Çocukluk çağı nörolojik bozukluklarda elektroensefalogramın rolü

Yıl 2012, Cilt: 18 Sayı: 1, 7 - 10, 01.02.2012

Wael Hayel Khreisat

Öz

The aim of this study was to obtain a baseline for clinical application of electroencephalography (EEG) in children and to evaluate the EEG findings in children with various acute and chronic central nervous system disorders and nonepileptic events. EEG records of 250 patients were studied in Neurophysiology Departments of Queen Rania Al-Abdullah Hospital for Children in Jordan. For each patient who had undergone EEG the following data were recorded: age, sex, source of referral (inpatient or outpatient department), reason for EEG, diagnostic impressions, clinical presentation, the result of the EEG examinations and clinical correlation between the seizure type and EEG finding. Males (55%) were slightly outnumbered than females. The majority of cases were between 6-12 years. Total of 63.2% of all referrals for EEG were from outpatient clinics while inpatients accounted for 36.8% of referred cases, with Pediatric Neurology Department referrals being the highest (28.8%). Majority of diagnosis at referral were suspected epilepsy (80%) with epileptiform EEG abnormalities in 32%. Over all 64% the EEG records were normal, including all EEG records of children with syncope and headache. We conclude that there are many unnecessary routine EEG recordings in children. Investigation of epilepsy and acute encephalopathies appear to be the most valuable indications for routine pediatric EEG. EEG can be helpful in classification of seizures. Finding a way to reduce EEG requests is recommended.

Anahtar Kelimeler

Electroencephalography, Epilepsy, Child, Retrospective Studies

The role of electroencephalogram in childhood neurological disorders

Öz

Bu çalışmanın amacı, çocuklarda elektroensefalografinin (EEG) klinik uygulaması için temel sağlamak ve çeşitli akut ve kronik santral sinir sistemi bozuklukları ve epileptik olmayan olaylarda çocuklarda EEG bulgularını değerlendirmektir. Ürdün'deki Queen Rania Al- Abdullah Çocuk Hastanesi Nörofizyoloji Bölümleri'nde 250 hastanın EEG kayıtları incelendi. EEG yapılan her bir hasta için şu veriler alındı: yaş, cinsiyet, sevk kaynağı (yatan veya ayakta tedavi edilen), EEG için sebep, teşhis izlenimleri, klinik gösterge, EEG incelemelerinin sonucu, nöbet tipi ve EEG bulgusu arasında klinik korelasyon. Erkekler (%55) az da olsa bayanlardan daha fazla sayıdaydı. Hastaların büyük çoğunluğu 6-12 yaş arasındaydı. EEG için sevk edilen tüm hastaların %63.2'i ayakta tedavi yapan kliniklerden iken Pediatrik Nöroloji Anabilim Dalı sevkleri en yüksek (%28.8) olmak üzere sevk edilen hastaların %36.8'i yatan hastalardı. Sevkte teşhisin büyük çoğunluğu, %32'inde epileptiform EEG bozukluklarının olduğu epilepsi (%80) şüphesiydi. Senkop ve baş ağrısı olan bütün çocukların EEG kayıtlarının tümü dahil olmak üzere bütün EEG kayıtlarının %64'ü normaldi. Çocuklarda birçok gereksiz rutin EEG kayıtları olduğu sonucuna vardık. Epilepsi ve akut ensefalopatilerin araştırılması, rutin pediatrik EEG için en değerli endikasyonlar olduğu görülmektedir. EEG nöbetlerin sınıflandırılmasında yardımcı olabilir. EEG taleplerinin azaltılması için bir yol bulunması önerilmektedir.

Anahtar Kelimeler

Elektroensefalografi, Epilepsi, Çocuk, Geriyedönük çalışma

Kaynakça

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