Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri

KURT İNCESU, tülay; AKHAN, GALIP; ULUÇAY, METE; Türe, Hatice Sabiha

doi:10.14744/epilepsi.2019.94899

Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri

Sabiha TÜRE, (İzmir Katip Çelebi Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye)

Mete ULUÇAY, (Bitlis Devlet Hastanesi, Nöroloji Kliniği, Bitlis, Türkiye)

Tülay KURT İNCESU, (İzmir Katip Çelebi Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye)

Galip AKHAN (İzmir Katip Çelebi Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye)

Epilepsi

17 0

Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 72 - 80 Metin Dili: Türkçe DOI: 10.14744/epilepsi.2019.94899 İndeks Tarihi: 08-12-2020

Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri

Öz:

Amaç: Bu çalışmada, temporal lob epilepsili hastalarda lateralizan semiyolojik bulguların sıklığını saptamayı ve klasik lateralize edici bulguların yanında görece nadir görülen semptomların lateralizasyona katkısını değerlendirmeyi amaçladık.Gereç ve Yöntem: Epilepsi cerrahisi açısından değerlendirilmek üzere video-elektroensefalografi (EEG) ile monitorize edilen 329 hastanınkayıtları retrospektif olarak tarandı. İktal EEG ve semiyolojik bulgular ile nöbetlerin lateralizasyonu değerlendirildi. Tek taraflı temporal lobtankaynaklandığı gösterilen 128 hastanın kayıtları analiz edildi.Bulgular: Çalışmaya alınan 128 hastanın 343 nöbeti analiz edildi. 241 nöbette (%70.2) aura tanımlandı. Aura varlığı lateralizyon ile ilişkilibulunmadı. Baş dönmesi (p=0.02) ve deja vu (p=0.04) izlendikleri tüm nöbetlerde sağ temporal lob kaynaklıydı. İzlenen iktal klinik bulgulararasında en sık oroalimenter otomatizma görüldü fakat varlığı lateralizasyon için anlamlı değildi. Peri-iktal vejetatif semptomlardan iktalöksürük, kusma, su içme, hipersalivasyon, işeme isteği nadir görülseler de sağ temporal lob kaynaklı nöbetlerde anlamlı düzeyde daha sıkizlendi (p<0.05). İktal motor bulguların çoğu kontrlateral hemisferi gösterdi. Klonik jerk ile sonlanma görüldüğü nöbetlerin tamamında ipsilateral odağı işaret etti (p=0.004).Sonuç: Peri-iktal vejetatif semptomların varlığı diğer klasik bulgular ile birlikte değerlendirildiğinde epileptik odağı sağ hemisfere lateralizeetmeye yardımcı olabilir. Lateralize nöbet fenomeni içeren nöbet semiyolojisinin analizi preoperetif değerlendirmenin önemli bir bileşenidir.

Anahtar Kelime:

Lateralizing Value of Semiology in Temporal Lobe Epilepsy

Öz:

Objectives: This study aims to determine the prevalence of lateralized semiological findings in patients with temporal lobe epilepsy and to assess the contribution of relatively rare symptoms to lateralization, as well as classical lateralizing findings. Methods: The records of the 329 patients who were monitored by video-EEG for evaluation of epilepsy surgery were retrospectively reviewed in this study. The lateralization of the seizures was evaluated with ictal EEG and semiological findings. The records of 128 patients with unilateral temporal lobes were analyzed. Results: In our study, 343 seizures of the 128 patients were analyzed. Aura was identified on 241 patients (70.2%). The presence of aura was not associated with lateralization. Vertigo (p=0.02) and deja vu (p=0.04) indicated right temporal lobe in all seizures. One of the most frequently observed ictal clinical findings was oroalimenter automatism, but its presence was not significant for lateralization. Peri-ictal vegetative symptoms of ictal cough, vomiting, water drinking, hypersalivation and the urinary urge are rarely seen in the right temporal lobe-induced seizures were seen more frequently (p<0.05). Most of the ictal motor findings showed contralateral hemispheres. Clonic jerk ended the ipsilateral focus in all seizures (p=0.004). Conclusion: The presence of peri-ictal vegetative symptoms may help lateralize the epileptic focus to the right hemisphere when evaluated with other classical findings. Analysis of the seizure semiology that involves the phenomenon of lateralized seizures is a significant component of preoperative evaluation.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Türe H, ULUÇAY M, KURT İNCESU t, AKHAN G (2020). Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. , 72 - 80. 10.14744/epilepsi.2019.94899
Chicago	Türe Hatice Sabiha,ULUÇAY METE,KURT İNCESU tülay,AKHAN GALIP Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. (2020): 72 - 80. 10.14744/epilepsi.2019.94899
MLA	Türe Hatice Sabiha,ULUÇAY METE,KURT İNCESU tülay,AKHAN GALIP Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. , 2020, ss.72 - 80. 10.14744/epilepsi.2019.94899
AMA	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. . 2020; 72 - 80. 10.14744/epilepsi.2019.94899
Vancouver	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. . 2020; 72 - 80. 10.14744/epilepsi.2019.94899
IEEE	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G "Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri." , ss.72 - 80, 2020. 10.14744/epilepsi.2019.94899
ISNAD	Türe, Hatice Sabiha vd. "Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri". (2020), 72-80. https://doi.org/10.14744/epilepsi.2019.94899

APA	Türe H, ULUÇAY M, KURT İNCESU t, AKHAN G (2020). Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. Epilepsi, 26(2), 72 - 80. 10.14744/epilepsi.2019.94899
Chicago	Türe Hatice Sabiha,ULUÇAY METE,KURT İNCESU tülay,AKHAN GALIP Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. Epilepsi 26, no.2 (2020): 72 - 80. 10.14744/epilepsi.2019.94899
MLA	Türe Hatice Sabiha,ULUÇAY METE,KURT İNCESU tülay,AKHAN GALIP Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. Epilepsi, vol.26, no.2, 2020, ss.72 - 80. 10.14744/epilepsi.2019.94899
AMA	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. Epilepsi. 2020; 26(2): 72 - 80. 10.14744/epilepsi.2019.94899
Vancouver	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri. Epilepsi. 2020; 26(2): 72 - 80. 10.14744/epilepsi.2019.94899
IEEE	Türe H,ULUÇAY M,KURT İNCESU t,AKHAN G "Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri." Epilepsi, 26, ss.72 - 80, 2020. 10.14744/epilepsi.2019.94899
ISNAD	Türe, Hatice Sabiha vd. "Temporal Lob Epilepsisinde Semiyolojinin Lateralizasyon Değeri". Epilepsi 26/2 (2020), 72-80. https://doi.org/10.14744/epilepsi.2019.94899