PROFILE AND SHORT-TERM OUTCOME IN ADULT PATIENTS WITH NEW-ONSET SEIZURES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 2
Abstract
BACKGROUND The annual incidence is 85 per 1,00,000 for people aged 65-69 years and 135 per 1,00,000 for those aged over 80 years. Epilepsy in older patients poses several additional problems for the provision of services compared with the rest of the population as diagnostic difficulties and polypharmacy. The aim of the study is to1. Know the various causes of seizures, clinical profile and correlation between neurological imaging and VEEG characteristics. 2. Know the differences between the aetiologies of seizures in young age and elderly >65 years. MATERIALS AND METHODS This was a prospective, hospital-based case control study conducted on 75 patients older than 65 years with new-onset seizures at KGH Neurology OP and IP Services from September 2014 - November 2016 using EEG, MRI or CT brain and relevant laboratory tests. RESULTS 75 patients (46 males, 29 females) with a mean age of 73.72 ± 8.72 years were enrolled in the study. Overall, the seizures were classified as generalised onset in 7 (9.4%), focal onset in 52 (70.1%) and uncertain onset in 15 (20.5%) patients. The aetiology was acute symptomatic in 29 (39.2%), remote symptomatic in 24 (31.7%), progressive symptomatic in 14 (19.1%) and unknown in 8 (10.1%) patients. CONCLUSION Most of the new-onset seizures in our elderly patients were focal onset as a consequence of vascular brain lesion. The recurrence was high. The major risk factors for recurrent seizures were acute, remote and progressive symptomatic aetiologies, epileptiform discharges and nonspecific abnormalities on EEG. Elderly patients maybe at a higher risk of recurrence following an initial stroke than younger people.
Authors and Affiliations
Gopi S, Sudheer Chowdary
Keywords
Related Articles
- EP ID EP448590
- DOI 10.18410/jebmh/2018/26
- Views 67
- Downloads 0
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME IN PREGNANCY- A CASE REPORT
CLINICAL PRESENTATION A 23 year old primi referred at 34 weeks gestation with history of elevated blood pressure reading of 160/100mmHg. She was having regular ante-natal checkups and was diagnosed to be a Gestational Di...
MAGNETIC RESONANCE IMAGING EVALUATION OF ROTATOR CUFF IMPINGEMENT
BACKGROUND Shoulder pain is a common clinical problem. Impingement syndrome of the shoulder is believed to be the most common cause of shoulder pain. The term ‘impingement syndrome’ was first used by Neer to describe a c...
PATTERN OF INTRACRANIAL HEMORRHAGES IN RELATION TO CAUSATIVE AGENTS: A TWO YEAR STUDY
With growing population, rapid urbanization and industrialization associated with high materialistic mind of human beings, incidence of unnatural deaths increasing in geometrical progression. Out of all unnatural deaths...
ANALYSIS OF DEATHS DUE TO HANGING IN VISAKHAPATNAM: A 5-YEAR STUDY
BACKGROUND The objective of the study is to analyse and review the incidence of deaths due to hanging at Andhra Medical College mortuary, Visakhapatnam city. MATERIALS AND METHODS This is an analytical study of all the d...
STUDY OF VARIOUS MODALITIES IN MANAGEMENT OF INCISION HERNIA REPAIR
BACKGROUND Incisional hernias are a major problem following abdominal surgery and their repairs are among the common surgeries done by a general surgeon.1 Besides the preoperative factors such as anaemia, BMI over 25 kg/...