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CAUSES OF PARTIAL EPILEPSY IN A COHORT OF IRAQI EPILEPTIC PATIENTS | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 5, Issue 3, 2007, Pages 18-22 | ||
| Author | ||
| Hasan Aziz Al-Hamdani | ||
| Abstract | ||
| Background: Partial (focal or localization related) epilepsy is the most common seizure disorder encountered in patients with epilepsy. These seizures are focal at onset that is emanating from localized region of the brain. Certain structural and metabolic abnormalities in the brain will predictably lower the epilepsy threshold. Seizure can result from either primary central nervous system dysfunction or underlying systemic diseases. The incidence of structural abnormalities was higher with increasing age of the onset of seizure and declined with long duration of history of epilepsy Objectives: 1) Identify the cause of partial seizure. 2) Clarify the association of these causes and the age of the patients. Study: Prospective cohort study. Setting: Al-Kadhimiya Teaching Hospital. Patients: 106 patients presented with partial seizure, the age of them ranged between 6-73 years, 52 males and 54 females Result: The abnormal neuroimaging occurred in (61%) of patients. Tumors occurred in about (19.7%) of patients most of them below 40 years of age while infarctions in about (25.5%) of patient above this age. (83.7%) of complex partial seizure patients had temporal lobe foci and (16.2%) in frontal lobe, while (49%) of simple partial seizure patient had frontal lobe foci, (22%) frontoparietal and (13%) had parietal lobe foci. (75.4%) of patient with simple partial seizure and (35.1%) with complex partial seizure had brain(structural) lesion. Conclusion: 1. Infarction is a common cause of partial seizure in patients above the age of 40 and below this age was a tumor. 2. Partial seizure is associated mostly with organic brain lesions. 3. The incidence of structural lesion was decrease in patients with long history of partial epilepsy. Key words: Seizure, Epilepsy | ||
| Keywords | ||
| seizure; epilepsy | ||
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