Nöbet sonrası gelişen rabdomiyoliz; Serebral amiloid anjiopati olgusu

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

Mehmet Necmeddin Sutaşır , Derya Selçuk Demirelli

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.

Anahtar Kelimeler

Serebral amiloid anjiyopati, nöbet, rabdomiyoliz.

After seizures induced rhabdomyolysis for case report with cerebral amyloid angiopathy

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.

Anahtar Kelimeler

Cerebral amyloid angiopathy, seizures, rhabdomyolysis

Kaynakça

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