Esansiyel Tremor Tanılı Çocuk ve Ergenlerin Demografik, Klinik ve Tedavi Özellikleri: Geriye Dönük Kesitsel Bir Analiz
Abstract
Amaç: Çocukluk çağında gözlenen tremorların büyük kısmını esansiyel tremor (ET) oluşturmaktadır. Bu çalışmada bir eğitim araştırma hastanesinin çocuk nöroloji polikliniğince esansiyel tremor tanısı konulan olguların demografik özellikler açısından geriye dönük bilgileri analiz edildi.
Gereç ve Yöntemler: Haziran 2016-Haziran 2019 yılları arasındaki 3 yıllık süre içinde çocuk nöroloji polikliniğine titreme şikâyeti ile başvuran olgulardan esansiyel tremor tanısı Hareket Bozuklukları Derneği (1998) tanı ölçütleri esas alınarak konulan olgular incelendi. SPSS 17.0 programı analizde kullanıldı. p<.05 anlamlılık düzeyi olarak kabul edildi.
Bulgular: Belirtilen süre içinde esansiyel tremor tanılı olguların toplam 93 olduğu, yaş ortanca değerinin 16 yıl (6-18 yaş) olduğu, % 54.8’inin (n = 51) kız ve % 45.2’sinin (n = 42) erkek olduğu saptandı. Olguların % 7.5’i (n = 7) çocuk yaş grubunda (6-11 yaş) iken % 92.5’i (n =86) ergen yaş grubunda (12-18 yaş)’di. Olguların %17.2’sinde (n=16) esansiyel tremora sekonder gelişen psikiyatrik semptomlar nedeniyle çocuk-ergen psikiyatrisine danışıldığı saptandı. Olguların %11.8’ine (n = 11) dideral tedavisi önerildiği gözlendi. Çocuk yaş grubuna dideral tedavisi önerilmediği, çocuk ve ergen yaş gruplarının benzer oranlarda çocuk psikiyatrisi bölümüne yönlendirildiği saptandı (p>.05).
Sonuç: Esansiyel tremor benzer oranlarda kız ve erkek cinsiyetini etkilemekte ve dideral özellikle ergen grubunda tedavi seçeneği olarak gözlenmektedir. Kesitimizde hem kız-erkek cinsiyetlerinde, hem de çocuk-ergen yaş gruplarında benzer oranlarda psikiyatrik etkilenim olduğu gözlenmiştir. Bulgular literatür ile uyumludur.
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References
- Kızıltan G. Çocuk ve ergende nörolojik hastalıklara yaklaşım rehber kitabı 2015. 163. Chapter. Tremor ve İlişkili Durumlar. İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Nöroloji AD. Türk Nöroloji Derneği Kitabı, sayfalar: 163-169.
- Keller S, Dure LS. Tremor in childhood. Semin Pediatr Neurol 2009; 16: 60-70
- Meoni S, Macerollo A, Moro E. Sex differences in movement disorders. Nat Rev Neurol 2020;16(2):84-96. doi: 10.1038/s41582-019-0294-x.
- Sullivan KL, Hauser RA, Zesiewicz TA. Essential Tremor Epidemiology, Diagnosis, and Treatment. The Neurologist 2004; 10: 250-8.
- Charles PD, Esper GJ, Davis TL, Maciunas RJ, Robertson D. Classification of Tremor and Update on Treatment. Am Fam Physician 1999; 59: 1565-72.
- Deuschl G, Bain P, Brin M. Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee. Mov Disord 1998; 13 Suppl 3: 2-23.
- Tüzün S, Çiftçili S, Apaydın-Kaya Ç. Tremor I: Tanı ve tedavi. Türk Aile Hek Derg 2009; 13(4): 200-205.
- Louis ED. Essential tremor. Lancet Neurol 2005; 4: 100-110.
- Acar BA, Acar T. Esansiyel Tremor Sadece Hareket Hastalığı Değildir; Uyku ve Anksiyetenin Hastalıkla İlişkisi. Nöropsikiyatri Arşivi 2019; 56: 18-22.
- Chandran V, Pal PK, Reddy JYC, Thennarasu K, Yadav R, Shivashankar N. Non-motor features in essential tremor. Acta Neurol Scand 2012; 125: 332– 337.
- Hubble JP, Busenbark KL, Pahwa R, Lyons K, Koller WC. Clinical expression of essential tremor: Effects of gender and age. Movement Disorder 1997; 12(6): 969-972.
- Louis ED, Ferreira JJ. How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor. Mov Disord 2010; 25: 534–541.
