Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2017 / Cilt: 7 - Sayı: 3

Çocuklarda iskemik inme sonrası epilepsi için risk faktörleri

Risk factors for epilepsy after ischemic stroke in children

Pages
178–182
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, further studies are needed to describe risk factors for the development of post-stroke epilepsy in this population.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We performed this study to determine the incidence of seizures and poststroke epilepsy and risk factors of post-stroke epilepsy after childhood ischemic stroke.Methods: In this study, we retrospectively analyzed data from children who had ischemic stroke.Results: Of the one hundred and two children, mean age of stroke onset was 67.32± 25.48 months (1-180 months).
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Key Findings & Data:There were 56 (54.9%) boys and 46 (45.1%) girls in the study .
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Conclusion & Impact:Therefore, further studies are needed to describe risk factors for the development of post-stroke epilepsy in this population.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: We performed this study to determine the incidence of seizures and poststroke epilepsy and risk factors of post-stroke epilepsy after childhood ischemic stroke.Methods: In this study, we retrospectively analyzed data from children who had ischemic stroke.Results: Of the one hundred and two children, mean age of stroke onset was 67.32± 25.48 months (1-180 months). There were 56 (54.9%) boys and 46 (45.1%) girls in the study . Of the 102 patients, 39 (38.2%) had seizures. Twenty seven (69.2%) had earlyonset post-stroke seizures, and 12 (30.8%) had late-onset post-stroke seizures. Epilepsy were detected in 17 (16.7%) of the patients. Eight of them had early-onset and nine had late-onset post-stroke seizures. We found that cortical involvement and late onset post-stroke seizure are predictors of the development of post-stroke epilepsy.Conclusions: Post-stroke seizures and epilepsy in children are common. Therefore, further studies are needed to describe risk factors for the development of post-stroke epilepsy in this population.

Özet

Amaç: Bu çalışma, çocukluk çağı iskemik inme sonrasında nöbet, epilepsi ve epilepsi insidansı ile risk faktörlerinin saptanması için yapıldı.Yöntem: Çalışmada, iskemik inme geçiren çocukların verileri retrospektif olarak analiz edildi.Bulgular: İskemik inme geçiren 102 hastanın yaş ortalaması 67,32± 25,48 ay (1-180 ay) idi. Elli altısı (%54,9) erkek ve 46'sı ise (%45,1) kız idi. Yüz iki hastanın, 39'u (%38,2) nöbet geçirmişti. Yirmi yedi (%69,2) hastanın nöbeti erken başlangıçlı iken, 12 (%30,8) hastanın nöbeti geç başlangıçlıydı. Hastaların 17'sinde (%16,7) epilepsi gelişmişti. Bunların 8'i erken başlangıçlı nöbeti olan hastayken, 9'u ise geç başlangıçlı nöbeti olan hastalardı. Lezyonun lokalizasyonu ve nöbet başlama zamanı epilepsi için risk faktörü saptandı. Sonuç: İnme sonrası nöbetler ve epilepsi çocuklarda sık görülür. Bu nedenle, bu populasyonda, inme sonrası epilepsi gelişme riskini saptamak için daha fazla çalışmaya gereksinim vardır.

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Cite This Article

İNCECİK, F., HERGÜNER, Ö. M., BEŞEN, Ş. (2017). Çocuklarda iskemik inme sonrası epilepsi için risk faktörleri. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 7 - Sayı: 3, 178–182. https://ajindex.com/articles/199895

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References (12)

  1. Giroud M, Lemesle M, Gouyon JB, Nivelon JL, Milan C, Dumas R. Cerebrovascular disease in children under 16 years of age in the city of Dijon, France: a study of incidence and clinical features from 1985 to 1993. J Clin Epidemiol 1995;48:1343-1348.
  2. Lynch JK, Hirtz DG, DeVeber G, Nelson KB. Report of the National Institute of Neurological Disorders and Stroke Workshop on perinatal and childhood stroke. Pediatrics 2002;109:116-123.
  3. Lee JC, Lin KL, Wang HS, Chou ML, Hung PC, Hsieh MY, et al. Seizures in childhood ischemic stroke in Taiwan. Brain Dev 2009;31:294-299.
  4. Chong B, Wong V. Pediatric stroke among Hong Kong Chinese subjects. Pediatrics 2004;114:e206-e212.
  5. Morais NM, Ranzan J, Riesgo RS. Predictors of epilepsy in children with cerebrovascular disease. J Child Neurol 2013;28:1387-1391.
  6. Berges S, Moulin T, Berger E, Tatu L, Sablot D, Challier B, Rumbach L. Seizures and epilepsy following strokes: recurrence factors. Eur Neurol 2000;43:3-8.
  7. Singh RK, Zecavati N, Singh J, Kaulas H, Nelson KB, Dean NP, et al. Seizures in acute childhood stroke. J Pediatr 2012;160:291-296.
  8. De Reuck J, Goethals M, Vonck K, Van Maele G. Clinical predictors of late-onset seizures and epilepsy in patients with cerebrovascular disease. Eur Neurol 2005;54:68-72.
  9. Chedehumbe MA, Khatri P, Khoury JC, Alwell K, Szaflarski JP, Broderick JP, et al. Seizures are common in the acute set of childhood stroke: a populationbased study. J Child Neurol 2009;24:9-12.
  10. Proposal for revised clinical and electroencephalographic classification of epileptic seizures. From the Commission on Classification and Terminology of the International League Against Epilepsy. Epilepsia 1981;22:489-501.
  11. Burn J, Dennis M, Bamford J, Sandercock P, Wade D, Warlow C. Epileptic seizures after a first stroke: the Oxfordshire community stroke Project. BMJ 1997;315:1582- 1587.
  12. Kopyta I, Sarecka-Hujar B, Skrzypek M. Post-stroke epilepsy in Polish paediatric patients. Dev Med Child Neurol 2015;57:821-828. https://doi.org/10.1111/dmcn.12