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Sadece Klonus ile Ortaya Çıkan Akut Serebral Enfarkt Olgusu

Yıl 2018, Sayı: 4, 401 - 406, 20.04.2018

Öz

Anamnez, hastaların tanısında en az fizik muayene kadar
önemlidir. İnmeli hastaların yaklaşık olarak %35’inde görülen klonus bulgusu
erken dönemde ortaya çıkabilir. 
Olgumuzda araç kullanamama yakınması ile kliniğimize başvuran, fizik
muayenesinde aşil klonus tespiti ile akut inme tanısı konulan 53 yaşında erkek
hastayı sunduk. 

Kaynakça

  • Lance JW. What is spasticity? Lancet. 1990;335:606. https://doi.org/10.1016/0140-6736(90)90389-M.
  • Gilman S. Clinical Examination of the Nervous System. New York: McGraw-Hill, Health Professions Division; 2000.
  • Mori F, Koch G, Foti C, Bernardi G, Centonze D. The use of repetitive transcranial magnetic stimulation (rTMS) for the treatment of spasticity. Prog Brain Res. 2009;175:429-439. doi: 10.1016/S0079-6123(09)17528-3.
  • Boyraz I, Uysal H, Koc B, Sarman H. Clonus: Definition, mechanism, treatment. Med Glas (Zenica). 2015;12(1):19-26.
  • Fareedy SB, Pathak R. Ankle clonus. Clin Case Rep. 2015;3(6):520. doi: 10.1002/ccr3.251. Epub 2015 Apr 9.
  • Hong JC, Kim MS, Chang CH, et al. Long term results of microsurgical dorsal root entry zonotomy for upper extremity spasticity. J Korean Neurosurg Soc. 2008;43(4):182-185. doi: 10.3340/jkns.2008.43.4.182.
  • Stevenson VL. Rehabilitation in practice: Spasticity management. Clin Rehabil. 2010;24:293-304. doi: 10.1177/0269215509353254.
  • Kamata M, Satomi K. Classification of cervical myelopathy. MB Orthop. 1997;10:1-6.
  • Rothman RH, Simeone FA. The Spine. 2. baskı. Philadelphia:WB Saunders Company; 1982.
  • Salam A, Sanmuganathan P, Pycock C. Unusual presentation of basilar artery stroke secondary to patent foramen ovale: a case report. J Med Case Rep. 2008;7(2):75. doi: 10.1186/1752-1947-2-75.
  • Hidalgo MB, Rodríguez E, Wojna V. Atypical presentation of basilar artery thrombosis due to hypercoagulable state and incidental patent foramen ovale: A case report. Bol Asoc Med P R. 2010;102(2):54-57.

The Case of Acute Cerebral Infarction Presented with Only Clonus

Yıl 2018, Sayı: 4, 401 - 406, 20.04.2018

Öz

Anamnesis is as important as physical
examination in the diagnosis of patients. Clonus finding may occur in
approximately 35% of stroke patiens in early period.
We presented a 53-year-old male with achill clonus on
physical examination and diagnosed as an acute stroke. 

Kaynakça

  • Lance JW. What is spasticity? Lancet. 1990;335:606. https://doi.org/10.1016/0140-6736(90)90389-M.
  • Gilman S. Clinical Examination of the Nervous System. New York: McGraw-Hill, Health Professions Division; 2000.
  • Mori F, Koch G, Foti C, Bernardi G, Centonze D. The use of repetitive transcranial magnetic stimulation (rTMS) for the treatment of spasticity. Prog Brain Res. 2009;175:429-439. doi: 10.1016/S0079-6123(09)17528-3.
  • Boyraz I, Uysal H, Koc B, Sarman H. Clonus: Definition, mechanism, treatment. Med Glas (Zenica). 2015;12(1):19-26.
  • Fareedy SB, Pathak R. Ankle clonus. Clin Case Rep. 2015;3(6):520. doi: 10.1002/ccr3.251. Epub 2015 Apr 9.
  • Hong JC, Kim MS, Chang CH, et al. Long term results of microsurgical dorsal root entry zonotomy for upper extremity spasticity. J Korean Neurosurg Soc. 2008;43(4):182-185. doi: 10.3340/jkns.2008.43.4.182.
  • Stevenson VL. Rehabilitation in practice: Spasticity management. Clin Rehabil. 2010;24:293-304. doi: 10.1177/0269215509353254.
  • Kamata M, Satomi K. Classification of cervical myelopathy. MB Orthop. 1997;10:1-6.
  • Rothman RH, Simeone FA. The Spine. 2. baskı. Philadelphia:WB Saunders Company; 1982.
  • Salam A, Sanmuganathan P, Pycock C. Unusual presentation of basilar artery stroke secondary to patent foramen ovale: a case report. J Med Case Rep. 2008;7(2):75. doi: 10.1186/1752-1947-2-75.
  • Hidalgo MB, Rodríguez E, Wojna V. Atypical presentation of basilar artery thrombosis due to hypercoagulable state and incidental patent foramen ovale: A case report. Bol Asoc Med P R. 2010;102(2):54-57.
Toplam 11 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Makaleler
Yazarlar

Adnan Demirel

Murat Baykara

Tuba Tülay Koca

Aydın Arslan

Yayımlanma Tarihi 20 Nisan 2018
Kabul Tarihi 15 Şubat 2018
Yayımlandığı Sayı Yıl 2018 Sayı: 4

Kaynak Göster

JAMA Demirel A, Baykara M, Koca TT, Arslan A. Sadece Klonus ile Ortaya Çıkan Akut Serebral Enfarkt Olgusu. IGUSABDER. 2018;:401–406.

 Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)