Hilal AYDIN, İbrahim Hakan BUCAK, Sümeyye ERDOĞAN

Çocuk nöroloji kliniğine senkop şikayeti ile başvuran hastaların retrospektif özellikleri

Amaç: Çalışmamızın amacı; senkop şikâyeti ile çocuk nöroloji polikliniğine başvuran hastaların senkop etiyolojisi, klinik özellikleri ve laboratuvar parametrelerinin incelenmesidir. Yöntem: Ekim 2017-Haziran 2019 tarihleri arasında üçüncü basamak bir eğitim ve araştırma hastanesi çocuk nöroloji polikliniğine senkop nedeniyle başvuran 107 hasta çalışmaya dahil edildi. Bulgular: Çalışmaya 62’si (%57.9) kız, 45’i (%42.1) erkek olmak üzere toplam 107 hasta dahil edildi. Yaş ortalaması 10.54±4.88 yıl (1-18 yaş) idi. Senkop atak sayısı ortalama 2.79, ortanca 3 (1-4) idi. 3 veya daha fazla sayıda senkop geçirenlerin sayısı daha fazla idi (%57). 45 (%42.1) olguda prodromal belirtiler ve 32 (%30.2) olguda postsenkop bulgular bulunmaktaydı. Prodromal belirtiler sıklık sırasına göre değerlendirildiğinde; motor bulgular (n=32, %30), üriner inkontinans-motor bulgular (n=8, %7.5) ve üriner inkontinans (n=5, %4.6) olduğu belirlendi. Altı (%5.6) olguda elektrokardiyografisinde patoloji, dokuz (%8,4) olguda kranial görüntülemede anormallik, 21 (%19.6) olgunun elektroensefalografisinde epileptiform karakterde anormallik saptandı. Senkop etiyolojisinde görülen en sık üç neden; vazovagal nedenler (n=50, %46.7), psikojenik nedenler (n=25, %23.4) ve epilepsi (n=21, %19.6) idi. Sonuç: Senkop etiyolojisinin çeşitliliği bilinmektedir. Rekürren senkop ataklarının çocuk nöroloji poliklinik başvurularında ön planda ve senkop etiyolojisinde epilepsinin literatüre göre yüksek oranda olduğu bilgisine ulaşıldı.

Anahtar Kelimeler:

Çocuk, Senkop, Etyoloji

Retrospective characteristics of patients presenting to the pediatric neurology clinic with syncope

Objective: The aim of this study is to examine the etiology, clinical features and laboratory parameters of patients who applied to the pediatric neurology outpatient clinic with syncope. Methods: 107 patients with syncope admitted to the pediatric neurology outpatient clinic of a tertiary education and research hospital between October 2017 and June 2019 were included in the study. Results: A total of 107 patients, 62 (57.9%) female and 45 (42.1%) males were included in the study. The mean age was 10.54±4.88 years (1-18 years). The mean number of syncope attacks was 2.79±1.09 (1-4). The number of patients who had 3 or more syncopes was higher (57%). There were prodromal symptoms in 45 (42.1%) cases and post syncope findings in 32 (30.2%) cases. Prodromal symptoms are evaluated in order of frequency; motor findings (n=32, 30%), urinary incontinence-motor findings (n=8, 7.5%) and urinary incontinence (n=5, 4.6%). Electrocardiography was pathology in six (5.6%) cases, cranial imaging abnormality was found in nine (8.4%) cases, and epileptiform abnormality was found in the electroencephalography of 21 (19.6%) cases. The three most common causes in the etiology of syncope are vasovagal causes (n=50, 46.7%), psychogenic causes (n=25, 23.4%) and epilepsy (n=21, 19.6%). Conclusion: The diversity of the etiology of syncope is known. It has been found that recurrent syncope attacks are at the forefront in pediatric neurology outpatient clinic applications, and epilepsy in the etiology of syncope is high compared to the literature.

Keywords:

Child, Syncope, Etiology,

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