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Yıl:2020; Cilt: 23; Sayı: 2>> Özet
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Klinik Psikiyatri Dergisi; 2020;23(2):229-231
Valproik Asit ile tedavi edilen Kleine-Levin Sendromu: Bir olgu sunumu
A İnaltekin
Kafkas Üniversites, Kars
Kleine-Levin sendromu davranışsal ve emosyonel bozuklukları kapsayan hipersomni atakları ile giden bir sendromdur. Nadir görülür, tahmini görülme oranı 1- 5/1000000’dur. Kadınlarda daha sık görülür. Kleine-Levin sendromunun tanısı klinik olarak konulur. Kleine-Levin sendromu ataklar halinde olup, atak süresi iki günden beş haftaya kadar sürebilir. Kleine-Levin sendromunun etiyolojisi tam olarak bilinmemektedir. İlk atağı enfeksiyon, ateş, psikolojik stres, uykusuzluk gibi faktörlerin tetiklediği görülmüştür. Kleine-Levin sendromu uyku atağı tedavisinde modafinil, armodafinil, metilfenidat denenebilir. Uyku ataklarını önlemek için lityum, karbamazepin, valproik asit kullanılabilir Bu yazıda KleineLevin Sendromu tanısı konulan valproik asit tedavisi sonrası hipersomni atakları kaybolan olgu, çok nadir olarak görülmesi ve farkındalığı arttırabileceği için literatüre katkı sağlayabileceği düşünülerek sunulmuştur.
Kleine-Levin Syndrome treated with Valproic Acid: A case report
Kleine-Levin syndrome is a syndrome with hypersomnia attacks involving behavioral and emotional disorders. It is rare and the estimated incidence is 1-5 / 1000000. It is more common in women. The diagnosis of Kleine-Levin syndrome is made clinically. Kleine-Levin's syndrome is in episodes and the duration of a episode can last from two days to five weeks. The etiology of Kleine-Levin syndrome is unknown. The first episode was observed to be triggered by factors such as infection, fever, psychological stress, and insomnia. Modafinil, armodafinil, methylphenidate can be tried in the treatment of KleineLevin syndrome sleep episode. Lithium, carbamazepine and valproic acid can be used to prevent sleep attacks. In this article, a case, diagnosed with Kleine-Levin Syndrome in which hypersomnia episodes were vanished after treatment with sodium valproic acid is presented since it is rarely seen and can contribute to the literature as it may increase awareness.

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