Nilgün Çöl ARAZ, Kutluhan YILMAZ, Akgün ÖLMEZ, Metin KILINÇ

EPİLEPSİ AYIRICI TANISINDA ÜÇ OLGU İLE KARDİOVASKÜLER NEDENLER

Epilepsi çocukluk çağında %0.5-1 oranında görülen, tekrarlayıcı nöbetlerden oluşan klinik bir tablodur.Çocukluk çağında senkop görülme insidansı %15 olup, acil servise nöbetle başvuruların % 3-5'ine senkop nedenolmaktadır. Genel populasyonda senkopun epilepsiden daha yaygın görülmesine rağmen, bilinç kaybı ve nöbetlebaşvuran hastalarda genellikle akla ilk olarak epilepsi gelmektedir. Ayrıntılı tetkikler başta senkop ve diğerkardiyojenik kökenli hastalıklar olmak üzere diğer non-epileptik paroksizmal olayların da bilinç kaybının nedeniolduğunu gösterebilir.Bu yazıda çocuk acil servisi ve çocuk nörolojisi polikliniğine bilinç kaybıyla başvuran ve tetkiklerindekardiyovasküler nedenler saptanan üç olgu sunularak, epilepsi ayırıcı tanısında kardiyojenik kökenli senkoplarınmutlaka hatırlanması gerektiği vurgulandı

Anahtar Kelimeler:

Epilepsi, senkop, tilt testi, Wolf Parkinson White sendromu

Cardiovascular Etiology with Report of 3 Cases in Differential Diagnosis of Epilepsy

Epilepsy is a disorder with an incidence of 0.5-1.0% in childhood and characterized by recurrent seizures. The incidence of syncope in childhood is 15% and it causes 3-5% of admissions to the emergency department. Although syncope is more frequent than epilepsy in general population, usually epilepsy is the first pre-diagnosis in patients with loss of consciousness and seizures. Detailed investigations may show other reasons like syncope and cardiologic diseases as the cause of loss of consciousness. In this paper,we present 3 patients admitted to the pediatric emergency department and pediatric neurology clinic with cardiovascular reasons in the etiology of loss of consciousness and pointed out that cardiac syncope should be remembered in the differential diagnosis of epilepsy.

Keywords:

Epilepsy, syncope, tilt test, Wolf Parkinson White Syndrome,

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