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Çocukluk çağında görülen akut semptomatik nöbetler, etyoloji ve rekürrens

Year 2014, Issue: 1, 19 - 25, 01.04.2014

Abstract

AMAÇ: Akut semptomatik nöbet (ASN) tanısı konulan çocuklarda; nöbetlerin etyolojisini, tipini, elektroensefalografi (EEG) ve kraniyal görüntüleme bulgularını, antiepileptik tedavi kullanım sürelerini, nöbet rekürrensini ve sekel gelişimini değerlendirmek amaçlanmıştır.YÖNTEMLER: 1 Haziran 2006 ile 31 Aralık 2007 tarihleri arasında, Doktor Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Merkezi acil servisine konvülziyon nedeniyle başvuran, ya da başka nedenle hastanede yatışı sırasında konvülziyon geçiren ve yapılan tetkikler sonucu ASN tanısı konulan 1ay-16 yaş arası, 65 çocuk hasta dahil edilmiş ve hastalar en az altı ay süreyle izlenmiştir.BULGULAR: ASN tanımına uyan toplam 65 hasta çalışmaya alınmıştır. En küçük hasta 2 ay en büyüğü 180 aylık olmak üzere nöbetler 1-12 ay arasında en sık görülmüştür. Santral sinir sistemi (SSS) enfeksiyonları en sık ASN nedeni olarak belirlenmiştir. Nöbet tekrarı ve sekel gelişimi SSS’ ni ilgilendiren organik patolojilerde metabolik nedenlere göre daha fazla bulunmuştur.(p=0,015)SONUÇ: Akut semptomatik nöbet nedeniyle akut dönemde antiepileptik ilaç başlanan çocuk hastalarda, beyinde organik lezyon veya fokal nörolojik bulgu yoksa, nöbet tekrarı olasılığının çok düşük olduğu göz önünde bulundurularak, başlanan antiepileptik tedavinin kesilerek taburcu edilmesi planlanmalıdır.

The etiology and recurrence of acute symptomatic seizures during childhood

Year 2014, Issue: 1, 19 - 25, 01.04.2014

Abstract

OBJECTIVE: We aimed to evaluate the pediatric patients diagnosed with symptomatic seizure who presented with convulsion or developed convulsion after admission due to another reason with regard to etiology and type of seizure, electroencephalography and cranial imaging findings, duration of antiepileptic therapy, seizure recurrence, and sequalea.METHODS: Our study sample consisted of 65 children aged between 1 month and 16 years who presented to the Emergency Unit of Sami Ulus Pediatric Health and Diseases Teaching and Research Hospital directly with convulsion or developed convulsion after admission due to another reason and subsequently diagnosed with symptomatic seizure between June 1, 2006 and December 31, 2007.RESULTS: A total of 65 patients complying with the definition of acute symptomatic seizure were included in the study. The youngest patient was 2-month-old, whereas the oldest was 180-month-old, with the seizures generally occurring between 1-12 months. Central nervous system infections were observed to be the most common reason of acute symptomatic seizure. Organic causes with central nervous system are observed to induce seizure recurrence and sequelae more commonly as compared with the metabolic causes.CONCLUSION: Since seizure recurrence is a very low possibility when no organic lesion or focal neurologic sign is found in patients that have been put on antiepileptic therapy during the acute period due to acute symptomatic seizure, discontinuation of the antiepileptic therapy should be planned and the patient should be scheduled for discharge.

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Details

Other ID JA46NJ84EZ
Journal Section Research Article
Authors

Binnaz Tekatlı Çelik

Yahya Kemal Yavuz Gürer This is me

Neşat Çelik This is me

Publication Date April 1, 2014
Submission Date April 1, 2014
Published in Issue Year 2014 Issue: 1

Cite

APA Çelik, B. T., Gürer, Y. K. Y., & Çelik, N. (2014). The etiology and recurrence of acute symptomatic seizures during childhood. Pamukkale Medical Journal(1), 19-25.
AMA Çelik BT, Gürer YKY, Çelik N. The etiology and recurrence of acute symptomatic seizures during childhood. Pam Med J. April 2014;(1):19-25.
Chicago Çelik, Binnaz Tekatlı, Yahya Kemal Yavuz Gürer, and Neşat Çelik. “The Etiology and Recurrence of Acute Symptomatic Seizures During Childhood”. Pamukkale Medical Journal, no. 1 (April 2014): 19-25.
EndNote Çelik BT, Gürer YKY, Çelik N (April 1, 2014) The etiology and recurrence of acute symptomatic seizures during childhood. Pamukkale Medical Journal 1 19–25.
IEEE B. T. Çelik, Y. K. Y. Gürer, and N. Çelik, “The etiology and recurrence of acute symptomatic seizures during childhood”, Pam Med J, no. 1, pp. 19–25, April 2014.
ISNAD Çelik, Binnaz Tekatlı et al. “The Etiology and Recurrence of Acute Symptomatic Seizures During Childhood”. Pamukkale Medical Journal 1 (April 2014), 19-25.
JAMA Çelik BT, Gürer YKY, Çelik N. The etiology and recurrence of acute symptomatic seizures during childhood. Pam Med J. 2014;:19–25.
MLA Çelik, Binnaz Tekatlı et al. “The Etiology and Recurrence of Acute Symptomatic Seizures During Childhood”. Pamukkale Medical Journal, no. 1, 2014, pp. 19-25.
Vancouver Çelik BT, Gürer YKY, Çelik N. The etiology and recurrence of acute symptomatic seizures during childhood. Pam Med J. 2014(1):19-25.

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