Background:The population-based information on the prevalence of stroke from rural areas of Middle East countries including Turkey is unknown. Our aim is to evaluate the prevalence of stroke in those ⩾18 years in the Turkish population in a rural area of Istanbul.Methods:A cross-sectional door-to-door study was conducted in a rural area of Istanbul between 1 March and 30 March 2013. A research protocol recommended by World Health Organization for developing countries was used. Each screening teams consisted of one neurologist, one local nurse, and five surveyors. Teams were trained about the survey and questionnaire. The patients, who claimed to have suffered a stroke, were examined, and the diagnosis was confirmed by a neurologist on site. The findings and medical records were documented.Results:In total, 2906 people ⩾18 years were screened. 50 stroke cases were detected. 80% of those were found to have had an ischemic stroke, 14% of those were hemorrhagic cases, and 6% of those had an unclassified stroke type. The overall prevalence rate in those ⩾ 18 years was 1.7%. The male/female ratio was 0.92. Young (<45) stroke prevalence was found to be 0.6%.Conclusion:This study was the first of its kind to show the stroke prevalence among Turkish population ⩾ 18 years in a rural area of Istanbul. When compared to other studies which investigate people ⩾45 years from Turkey, the result (in the same age group) was moderate high. The male/female ratio was low compared to many other studies.
Ö ÖZ ZE ET T A Am ma aç ç: : Jüvenil miyoklonik epilepsi (JME) en sık görülen idiyopatik jeneralize epilepsi sendromudur. JME'nin uzun dönem sonuçları hâlâ tartışmalıdır. Prognozu etkileyen nedenler tam tanımlanamamıştır. Bu çalışmanın amacı, en az beş yıldır takip edilen JME'li hastaların prognozlarını ve nöbet sonuçlarını etkileyen faktörleri belirlemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kartal Dr. Lütfi Kır-dar Eğitim ve Araştırma Hastanesi Nöroloji Kliniği'nde JME tanısı alan 83 hastanın verileri retrospektif olarak incelenmiştir. Çalışmaya epilepsi polikliniğinde en az beş yıl takip edilen hastalar dâhil edilmiştir. Hastaların dosyaları incelenmiştir; telefonla görüşmeye çağırılmış ve gelebilen hastalar muayene edilmiştir, gelemeyenlerle de telefonla görüşülmüştür. Hastaların tüm bulguları JME'li hasta takibi için hazırlanmış formlara kaydedilmiştir. B Bu ul lg gu ul la ar r: : JME tanısı alan 83 hastanın 51 (%61,4)'i kadın, 32 (%38,6)'si erkek olup, hastaların nöbet başlangıç yaş ortalaması 14,2±3,4 yıl olarak bulunmuştur. Hastaların %100'ünde miyoklonik, %55,4'ünde jeneralize tonik klonik (JTK) ve %22,9'unda ise absans nöbetlerin olduğu belirlenmiştir. Takip edilen 83 hastanın 41'inin (%49,4) nöbet geçirmediği tespit edilmiştir, 83 hastanın 12 (%14,4)'sinin antiepileptik ilaç tedavisi nöbet geçirmediği için kesilmiştir. Yirmidokuz hastanın (%35) ise antiepileptik tedavi altında nöbetsiz olduğu gözlenmiştir. Tedavi alan 71 hastanın 52 (%73)'sinin nöbetleri monoterapi, 19 (%26) hastanın nöbetleri ise politerapi ile kontrol altına alınmıştır. Yapılan analizlerde nöbet tipi, elektroensefalografi bulguları ve aile öyküsünün prognoza etkili olmadığı bulunmuştur. S So on nu uç ç: : Bu çalışma, JME'nin eskiden bilinenin aksine kötü gidişatlı bir hastalık olmadığını ve yaşam boyu tedavinin gerekli olmadığını düşündürmektedir. Prognoz üzerine etkili herhangi bir faktör bulunamamıştır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Epilepsiler, miyoklonik; miyoklonik epilepsi, jüvenil; prognoz A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Juvenile myoclonic epilepsy (JME) is the most common idiopathic generalized epilepsy in adults. The prognosis of JME is still controversial and the predictive factor for seizure outcome remains unclear. The aim of this study is both to investigate the prognosis in patients with JME and to identify predictive factors for the seizure outcome. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Kartal Dr. Lütfi Kırdar Training and Research Hospital Neurology Clinic, 83 patients diagnosed with JME data were analyzed retrospectively. Epilepsy outpatient clinic were included in the study , patients who were followed for at least five years. They were reevaluated with a review of their medical records and telephone interview or face to face interview. All patients had been recorded on prepared forms for patient follow-up. R Re es su ul lt ts s: : JME diagnosed in 83 patients, 51 (61.4%) were female and 32 (38.6%) patients were male and th...
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