NEUROLOGY

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NEUROLOGY

NEUROLOGY

Thanks to an experienced team, our neurology unit offers a coordinated service along with our other units for all functional disorders involving the nervous system, for all diseases requiring surgical treatment, and it offers a wide range of treatments.

Electromyography (EMG)

EMG or Electromyography is a procedure applied to understand the condition of muscles and the nerve cells that control the muscles, namely motor neurons. These motor neurons carry electric signals and in that way, muscles in the body can contract.  

In this procedure, these electrical signals are turned into graphics, sounds, and numerical values to be analyzed by an expert. If your doctor sees some symptoms of muscle disorders  like tingling, muscle pain or cramping, or numbness, he or she may ask you to have an EMG. EMG is known as a low-risk procedure and complications are rarely seen.

Electroencephalography (EEG)

Electroencephalography (EEG) is a test that records electric activity in the brain. In this test, electrodes are used and attached to the scalp. It is a painless procedure and performed under the supervision of a medical expert, a clinical neurophysiologist. Electroencephalography is used to monitor different conditions affecting the brain. It is mainly used to diagnose epilepsy but the test also can diagnose:

  • Brain tumors
  • Sleep disorders
  • Stroke
  • Brain damages
  • Sleep disorders

There are some types of EEG which are: ambulatory EEG, video telemetry, Invasive EEG-telemetry, sleep deprive EEG, and routine EEG.

Brain Vascular Diseases

Brain vascular diseases or cerebrovascular diseases are the conditions that affect blood flow to your brain. These conditions are stroke, brain bleeding, carotid artery disease, and brain aneurysm. It is a common term that is used to describe the conditions that impact blood vessels in the brain. It is an emergency as the brain cells die very fast without blood flow and that causes death or disability.

Some symptoms of brain vascular disease are:

  • Fainting
  • Balance loss
  • Delirium
  • Loss of vision
  • Dysarthria

Treatment depends on the patient’s condition. Surgery may be needed, if the patient’s blood vessels are blocked severely.

Headaches (Migraine And Others)

Headache is a sort of pain that occurs in any part of the head. There are many types of headaches. The most known types are:

  • Migraines: Migraines affect women rather than men. They cause sensitivity to light and sound. Migraines also cause vomiting and pulsation.
  • Tension-type headaches: These are the most common types of headaches and might be chronicle and occasional. They cause pain in both sides of the head.

If headaches become chronicle and disturb your personal life and daily life activities, you should see a doctor as soon as possible.

Epilepsy (Sara)

Epilepsy is a chronic but nontransmissible brain disease. It can affect people at any age. It is a very common disease around the world with several 50 million people suffering from it. The main symptom of epilepsy is seizures that occur frequently. Seizures sometimes can cause loss of consciousness. Some other symptoms of epilepsy can be lined up as below:

  • Staring into space
  • Becoming stiff
  • Collapsing
  • Unusual smells and tastes

Treatment may stop epilepsy seizures or reduce them. The ketogenic diet, anti-epileptic drugs, and surgery are including epilepsy treatment. Epilepsy mostly is life-long but treatment can help to increase life quality.

Peripheral And Central Nervous System Diseases

The peripheral nervous system is the place where the information from the brain is sent to the body parts. The peripheral nervous system is the rest of the nervous system excluding the brain and spinal cord. Type 2 diabetes, leprosy, congenital and genetic conditions, traumas, and tumors may affect here.

Central nervous system diseases like Parkinson's and dystonia are the results of damage to the brain and spinal cord. 

Some symptoms of central nervous system diseases are chronic headaches, pain in the back, pain in the arms, and slurred speech. The result of damage here also causes stroke, infection, or brain tumor.

Neuropathic Aches

Neuropathic ache is a condition that occurs when your nervous system is damaged or not working properly. Diabetes is responsible for about 30 percent of the cases. Alcoholism and shingles can cause neuropathic aches as well. Some symptoms of neuropathic aches are:

  • Evoked pain
  • Sleeping problems
  • Spontaneous pain

There are different treatments for neuropathic aches. Treatment for underlying disease,(Like removing a tumor pressing the nerve) provides pain relief and improves life quality. Some anti-seizure drugs like Gabapentin and Topiramate are used in the meditation treatment of neuropathic aches. Topical treatments; creams or ointment can be used on the painful parts of the body as well.

Muscle Diseases

Muscle diseases or neuromuscular disorders are conditions that are affected by damaged nerves in the muscles. Muscles have neurons and the brain sends electric signals to control the muscles. A muscle disease can disrupt the brain’s ability to control the muscles.

Some muscle diseases are:

  • Amyotrophic lateral sclerosis (ALS)

Weakness in the muscles causes trouble with movement and speech in ALS.

Multiple sclerosis (MS)

The immune system attacks peripheral nerves and it affects the brain, spinal cord, and optic nerves.

  • Spinal muscular atrophy (SMA)

Most cases start in childhood and cause decreased muscle tone in the arms and legs.

