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Karbamazepin monoterapisine yanıt alınamayan parsiyel epilepsi hastalarında levetiracetam veya zonisamid ek tedavilerinin karşılaştırılması
2018
Journal:  
Ortadoğu Tıp Dergisi
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Abstract:

Giriş ve Amaç: Parsiyel epilepsisık görülen nöbet tipi olup bazı hastalarda monoterapi ve hatta politerapiye rağmen yeterli nöbet kontrolü sağlanamayabilir. Bu çalışmadaki amacımız karbamazepin monoterapisi ile nöbet kontrolü sağlanamamış hastalarda levetirasetam veya zonisamid ekleme tedavilerinin etkinlik ve yan etki bakımından karşılaştırılması hedeflenmiştir. Gereç ve Yöntem: 18-54 yaş arası,az 1 yıldır karbamazepin monoterapisi ile takip edilen 32 hasta çalışmaya alındı. Bu hastaların 16’sına zonisamid, 16’sına levetirasetam eklendi. Hastalar ekleme tedavisi sonrası sabit titrasyonda tutulacak şekilde 3 ay boyunca izlendi. Bulgular: Zonisamid eklenen grubun yaş ortalaması 33,4±10,6 (7 erkek, 9 kadın) iken levetirasetam grubunda 35,7±11,5 (8 erkek, 8 kadın) idi. Toplam nöbet sayıları bakımından 3 aylık izlem süresi değerlendirildiğinde her iki grup arasında etkinlik ve yan etki bakımından istatistiksel olarak anlamlı fark saptanmamıştır (p=0,377). Sonuç: Parsiyel nöbetlerin ekleme tedavilerinde levetirasetam veya zonisamid benzer oranda etkin olup nöbet kontrolü sağlanamayan hastalarda yan etki profilinin de az olması nedeniyle kullanılabilir.

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Comparison of supplementary treatments for levetiracetam or zonisamid in partial epilepsy patients who cannot respond to carbamazepin monotherapy
2018
Author:  
Abstract:

Introduction and Purpose: Parcial epilepsy is a type of stroke, and some patients may not have sufficient control of the stroke despite monotherapy and even polytherapy. Our aim in this study is to compare the effectiveness and side effects of levetirasetam or zonisamid additive therapies in patients who have not been provided with carbamazepin monotherapy and stroke control. Method and method: 18-54 years old, 32 patients followed with carbamazepine monotherapy for less than 1 year were taken to study. 16 of these patients were added to zonisamid and 16 to levetirasetam. Patients were monitored for 3 months so that they were kept in a fixed titration after adhesive treatment. Results: The average age of the group added to Zonisamid was 33.4±10.6 (7 men, 9 women), while the levetirasetam group was 35.7±11,5 (8 men, 8 women). When the 3 month monitoring period was assessed in terms of the total number of attacks, there was no statistically significant difference between the two groups in terms of activity and side effects (p=0.377). The result: Levetirasetam or zonisamid is similarly effective in adjuvant therapies of partial attacks and can be used in patients who are unable to control the attacks because the profile of side effects is also low.

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Ortadoğu Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Ortadoğu Tıp Dergisi