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Yıl:2009; Cilt: 3; Sayı: 1>> Özet
Klinik Aktüel Tıp NöroPsikiyatri Forumu; 2009;3(1):20-23
Akut Semptomatik Nöbet
S Uysal, T Ercan
İstanbul Üniv. Cerrahpaşa Tıp Fak. Çocuk Nörolojisi BD, İstanbul
pileptik nöbet, kortikal gri cevherde anormal, kontrolsüz elektriksel aktivite sonucu ortaya çıkan ve geçici olarak normal beyin fonksiyonlarını bozan klinik olay olarak tanımlanabilir. Nöbet sırasında bilinç değişiklikleri, duyusal bozukluklar, istemsiz hareketler veya konvülziyonlar görülebilir. Klinik semptomlar paroksizmaldir. Epilepsi, 2 veya daha fazla epileptik nöbet sonucu gelişen durumdur,

Idiyopatik epilepsi, yaşa özgül başlangıçlı olan, özgül klinik ve elek-trografik özellikler gösteren ve genetik mekanizmalarla gelişen epilepsi sendromlarını tanımlar.

Kriptojenik epilepsi ise nedeni veya etiyolojisi bilinmeyen epileptik nöbetleri tanımlarken semptomatik epilepsi bilinen bir merkezi sinir sistemi bozukluğuna bağlı gelişir. Bu tip nöbetler, epilepsi gelişme riskine yol açan Santral Sinir Sistemi (SSS) hasarı ile ilişkilidir.

Akut semptomatik nöbet; metabolik bozukluk, toksik hasar, SSS enfeksiyonu, inme, beyin travması, beyin kanaması, ilaç intoksikasyonu gibi akut olaylar sonucu gelişen nöbetlerdir.

Semptomatik epilepsi ve akut semptomatik nöbetler benzer etyolo-jilere bağlı gelişse de akut semptomatik nöbetler semptomatik epilepsiden farklıdır. Akut semptomatik nöbetler adından da anlaşılacağı gibi akuttur ancak semptomatik epilepsi kroniktir. Örneğin, inme veya kafa travmasını takip eden ilk haftada görülen nöbetler akut semptomatik iken beyin travması ve inmeden sonra daha geç dönemde (en az 1 hafta sonra) ortaya çıkan tekrarlayan nöbetler semptomatik epilepsi olarak düşünülebilir

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