Yıl 2018, Cilt 3 , Sayı 2, Sayfalar 75 - 78 2018-07-20

Erken çocukluk çağında epileptik olmayan paroksismal olaylar ve EEG’nin rolü: Tek merkez deneyimi
Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience

Serkan KIRIK [1] , Mehmet Yaşar ÖZKARS [2]


Amaç: Epileptik olmayan paroksismal olaylar, epilepsi ile en sık karıştırılan hareket bozukluklarıdır. Bu yazıdaki amacımız klinik deneyimimizi paylaşarak hekimler arasında farkındalığı arttırmak; gereksiz anti-epilepik kullanımını ve tetkik sayısını azaltmaktır.

Yöntemler: Çalışmaya 73 hasta dahil edildi. Hastalar ayrıntılı anamnez, video kayıtları, laboratuvar bulguları ve elektroensefalografi (EEG) bulgularına göre tanı açısından değerlendirildi.

Bulgular: Çalışmaya dahil edilen hastalarda en sıktanı katılma nöbetiydi. En küçük yaş grubu benign uyku myoklonisiydi.Hastaların hiçbirinin EEG’sinde epileptiform aktivite saptanmadı.

Sonuç: Epileptik olmayan paroksismal olaylar, epilepsi ile sık karıştıklarından sıklıkla gereksiz anti-epileptik tedavi kullanımı söz konusu olmaktadır. Bu çalışma, ayrıntılı anamnez, EEG bulguları ve giderek yaygınlaşan video kullanımının böylesi hastalarda gereksiz tedavi ve tetkik gereksinimini azalttığını göstermiştir.

Aim: Non-epileptic paroxysmal events are the most frequently movement disorders mimicking epilepsy. Our aim in this article is to increase awareness among physicians by sharing our clinical experience; to reduce unnecessary anti-epileptic use and the number of examinations.

Methods: In total73 patients were included in the study. Patients were evaluated according to detailed anamnesis, video recordings, laboratory findings and electroencephalography (EEG) findings.

Results: The most common diagnosis in patients involved in the study was breath holding spells. The youngest age group was benign sleeping myoclonus. None of the patients had epileptiform activity in the EEG.

Conclusion: Non-epileptic paroxysmal events commonly involve the unnecessary use of anti-epileptic medications due to mimicking of epilepsy. This study has shown that detailed anamnesis, EEG findings, and increasing use of mobile phone video reduce unnecessary treatment and examination in these patients.

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Birincil Dil en
Konular Genel ve Dahili Tıp
Bölüm Orjinal Makale
Yazarlar

Orcid: 0000-0002-8658-2448
Yazar: Serkan KIRIK (Sorumlu Yazar)
Kurum: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Çocuk Nöroloji Bilim Dalı
Ülke: Turkey


Orcid: 0000-0003-1290-8318
Yazar: Mehmet Yaşar ÖZKARS
Kurum: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 20 Temmuz 2018

Bibtex @araştırma makalesi { acem416320, journal = {Archives of Clinical and Experimental Medicine}, issn = {}, eissn = {2564-6567}, address = {hırkai şerif mah. keçeci çeşmesi sok. doktorlar sitesi b blok 6/7 Fatih İstanbul Türkiye}, publisher = {Mustafa HASBAHÇECİ}, year = {2018}, volume = {3}, pages = {75 - 78}, doi = {10.25000/acem.416320}, title = {Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience}, key = {cite}, author = {Kırık, Serkan and Özkars, Mehmet Yaşar} }
APA Kırık, S , Özkars, M . (2018). Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience . Archives of Clinical and Experimental Medicine , 3 (2) , 75-78 . DOI: 10.25000/acem.416320
MLA Kırık, S , Özkars, M . "Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience" . Archives of Clinical and Experimental Medicine 3 (2018 ): 75-78 <https://dergipark.org.tr/tr/pub/acem/issue/36702/416320>
Chicago Kırık, S , Özkars, M . "Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience". Archives of Clinical and Experimental Medicine 3 (2018 ): 75-78
RIS TY - JOUR T1 - Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience AU - Serkan Kırık , Mehmet Yaşar Özkars Y1 - 2018 PY - 2018 N1 - doi: 10.25000/acem.416320 DO - 10.25000/acem.416320 T2 - Archives of Clinical and Experimental Medicine JF - Journal JO - JOR SP - 75 EP - 78 VL - 3 IS - 2 SN - -2564-6567 M3 - doi: 10.25000/acem.416320 UR - https://doi.org/10.25000/acem.416320 Y2 - 2018 ER -
EndNote %0 Archives of Clinical and Experimental Medicine Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience %A Serkan Kırık , Mehmet Yaşar Özkars %T Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience %D 2018 %J Archives of Clinical and Experimental Medicine %P -2564-6567 %V 3 %N 2 %R doi: 10.25000/acem.416320 %U 10.25000/acem.416320
ISNAD Kırık, Serkan , Özkars, Mehmet Yaşar . "Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience". Archives of Clinical and Experimental Medicine 3 / 2 (Temmuz 2018): 75-78 . https://doi.org/10.25000/acem.416320
AMA Kırık S , Özkars M . Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience. ACEM. 2018; 3(2): 75-78.
Vancouver Kırık S , Özkars M . Non-epileptic paroxysmal events in early childhood and role of EEG: A single center experience. Archives of Clinical and Experimental Medicine. 2018; 3(2): 75-78.