Epilepsi türlerine göre gündüz uyku hali düzeylerinin değerlendirilmesi Özet

Yıl 2025, Cilt: 8 Sayı: 1, 51 - 55

Metin Balduz , Halit Fidancı

Öz

Giriş: Bu çalışma, yetişkin epilepsi hastalarında elektroensefalogram (EEG) bulguları, klinik özellikler ve öznel uyku ölçümleri arasındaki ilişkiyi araştırmayı amaçlamıştır.
Gereç ve Yöntemler: Daha önce epilepsi tanısı almış 105 hasta bu çalışmaya dahil edilmiştir. EEG kayıtları interiktal epileptiform deşarjlar açısından analiz edilmiştir. Katılımcılar jeneralize epilepsi ve fokal epilepsi şeklinde iki gruba ayrılmış, fokal epilepsi hastaları da alt gruplara ayrılmıştır. Uyku kalitesini değerlendirmek için Jenkins Uyku Ölçeği (JSS), gündüz uykululuğunu değerlendirmek için ise Epworth Uykululuk Ölçeği (ESS) kullanılmıştır. Gruplar arasında ikili karşılaştırmalar yapılarak istatistiksel veriler elde edilmiştir.
Bulgular: Bu çalışma EEG bulguları ile cinsiyet arasında anlamlı bir ilişki olduğunu ortaya koymuştur; frontal lob epilepsisinin (FLE) kadınlarda, temporal lob epilepsisinin (TLE) ise erkeklerde daha yaygın olduğu görülmüştür. Tedavi yöntemlerine göre monoterapinin FLE ve TLE hastalarında baskın olduğu tespit edilmiş, ancak gruplar arasında istatistiksel olarak fark bulunmamıştır. EEG anormallikleri en sık temporal ve jeneralize anormallikler şeklinde gözlenmiştir. ESS ve JSS puanlarında epilepsi grupları arasında anlamlı farklar bulunmuş, en yüksek puanlar FLE grubunda gözlemlenmiştir. ESS ve JSS puanları arasında pozitif bir korelasyon bulunmuştur.
Sonuç: Epilepsinin, bir bireyin yaşamının çeşitli yönleri üzerindeki etkisi, özellikle uyku açısından, oldukça önemlidir. Bu çalışma, epilepsisi olan bireyler için klinik uygulamada kapsamlı uyku değerlendirmelerinin yapılmasının önemini vurgulamaktadır.

Anahtar Kelimeler

Epilepsi, uyku, Epworth, Jenkins

Evaluation of Daytime Sleepiness Levels According to Types of Epilepsy

Öz

Aim: This study aimed to investigate the relationship between electroencephalogram (EEG) findings, clinical characteristics, and subjective sleep measures in adult patients with epilepsy.
Material and Methods: 105 patients previously diagnosed with epilepsy were included in this study. EEG recordings analyzed for interictal epileptiform discharges. Participants were divided into two groups: generalized and focal epilepsy, patients with focal epilepsy were also divided into subgroups. The Jenkins Sleep Scale (JSS) and Epworth Sleepiness Scale (ESS) were used to assess sleep quality and daytime sleepiness, respectively. Statistical data were obtained by making pairwise comparisons between groups.
Findings: This study revealed that there is a significant association between EEG findings and gender, with frontal lobe epilepsy (FLE) more prevalent in females and temporal lobe epilepsy (TLE) more common in males. According to treatment modalities, monotherapy was predominantly in patients with FLE and TLE, but statistically there is no difference across the groups. EEG abnormalities varied, with temporal and generalized abnormalities most prevalent. Significant differences were found in ESS and JSS scores across epilepsy groups, with higher scores observed in FLE. A positive correlation was found between ESS and JSS scores.
Results: The impact of epilepsy on various aspects of a person's life, including sleep, is significant. This study underscores the importance of conducting comprehensive sleep assessments in clinical practice for individuals with epilepsy.

Anahtar Kelimeler

Epilepsy, sleep, Epworth, Jenkins

Kaynakça

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