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Clinico demographic profile and treatment seeking behaviour of epilepsy patients in a tertiary care hospital

Authors: Krishna Veni Avvaru, Madhavi Seepana, Hima Bindu Kotamarthy
Int J Biol Med Res. 2012; 3(4): 2523-2526  |  PDF File

Abstract

Background: Epilepsy is amongst the most common serious neurological conditions. Epilepsy presents a global problem affecting all ages, social classes, groups and countries. Studies have shown various differences in epidemiological patterns of epilepsy around the world. Epilepsy has a complex etiology characterized by recurring seizures. Aims: 1. To study demographic profile of epilepsy patients, 2. To study clinical and CT findings, among the study population. 3. To study treatment compliance among epileptics. Methods: Data of 100 epilepsy patients was collected for their clinical characteristics. The investigations included EEG, CT scan and MRI tests. Results: Among epileptics 56% were males and 44% were females. The median age of study subjects was 19.5years. 49% were in the age group 11-30 years. 45 epileptics had primary education, 29 had secondary education, while 19 were illiterates. Age at onset of seizures was less than 15 yrs in almost half (58%) of epileptic patients. Duration of disease was more than 6 years in 39% patients. Almost 91% were non vegetarians .The most common seizure type was Generalized Tonic Clonic Seizures (53%). 58 subjects mentioned that their seizure attack was triggered by some risk factor, the most common risk factor being mental exhaustion followed by lack of sleep. Post-ictal confusion(84%), loss of consciousness(68%) and retrograde amnesia(36%) were seen following seizure. CT findings revealed that 22% patients had neuro-cysticercosis (inactive and active lesions) indicating that neuro-cysticercosis is still a leading cause of seizures and epilepsy in developing countries like India. Conclusions: Better understanding of the mechanisms of neuro-cysticercosis is needed to develop appropriate intervention and prevention programs. Global strategies for prevention and control should be developed and enforced with the aid of international health organizations including World Health Organization.