Bir Epilepsi Poliklini�inin Deneyimleri:  Ya�l�larda Epilepsi

ISSN 1300-7157

Anasayfa | �leti�im

Cilt : 26 Say� : 3 Y�l: 2020

Bir Epilepsi Poliklini�inin Deneyimleri: Ya�l�larda Epilepsi [Epilepsi]

Epilepsi. 2015; 21(2): 54-58 | DOI: 10.5505/epilepsi.2015.40288

Bir Epilepsi Poliklini�inin Deneyimleri: Ya�l�larda Epilepsi

Adile Ozkan¹, Fatma Candan², �lknur Ayd�n Cant�rk², Sevda Y�ld�z G�k�eer⁴, Nihal I��k³, Handan I��n �z��k Karaman¹
¹�anakkale 18 Mart �niversitesi T�p Fak�ltesi N�roloji Anabilim Dal�
²Medeniyet �niversitesi �stanbul G�ztepe E�itim Ve Ara�t�rma Hastanesi N�roloji Anabilim Dal�
³Bah�e�ehir �niversitesi T�p Fak�ltesi Medikal Park Hastanesi N�roloji Anabilim Dal�
⁴S.b Haydarpa�a Numune E�itim Ve Ara�t�rma Hastanesi N�roloji Anabilim Dal�

G�R�� ve AMA�: Epilepsi ya�l� populasyonda s�k g�r�len n�rolojik hastal�klardan biridir. �al��mada, 60 ya� �st� ileri ya�ta ba�layan epilepsi tan�s� alan hastalar�n demografik ve klinik �zellikleri, etyolojik fakt�rleri, n�bet tipleri ve tedaviye yan�t oranlar� sunulmu�tur.

Y�NTEM ve GERE�LER: Epilepsi poliklini�ine ba�vuran ve ya�lar� 60 ya� �st� olan 25 olgu geriye d�n�k ara�t�r�ld�.
BULGULAR: Hastalar�n ya� ortalamas� 75.0 � 7.1 ve hastal�k s�resi 2.32 � 1.8 y�l idi.Olgular�n 16 �s� erkek, 9�u kad�n idi. �al��maya al�nan hastalarda, serebrovask�ler olay (17 ki�i), beyin t�m�r� (1 ki�i), araknoid kist (1 ki�i), anevrizma (1 ki�i) ve miyokard enfakt�s�n�n (1 ki�i) n�bet geli�iminden sorumlu oldu�u d��n�ld� Geriye kalan 4 vakada herhangi bir etyolojik neden bulunamad�. Hastalar�n n�bet tipleri; yirmi hastada sekonder jeneralize tonik klonik, 2 hastada basit parsiyel, 1 hastada kompleks parsiyel ve 2 hastada ise status epileptikus n�betler �eklinde idi. Hastalar�n % 32 (n=8)� sinde EEG bulgular� anormaldi. Tedavi a��s�ndan de�erlendirildi�inde 18 hasta monoterapi al�rken; 6� s� ikili, bir hasta ��l� antiepileptik ila� kullanmaktayd�.Takip s�releri i�inde 21 vaka n�betsiz izlendi.
TARTI�MA ve SONU�: �al��mam�zda ya�l� epilepsi hastalar�nda en s�k g�r�len etyolojik neden serebrovask�ler olaylard�. N�bet tipi �o�unlukla sekonder jeneralize tonik klonikti, hastalar monoterapiye iyi yan�t verdi ve prognoz iyi seyirliydi.

Anahtar Kelimeler: Epilepsi, ya�l�.

Experiences in an Epilepsy Polyclinic: Epilepsy in the Elderly

INTRODUCTION: Epilepsy is one of the most common serious neurological disorders in the elderly. In this study the demographic and clinical features, etiological factors, seizure types and response ratios to treatment are presented for a group of patients aged 60 years and over diagnosed with epilepsy.
METHODS: Twenty-five patients aged 60 years and over who applied to the epilepsy polyclinic were retrospectively investigated.
RESULTS: Average patient age was 75.0�7.1 years and average disease duration was 2.32�1.8 years. Sixteen patients were male and 9 female. Among the patients, cerebrovascular disease (17 patients), brain tumor (1 patient), arachnoid cyst (1 patient), aneurysm (1 patient) and myocardial infarction (1 patient) were considered as the underlying factors in seizure development. In the remaining 4 cases, no etiological cause was determined. Seizure types were; secondary generalized tonic-clonic seizure (20 patients), simple partial seizure (2 patients), sta-tus epilepticus seizure (2 patients), and complex partial seizure (1 patient). EEG findings were abnormal in 32% of the patients (n=8). When evaluated for treatment, 18 patients received monotherapy; 6 patients used double, and 1 patient used triple drugs. The follow-up period in 21 cases was without seizure.
DISCUSSION AND CONCLUSION: In the study, the most common etiological cause of epilepsy seen in the elderly was cerebrovascular disease. Seizure type was mainly secondary generalized tonic-clonic. The patients responded well to monotherapy and prognosis was improved.

Keywords: Elderly, epilepsy.

Adile Ozkan, Fatma Candan, �lknur Ayd�n Cant�rk, Sevda Y�ld�z G�k�eer, Nihal I��k, Handan I��n �z��k Karaman. Experiences in an Epilepsy Polyclinic: Epilepsy in the Elderly. Epilepsi. 2015; 21(2): 54-58

Sorumlu Yazar: Adile Ozkan, T�rkiye

ARA�LAR