Effects of epilepsy control following decompressive craniectomy on mortality and morbidity in epileptic patients with malignant MCA infarction
Effects of epilepsy control following decompressive craniectomy on mortality and morbidity in epileptic patients with malignant MCA infarction
Aim: The present study aims to investigate the effects of seizure or epilepsy formation on mortality and morbidity in epilepticpatients after craniectomy.Material and Methods: The patients were divided into the following groups: Group 1, those who had no seizures, but were routinelytreated with 3x100 mg of epanutin daily (n=6), Group 2, those who had at least one or multiple seizures and were initiated a secondantiepileptic drug in addition to 3x100 mg of epanutin daily (n=13), and Group 3, those who had multiple seizures and who weresedated or narcotized in addition to being treated with 3x100 mg of epanutin daily (n=7). All patients underwent decompressivecraniectomy within a maximum period of 48 hours and their characteristics such as age, gender, localization of infarct, hemiplegia,monoplegia, operation time, Glasgow coma and outcome scales were recorded.Results: According to the Glasgow Outcome Scale, 1 patient in Group 1, 8 patients in Group 2 and 6 patients in Group 3 died and therewas a signifiant increase in patient losses in Group 2 and Group 3 compared to Group 1 (p
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