Clinical profile and outcome in elderly patients with epilepsy in a neurology tertiary care centre in eastern India
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Background: Epileptic seizures (ESs) are common neurological problem in the elderly. The underlying etiology and treatment of ESs is different in elderly due to underlying comorbidities and physiological changes with aging. Precise data on this topic are not readily available from developing countries. Aims: To study the clinical presentation, EEG and Neuroimaging correlation and response to drug treatment in elderly with ESs. Setting and Design: longitudinal descriptive study. Material and Methods: The patients were selected who had ESs first time after 60 years of age, were interviewed, examined, investigated and follow up for 3 months to see the response of drug treatment. Data were recorded on pre-set proforma. Statistical analysis: Used simple percentage and proportion to analysed the data. Results: There were 66 patients (38 male). Mean age was 62.33 year. ESs was partial with or without secondary generalization in 62.12% of cases. Symptomatic localization related epilepsy (LRE) was most common syndrome (66.67 %). MRI suggestive of stroke as a most identifying etiology in 43.93% of patients. Ratio of patients on monotheraphy and polytheraphy was 2.3:1. At the time of last follow up percentage of patients in Engel’s score 0-4 category were increased from 4.54% to 54.54%. Conclusion: LREs were the most common type of ESs (76%) with stroke were most common identifying lesions on MRI (43.93%). Most of the patients were on monotherapy (69.7%). Significant reduction in ESs frequency was seen at the time of last follow up.
Authors and Affiliations
Dr Meghraj Singh Patel
Keywords
Related Articles
- EP ID EP490075
- DOI -
- Views 56
- Downloads 0
A Study of Allergic Fungal Rhinosinusitis among Subjects Presenting with Nasal Polyposis
Background: Our study is to evaluate the prevalence of Allergic Fungal Rhinosinusitis in nasal polyposis in a tertiary care hospital and to compare the clinical features of chronic rhinosinusitis patients with nasal poly...
Huge Denture Causing Acute Obstruction in Oesophagus and Stridor
We report a rare case of an unusually long foreign body (Denture) Impacted in the mid esophagus of a 62 year-old man. He was illiterate drink wine regularly. He came to me with 4 or 5 person with his with history of taki...
Analyzing the Role of High Resolution Computed Tomography of Temporal Bone in Acquired Middle Ear Cholesteatoma
Background: Acquired middle ear cholesteatoma is the anomalous proliferation of keratinized, stratified squamous epithelium with properties of growth, migration and osseous erosion. High resolution computed tomographic s...
Incidence of Zinc Toxicity as a Complication of Phototherapy
Background: Neonatal jaundice is one of the common newborn illness for which existing therapies are not only costly, time-consuming but also has some inherent risks. Phototherapy duration can be reduced by adding zinc sa...
Rare Case of Left Inguinal Hernia in a Female
Inguinal hernia is the most common type of hernia. We present one such case of left inguinal hernia in a female patient aged 50 years with sac contents to be rudimentary uterus and ovaries as contents in a female of mrkh...