Evaluation of the types of epilepsy and other conditions in Kerman

Hossein Ali Ebrahimi M.D Faridadin Ebrahimi M.D

Professor of neurology Kerman University of medical sciences

نامرک یکشزپ مولع هاگشناد

EPILEPSY is a disorder characterized by recurrent seizures of cerebral origin, presenting with episodes of sensory, motor or autonomic phenomenon with or without loss of consciousness. Epilepsy is the

second most common

chronic neurological condition seen by neurologists.

Epilepsy is a chronic condition with complex effects on a

person’s social, vocational, and psychological function.

Three to

five

per cent of the population have a seizure sometime in their life and

half

to

one

percent of the population have ‘

active epilepsy

’.

With time, the incidence of epilepsy and of unprovoked seizures decreased in children and increased in the elderly.

There is geographic variation in the incidence of epileptic syndromes likely to be associated with

genetic and environmental factors, although as yet causality has not been fully established.

The diagnosis of epilepsy is essentially clinical, based on an

eyewitness

account of the seizure.

All patients who referred to our clinic evaluated.

At least 2 years followed.

EEG performed for all patients.

The patients who need imaging was performed

Type

T-C S.T-C C.P.S

J.M.E

S.P.S

Myoclonic 20 16 Lennox Gaust. 15 Petit mal 3 West Synd.

Atonic F-General

Unclassified

2 9 55

57 Male

418 307 87 37

Total 1026

23 8 14 3 5 5 56

33 Female

364 174 64 56

805 Total

782 481 151 93 43 24 29 6 7 14 111

90 1831

Our study in comparison with other Myocl 3%

Other study

Unclass ify 3% Unclass ify 5% Myocl 2%

Our study

CPS 43% CPS 40% GTC 37% GS 50% SPS 14% SPS 3%

Our study in comparison with other

Etiology in other study

6% 7% 3% 15% 8% 61% Cryptogen Vascular P Trauma Tumor Alcohol Others 1% 3% 2% 3% 2% 10%

0ur study

79% Cryptogen M.Retard

CP P.Trauma

Tumor Vascular Other

Epilepsy syndrome incidence of some of the epilepsy syndromes Type 100,000 of all cases Rate (per Percentage) Idiopathic localization-related Symptomatic localization-related Juvenile myoclonic epilepsy GTCS on awakening West syndrome Absence epilepsy Lennox–Gastaut 1.7

13.6

0.2-1.1

7 0.9

0.9

0.9-4 7% 56% 1-2.5% 27% 1% 2-3% 1-3.2%

ساپس اب