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    An Uncommon Complication: Hypoglossal Nerve Palsy After Carotid Endarterectomy
    (Emergency Medicine Physicians Assoc Turkey, 2020) Ocak, Ozgul; Celik, Hamit; Varisli, Behcet
    Carotid artery stenosis is the important causes of ischemic stroke, and it may result in death. Many complications can occur during carotid endarterectomy (CEA), which is the standard revascularization procedure for treating severe carotid artery stenosis. CEA is applied for prevention of stroke occurred by atherosclerotic plaque which is located at the common carotid artery bifurcation and, commonly, internal carotid artery. In addition to serious complications, such as stroke, infection, myocardial infarction, postoperative bleeding and death, non-fatal complications, such as cranial nerve palsy, can also occur rarely. Cranial nerve injury is a well-recognized complication' of carotid endarterectomy. Although major injuries are rare, in several series where thorough pre and postoperative neurologic examinations were performed, the incidence of cranial nerve dysfunction after carotid surgery ranged from 9.7% to 39% Here we present the an 80-year-old male patient with hypoglossal nerve palsy after carotid endarterectomy as it is a rare complication.
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    Assessment of Emergency Service Attendance Due to Rabies Suspect Animal Bites in the Van Region
    (Emergency Medicine Physicians Assoc Turkey, 2019) Varisli, Behcet; Yildirim, Sinan; Celik, Hamit; Bulut, Mehtap; Ocak, Ozgul
    Aim: Rabies is a zoonotic viral disease transmitted by the bite of an animal. In Turkey, 100,000 individuals are administered prophylaxis annually after contact with animals carrying the risk of rabies. In this study, we investigated compliance with treatment and the affecting factors. Materials and Methods: The study assessed data from a total of 813 patients with potential animal bites throughout the year 2013. Results: The mean age of participants in the study was 22.6 +/- 16.8 years, and 80.6% (n=655) were male. Participants of both sexes mainly attended in the spring and summer months; however, it was identified that the rate of women attending in winter was higher than men. Also, five doses of vaccination were ordered for nearly all patients, independent of immunoglobulin administration; however, the rate of patients completing all five doses remained at about 30%. Conclusion: Increasing awareness of rabies will aid in the control of the significant public health problem of potential bite cases. As the young population is at risk, it is necessary to take precautions for the childhood age group.