A Study on Clinical Profile and Etiology of Partial Seizures in Adults at Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Objective: To Study the Clinical Profile and Etiology of Partial seizures in Adults at Tertiary care centre. Method: In this Descriptive, cross sectional study, a total of 135 patients were selected over 1 year. All patients with partial seizures in adulthood were included. Patient below the age of 18 years, seizure type other than partial seizures, Pseudo seizures and patients with history of seizure before the age of 18 years were excluded. Data was entered and analyzed on SPSS software. Results: Maximum number of cases were due to Neurocysticercosis (NCC) (36.30%). Maximum showed simple partial seizure (45.19%), followed by complex partial seizure (33.33%) and complex partial seizures with secondary generalization (21.48%). Of the 135 cases of partial seizures 100 (74.07%) were males and 35 (25.93%) were females with male to female ratio of 2.8:1. Maximum cases were in the age group of 18 -30 years (males = 20.74% and females = 31.85%). Common symptoms of patient during partial seizures were frothing from mouth (60%), headache (52.59%), aura (51.85%) and uprolling of eye balls (43.73%).Symptoms of patients in postictal phase were headache (62.22%), post ictal confusion (55.56%) and focal deficit (26.67%). Family history was present in 6.67%.Cases of trauma (2.22%) were diagnosed on non contrast computed tomography (NCCT) head. 7.78% of NCC were picked up on NCCT head. Infection (0.74%), mesial temporal lobe epilepsy (MTLE) (0.74%), posterior reversible encephalopathy syndrome (PRES) (0.74%), tumor (3%) were all diagnosed on magnetic resonance imaging (MRI).Electroencephalogram (EEG) was done in 69 (51.11%) cases and 49.28% were abnormal. Conclusion: NCC still account for a significant number of cases. Males are more prone to partial seizures in our region with more episodes seen in younger age. Every case of partial seizures must be evaluated with EEG and radiological scan – either MRI brain, CECT brain or NCCT brain
Authors and Affiliations
Chaudhry Aditya
Keywords
Related Articles
- EP ID EP285504
- DOI -
- Views 57
- Downloads 0
Forgotten Art of Communication: Has Doctor-Patient Communication taken a Back Seat in Modern Day Medical Practice?
A good communication skill for a doctor is central to the profession of medicine. The well established fact is that hospital staff –patient communication starts immediately on arrival of patient to hospital till his disc...
Supernumerary Axillary Breasts: A Case Report
Polymastia the presence of supernumerary breast tissue is rare and may be found in 2- 6% of woman. Axillary breast tissue is a common variant of supernumerary breast tissue and is commonly bilateral and often associated...
Presensitization Assessment of Knowledge and Awareness about Leprosy among Medical College students in Mewat Region of Haryana
Introduction: Leprosy is a chronic infectious disease which still remains a serious public health problem due to its ability to cause disability. The prevention of leprosy ultimately lies in the early diagnosis and treat...
Rational Use of Antibiotics in Patients Undergoing Appendectomy: A Prospective Study
Background & Objectives: Empirical antibiotics are being administered pre and post-operatively in acute appendicitis. The routine, widespread indiscriminate and prolonged antibiotic course has become an ailment in itself...
Acute Respiratory Failure During Pregnancy
Acute respiratory failure during pregnancy, although relatively uncommon, continues to be a prominent cause of maternal mortality, accounting for 30% of maternal deaths. Major respiratory changes in pregnancy which incre...