- Louis ED. Essential tremor: a nuanced approach to the clinical features. Pract Neurol. 2019 Oct;19(5):389-398. doi: 10.1136/practneurol-2018-002183.
- Yaşar H, Balıbey H, Tekeli H, Alay S, Şenol MG, Türker T, Bayar N. Journal of Mood Disorders 2014; 4(2): 66-69.
Demographics, Clinical and Treatment Characteristics of Children and Adolescents with Essential Tremor: A Retrospective Cross-Sectional Analysis
Abstract
Objective: Most of the tremors observed in childhood constitute essential tremor (ET). In this study, retrospective information of thepatients who were diagnosed with essential tremor by the pediatric neurology out patient clinic of an education and research hospital were analyzed.
Material and Methods: Patients who were admitted to the pediatric neurology out patient clinic with a complaint of tremor in the 3-year period between June 2016 and June 2019 were diagnosed based on the criteria of Movement Disorders Society (1998). SPSS 17.0 program was used in the analysis and p<.05 was accepted as the level of significance.
Results: It was determined that the cases diagnosed with essential tremor were 93 in total, the median age was 16 years (6-18 years), 54.8% (n = 51) were girls and 45.2% (n = 42) were boys. While 7.5% (n = 7) of the cases were in the child age group (6-11 years), 92.5% (n = 86) were in the adolescent age group (12-18 years). It was found that child-adolescent psychiatry was consulted due to psychiatric symptoms developing secondary to essential tremor in 17.2% (n = 16) of the cases. It was observed that 11.8% (n = 11) of th cases were prescribed dideral treatment. It was found that dideral treatment was not recommended for the childage group, and the child and adolescent age groups were directed to the child psychiatry department at simila rates (p> .05).
Conclusion: Essential tremor affects the gender of girls and boys in similar proportions and dideral is observed as a treatment option especially in adolescent group. In our cross-section, it was observed that there was a similar rate of psychiatric influences in both male and females exes and child-adolescent age groups. The findings are consistent with the literature.
Keywords
Project Number
Yok
References
- Kızıltan G. Çocuk ve ergende nörolojik hastalıklara yaklaşım rehber kitabı 2015. 163. Chapter. Tremor ve İlişkili Durumlar. İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Nöroloji AD. Türk Nöroloji Derneği Kitabı, sayfalar: 163-169.
- Keller S, Dure LS. Tremor in childhood. Semin Pediatr Neurol 2009; 16: 60-70
- Meoni S, Macerollo A, Moro E. Sex differences in movement disorders. Nat Rev Neurol 2020;16(2):84-96. doi: 10.1038/s41582-019-0294-x.
- Sullivan KL, Hauser RA, Zesiewicz TA. Essential Tremor Epidemiology, Diagnosis, and Treatment. The Neurologist 2004; 10: 250-8.
- Charles PD, Esper GJ, Davis TL, Maciunas RJ, Robertson D. Classification of Tremor and Update on Treatment. Am Fam Physician 1999; 59: 1565-72.
- Deuschl G, Bain P, Brin M. Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee. Mov Disord 1998; 13 Suppl 3: 2-23.
- Tüzün S, Çiftçili S, Apaydın-Kaya Ç. Tremor I: Tanı ve tedavi. Türk Aile Hek Derg 2009; 13(4): 200-205.
- Louis ED. Essential tremor. Lancet Neurol 2005; 4: 100-110.
- Acar BA, Acar T. Esansiyel Tremor Sadece Hareket Hastalığı Değildir; Uyku ve Anksiyetenin Hastalıkla İlişkisi. Nöropsikiyatri Arşivi 2019; 56: 18-22.
- Chandran V, Pal PK, Reddy JYC, Thennarasu K, Yadav R, Shivashankar N. Non-motor features in essential tremor. Acta Neurol Scand 2012; 125: 332– 337.
- Hubble JP, Busenbark KL, Pahwa R, Lyons K, Koller WC. Clinical expression of essential tremor: Effects of gender and age. Movement Disorder 1997; 12(6): 969-972.
- Louis ED, Ferreira JJ. How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor. Mov Disord 2010; 25: 534–541.
- Louis ED. Essential tremor: a nuanced approach to the clinical features. Pract Neurol. 2019 Oct;19(5):389-398. doi: 10.1136/practneurol-2018-002183.
- Yaşar H, Balıbey H, Tekeli H, Alay S, Şenol MG, Türker T, Bayar N. Journal of Mood Disorders 2014; 4(2): 66-69.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Project Number | Yok |
| Publication Date | January 28, 2022 |
| Submission Date | November 10, 2020 |
| Published in Issue | Year 2022 Volume: 16 Issue: 1 |
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