Епилепсия при деца с шънтирана  хидроцефалия

Резюме

Въвеждането на шънтовите операции в неврохирургичната практика даде шанс за живот на децата с хидроцефалия. Заедно с това обаче се развиват редица усложнения, влошаващи качеството им на живот. Епилепсията е едно от дългосрочните усложнения при шънтирани деца. Механизмът на епилептичните припадъци при тях е все още спорен и не напълно изяснен. Те могат да са резултат от повишено вътречерепно налягане, исхемична лезия, подлежаща мозъчна малформация или след имплантиране на шънт. Като фактори за развтитието на епилепсия при шънтирани пациенти се обсъждат етиологията на хидроцефалията, усложненията на шънтовата система и възрастта на шънтиране. Децата с хидроцефалия са изложени на висок риск от развитие на епилепсия, която сама по себе си е важен предиктор за лош изход при тези с имплантиран шънт. Епилепсията е утежняващ фактор, водещ до значително нарушено когнитивно развитие и понижено качество на живот при шънирани пациенти.

Ключови думи: шънтирана хидроцефалия, епилепсия, качество на живот

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Адрес за кореспонденция:

Катедра по педиатрия и медицинска генетика, 

МУ – Пловдив 

бул. “Васил Априлов” 15А 

4000, Пловдив 

e-mail: panova_marg@mail.bg