The Importance of Serum Sreatine Kinase and Blood Gases in Differantial Diagnosis of Different Types of Epileptic Attacks and Vasovagal Syncope
Ayşenur TAŞ1, Sinan GÜRSOY2, Ertuğrul BOLAYIR1, Ömer DOĞAN3, Kerim YILMAZ4
1Cumhuriyet Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı
2Cumhuriyet Üniversitesi Tıp Fakültesi, Anestezi-Reanimasyon Anabilim Dalı
3Cumhuriyet Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı
4Cumhuriyet Üniversitesi Tıp Fakültesi, Acil Servis Anabilim Dalı
Abstract
In the present study we investigated the importance of serum creatine kinase levels and blood gases in differential diagnosis of different types of epileptic attacks and the syncope. The study consisted of 20 generalized tonic clonic seizure, 15 simple partial seizure, 15 vasovagal syncope and 15 healthy control. Serum creatine kinase and arterial blood gases (pCO2, pO2, pH) of all the subjects were measured in the 1th hour and 24th hours of postictal period. Creatine kinase levels were found to be increased significantly in generalized tonic clonic group at 24th hour (p<0.05). However, there was no statistical difference between the groups of syncope and simple partial seizure. Regarding the blood gas pressures, there was not a statistically significant difference among the groups at 1st and 24th hour measurements (p>0.05).