Berrak BİLGİNER GURBUZ, FATİH GÜRBÜZ, Atilla ÇAYIR, Irfan Oguz SAHİN, Deniz OKDEMİR, Alev GÜVEN, Aydan DEĞERLİYURT, Gülşen KÖSE

Evaluation of Neuroimaging and Electroencephalography Findings in Patients with Status Epilepticus

Status epileptikus (SE) sebep olduğu yüksek oranda morbidite ve mortalite oranı nedeniyle önemli çocuk acil durumlarından birisidir. SE ciddi sekeller oluşturabilmesi nedeniyle hızla tanınıp tedavi edilmesi gereken bir tablodur. Bu çalışmanın amacı; hastanemizde SE tanısıyla izlenen hastaların nörogörüntüleme yöntemleriyle incelenmesi ve EEG bulgularının değerlendirilmesidir. Aralık 2006-Mayıs 2009 tarihleri arasında SE tanısıyla takip edilen 018 yaş arasındaki 162 hasta çalışmaya alındı. Hastaların yaşları, cinsiyetleri, magnetik rezonans, bilgisayarlı beyin tomografisi ile görüntüleme bilgileri ve EEG bulguları dosyalarından kaydedildi. Hastalar yaş ve cinsiyet açısından değerlendirildiğinde benzer özellikte idiler. BBT 41 hastada, MRG incelemesi ise 36 hastada mevcuttu. 28 hastanın BBT sonucu normal olarak yorumlanırken, 13 hastada bazı patolojiler saptandı. 14 hastanın MRG sonucu normal iken, 22 hastada birtakım değişikler tespit edildi. EEG 97 hastada çekildi. Hastaların 49'unda (%50,5) EEG sonucu normal bulundu. Sonuç olarak etyoloji belirleme aşamasında radyolojik görüntülemesi yapılmış SE vakalarında nörogörüntüleme yöntemlerinin tekrarlanmasının gerekliliği konusunda yeterli veri yoktur. Mükerrer nörogörüntüleme yöntemlerinin SE etyolojisi, tedaviye yanıt ve uzun dönem prognoz üzerine etkilerini saptamada yararlı olabileceği düşünülebilir. Ayrıca erken dönemde çekilen EEG'nin prognozu belirlemede önemli olabileceği söylenebilir

Status Epileptikus Tanısıyla İzlenen Hastaların Nörogörüntüleme ve EEG Bulgularının Değerlendirilmesi

Status epilepticus (SE) is one of the most important pediatric emergent conditions because of major cause of morbidity and mortality. SE should be diagnosed and treated emergently, because it is one of the diseases that may lead to serious sequalea. The aim of the study is to evaluate neuroimaging methods and electroencephalography (EEG) findings of patients with SE, who were under follow up at our hospital. 162 patients (age range, 0-18 years) with SE treated and followed at our hospital between December 2006 and May 2009 were enrolled in our study. Patient’s age, sex, MRI- CT imaging and EEG findings were recorded from patient’s files. Patient’s age and sex were similar. CT was available in 41 patients and MRI was available in 36 patients. CT results of 28 patients were normal, but some pathologies were found in 13 patients. MRI results of 14 patients were normal, but some alterations were detected in 22 patients. EEG was present in 97 patients. EEG results of 49 patients (%50.5) were normal. Consequently, there is no enough data regarding the necessity of the use of neuroimaging methods in case of previous etiology-confirmed SE. However, neuroimaging methods may be considered useful to determinate etiology of SE, response to treatment, and effects on long-term prognosis. Moreover, we can highlight that the early period EEG may be important in determining prognosis

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