B Gürbüz, F Gürbüz, A Cayir, A Değerliyurt, A Güven, G Köse

Abstract

Due to its high levels of morbidity and mortality, status epilepticus is an important paediatric emergency condition. The purpose of this study was to determine aetiological causes in patients diagnosed with and treated for status epilepticus in our hospital, to assess these patients in terms of clinical features, treatment and prognosis and to establish the efficacy of drugs used in treatment. One hundred sixty-two patients diagnosed with status epilepticus and aged 0-18 years were included. Generalised seizure was the most common form at 85.2%. In terms of aetiology, 59 patients (36.4%) were acute symptomatic, 40 (24.7%) febrile, 23 (14.2%) chronic symptomatic and 9 (5.6%) progressive. In conclusion, concluding the seizure in as short a time as possible with early, aggressive and appropriate treatment in cases of SE and the prevention of probable complication if seizures are prolonged is important in terms of reducing probable morbidity and mortality levels.

癲癇持續狀態由於其高發病率及死亡率，是兒科重要的一種緊急情況。本研究旨在確定本院診治的癲癇持續狀態患兒的病因，評估其臨床特徵、治療和預後及藥物的療效。年齡介乎0-18歲的162名癲癇持續狀態患兒中，出現全身癲癇狀態佔85.2%。59名（36.4%）為急性症狀，40名（24.7%）有發熱，23名（14.2%）為慢性症狀，9名（5.6%）有症狀加重。結論，對癲癇持續狀態包括極短時間的發作，及對長時間發作可能引起併發症的預防，進行早期、積極及適當的治療，都對降低發病率及死亡率很重要。