Sequelae due to bacterial meningitis in childhood
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Tarih
1999
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bakteriyel meninjitten iyileşen 16 çocukta nörolojik sekeller araştırıldı. Hastalara nörolojik muayene, odiyolojik inceleme (beyin sapı işitsel potansiyelleri), görsel evoked potansiyel (VEP), elektroensefalografi (EEG) ve nöropsikiyatrik değerlendirmeyi içeren bir protokol uygulandı. Kesin nörolojik sekel hastaların % 18'inde bulundu. Üç hastada düşük IQ değerleri ve bir hastada sensorinöral işitme kaybı (% 6) vardı. Hastaların 7'sinde asemptomatik elektrofizyolojik EEG ve/veya VEP anormallikleri vardı (% 44). Sonuçta, bulgular meninjit sonrası sekel varlığını desteklemesine karşın incelenen hasta grubunda sekel oranları önceki çalışmalardaki oranlardan düşük bulundu.
Sixteen children with recovering bacterial meningitis were evaluated for neurological sequelae. A protocol consisting of a standard neurological examination, audiological examination (auditory brainstem responses-ABR), visual evoked potential (VEP), electroencephalography (EEG), and neuropsychological tests was applied to the patients. A definite neurologic sequelae was found in % 18 of the patients. Three patients had low intelligence and one of them also had sensorineural hearing loss (6 %). Seven of the patients (44 %) had asymptomatic electrophysiological abnormalities on EEG and/or VEP. In conclusion, although the findings support the existence of postmeningitis sequelae, the rate of the deficitis in this group of patients was found lower than that the rate of previous studies.
Sixteen children with recovering bacterial meningitis were evaluated for neurological sequelae. A protocol consisting of a standard neurological examination, audiological examination (auditory brainstem responses-ABR), visual evoked potential (VEP), electroencephalography (EEG), and neuropsychological tests was applied to the patients. A definite neurologic sequelae was found in % 18 of the patients. Three patients had low intelligence and one of them also had sensorineural hearing loss (6 %). Seven of the patients (44 %) had asymptomatic electrophysiological abnormalities on EEG and/or VEP. In conclusion, although the findings support the existence of postmeningitis sequelae, the rate of the deficitis in this group of patients was found lower than that the rate of previous studies.
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Cilt
13
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1
