PONS HEMATOMLARINDA BAŞVURU ANINDAKİ BİLİNÇ DÜZEYİ VE KLİNİK DURUMUN PROGNOZ ÜZERİNE ETKİSİ

Year 2017, Volume: 50 Issue: 1, 36 - 40, 01.09.2017

Cüneyt Uzunlar

Abstract

ABSTRACT

 

OBJECTİVE: The aim of the study determining the
risk factors in pons hematomas, and to examine the level of consciousness at
the time of admission, and the effect of clinical status on prognosis.

 

MATERIAL AND METHOD:  The study was prospectively carried out with
twenty-two cases diagnosed as primary pontine hematoma by computed tomography
(CT) in a Neurology Clinic of
Istanbul Research and Education Hospital,  
between  1991-1994.

 

RESULTS: 14 of our patients were male (63.7%),
8 were female (36.3%) and mean age of 59.1 (31-82), respectively. The 43.4% of the cases which were
conscious were alived.  3 of 5 patients
with somnolence (22.8%) , and all 7 
patients with coma (31.8%) had all died.  The  all of 9 
patients with thermoregulation impairment (49.9% of the cases ) died.

 

CONCLUSION:  Poor prognostic factors in pons  hematomas have been identified as  state of consciousness and thermoregulation
disorder. The planning of studies in the future to correct thermoregulation may
contribute to improving the prognosis.

 

Keywords:  pons, prognosis, consciousness, hematoma

 

AMAÇ:Bu çalışmada; pons hematomlarında
risk faktörlerinin belirlenmesi, başvuru anındaki  bilinç düzeyi­nin ve klinik durumun prognoz
üzerine etkisini incelemeyi amaçladık.

 

GEREÇ VE YÖNTEMLER: 1991 - 1994 yılları arasında üçüncü
basamak İstanbul Eğitim ve Araştırma Hastanesi Nöroloji Kliniğinde Bilgisayarlı
Tomografi (BT)  ile primer pontin hematom
tanı­sı konan 22 olgu prospektif olarak incelendi.

BULGULAR:
Olgularımızın 14’ü erkek (% 63.7), 8’i kadın (% 36.3) ve yaş ortalaması 59,1
(31-82) idi. Bilinci açık olan 10 olgumuzun (% 43.4) hepsi yaşadı. Somnolansta
olan 5 olgunun (% 22.8) 3’ü, komada olan 7 olgunun (%31,8) hepsi eksitus oldu. Termoregülasyon bozukluğu (hiperpireksi) olan  9 olgumuzun (% 49.9) hepsi yaşamını yitirmiştir.

SONUÇ: Pons hematomlarında kötü prognostik
faktörler bilinç düzeyi ve termoregülasyon bozukluğu olarak belirlenmiştir.
Termoregülasyonun düzeltilmesine yönelik çalışmaların planlanması  prognozun iyileştirilmesine katkıda bulunabilir
düşüncesindeyiz.

Anahtar Kelimeler: Pons, Prognoz, Bilinç, Hematom

 

Keywords

pons, prognosis, consciousness

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