Olgu Sunumu
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Nöbet sonrası gelişen rabdomiyoliz; Serebral amiloid anjiopati olgusu

Yıl 2019, Cilt: 2 Sayı: 4, 28 - 31, 31.12.2019

Öz

Amaç

Serebral amiloid anjiyopati (SAA); leptomeningeal, kortikal, subkortikal arterler, arteriyoller ve de venüllerin duvarlarında amiloid beta peptidlerin birikimi ile karakterize hastalıktır. İleri yaşta intraserebral hemorajinin önemli bir sebebidir. SAA hastaları geçici nörolojik bulgular, kognitif bozukluklar, epileptik nöbet ile acil servise başvurabilirler. Epileptik nöbete bağlı rabdomiyoliz akut böbrek hasarının nadir bir nedenidir.

Olgu

Burada epileptik konvülziyon nedeniyle rabdomiyoliz gelişen ve nihayetinde akut böbrek hasarı oluşan bir SAA tanısı konulan bir olgu sunulmuştur.

Sonuç

İleri yaş olgularda SAA; geçici nörolojik bulgular, nöbet, baş ağrısı, kognitif bozukluklar ile acil servise başvurabilirler. Epileptik nöbet ile başvuran hastalar rabdomiyoliz ve böbrekyetmezliği açısından erken  dönemde değerlendirilmelidir.

Kaynakça

  • 1. Gürol ME. Cerebral Amyloid Angiopathy, derleme, Türk Norol Derg 2009; 15: 1-9
  • 2. Vanholder R, Sever MS, Erek E, Lameire N. Rhabdomyolysis. J Am Soc Nephrol 2000; 11:1553-1561
  • 3. Vanholder R, Sever MS, Erek E, Lameire N. Acute renal failure related to the crush syndrome: Towards an era of seismonephrology? Nephrol Dial Transplant 2000; 15:1517-1521
  • 4. Turan MN, Dursun H, Ağan FZ, Karacaoğlu AG ve ark., Turk Neph Dial Transpl 2016; 25 (Ek / Suppl 1): 60-61 Akut Böbrek Hasarının Nadir Bir Nedeni; Epileptik Nöbete Bağlı Rabdomiyoliz doi: 10.5262/tndt.2016.08
  • 5. Kutlu O, Ecirli S, Aygün S, ve ark. Olgu sunumu, Haseki Tıp Bülteni 2006, 92 doi: 10.4274/haseki 2006
  • 6. Meretoja A, Strbian D, Putaala J, Curtze S, Haapaniemi E, Mustanoja S ve ark. SMASH-U: a proposal for etiologic classification of intracerebral hemorrhage. Stroke. 2012; 43:2592–2597.
  • 7. Yeh SJ, Tang SC, Tsai LK, Jeng JS. Pathogenetical subtypes of recurrent intracerebral hemorrhage: designations by SMASH-U classification system. Stroke. 2014; 45:2636–2642.
  • 8. O’Donnell HC, Rosand J, Knudsen KA ve ark. Apolipoprotein E Genotype and Risk of Recurrent Lober Intraserebral Hemorrage. N engl J Med 2000; 342:240-5.
  • 9. Hirohata M, Yoshita M, Ishida C, Ikeda SI, Tamaoka A, Kuzuhara S, et al. Clinical features of non-hypertensive lobar intracerebral hemorrhage related to cerebral amyloid angiopathy. Eur J Neurol. 2010; 17:823–829.
  • 10. Sung CY, Chu NS. Epileptic seizures in intracerebral haemorrhage. J Neurol Neurosurg Psychiatry. 1989 Nov; 52(11): 1273–1276. doi: 10.1136/jnnp.52.11.1273
  • 11. Sümer MM. Serebrovasküler Hastalik Sonrasi Gelten Epileptik Nöbetler. Epilepsi. 2000; 6(2): 110-115.
  • 12. Nazliel B, Kocer B, Irkec C ve ark. AI. GUTF Nöroloji ABD da 1989- 1998 Arasında İzlenen Serebral Kanama Olguları. Ege Tıp dergisi 2001; 40:105-9
  • 13. Blanco JR, Zabalza M, Salcedo J, Echeverria L, García A, Vallejo M. Rhabdomyolysis of infectious and noninfectious causes. South Med J. 2002 May;95(5):542-4.
  • 14. Veenstra J, Smit WM, Krediet RT, Arisz L.. Relationship between elevated creatine phosphokinase and the clinical spectrum of rhabdomyolysis. Nephrol Dial Transplant. 1994;9(6):637-41.
  • 15. Melli G, Chaudhry V, Cornblath DR. Rhabdomyolysis An Evaluation of 475 Hospitalized Patients. Medicine (Baltimore). 2005 Nov;84(6):377-85.
  • 16. Gupta P, Singh VP, Chatterjee S, Agarwal AK. Acute renal failure resulting from rhabdomyolysis following a seizure. Singapore Med J 2010;51:e79-80
  • 17. Zhou J, Luo B, Peng G. A single seizure attack induced rhabdomyolysis. Neurol India 2017;65, Suppl S1:93-4
  • 18. Khan FY. Rhabdomyolysis. A review of the literature. Neth J Med. 2009; 67:272-283
  • 19. Splendiani G, Mazzarella V, Cipriani S, Pollicita S, Rodio F, Casciani CU. Dialytic treatment of rhabdomyolysis-induced acute renal failure: Our experience. Ren Fail 2001;23:183-191

After seizures induced rhabdomyolysis for case report with cerebral amyloid angiopathy

Yıl 2019, Cilt: 2 Sayı: 4, 28 - 31, 31.12.2019

Öz

Aim

Cerebral amyloid angiopathy (CAA) is characterized by important cause of intracerebral hemorrhage in the elderly. These patients can come to the emergency room with

transient neurological signs, cognitive disorders, epileptic seizures. Rhabdomyolysis due to epileptic seizure is a rare cause of acute kidney injury.

