"Yeditepe University Hospital’s Department of Neurological Sciences is known for its Headache and Memory Health Clinic as well as its treatment of neuropathic pain, tumors, muscle and nerve disease and motility disorders."

Common complaints such as forgetfulness, headaches and muscle loss can be symptoms of severe or chronic disease. Yeditepe University Hospital’s Department of Neurological Sciences not only diagnoses and treats these complaints, but also aims to raise the awareness of patients with current references and information. The department specializes in movement disorders and all functional illnesses, brain and spinal cord tumor surgery, and the algological interventional treatment of headaches – in fulfillment of Yeditepe University Hospital’s multidisciplinary approach.

ALZHEIMER CLINIC

Dementia Risk Assessment Program

The prevalence of Alzheimer's Diseases has increased hand in hand with life expectancy rises. With a frequency of 10% at the age of 60, rising to 50% at 80, it can give rise to concern in anyone who experiences forgetfulness. Yet not every case of forgetfulness leads to, or is associated with, Alzheimer's. Individuals who suffer from a degree of forgetfulness without loss of the ability to function in daily life may be diagnosed with Minimal Cognitive Impairment (MCI). It is a scientific reality that this group has a higher predisposition to contract Alzheimer's disease. It is also possible to investigate who carries a higher risk factor. In this program, research and investigation is conducted into higher risk patients; preventive rehabilitation and therapy is planned. Alzheimer's disease may not be preventable, but its onset can be delayed.

"Research and Investigation Program"

1 -Routine medical history and neurological examination, family history, creation of a family tree if there is a family history of dementia

2 -Laboratory tests:

  • Amyloid Beta 42 / Beta 40 rates
  • Determination of APOE gene, pre-senile gene tests
  • Plasma lipid profile and thyroid function tests, B 12 and folic acid levels

 

3 -Neuropsychological Tests: the cognitive test performance of individuals diagnosed with MCI is low. Various tests are used in this diagnosis. A points system identifies the degree of risk using a battery of tests that last approximately 30 minutes. Another important indication is when these parameters show a downward trend in check-ups carried out every 6 months. The tests we generally wish to conduct are as follows:

  • Bender-Gestalt
  • Wechsler Adult Intelligence Scale (WAIS)
  • Memory for design
  • Brief cognitive assessment scale
  • Depression scales

After these tests, all results are evaluated and an opinion formed on the degree of dementia risk.


1) EEG (cortical mapping)
2) MR (amyloid imaging and volumetric examinations)
3) PET scan tests are recommended.

Yeditepe University Hospital undertakes on no account to share your test and assessment results with any third party or person without your express permission and consent.

HEADACHE CLINIC

Our Department of Neurological Sciences is known for its Headache Clinic as well as its treatment of neuropathic pain, tumors, muscle and nerve disease and motility disorders.

Common complaints such as headaches can be symptoms of severe or chronic disease. Our Headache Clinic specializes in the algological interventional treatment of headaches – in fulfillment of the Yeditepe University Healthcare Institutions’ multidisciplinary approach.

Specialists at our Headache Clinic diagnose and treat headaches in patients of all ages, including children and adolescents. The Clinic provides comprehensive clinic and hospital care to relieve the most debilitating headaches. In addition, the Clinic conducts research, exploring the basic mechanisms of headache and how existing and new treatments might provide relief.

Yeditepe University Hospital’s Headache Clinic is staffed by a multi-disciplinary team of health care specialists who are committed to providing comprehensive, individualized care to patients with headaches or facial pain disorders.

Our team of experts includes neurologists, neurosurgeons, otolaryngologists (ENT), obstetrician / gynecologists, nurse practitioners, nutritionists, and physical therapists.

Learn more about our team.

We collaborate to diagnose and provide effective pain management for all types of headaches, ranging from mild and nagging to severe and debilitating. We treat primary headaches such as migraines that have no obvious cause, as well as those that are caused by serious underlying medical conditions that may require prompt diagnosis and treatment.

MOVEMENT / MOTILITY DISORDERS

Yeditepe University Hospital’s Department of Neurological Sciences is known for its treatment of neuropathic pain, tumors, muscle and nerve disease and motility disorders.

The department specializes in movement disorders and all functional illnesses, brain and spinal cord tumor surgery, and the algological interventional treatment of headaches – in fulfillment of the Yeditepe’s multidisciplinary approach. 

Overview

Movement disorders are neurological conditions that affect the speed, fluency, quality, and ease of movement. Abnormal fluency or speed of movement (called dyskinesia) may involve excessive or involuntary movement (hyperkinesia) or slowed or absent voluntary movement (hypokinesia).

