N. ŞENGEZE, V.A. YÜRKLİ, M. GÜLCAN, E. VAROL

Adams-Stokes attacks: Imitator of epilepsy

Stokes-Adams sendromu sıklıkla yaşlı hastalarda görülür ve çoğu olguda herhangi bir semptoma neden olmaz. Bununla birlikte, Stokes-Adams sendromunda serebral iskemi periyodları sırasında hastalarda epileptik nöbetleri taklit eden konvülsiyonlar da görülebilir. Çoğu zaman bu semptomlar ani, değişken ve beklenmedik bir şekilde ortaya çıkar. Bu sendromun en sık nedeni kardiak aritmilerdir. Yapılan çoğu tetkike rağmen tanı 12 kanallı elektrokardiyografi ile konur. Kardiak pacemaker implantasyonu ise en etkili tedavi seçeneğidir. Daha öncesinde inme öyküsü olan hasta epileptik nöbetleri taklit eden tekrarlayan konvülsiyonlar ile acil servise başvurdu. Hastanın tonik- klonik kasılmalarına bilinç kaybı eşlik etmekteydi. Sonrasında kardiak ritm bozukluğundan kaynaklandığı anlaşılan nöbetler anti epileptik tedavi ile artış göstermişti. Bu makalede olgu sunumu eşliğinde Stokes-Adams ataklarının epileptik nöbetlere olan benzerliği tartışıldı.

Adams-Stokes atakları: Epilepsi taklitçisi

Stokes-Adams Syndrome is commonly seen in elderly patients and does not cause any symptoms in most cases. However, it may have convulsions that mimic epileptic seizures during periods of cerebral ischemia. These symptoms are often intermittent, changeable and unpredictable. The most common cause of this syndrome is cardiac arrhythmias. Despite numerous investigations for this syndrome, most diagnoses are made by 12-lead electrocardiography. Cardiac pacemaker implantation is the most powerful therapy. A patient who had stroke history, was admitted to the emergency department with repetitive convulsions that mimic epileptic seizures. Also these convulsions included loss of consciousness and tonic-clonic jerks. The convulsions were associated with cardiac arrhythmia and increased with antiepileptic therapy. The aim of this paper is to review the Stokes-Adams attack and its similarity to epileptic seizure with a case report.

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