Background/aim: This study aimed to evaluate the facial nerve (FN) and internal auditory canal (IAC) on three-dimensional fast imaging employing steady-state acquisition (3D-FIESTA) magnetic resonance imaging (MRI) to define possible structural differences in cases of Bell's palsy (BP).
Materials and methods:Fifty-six patients presenting with BP were included in this study. The measurements of the diameters and the cross-sectional areas (CSAs) of the FNs and IACs obtained on 3D-FIESTA MRI both on the affected and unaffected sides of all patients were compared.Results: A significant difference was found between affected and unaffected sides of the patients in terms of the mean CSA of the FN and IAC (P < 0.001). The CSAs of the FN were larger and the CSAs of the IAC were smaller on the affected sides than the equivalents on the unaffected sides of the patients, respectively. The difference in terms of the ratios of IAC CSA to FN CSA between affected and unaffected sides of the patients was also found to be statistically significant (P < 0.001).
Conclusion:We have found that FN and IAC size differ on the affected sides of patients with BP. These anatomical differences may contribute to the risk for this disease.
INTRODUCTION:In Turkey, 2% of emergency department admissions are migraine and there is no specific biomarker with differential diagnostic value in patients presenting with headache. There are studies showing that the blood-brain barrier deteriorates during migraine attacks, the risk of atherosclerosis is increased in migraine patients and it is associated with cardiovascular and cerebrovascular diseases. In light of this information, the value of carotid intima-media thickness (CIMT) measurements in the differential diagnosis of tension and migraine headache was investigated.
MATERIAL AND METHODS:The study group consisting of 20 tension headache, 23 migraine attacks, 20 remission migraine patients admitted to the emergency department and neurology outpatient clinic of Ridvan Ege Hospital between February and September 2017 and control group of 21 healthy volunteers were compared. Carotid intima-media thickness (CIMT) of all participants was measured by specialist radiologist. The data obtained were analysed using SPSS 15.0 statistical program.
RESULTS:There was no significant difference between the participants in terms of age and gender. When the carotid intima-media thickness was analysed between the four groups and according to the presence and type of migraine, no significant difference was found (p = 0.489).
CONCLUSIONS:This is the first study in the literature which evaluates the relationship between subclinical atherosclerosis and tension-type headache and migraine by examining patients with tension-type headache and migraine disease in both episode and remission period. According to the results obtained, migraine and tension headache is not associated with subclinical atherosclerosis. However, larger-scale studies are required in this sense.
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