Çocuklarda Ensefalopatiler

Enfeksiyon aracılı ensefalopati çocukluk çağında en sık görülen ensefalopati nedenidir. Ensefalopatinin kliniği kişilik bozukluklarından deliryum ve komaya kadar uzansa da geç tanı aldığında geridönüşümsüz sonuçlara yol açabilmektedir. Tanısında klinik bulgular oldukça önemlidir. Elektroensefalografi destekleyicidir ve prognozu tahmin etmeye yardımcı olabilmektedir. Enfeksiyoz ensefalopatiyeyol açan nedenler arasında merkezi sinir sistemi enfeksiyonlarının yanısıra septik ensefalopati de yer almaktadır. Bu yazıda enfeksiyon aracılı ensefalopatinin nedeni olarak beyin parankimi ve meninksleritutan enfeksiyoz durumlar ve sepsis ile ilişkili ensefalopati tartışılmıştır</p

Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Aim: Enuresis is a common problem in childhood. Our aim in our study was to evaluate the relationship between monosypmtomatic nocturnal enuresis and obesity

Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Methods: Seventy healthy children and 70 nocturnal enuresis patients were compared in terms of age, gender, body weight, height, body mass index (BMI), BMI standard deviation score, obesity, maternal age and education level, father’s age and education level, number of children in the family, consanguinity between parents, and the economic status of the family. The patients with enuresis nocturna were divided into two groups: group 1: normal weight children, and group 2: overweight and obese children. Similar comparisons were made between these two subgroups. Relationship between the urinary incontinence frequency and general and family characteristics of patients with nocturnal enuresis were investigated. Results: There were no statistically significant differences between nocturnal enuresis patients and controls in terms of general, familial characteristics and obesity (p>0.05). Normal weight children were found to have lower median age and parents’ median age, worse economic situation and more frequent urinary incontinence compared to overweight and obese children. In addition, a relationship was detected between the frequency of enuresis and economic status (p=0.004). Conclusion: Our results showed that the frequency of obesity was not increased in patients with nocturnal enuresis compared to normal population. Larger sample studies are needed to assess the relationship of obesity with nocturnal enuresis

Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Methods: Seventy healthy children and 70 nocturnal enuresis patients were compared in terms of age, gender, body weight, height, body mass index (BMI), BMI standard deviation score, obesity, maternal age and education level, father’s age and education level, number of children in the family, consanguinity between parents, and the economic status of the family. The patients with enuresis nocturna were divided into two groups: group 1: normal weight children, and group 2: overweight and obese children. Similar comparisons were made between these two subgroups. Relationship between the urinary incontinence frequency and general and family characteristics of patients with nocturnal enuresis were investigated. Results: There were no statistically significant differences between nocturnal enuresis patients and controls in terms of general, familial characteristics and obesity (p>0.05). Normal weight children were found to have lower median age and parents’ median age, worse economic situation and more frequent urinary incontinence compared to overweight and obese children. In addition, a relationship was detected between the frequency of enuresis and economic status (p=0.004). Conclusion: Our results showed that the frequency of obesity was not increased in patients with nocturnal enuresis compared to normal population. Larger sample studies are needed to assess the relationship of obesity with nocturnal enuresis

Electroclinical and Demographic Evaluation of Cases with Self- limited Epilepsy with Centrotemporal Spikes

Objective: This study aims to contribute to our understanding of unknown aspects of this syndrome by evaluating the characteristics of patients with rolandic epilepsy (RE), who applied to our hospital. Methods: The cases diagnosed with “self-limited epilepsy with centrotemporal spikes (SeLECTS)”, who applied to the Pediatric Neurology Department of Dokuz Eylül University Faculty of Medicine between July 2016, and July 2020, were evaluated clinically, electroencephalographically, and psychometrically retrospectively. Results: Ninety-two cases diagnosed with RE were included in the study. The age of seizure onset was mostly observed between the ages of 5-10, with a frequency of 51.1%. Twenty-nine (31.5%) of these cases were followed up by the Child and Adolescent Psychiatry department due to psychiatric comorbidities such as anxiety, anxiety disorder, depression, and attention deficit. After the evaluation of the patients’ first seizure type, it was identified that the seizures of the "generalized tonic-clonic" type were the most common (43.5%). The second most common type of seizure was "focal orofacial motor seizures" (21.8%). Finally, focal clonic seizures took third place (12%). Considering the success rates of the first-line drugs, it was seen that levetiracetam was 86% effective, valproic acid 79.3%, carbamazepine 100%, and oxcarbazepine 100%. Conclusion: Our study suggested considering the necessity of further evaluation of SeLECTS even in patients with generalized tonic-clonic seizures. The presence of psychiatric comorbidities reveals the necessity and importance of assessing these cases, especially in terms of anxiety, anxiety disorder, depression, and attention problems