Konuşma Geriliği Sebebi ile Takip Edilen Çocukların Nörolojik Açıdan Değerlendirilmesi

ÖZ Amaç: Bu çalışmanın amacı çocuk nöroloji polikliniğine konuşma geriliği şikayeti ile başvuran hastaların nörolojik yönden değerlendirilmesidir. Metot: Dr. Ali Kemal Belviranlı Kadın Doğum ve Çocuk Hastanesi ile Konya Şehir Hastanesi çocuk nöroloji polikliniğinde Şubat-Ekim 2022 tarihleri arasında konuşma geriliği tedavisi gören hastaların verileri retrospektif olarak incelendi. Bulgular: Çalışmaya yaş ortalaması 41.1+16.2 ay olan 149 hasta alındı, hastaların %74.5'i erkekti. Çocukların %8,7'sinde prematüre öyküsü olduğu, %16,1'inin ailesinde konuşma geriliği olduğu saptandı. Elektroensefalografide hastaların %2,6'sında epileptik bozukluklar, %16,7'sinde psikiyatrik bozukluklar (%8,7 otizm), %0,7'sinde işitme kaybı, %75,8'inde izole dil alanında gelişme geriliği ve %24,2'sinde global gelişme geriliği saptandı. Beyin manyetik rezonans görüntüleme %3,3'lük bir anormallik gösterdi. Ayrıca hastalarımızın %52,3'ünün uyaran eksikliği olduğu, %59,7'sinin yoğun medya kullandığı saptandı. Sonuç: Konuşma geriliği ve eşlik eden patolojilerin erken tanı ve tedavisi açısından konuşma geriliği nedeniyle getirilen çocuklarda tanısal yaklaşım önemlidir.

Anahtar Kelimeler:

Speech retardation, developmental retardation in language, language impairment, child, Konuşma geriliği, dilde gelişme geriliği, dil bozukluğu, çocuk

Neurological Evaluation of Children Followed Up For Speech Retardation

Abstract Aims: The aim of this study was to assess the neurological aspects of patients who presented to the pediatric neurology outpatient clinic with the complaint of speech retardation. Methods: A retrospective analysis was performed on the data of the patients who underwent treatment for speech retardation between February-October 2022 at the pediatric neurology outpatient clinic of Dr. Ali Kemal Belviranlı Obstetrics and Pediatrics Hospital and Konya City Hospital. Results: The study included 149 patients with a mean age of 41.1+16.2 months, 74.5% of the patients were male. It was revealed that 8.7% of the children had a history of prematurity, 16.1% had a family member with speech retardation. In electroencephalography, epileptic disorders were found in 2.6% of the patients, psychiatric disorders (8.7% autism) in 16.7%, hearing loss in 0.7%, developmental retardation in the isolated language area in 75.8%, and global development retardation in 24.2%. Brain magnetic resonance imaging showed an abnormality of 3.3%. Furthermore, 52.3% of our patients were found to be deficient in stimuli, while 59.7% used intensive media. Conclusions: In terms of early diagnosis and treatment of speech retardation and accompanying pathologies, the diagnostic approach in children brought in due to speech retardation is critical.

Keywords:

Speech retardation, developmental retardation in language, language impairment, child, Konuşma geriliği, dilde gelişme geriliği, dil bozukluğu, çocuk,

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