Movement disorders include the following conditions:

  • Ataxia (lack of coordination, often producing jerky movements)
  • Dystonia (causes involuntary movement and prolonged muscle contraction)
  • Huntington's disease (also called chronic progressive chorea)
  • Multiple system atrophies (e.g., Shy-Drager syndrome)
  • Myoclonus (rapid, brief, irregular movement)
  • Parkinson's disease
  • Progressive supra-nuclear palsy (a rare disorder that affects purposeful movement)
  • Restless legs syndrome (RLS) and reflex sympathetic dystrophy/periodic limb movement disorder (RSD/PLMD)
  • Tics (involuntary muscle contractions)
  • Tourette's syndrome
  • Tremor (e.g., essential tremor, resting tremor)
  • Wilson disease (inherited disorder that causes neurological and psychiatric symptoms and liver disease)

Common dystonia include spasmodic torticollis, which affects the muscles of the head, face, and neck, and blepharospasm, which causes involuntary closing of the eyelids.

Tourette's syndrome is an inherited disorder characterized by multiple motor and vocal tics (repeated muscle contractions). Symptoms of Tourette's usually develop during childhood or early adolescence. Patients with the disorder often develop behavioral problems such as hyperactivity, inattention, impulsivity, obsessions, and compulsions. In most cases, symptoms vary in frequency and in severity.

Tics are involuntary muscle contractions that interrupt normal activities. They often are preceded by a strong sensation or urge that is temporarily relieved following the muscle contraction. Examples of common tics include the following:

  • Blinking
  • Clearing the throat
  • Facial twitching
  • Grunting
  • Shrugging the shoulders
  • Sighing

Signs and symptoms of movement disorders vary and depend on the type and severity of the condition. The severity of movement disorder symptoms can be affected by factors such as anxiety, fatigue, medication, and stress.

Some movement disorders cause hyperkinesia (i.e., excessive spontaneous movement or abnormal involuntary movement) and others cause hypokinesia (i.e., absent or reduced ability to perform purposeful movement).

Movement Disorder Treatment at Yeditepe University Hospital:

Treatment for movement disorders depends on the underlying cause. In most cases, the goal of treatment is to relieve symptoms. Treatment may include medication, botox therapy and surgery.

Medications that may be used include the following:

  • Anti-epileptics
  • Anti-seizure medications
  • Beta-blockers
  • Dopamine agonists
  • Tranquilizers

Parkinson's disease may be treated using a number of different medications.

Botox therapy is used to treat some types of movement disorders (e.g., spasmodic torticollis, blepharospasm, myoclonus, tremors). In this treatment, a potent neurotoxin (produced by the bacterium Clostridium botulinum) is injected into a muscle to inhibit the release of neurotransmitters that cause muscle contraction.

When medication is ineffective, severe movement disorders may require surgery. In deep brain stimulation (DBS), a surgically implanted, battery-operated medical device (neuro-stimulator) is used to deliver electrical stimulation to areas of the brain that control movement. The electrical charge blocks nerve signals that trigger abnormal movement.

In DBS, an electrode (lead) is inserted through a small incision in the skull and is implanted in the targeted area of the brain. An insulated wire (extension) is then passed under the skin in the head, neck, and shoulder, connecting the lead to the neuro-stimulator, which is surgically implanted in the chest or upper abdomen.

Ablative surgery locates, targets, and then destroys (ablates) the clearly defined area of the brain that produces chemical or electrical impulses that cause abnormal movements.

In this procedure, a heated probe or electrode is inserted into the targeted area. The patient remains awake during the procedure to determine if the problem has been eliminated. A local anesthetic is used to dull the outer part of the brain and skull. The brain is insensitive to pain, so the patient does not feel the actual procedure. In some cases, it may be difficult to estimate how much tissue to destroy and the amount of heat to use.

This type of surgery involves either ablation in the part of the brain called the globus pallidus (called pallidotomy) or ablation of brain tissue in the thalamus (called thalamotomy). A related procedure, cryo-thalamotomy, uses a super-cooled probe that is inserted into the thalamus to freeze and destroy areas that produce tremors.

Pallidotomy may be used to eliminate uncontrolled dyskinesia (e.g., jerky, involuntary movements) and thalamotomy may be performed to eliminate tremor. These procedures are successful in approximately 75% of cases.

Whether you live in Istanbul, across Turkey or around world, specialists at Yeditepe University Healthcare Institutions are available to review your medical records and provide an expert opinion on your diagnosis or treatment plan -without the need for an in- person visit.

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