Yanık etiyolojisinde epilepsi nöbetinin yeri : Yanık merkezi deneyimi

Year 2025, Volume: 6 Issue: 3, 320 - 325, 28.09.2025

Hüseyin Kılavuz , Feyyaz Güngör , Mehmet Kulus , Filiz Azman İste , Mustafa Turan

https://doi.org/10.47482/acmr.1771236

Abstract

Amaçlar:Epilepsi nöbeti sırasında bireyler kendilerini koruyamadıkları için travmalar ve sekonder yaralanmalara karşı savunmasız kalmaktadır. Bu yaralanmalardan biri olan yanıklar ciddi morbiditelere hatta mortalitelere neden olabilmektedir. Bu çalışmada, yanık merkezimizde yatarak tedavi gören epilepsi nöbetine bağlı olarak gelişen yanıklara ait klinik özellikler ve tedavi yöntemlerine ait verilerin sunulması amaçlanmıştır.
Yöntemler:Ocak 2022 - Haziran 2025 tarihleri arasında yanık merkezimizde yatarak tedavi gören hastaların dijital kayıtları retrospektif olarak analiz edilmiştir. Epilepsi nöbeti sırasında yanık yaralanması gelişen 18 yaş ve üzeri hastalar çalışma grubunu oluşturmuştur. Demografik veriler, yanık etiyolojisi, yanık bulguları, tedavi yöntemleri ve yatış süreleri kaydedilerek verilerin analizleri yapılmıştır.
Bulgular:Çalışma periyodunda incelenen 1652 hastanın 17’sinde (%1,02) epilepsi nöbetine bağlı yanık yaralanması saptanmıştır. Medyan yaş 43 (21-67) olup, hastaların %52,8’i kadındı. Yanıkların %76,5’i haşlanma kaynaklıydı ve tamamı ev ortamında meydana geldi. En sık etkilenen bölge alt ekstremitelerdi (%52,9). Olguların %58,8’inde yanık yüzdesi <%10 idi. Cerrahi greft uygulaması sadece iki hastada gerekti, amputasyon ihtiyacı olmadı.
Sonuç:Epilepsi nöbetleri sırasında oluşan yanık yaralanmaları önlenebilir önemli bir morbidite nedenidir. Ev içi güvenlik önlemlerinin artırılması, epilepsi hastalarının düzenli takibi ve eğitim programlarının uygulanması, bu tür yaralanmaların önüne geçilmesinde etkili olabilir.

Keywords

Epilepsi , nöbet sırasında travma , önlenebilir morbidite , yanıklar

The role of epileptic seizures in burn etiology: A Burn Center Experience

Abstract

Background: During epileptic seizures, individuals are vulnerable to trauma and secondary injuries due to their inability to protect themselves. Among these injuries, burns can lead to significant morbidity and even mortality. The aim of this study is to present data on the clinical features and treatment methods of burns due to epileptic seizures treated in our burn center.
Methods: Digital records of patients who were hospitalized and treated at our burn center between January 2022 and June 2025 were retrospectively analyzed. Patients aged 18 years and older who sustained burn injuries during epileptic seizures constituted the study group. Demographic data, burn etiology, burn characteristics, treatment methods, and length of hospital stay were recorded and analyzed.
Results: Among the 1652 patients evaluated during the study period, burn injuries related to epileptic seizures were identified in 17 cases (1.02%). The median age was 43 years (range: 21–67), and 52.8% of the patients were female. Scalding was the most common cause of burns (76.5%), and all incidents occurred in a home environment. The most frequently affected area was the lower extremities (52.9%). In 58.8% of the cases, the total body surface area (TBSA) affected was less than 10%. Surgical grafting was required in only two patients, and no amputations were needed.
Conclusion: Burn injuries sustained during epileptic seizures represent a preventable but significant cause of morbidity. Enhancing household safety measures, ensuring regular follow-up for epilepsy patients, and implementing educational programs may be effective in preventing such injuries.

Keywords

Burn injuries , epilepsy , preventable morbidity , seizure-related trauma

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