from 34 patients and 34 control subjects using statistical methods to assess the diagnostic performance and establish optimal cutoff values for IH diagnosis.
  • Results indicated that a combination of specific metrics and signs (dural enhancement, venous engorgement, and mamillopontine distance) achieved a diagnostic accuracy of 100% for IH, suggesting improved accuracy in identifying the condition.
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Spontaneous epidural pneumocephalus is a rare condition. The authors reported a 35-year-old male patient with tinnutus, dull headache, and swelling on his head. Patient had a history of head trauma and skull fracture from when he was 5 years old.

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Objectives: To provide an initial assessment of white matter (WM) integrity with diffusion tensor imaging (DTI) and the accompanying volumetric changes in WM and grey matter (GM) through volumetric analyses of young children with Down's syndrome (DS).

Methods: Ten children with DS and eight healthy control subjects were included in the study. Tract-based spatial statistics (TBSS) were used in the DTI study for whole-brain voxelwise analysis of fractional anisotropy (FA) and mean diffusivity (MD) of WM.

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The involvement of lower cranial nerve palsies is less frequent in Ramsay Hunt syndrome caused by varicella zoster virus (VZV). The authors report 1 of extremely rare patients of radiologically proven polyneuropathy of VZV infection with magnetic resonance imaging findings of VII, IX, and X cranial nerve involvement is a 62-year-old female patient, who initially presented with Ramsay Hunt syndrome. Varicella zoster virus infection should be considered even in patients who show unilateral palsy of the lower cranial nerves associated with laryngeal paralysis.

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Purpose: We hypothesized that the cochlear-carotid interval (CCI), which is defined as the smallest distance along the petrous segment of the internal carotid artery and basal turn of cochlea, may be associated with direct stimulation of hair cells, thereby affecting tinnitus perception. The aim of this study was to investigate the relationships between the CCI, tinnitus perception, and accompanying hearing loss in patients with tinnitus.

Methods: The CCI on both sides was measured independently by two observers from the temporal 3D b-FFE MR images of 25 patients with tinnitus and 20 age/gender matched control subjects.

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Objective: Tinnitus is defined as an imaginary subjective perception in the absence of an external sound. Convergent evidence proposes that tinnitus perception includes auditory, attentional and emotional components. The aim of this study was to investigate the thalamic, auditory and limbic interactions associated with tinnitus-related distress by Diffusion Tensor Imaging (DTI).

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