Aetiology and Clinical Profile of Patients Aged >30 Years with Seizures.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Seizures are the common neurological disorders found throughout the world and are routinely encountered in the clinical practice. The aim of this study was to evaluate the aetiology of seizures in patients aged >30 years of age and also to evaluate the clinical profile of seizures. Methods: The present observational study was conducted in the Postgraduate Department of Medicine at SMHS Hospital, an associated hospital of Govt. Medical College Srinagar over a period of two years. Patients who aged >30 years presenting as first time seizures were enrolled for the study. Informed consent was taken from all patients. Data was analysed for aetiology and clinical profile of seizures. Results: Two hundred two patients were included in this study, 55.9% were males. The mean age of patients was 52.0+15.51 years and 32.2% of patients belonged to age group of 60-74 years. In this study common causes of seizures were vascular (36.1%), infectious (20.8%), idiopathic (17.8%) and metastatic (14.4%). The commonest seizure type was GTCS (55%) followed by focal with secondary generalization (26.7%). EEG was normal in 55.4% patients and abnormal in 44.6% patients. CT was abnormal in 58.9%) patients whereas MRI was abnormal in 72.3% patients. Conclusion: This study shows that vascular causes, infections, idiopathic and metastatic causes are leading causes of seizures. The commonest type of seizure is primary generalized seizures followed by focal with secondary generalization. MRI is the investigation of choice for determining the cause of seizures.
Authors and Affiliations
Omar Farooq
Keywords
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