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Clinical, Electroencephalographic and Radiological Profile of Epilepsy in A Tertiary Care Hospital from Central India

Dinesh Chouksey, Assistant Professor, Department of Neurology, Sri Aurobindo Medical College & Postgraduate Institute, Indore Indore, Madhya Pradesh 453555, India. , Athale Sunil1 , Chouksey Dinesh2 , Jain Rahul3 , Lakhotia Akshay4

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International Journal of Neurology and Neurosurgery 10(2):p 83-89, April - June 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10218.3

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Abstract

Introduction: In India 10 million people are suffering from epilepsy. The etiology of epilepsy is complex and heterogeneous amongst various studies. The distribution of subtypes of epilepsy is variable in different parts of our country. There is dearth of data on epilepsy from central India.

Aims and Objective: To study subtypes of epilepsy and to findout nuro imaging and EEG abnormalities.

Material and Methods: This is an retrospective observational study of 122 patients of epilepsy done during a period of one year conducted in the department of Neurology. All patients underwent detailed clinical EEG and neuroimaging.

Results: Mean age of the patients was 26.31years. Male to female ratio was 2.29:1. Majority of patients belonged to the second to fourth decade of life. Total 71.31% patients had generalized seizures while 28.69% patients had partial seizures. Interictal EEG was abnormal in 37% patients. Neuroimaging abnormality was found in 42.62% patients. Neurocysticercosis was diagnosed in 9%, tuberculoma was found in 5% cases while a vascular cause was identified in 15.57% patients.

Conclusion: The young age males were more commonly affected & predominant seizure semiology was generalized tonic clonic and predominant epilepsy type was idiopathic generalized. The most common cause is vascular followed by granuloma. Majority of patients responded to monotherapy and compliance of drug intake is very good that might be due to good counselling policy of our department regarding need of continue management.

Keyword: Epilepsy Profile; Seizure Profile; Epilepsy Epidemiology; EEG in Epilepsy; Neuroimaging in Epilepsy. 

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.10218.3

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