Zorlu Bir Vakan�n Y�netimi: Epileptik Bir Gebenin �oklu �la� Al�m� ile Suisidal Giri�imi

ISSN 1300-7157

Anasayfa | �leti�im

Cilt : 27 Say� : 1 Y�l: 2021

Zorlu Bir Vakan�n Y�netimi: Epileptik Bir Gebenin �oklu �la� Al�m� ile Suisidal Giri�imi [Epilepsi]

Epilepsi. Bask�daki Makaleler: JTES-34635 | DOI: 10.14744/epilepsi.2020.34635

Zorlu Bir Vakan�n Y�netimi: Epileptik Bir Gebenin �oklu �la� Al�m� ile Suisidal Giri�imi

Zeynep �z�zen Ayas¹, Hakan Musa Ayas², Esma Ad�yaman², G�lg�n Uncu¹, Demet �lhan Alg�n³, O�uz Osman Erdin�³
¹Eski�ehir �ehir Hastanesi, N�roloji Klini�i, Eski�ehir, T�rkiye
²Eski�ehir �ehir Hastanesi, Anesteziyoloji ve Reanimasyon B�l�m�, Eski�ehir, T�rkiye
³Eski�ehir Osmangazi �niversitesi T�p Fak�ltesi, N�roloji Ana Bilim Dal�, Eski�ehir, T�rkiye

Epilepsili hastalarda intihar giri�imi riski, genel pop�lasyona g�re artm��t�r. Psikiyatrik hastal�klar epilepsi hastalar�nda g�r�lebilmektedir. Ayr�ca, antiepileptik ila�lar�n artm�� intihar giri�imi riskine sahip oldu�u bilinmektedir. Ancak intihar giri�imleri sadece psikiyatrik hastal�klar ve antiepileptik ila�lara ba�lanmamal�d�r. Psikiyatrik hastal�� olmayan epilepsi hastalar�nda da suisidal giri�im oran�n�n y�ksek oldu�u bildirilmi�tir. Gebelikteki suisidal giri�imler ise di�er d�nemlere g�re daha az g�r�lmektedir. Bu yaz�da, suisidal ama�l� y�ksek doz �oklu ila� al�m� olan 28 haftal�k gebe bir epilepsi hastas� ile bu hastaya yakla��m ve tedavi s�reci sunulmu�tur. Epileptik gebe hastada ani bilin� de�i�ikli�i nadir de olsa, ila� al�m� ile suisidal giri�imin bir sonucu olabilir. Klinisyenler, intihar giri�imi riski a��s�ndan gebe ve epilepsi hastalar�nda dikkatli olmal�d�r.

Anahtar Kelimeler: Epilepsi, Gebe, Suisidal Giri�im, �oklu �la� Al�m�

The Management of a Difficult Case: A Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant Woman with Epilepsy

Zeynep �z�zen Ayas¹, Hakan Musa Ayas², Esma Ad�yaman², G�lg�n Uncu¹, Demet �lhan Alg�n³, O�uz Osman Erdin�³
¹Eski�ehir City Hospital, Department of Neurology, Eski�ehir, Turkey
²Eski�ehir City Hospital, Department of Anesthesiology and Reanimation, Eski�ehir, Turkey
³Department of Neurology, Eskisehir Osmangazi University Faculty of Medicine, Eski�ehir, Turkey

The risk of suicide attempt in patients with epilepsy is higher than in the general population. Psychiatric diseases can be seen in patients with epilepsy. It is also known that antiepileptic drugs may have an increased risk of suicide attempts. But, it is thought that suicide attempts should not be attributed to just psychiatric diseases and antiepileptic drugs. It has been reported that the rate of suicide attempts is also higher in patients with epilepsy without psychiatric diseases. Suicide attempts during pregnancy are less common than in other periods. This article presents a 28-week pregnant women with epilepsy who had taken high-dose multi-drug for suicide attempt and the management and treatment of the patient. Rarely, an alteration of consciousness in pregnant women with epilepsy may be a result of suicide attempt. Clinicians must be alert to risk of suicide attempt of pregnant woman and patients with epilepsy.

Keywords: Epilepsy, Pregnant, Suicide Attempt, Ingestion of Multiple Drugs

Sorumlu Yazar: Zeynep �z�zen Ayas, T�rkiye

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