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Yıl:2020; Cilt: 7; Sayı: 2>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2020;7(2):80-82
Çocuklarda Uyku ve Narkolepsi Farkındalığı
RT Toker, AB Demir, MS Okan
Uludağ Üniversitesi, Bursa
Amaç: Çocuklarda narkolepsinin farkındalığını artırmak, geç veya yanlış tanı ile oluşan sosyoekonomik yükün azaltılmasına dikkati çekmek istedik. Gereç ve Yöntem: Bursa Uludağ Üniversitesi, Sağlık Uygulama ve Araştırma Hastanesi, Çocuk Nöroloji Kliniği’nde narkolepsi tanılı çocukların demografik özellikleri, klinik özellikleri ve elektrofizyolojik çalışmaları tıbbi kayıtlardan elde edilmiştir. Bulgular: Çalışmaya altı çocuk dahil edilmiştir. Olgularda başlangıç semptomlarının görüldüğü ortalama yaş 11,5 yıl bulunurken, tanı yaşı ortalama 13,5 yıl bulunmuştur. Olguların tamamında görülen gündüz uyku haline beş olguda katapleksi, bir olguda hipnogojik halüsinasyonlar eşlik etmektedir. Narkolepsi tanısı öncesi ayırıcı tanıda başlıca nöbetin düşünüldüğü bulundu. Sonuç: Narkolepsinin hekimler tarafından farkındalığının artması önemlidir. Aileler ve çocuklar uyku bozukluğunu ifade edemese de nöroloji pratiğinde alınacak anamnezlerde uyku düzeninin rutin sorgulanmasının tanıda gecikmeleri önleyebileceği kanaatindeyiz.
Awareness of Sleep and Narcolepsy in Children
Objective: This study aimed to increase the awareness of narcolepsy in children and emphasize the reduction of the socioeconomic burden caused by the delayed or incorrect diagnosis. Materials and Methods: Demographic characteristics, clinical features, and electrophysiological studies of children diagnosed with narcolepsy in the Bursa Uludag University, Health Practice and Research Hospital, Clinic of Pediatric Neurology, were obtained from medical records. Results: Six children were included in the study. The average age at which the initial symptoms were observed was 11.5 years, whereas the average age of diagnosis was 13.5 years. Daytime sleep was accompanied by cataplexy in five cases and hypnogogic hallucinations in one case. Notably, the seizure was primarily considered in the differential diagnosis before diagnosing narcolepsy. Conclusion: It is crucial to increase the awareness of narcolepsy by physicians. Although families and children cannot express sleep disorders, we believe that questioning of sleep patterns during anamnesis in routine neurology practice could prevent delayed diagnosis

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