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            <front>

                <journal-meta>
                                                                <journal-id>genel tıp derg</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Genel Tıp Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2602-3741</issn>
                                                                                            <publisher>
                    <publisher-name>Selcuk University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.54005/geneltip.1148153</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Clinical Sciences</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Klinik Tıp Bilimleri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Is Brain MRI Essential for the Evaluation of Headache in Patients with Normal Neurological Examination?</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="tr">
                                    <trans-title>Baş Ağrısında Nörolojik Muayenesi Normal Olan Hastalar İçin Beyin MRG Gerekli midir?</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1066-353X</contrib-id>
                                                                <name>
                                    <surname>Çankal</surname>
                                    <given-names>Fatih</given-names>
                                </name>
                                                                    <aff>ANKARA MEDİPOL ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-5237-4846</contrib-id>
                                                                <name>
                                    <surname>Patat</surname>
                                    <given-names>Dilara</given-names>
                                </name>
                                                                    <aff>ANKARA MEDİPOL ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20221231">
                    <day>12</day>
                    <month>31</month>
                    <year>2022</year>
                </pub-date>
                                        <volume>32</volume>
                                        <issue>6</issue>
                                        <fpage>677</fpage>
                                        <lpage>682</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20220724">
                        <day>07</day>
                        <month>24</month>
                        <year>2022</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20221205">
                        <day>12</day>
                        <month>05</month>
                        <year>2022</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1990, Genel Tıp Dergisi</copyright-statement>
                    <copyright-year>1990</copyright-year>
                    <copyright-holder>Genel Tıp Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Aim: Headache is amongst the most common reasons of consulting a doctor. In addition to impairing the quality of life of the individual, there are societal as well as fiscal outcomes like workforce loss along with health expenditures. MRI findings of patients with headache were examined retrospectively through the relevant literature with a view to scrutinizing the necessity of the very procedure carried out, and the results were shared accordingly. Through our study we delved into the recent situation in our country and investigated whether MRI devices with advancing and novel technologies give dissimilar results with diffusion and sensitivity-weighted images in the MRI findings of patients who seek medical advice visiting a health institution with complaint of headache.Materials and Methods: The study included 224 patients over the age of 18, who underwent brain MRI between January 2020 and December 2021 in our center, with normal findings on neurological examination and who had not undergone surgery. All abnormal appearances such as mass, metastasis, aneurysm, hydrocephalus, encephalitis, sinusitis, mastoiditis, otitis, which may cause secondary headache, were recorded in MR images. Results: Of the 224 patients, 120 (53.57%) were male and 104 (46.43%) were female. The mean age was 39.45±12.55 years. None of the 224 examinations revealed mass suspicious for malignancy, aneurysm, encephalitis, or meningitis. Extraaxial mass lesion compatible with meningioma was detected in 3 patients (1.33%), arachnoid cyst in 3 patients (1.33%), and developmental venous anomaly in 2 patients (0.89%). There was paranasal sinus infection in 145 patients (64.73%), mastoiditis in 37 patients (16.52%), and otitis in 8 patients (3.57%). The remaining 66 patients had no MRI findings except ischemic-gliotic changes, enlarged perivascular distances, and physiological calcifications. Conclusion: In studies designed according to CT and MRI examinations taken regardless of neurological examination and history, the rate of completely normal findings is quite high, as in our study. MRI scans conducted for these patients, who can indeed solely be diagnosed with examination or simpler imaging methods, lead to loss of time and money. In order to fix the said situation, we are of the opinion that the red flag practice should become widespread and nonessential examination requests should be supervised.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="tr">
                            <p>Amaç: Baş ağrısı toplumda en sık doktora başvurma sebeplerinden biridir. Kişinin hayat kalitesini bozması yanı sıra iş gücü kaybı ve sağlık harcamaları ile toplumsal ekonomik etkileri mevcuttur. Daha önce baş ağrılı hastalarda MRG bulguları yapılan işlemin gerekliliğin sorgulanması amacıyla retrospektif olarak incelenmiş ve elde edilen sonuçlar paylaşılmıştır. Ülkemizdeki son durumu gözlemlemek ve baş ağrısı şikayetiyle sağlık kurumuna gelen hastaların MRG bulgularında değişen ve yeni teknolojiye sahip MRG cihazlarının, difüzyon ve duyarlılık ağırlıklı görüntülerle birlikte farklı sonuçlar verip vermediğini araştırdık.Gereç ve Yöntem: Çalışmaya merkezimizde Ocak 2020 – Aralık 2021 tarihleri arasında Beyin MRG tetkiki yapılan nörolojik muayenesi normal, operasyon geçirmemiş 18 yaş üzeri olan 224 hasta dahil edilmiştir. MR görüntülerinde sekonder baş ağrısına sebep olabilecek kitle, metastaz, anevrizma, hidrosefali, ensefalit, sinüzit, mastoidit, otit gibi normal dışı tüm görünümler kaydedildi.Bulgular: 224 hastanın 120’si erkek (%53.57), 104’ü kadındı (%46.43). Ortalama yaş 39.45±12.55 idi 224 incelemenin hiç birisinde malignite şüphesi taşıyan kitle görünümü, anevrizma, ensefalit veya menenjit görülmedi. 3 hastada (%1.34) menenjiom ile uyumlu olabilecek ekstraaksiyal kitle lezyonu, 3 (%1.34) hastada araknoid kist, 2 hastada (%0,89) gelişimsel venöz anomali saptandı. 145 hastada (%64.73) paranazal sinüs enfeksiyonu, 37 hastada (%16.52) mastoidit, 8 hastada (%3.57) otit mevcuttu. Kalan 66 hastanın iskemik - gliotik değişiklikler, genişlemiş perivasküler mesafeler, fizyolojik kalsifikasyonlar dışında MRG bulgusu yoktu. Sonuç: Nörolojik muayene ve hikayeye bakılmaksızın çekilen BT ve MRG incelemelerine göre dizayn edilen çalışmalarda intrakranial patoloji açısından tamamıyla normal hastaların oranı bizim çalışmamızda da olduğu gibi oldukça yüksektir. Sadece muayene veya daha basit görüntüleme yöntemleriyle tanısı konulabilecek bu hastalar için yapılan MRG incelemeleri zaman ve maddiyat kaybına yol açmaktadır. Bu durumu düzeltmek için öncelikle kırmızı bayrak uygulamasının yaygınlaşması, gereksiz tetkik istemlerinin denetlenmesi gerektiğini düşünüyoruz.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Headache</kwd>
                                                    <kwd>  cranial magnetic resonance imaging</kwd>
                                                    <kwd>  neurologic examination</kwd>
                                                    <kwd>  sinusitis</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="tr">
                                                    <kwd>Baş ağrısı</kwd>
                                                    <kwd>  beyin manyetik rezonans görüntüleme</kwd>
                                                    <kwd>  nörolojik muayene</kwd>
                                                    <kwd>  sinüzit</kwd>
                                            </kwd-group>
                                                                                                        <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">YOK</named-content>
                            </funding-source>
                                                                            <award-id>YOK</award-id>
                                            </award-group>
                </funding-group>
                                </article-meta>
    </front>
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