Dergi Ara >>
Yıl:2004; Cilt: 17; Sayı: 2>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2004;17(2):131-134
Juvenil myoklonik epilepsi (Janz sendromu)
M Ülker, D Ataklı
Juvenil myoklonik epilepsi (JME) pubertede ortaya çıkan, özellikle kollarda olmak üzere bilateral tek veya tekrarlayan, düzensiz, aritmik myoklonik jerkler ile karakterize bir sendromdur. JME, epilepsilerin oldukça sık rastlanan bir tipi olup tüm epilepsilerin % 5-11'ini oluşturur. Hastaların yaklaşık 1/3'ünde aile öyküsü vardır. Hastaların % 80-95'inde jeneralize tonik-klonik nöbetler, % 10'unda absans nöbetler tabloya eşlik eder. Uykusuzluk ve yorgunluk en önemli nöbet tetikleyicileridir. Karakteristik EEG bulgusu frontosantral bölgelerde daha belirgin, bilateral, senkron simetrik çok dikenli dalga deşarjlardır. Tedavide ilk seçilecek ilaç valproik asit (VPA)'tir. Tedavisi hayat boyu olup, ilaç kesilmesi ile relaps riski çok yüksektir.
Juvenile myoclonic epilepsy (Janz syndrome)
Juvenile myoclonic epilepsia (JME) is a syndrome characterized by irregular, arrhytmic, myoclonic jerks especially in arms appearing in puberty. JME is a common epilepsia syndrome, consisting 5-11 % of all epilepsias. 1 per 3 patients has family history. Coexisting generalized tonic-clonic and absance seizures are seen in 80-95 % and 10 % of patients respectively. Most important triggering factors of seizures are sleep deprivation and fatique. Characteristic EEG findings are bilateral syncrone, symmetic, polyspike and wave discharges more prominent in frontocentral regions. The first choice in treatment is valproic acid. The treatment is lifelong and relapse risk is very high with cessation of therapy.

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