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Heart Rate Variability in Childhood Benign Rolandic Epilepsy

Introduction-Aim: Benign Rolandic epilepsy (BRE) is the most common focal epilepsy in children. It is often considered to have a good prognosis due to normalization of electroencephalographic and clinical findings in adolescence. Sudden unexpected death in epilepsy (SUDEP) is one of the main causes of death in epilepsy patients and it is believed that cardiac and respiratory changes with the activation of the autonomic system that occur with epileptic discharges cause death. In this study, it was aimed to evaluate the heart rate variability of BRE patients and to compare them with healthy children.

Material-method: Thirty pediatric patients with BRE and 30 healthy children of similar age and gender were evaluated with 24-hour cardiac holter monitoring, and the daily time-dependent heart rate variables SDNN24H, SDANNINDEEX, RMSSD, PNN50, LF, HF and LF/HF parameters.

Results: SDNN24H, SDANNINDEEX, RMSSD, PNN50, LF, HF, and LF/HF values of the children diagnosed with BRE were found to be higher than the healthy children however there was no statistically significant difference.

Conclusion: It is accepted that BRE has a good prognosis compared to other epilepsy types in childhood. Considering the parameters evaluated in holter monitoring, it is seen that BRE patients have similar values with healthy children. Our work suggests that, in addition to the neurologically good course of BRE, heart rate variability has similar characteristics with healthy children.
Keywords: rolandic epilepsy, heart rate variability

Özge Tanıdır Artan
Ankara City Hospital
Turkey

Serhat Koca
Ankara City Hospital
Turkey

Gökçe Kaş
Ankara City Hospital
Turkey

Deniz Yılmaz
Ankara City Hospital
Turkey

Esra Gürkaş
Ankara City Hospital
Turkey

Ayşegül Neşe Çıtak Kurt
Ankara City Hospital
Turkey

 

 


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