2026-10-19T01:18:08Zhttps://ebyu-rdlopen.rawdatalibrary.net/oai/request

oai:ebyu-rdlopen.rawdatalibrary.net:ebyu/196852026-10-18T21:11:48Zopenairedrivercom_ebyu_10000col_ebyu_10001

Effects of epilepsy control following decompressive craniectomy on mortality and morbidity in epileptic patients with malignant MCA infarctionÇAKIR, TAYFUNYÜCETAS, SEYHO CEMKafadar, HuseyinGezgin, inanGenel ve Dahili TıpPatolojiNörolojik BilimlerAim: The present study aims to investigate the effects of seizure or epilepsy formation on mortality and morbidity in epilepticpatients after craniectomy.Material and Methods: The patients were divided into the following groups: Group 1, those who had no seizures, but were routinelytreated with 3x100 mg of epanutin daily (n=6), Group 2, those who had at least one or multiple seizures and were initiated a secondantiepileptic drug in addition to 3x100 mg of epanutin daily (n=13), and Group 3, those who had multiple seizures and who weresedated or narcotized in addition to being treated with 3x100 mg of epanutin daily (n=7). All patients underwent decompressivecraniectomy within a maximum period of 48 hours and their characteristics such as age, gender, localization of infarct, hemiplegia,monoplegia, operation time, Glasgow coma and outcome scales were recorded.Results: According to the Glasgow Outcome Scale, 1 patient in Group 1, 8 patients in Group 2 and 6 patients in Group 3 died and therewas a signifiant increase in patient losses in Group 2 and Group 3 compared to Group 1 (p<0.05). 10 patients continued to live theirlives with the support of home-care services and 2 patients with other forms of help.Conclusion: It was seen that there is a high incidence of seizure and epilepsy in MMCA infarcts after decompressive craniectomy andthis signifiantly increased mortality or dysfunctional recovery if epilepsy could not be brought under control.2020Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/19685https://doi.org/10.5455/annalsmedres.2020.01.022enAnnals of Medical Researchinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/19685