Epilepsy – Clinico-etiological Profile at Tertiary Care Centre
DOI:
https://doi.org/10.21276/apjhs.2017.4.1.23Keywords:
Electroencephalography, Seizures, Causes of Epilepsy, Neurological disordersAbstract
Aims and Objectives: To evaluate clinical, etiological and electroencephalogram profile in seizure patients. Materials and Methods: The cases having episodes of seizure were studied. This was descriptive, analytical, observational type of study, done at tertiary care hospital. Duration of study period was 3 years. Detailed clinical baseline information regarding age, onset age of seizure, type, duration, associated autonomic changes etc. were studied. Relevant birth, family and past history, medication etc. were noted. Routine investigations, radiological findings and electroencephalogram changes were noted. Additional investigations were done wherever required. Results: Total 200 cases were studied over a three year period. The age range for seizures was from 2 month to 75 years, with maximum number of cases were in first and second decade. The male: female ratio was 2.7:1. The main etiological factor was idiopathic in 114 cases(76.51%) followed by neurodegenerative disorders ( 7.38% ) ,developmental disorders (5.3%), head trauma (2.6%), organic lesions (2.0%) and other with infections, cerebro-vascular diseases, alcoholism, psychological, metabolic etc. Conclusion: Among 200 cases of seizures, the epileptiform activity was observed in 149 patients. During the study period, a total of 200 cases were studied. The epileptiform activity was observed in 149 patients. The age range for seizures was from 2 months to 75 year. The male: female ratio was 2.7:1. The common type of seizures observed were of focal(54.35%) in which complex partial 60 cases and simple partial 21 cases, while generalized seizures were in 61 cases (45.65%) in which tonic-clonic type were common. The common etiological factor in our study who showed epileptiform activity on EEG was idiopathic 76.51%. In this rural area there is substantial burden of epilepsy ,it requires health care resources, proper counseling, diagnostic modalities and patient care.
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