ÇOCUKLUK ÇAÐI NON-TRAVMATÝK ENSEFALOPATÝLERÝ

1994-1996 yýllarýnda, Cerrahpaþa Týp Fakültesi Çocuk Acil Biriminde ensefalopati kliniði gösteren, yaþ ortalamasý 3.9 ± 0.97 yýl ve % 59'u erkek. %41'i kýz, 1423 hastanýn klinik bulgularý retrospektif olarak deðerlendirildi. Enfeksiyonlar(%29.5), metabolik olaylar(%25), epilepsi ve komplike febril konvülsiyonlar(%16), intoksikasyonlar(%5), hepatik sebepler(%2) ve renal sebepler(%l) oranýnda etyolojiden sorumlu tutuldular. %20 olguda bilinç kaybýnýn sebebi anlaþýlamadý. Ývedi yaklaþým gerektiren, hayati tehlikenin söz konusu olduðu, ensefalopati kliniði varlýðýnda, vasküler olaylar ekarte edilmek koþulu ile, serebral antiödem tedavi ile iþe baþlamanýn gerekliliði tartýþýldý.

CHILDHOOD NON-TRAUMATIC ENCEPHALOPATHIES

Clinical findings were evaluated retrospectively of 1423 patients, of whom 59% were boys, and 41% were girls with a mean age of 3.9 ± 0.97 years, and presented with encephalopathy during the years of 1994-1996 in Pediatrics Clinic of Cerrahpaþa Medical School of Istanbul University. Causes of encephalopathy were found as follows: Infections(29.5%), metabolic processes(25%), epilepsy and complicated febril convulsions(12%), intoxications(5%), hepatic(2%) and renal disorders(1%). On the other hand, the cause could not be determined in 20% of the cases. The alleviation of cerebral edema was discussed as a life saving first step in encephalopathy, especially in cases of non-vascular disorders.