Case

Herein, we report a case of CAA with rhabdomyolysis due to epileptic convulsion and ultimately, acute kidney injury.

Conclusion

SAA may peresent with transient neurological findings, seizures, headache, cognitive disorders to the emergency department in advanced age. Patients presenting with epileptic seizures should be evaluated early for rhabdomyolysis and renal failure.

Kaynakça

  • 1. Gürol ME. Cerebral Amyloid Angiopathy, derleme, Türk Norol Derg 2009; 15: 1-9
  • 2. Vanholder R, Sever MS, Erek E, Lameire N. Rhabdomyolysis. J Am Soc Nephrol 2000; 11:1553-1561
  • 3. Vanholder R, Sever MS, Erek E, Lameire N. Acute renal failure related to the crush syndrome: Towards an era of seismonephrology? Nephrol Dial Transplant 2000; 15:1517-1521
  • 4. Turan MN, Dursun H, Ağan FZ, Karacaoğlu AG ve ark., Turk Neph Dial Transpl 2016; 25 (Ek / Suppl 1): 60-61 Akut Böbrek Hasarının Nadir Bir Nedeni; Epileptik Nöbete Bağlı Rabdomiyoliz doi: 10.5262/tndt.2016.08
  • 5. Kutlu O, Ecirli S, Aygün S, ve ark. Olgu sunumu, Haseki Tıp Bülteni 2006, 92 doi: 10.4274/haseki 2006
  • 6. Meretoja A, Strbian D, Putaala J, Curtze S, Haapaniemi E, Mustanoja S ve ark. SMASH-U: a proposal for etiologic classification of intracerebral hemorrhage. Stroke. 2012; 43:2592–2597.
  • 7. Yeh SJ, Tang SC, Tsai LK, Jeng JS. Pathogenetical subtypes of recurrent intracerebral hemorrhage: designations by SMASH-U classification system. Stroke. 2014; 45:2636–2642.
  • 8. O’Donnell HC, Rosand J, Knudsen KA ve ark. Apolipoprotein E Genotype and Risk of Recurrent Lober Intraserebral Hemorrage. N engl J Med 2000; 342:240-5.
  • 9. Hirohata M, Yoshita M, Ishida C, Ikeda SI, Tamaoka A, Kuzuhara S, et al. Clinical features of non-hypertensive lobar intracerebral hemorrhage related to cerebral amyloid angiopathy. Eur J Neurol. 2010; 17:823–829.
  • 10. Sung CY, Chu NS. Epileptic seizures in intracerebral haemorrhage. J Neurol Neurosurg Psychiatry. 1989 Nov; 52(11): 1273–1276. doi: 10.1136/jnnp.52.11.1273
  • 11. Sümer MM. Serebrovasküler Hastalik Sonrasi Gelten Epileptik Nöbetler. Epilepsi. 2000; 6(2): 110-115.
  • 12. Nazliel B, Kocer B, Irkec C ve ark. AI. GUTF Nöroloji ABD da 1989- 1998 Arasında İzlenen Serebral Kanama Olguları. Ege Tıp dergisi 2001; 40:105-9
  • 13. Blanco JR, Zabalza M, Salcedo J, Echeverria L, García A, Vallejo M. Rhabdomyolysis of infectious and noninfectious causes. South Med J. 2002 May;95(5):542-4.
  • 14. Veenstra J, Smit WM, Krediet RT, Arisz L.. Relationship between elevated creatine phosphokinase and the clinical spectrum of rhabdomyolysis. Nephrol Dial Transplant. 1994;9(6):637-41.
  • 15. Melli G, Chaudhry V, Cornblath DR. Rhabdomyolysis An Evaluation of 475 Hospitalized Patients. Medicine (Baltimore). 2005 Nov;84(6):377-85.
  • 16. Gupta P, Singh VP, Chatterjee S, Agarwal AK. Acute renal failure resulting from rhabdomyolysis following a seizure. Singapore Med J 2010;51:e79-80
  • 17. Zhou J, Luo B, Peng G. A single seizure attack induced rhabdomyolysis. Neurol India 2017;65, Suppl S1:93-4
  • 18. Khan FY. Rhabdomyolysis. A review of the literature. Neth J Med. 2009; 67:272-283
  • 19. Splendiani G, Mazzarella V, Cipriani S, Pollicita S, Rodio F, Casciani CU. Dialytic treatment of rhabdomyolysis-induced acute renal failure: Our experience. Ren Fail 2001;23:183-191
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Vaka Takdimi
Yazarlar

Mehmet Necmeddin Sutaşır

Derya Selçuk Demirelli Bu kişi benim

Yayımlanma Tarihi 31 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 4

Kaynak Göster

AMA Sutaşır MN, Selçuk Demirelli D. Nöbet sonrası gelişen rabdomiyoliz; Serebral amiloid anjiopati olgusu. Anatolian J Emerg Med. Aralık 2019;2(4):28-31.