Psödotümör Serebri; Tek Merkez Deneyimi

Yasemin Özkale

doi:10.12956/tjpd.2018.364

Psödotümör Serebri; Tek Merkez Deneyimi

Abstract

Amaç: Çalışma, psödotümör serebri tanısı konulan olgularımızın klinik, laboratuvar bulgularını ve tedavilerini geriye dönük olarak gözden geçirmek ve 2013 yılında Friedman ve ark. tarafından yeniden belirlenen tanı ölçütlerine göre hastaları yeniden tanımlayarak literatür ile karşılaştırmak amacıyla planlanmıştır.

Gereç ve Yöntemler: Çocuk Nöroloji Kliniği’nde 40 psödotümör serebri tanılı hastalar klinik bulguları ve tedavileri yönünden geriye dönük olarak incelendi. Tanılar Modifiye Dandy kriterleri ve 2013 Friedman tanı ölçütlerine göre tekrar karşılaştırıldı.

Bulgular: Modifiye Dandy kriterlerine göre “kesin psödotümör serebri” tanısı alan 40 hastanın 2013 tanı kriterlerine göre tekrar sınıflandırıldığında 37’sinin tanısında değişiklik olmazken, üç hastanın “olası psödotümör serebri” grubuna kaydığı görüldü. Hastaların yaş ortalaması 11.15±3.32 yıl olup, %40’ı prepübertal, %60’ı pübertal dönemde idi. Yirmi sekiz hastaya (%70) birincil psödotümör serebri, 12 hastaya ise ikincil psödotümör serebri (%30) tanısı kondu. Baş ağrısı hastaların en sık başvuru şikayeti (%55)’di. Tüm hastaların medikal tedavi aldığı saptandı. Tedaviye yanıt vermeyen bir hastaya ise lumboperitoneal şant takıldığı tespit edildi.

Sonuç: Hastalarımızın belirti ve bulgularının literatür ile uyumlu olduğu görüldü. Birincil psödotümör serebrili hastalarımızın %53.5’nin obezite ile ilişkili olduğu, ikincil psödotümör serebri nedenleri açısından ise nedenlerin literatür ile benzeştiği ve çoğunun medikal tedaviye yanıt verdiği gözlendi. Eski ve yeni tanı ölçütlerinin kullanılmasının tanı ve tedavi açısından farklılık yaratmayacağı saptandı.

Keywords

Çocuk,2013 Friedman kriterleri

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Details

Primary Language

Turkish

Subjects

Internal Diseases

Journal Section

Research Article

Authors

Yasemin Özkale ^*

Publication Date

May 24, 2019

Submission Date

March 26, 2019

Acceptance Date

April 27, 2018

Published in Issue

Year 2019 Volume: 13 Number: 3

DOI

https://doi.org/10.12956/tjpd.2018.364

IZ

https://izlik.org/JA39PR96RZ

Cite

RIS / Bibtex

APA

Özkale, Y. (2019). Psödotümör Serebri; Tek Merkez Deneyimi. Türkiye Çocuk Hastalıkları Dergisi, 13(3), 193-202. https://doi.org/10.12956/tjpd.2018.364

AMA

1.Özkale Y. Psödotümör Serebri; Tek Merkez Deneyimi. Turkish J Pediatr Dis. 2019;13(3):193-202. doi:10.12956/tjpd.2018.364

Chicago

Özkale, Yasemin. 2019. “Psödotümör Serebri; Tek Merkez Deneyimi”. Türkiye Çocuk Hastalıkları Dergisi 13 (3): 193-202. https://doi.org/10.12956/tjpd.2018.364.

EndNote

Özkale Y (May 1, 2019) Psödotümör Serebri; Tek Merkez Deneyimi. Türkiye Çocuk Hastalıkları Dergisi 13 3 193–202.

IEEE

[1]Y. Özkale, “Psödotümör Serebri; Tek Merkez Deneyimi”, Turkish J Pediatr Dis, vol. 13, no. 3, pp. 193–202, May 2019, doi: 10.12956/tjpd.2018.364.

ISNAD

Özkale, Yasemin. “Psödotümör Serebri; Tek Merkez Deneyimi”. Türkiye Çocuk Hastalıkları Dergisi 13/3 (May 1, 2019): 193-202. https://doi.org/10.12956/tjpd.2018.364.

JAMA

1.Özkale Y. Psödotümör Serebri; Tek Merkez Deneyimi. Turkish J Pediatr Dis. 2019;13:193–202.

MLA

Özkale, Yasemin. “Psödotümör Serebri; Tek Merkez Deneyimi”. Türkiye Çocuk Hastalıkları Dergisi, vol. 13, no. 3, May 2019, pp. 193-02, doi:10.12956/tjpd.2018.364.

Vancouver

1.Yasemin Özkale. Psödotümör Serebri; Tek Merkez Deneyimi. Turkish J Pediatr Dis. 2019 May 1;13(3):193-202. doi:10.12956/tjpd.2018.364