Multiple Sclerosis And Similar Diseases

Multiple sclerosis (MS) is a condition that causes several potential symptoms like vision problems, and elimination of movement in the arms and the legs. It can affect the brain and spinal cord. Multiple sclerosis is a lifelong condition and can be mild but can be dangerous as well and cause serious disability. 

The main symptoms of multiple sclerosis can be lined up as below:

  • Vision problems
  • Numbness in body parts
  • Balance problems
  • Problems with thinking and planning

No cure for MS but some treatment methods can reduce the symptoms. It is also important that you take care of your general health.

Sleeping Disorders

Sleeping disorders are conditions that occur during your sleep and prevent you from having quality sleep. You may sometimes have some sleeping problems in your life. However sleeping disorders are different from that. If you have difficulty sleeping very often and if you believe you slept well but feel fired all day, if your performance is reduced in daily life activities, you may have a least one of the sleeping disorders.

Some of the most common sleeping disorders are:

  • Insomnia
  • Sleep Apnea
  • Restless legs syndrome
  • Narcolepsy

You should see a doctor when these disorders start reducing your life quality.

Dizziness (Vertigo)

Dizziness or vertigo is a condition that makes you feel as if your surroundings are moving. Migraine, head or neck injuries, medications, and infections are among the causes of dizziness. There are  two different types of vertigo:

  • Peripheral vertigo: This is the most common vertigo type. It occurs if there is a problem in the inner ear and vestibular nerve, the place where balance is controlled.
  • Central vertigo: It occurs in the brain related to a problem. Central vertigo can be caused by different conditions like brain tumors, stroke, migraine, multiple sclerosis, and infection.

Parkinson's Disease

Parkinson’s disease is a condition that affects the nervous system and the body parts that are controlled by the nervous system. In Parkinson’s disease, symptoms start slowly. A tremor on the one hand might be the first syndrome. In the beginning, the patient’s arm may not swing while walking. Symptoms can change from person to person. Some common symptoms and signs of Parkinson’s disease are:

  • Tremor:
  • Rigid muscles
  • Loss of automatic movements
  • Changes in speech and writing 
  • Slowed movements

The reasons for the disease are unknown but factors like genes and environment may be important.

Dementia (Alzheimer's And Others)

Dementia is a term that is used to describe a group of symptoms. These symptoms affect memory and social abilities badly. Dementia can affect the daily life activities of the patient. One reason for memory loss might be dementia, but it is not the only reason.

A disease, named Alzheimer's is the most common reason for dementia in older ages. You should see a doctor when one of your loved ones has memory problems and some other symptoms. Some other types of dementia are:

  • Vascular dementia
  • Lewy body dementia
  • Mixed dementia

Brain And Spinal Cord Tumors And Infection

A Brain tumor is an uncontrolled growth of cells in the brain or near the brain. If a brain tumor starts in the brain, it is called a primary brain tumor. It starts somewhere else in the body and spread to the brain, it is a secondary brain tumor.

A spinal tumor is an abnormal growth of cells in the spinal column. Spinal tumors can be cancerous or benign, not cancerous.

In the brain and spinal cord, there can be infections as well as tumors. They occur when bacteria, fungi, or viruses invade the brain or spinal cord tissues.

OUR DOCTORS

Prof. Dr. Tolga Özdemirkıran He was graduated from Ege University Faculty of Medicine in 1996. He completed his expertise between 1997 – 2002 in Ege University Faculty of Medicine, department of Neurology. He performed his duty in İzmir Atatürk Research Hospital and Katip Çelebi University as Neurology Specialist between 2002 – 2011. He recieved his title of Assoc. Prof. in year 2010. He recieved his title of Proffesor in 2015 while he was performing in İzmir University. He is an active member of Turkish Society of Neurolgy, Clinical Electrophysiology, Society of EEG – EMG, Society of Cerebrovascular Disorders He has many verbal and written presentations in national & international meetings and congresses. And he has many publishments, translations and compilations in national & international magazines, books. His areas of interest are; cerebrovascular disorders, Stroke ( Paralysis), EMG, EEG, Migraine, Headaches, Epilepsy, Peripheri and Central Nerve System Diseases, Neuropathic Aches, Muscle Disorders, Multiple Sclerosis, sleep disorders, Vertigo, Parkinson Disesase, Demance ( Alzheimer and other). Proff. Dr. Tolga Özdemirkıran speaks well English.   
Spec. Dr. Name Derya Gökçek He graduated from Akdeniz University Faculty of Medicine in 2001. Between 2002 and 2008, he completed his specialization in Yeşilyurt Atatürk Training and Research Hospital, Department of Neurology. He is an active member of the Turkish Neurological Association. Married and mother of 2 children, Dr. Dr. Name Derya Gökçek is fluent in English. Areas of interest: Cerebrovascular Diseases Stroke (Paralysis), ELECTROMYOGRAPHY (EMG), ELECTROENCEFALOGRAPHY (EEG), Headaches (migraine and others), epilepsy (epilepsy), Peripheral and Central Nervous System Diseases, Neuropathic Pains, Muscle Diseases, Multiple Sclerosis and similar diseases, Sleeping disorders, Vertigo (Dizziness), Parkinson's Disease, Dementia (Alzheimer's and others)
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