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

AYAS, Zeynep ÖZÖZEN; ERDİNÇ, Oğuz Osman; ADIYAMAN, Esma; UNCU, Gülgün; ALGIN, Demet İLHAN; AYAS, Hakan Musa

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

Zeynep ÖZÖZEN AYAS, (Eskişehir Şehir Hastanesi, Nöroloji Anabilim Dalı, Eskişehir. Türkiye)

Hakan Musa AYAS, (Eskişehir Şehir Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Eskişehir. Türkiye)

Esma ADIYAMAN, (Eskişehir Şehir Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Eskişehir. Türkiye)

Gülgün UNCU, (Eskişehir Şehir Hastanesi, Nöroloji Anabilim Dalı, Eskişehir. Türkiye)

Demet İLHAN ALGIN, (Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, Eskişehir. Türkiye)

Oğuz Osman ERDİNÇ (Eskişehir Osmangazi Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, Eskişehir. Türkiye)

Epilepsi

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Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 123 - 126 Metin Dili: İngilizce İndeks Tarihi: 17-02-2022

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

Öz:

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. However, 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 28-weeks pregnant women with epilepsy who had taken high-dose multidrug 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

Anahtar Kelime:

Zorlu Bir Olgunun Yönetimi: Epileptik Bir Gebenin Çoklu İlaç Alımı ile Suisidal Girişimi

Öz:

Epilepsili hastalarda intihar girişimi riski, genel popülasyona göre artmıştır. Psikiyatrik hastalıklar epilepsi hastalarında görülebilmektedir. Ayrıca, antiepileptik ilaçların artmış intihar girişimi riskine sahip olduğu bilinmektedir. Ancak intihar girişimleri sadece psikiyatrik hastalıklar ve antiepileptik ilaçlara bağlanmamalıdır. Psikiyatrik hastalığı olmayan epilepsi hastalarında da suisidal girişim oranının yüksek olduğu bildirilmiştir. Gebelikteki suisidal girişimler ise diğer dönemlere göre daha az görülmektedir. Bu yazıda, suisidal amaçlı yüksek doz çoklu ilaç alımı olan 28 haftalık gebe bir epilepsi hastası ile bu hastaya yaklaşım ve tedavi süreci sunulmuştur. Epileptik gebe hastada ani bilinç değişikliği nadir de olsa, ilaç alımı ile suisidal girişimin bir sonucu olabilir. Klinisyenler, intihar girişimi riski açısından gebe ve epilepsi hastalarında dikkatli olmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AYAS Z, AYAS H, ADIYAMAN E, UNCU G, ALGIN D, ERDİNÇ O (2021). The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. , 123 - 126.
Chicago	AYAS Zeynep ÖZÖZEN,AYAS Hakan Musa,ADIYAMAN Esma,UNCU Gülgün,ALGIN Demet İLHAN,ERDİNÇ Oğuz Osman The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. (2021): 123 - 126.
MLA	AYAS Zeynep ÖZÖZEN,AYAS Hakan Musa,ADIYAMAN Esma,UNCU Gülgün,ALGIN Demet İLHAN,ERDİNÇ Oğuz Osman The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. , 2021, ss.123 - 126.
AMA	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. . 2021; 123 - 126.
Vancouver	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. . 2021; 123 - 126.
IEEE	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O "The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy." , ss.123 - 126, 2021.
ISNAD	AYAS, Zeynep ÖZÖZEN vd. "The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy". (2021), 123-126.

APA	AYAS Z, AYAS H, ADIYAMAN E, UNCU G, ALGIN D, ERDİNÇ O (2021). The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. Epilepsi, 27(2), 123 - 126.
Chicago	AYAS Zeynep ÖZÖZEN,AYAS Hakan Musa,ADIYAMAN Esma,UNCU Gülgün,ALGIN Demet İLHAN,ERDİNÇ Oğuz Osman The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. Epilepsi 27, no.2 (2021): 123 - 126.
MLA	AYAS Zeynep ÖZÖZEN,AYAS Hakan Musa,ADIYAMAN Esma,UNCU Gülgün,ALGIN Demet İLHAN,ERDİNÇ Oğuz Osman The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. Epilepsi, vol.27, no.2, 2021, ss.123 - 126.
AMA	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. Epilepsi. 2021; 27(2): 123 - 126.
Vancouver	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy. Epilepsi. 2021; 27(2): 123 - 126.
IEEE	AYAS Z,AYAS H,ADIYAMAN E,UNCU G,ALGIN D,ERDİNÇ O "The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy." Epilepsi, 27, ss.123 - 126, 2021.
ISNAD	AYAS, Zeynep ÖZÖZEN vd. "The Management of a Difficult Case: a Suicide Attempt by the Ingestion of Multiple Drugs by a Pregnant woman with Epilepsy". Epilepsi 27/2 (2021), 123-126.