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Volume: 35  Issue: 2   Year: 2023
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  The Turkish Society of Algology | Ağrı Dergisi Ağrı: 35 (2)
Volume: 35  Issue: 2 - 2023
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FRONT MATTER
1.Frontmatters

Pages I - II

EXPERIMENTAL AND CLINICAL STUDIES
2.Comparison of pupillometer, critical care pain observation scale, and vital findings in the evaluation of pain in intensive care patients without oral communication
Rabia Yaman Gülper, Ruhiye Reisli, Şule Arıcan, Alper Yosunkaya, Sema Tuncer Uzun
PMID: 37052165  doi: 10.14744/agri.2021.72246  Pages 53 - 62

3.Does fibromyalgia affect physical activity due to pain?
Muhammed Recai Akdoğan, Ekin Başak Doğancı, Zeynep Tüzün, Sümeyye Arslan, Meltem Alkan Melikoğlu
PMID: 37052160  doi: 10.14744/agri.2022.54533  Pages 63 - 67

4.Comparison of efficacy of particulate and non-particulate steroids in patients with lumbosacral pain, non-operated patients with chronic radicular symptoms
Ayşegül Güven, Ümit Akkemik, Güngör Enver Özgencil
PMID: 37052156  doi: 10.14744/agri.2022.02779  Pages 68 - 75

5.The comparison of ultrasound-guided ilioinguinal/iliohypogastric nerve block and pre-incision wound infiltration for pediatric inguinal hernia repair: A prospective randomized clinical study
Faruk Çiçekçi, Mehmet Sargın, Tamer Sekmenli, Mehmet Selçuk Uluer, İnci Kara, Jale Çelik
PMID: 37052163  doi: 10.14744/agri.2022.66587  Pages 76 - 82

6.Prevalence of pain in adult population in Türkiye
Fatma Eti Aslan, Fadime Çınar
PMID: 37052158  doi: 10.14744/agri.2022.26086  Pages 83 - 95

7.Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?
Tuba Tanyel, Ayten Bilir, Mehmet Sacit Güleç
PMID: 37052166  doi: 10.14744/agri.2022.93609  Pages 96 - 102

CASE REPORTS
8.Inactivated COVID-19 vaccine-related herpes zoster and post-herpetic neuralgia: Three case reports
Meltem Kanar
PMID: 37052164  doi: 10.14744/agri.2021.66642  Pages 103 - 106

9.Metabolic acidosis during the relapse treatment of idiopathic intracranial hypertension
Özlem Güngör Tunçer, Mecbure Nalbantoglu, Elvan Alper Sengul, Betül Baykan
PMID: 37052157  doi: 10.14744/agri.2021.05025  Pages 107 - 110

10.Unexpected motor block after ultrasound-guided lumbar erector Spinae plane block
Ömer Karaca
PMID: 37052161  doi: 10.14744/agri.2021.80947  Pages 112 - 114

LETTER TO THE EDITOR
11.Suprainguinal fascia iliaca block for distal femur tumor surgery
Yavuz Gürkan, Cemil Cihad Gedik, Kamil Darçın, Mete Manici
PMID: 37052159  doi: 10.14744/agri.2022.37029  Pages 115 - 116

12.A cosmetic complication after supraorbital/supratrochlear nerve block
Coşkun Araz, Edvin Bihorac
PMID: 37052162  doi: 10.14744/agri.2021.60320  Pages 117 - 118

Metabolic acidosis during the relapse treatment of idiopathic intracranial hypertension [Ağrı]
Ağrı. 2023; 35(2): 107-110 | DOI: 10.14744/agri.2021.05025  

Metabolic acidosis during the relapse treatment of idiopathic intracranial hypertension

Özlem Güngör Tunçer1, Mecbure Nalbantoglu2, Elvan Alper Sengul3, Betül Baykan4
1Department of Neurology, Memorial Şişli Hospital, İstanbul, Türkiye
2Department of Neurology, Demiroğlu Bilim University, İstanbul, Türkiye
3Department of Ophtalmology, Demiroğlu Bilim University, İstanbul, Türkiye
4Department of Neurology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Türkiye

We herein present a 40-year-old female physician who was diagnosed with idiopathic intracranial hypertension (IIH) 4 years ago. In the last years, the patient was in remission without any medications. Since the onset of COVID-19 pandemic, she has been stressfully working in the high-risk area, therefore using personal protective equipment (N95 mask, protective clothing, goggles, and protective cap) during the day for extended periods. Her headaches recurred and the patient was diagnosed with a relapse of IIH; acetazolamide and afterward topiramate were initiated, with diet treatment. Symptomatic metabolic acidosis, which is otherwise a rare side effect of the IIH treatment and not seen in her first attack even with higher doses, developed during the follow-up, presenting with shortness of breath and chest tightening. The emerging problems of IIH diagnosis and management during the COVID-19 pandemic will be discussed.

Keywords: Acetazolamide, intracranial hypertension; metabolic acidosis; papilledema; SARS-CoV-2 pandemic.


İdiyopatik intrakraniyal hipertansiyon relaps tedavisi sırasında metabolik asidoz

Özlem Güngör Tunçer1, Mecbure Nalbantoglu2, Elvan Alper Sengul3, Betül Baykan4
1Memorial Hastanesi,Nöroloji Bölümü, Şişli, İstanbul
2Demiroğlu Bilim Üniversitesi, Nöroloji Anabilim Dalı, İstanbul
3Demiroğlu Bilim Üniversitesi, Göz Hastalıkları Anabilim Dalı, İstanbul
4İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul

Dört yıl önce idiyopatik intrakraniyal hipertansiyon (İİH) tanısı alan, 40 yaşında bir kadın hekim hasta, son yıllarda herhangi bir ilaç kullanmadan remisyonda takip edilmekteydi. Koronavirüs hastalığı (COVID-19) salgınının başlangıcından bu yana yüksek riskli alanda ve stres altında çalışan hasta, gün boyunca uzun süreler kişisel koruyucu ekipman (N95 maskesi, koruyucu giysi, gözlük ve koruyucu başlık) kullanıyordu. Bu süreçte hastanın baş ağrıları tekrar ortaya çıktı ve İİH nüksü nedeniyle asetazolamid, ardından topiramat ve diyet tedavisi başlandı. İİH tedavisi sırasında, tedavinin çok nadir bir yan etkisi olan ve hastanın ilk atağında daha yüksek dozlarda tedavi altında olmasına karşın görülmeyen semptomatik metabolik asidoz, nefes darlığı ve göğüs sıkışma hissi ile karakterize bulgu ve semptomlar ortaya çıktı. Burada, COVID-19 salgını sırasında İİH tanısı ve yönetiminde ortaya çıkan sorunlar tartışılacaktır.

Anahtar Kelimeler: Asetazolamid, intrakraniyal hipertansiyon; papilödem; metabolik asidoz; SARS-CoV-2 pandemisi.


Özlem Güngör Tunçer, Mecbure Nalbantoglu, Elvan Alper Sengul, Betül Baykan. Metabolic acidosis during the relapse treatment of idiopathic intracranial hypertension. Ağrı. 2023; 35(2): 107-110

Corresponding Author: Özlem Güngör Tunçer, Türkiye


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