Clinical and Paraclinical Findings in Admitted Patients in Epilepsy Ward

Document Type : Original Article(s)

Authors

1 Associate Professor, Department of Neurology, School of Medicine and Neuroscience Research Center, Isfafan University of Medical Sciences, Isfahan, Iran

2 General Practitioner, Isfafan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Many of the epileptic patients although are treated by multiple antiepileptic drugs but have recurrent multiple seizures. Surgery may be useful in these patients. Video-electroencephalic monitoring (VEM) is useful for finding epileptic focus or differentiating pseudoseizure from true seizure. This study was done in epilepsy centre of Kashani Hospital in Isfahan University of Medical Sciences to assess the clinical and paraclinical findigs of patients with intractable epilepsy.Methods: This cross-sectional study was done in epilepsy ward in Kashani hospital in 2009. Total data of admitted patients such as sex, age, type of seizure, type of medications, family history, duration of disease, and EEG findings were gathered in questionnaire forms. Data were analyzed by SPSS13 software.Finding: 101 patients were admitted in epilepsy ward of Kashani hospital in 2009. Mean age of patients was 26.8 and 50.5% (51 patients) were women. 26.7% (27 patients) had pseudoseizure and 5.9% (6 patients) had focal epileptic lesion and were candidated for surgery.Conclusion: Video-electroencephalic monitoring is necessary in patients with intractable epilepsy for confirming diagnosis and selecting the patients that surgery could help them.

Keywords


  1. Background: Many of the epileptic patients although are treated by multiple antiepileptic drugs but have recurrent multiple seizures. Surgery may be useful in these patients. Video-electroencephalic monitoring (VEM) is useful for finding epileptic focus or differentiating pseudoseizure from true seizure. This study was done in epilepsy centre of Kashani Hospital in Isfahan University of Medical Sciences to assess the clinical and paraclinical findigs of patients with intractable epilepsy.
  2. Methods: This cross-sectional study was done in epilepsy ward in Kashani hospital in 2009. Total data of admitted patients such as sex, age, type of seizure, type of medications, family history, dura-tion of disease, and EEG findings were gathered in questionnaire forms. Data were analyzed by SPSS13 software.
  3. Finding: 101 patients were admitted in epilepsy ward of Kashani hospital in 2009. Mean age of pa-tients was 26.8 and 50.5% (51 patients) were women. 26.7% (27 patients) had pseudoseizure and 5.9% (6 patients) had focal epileptic lesion and were candidated for surgery.
  4. Conclusion: Video-electroencephalic monitoring is necessary in patients with intractable epilepsy for confirming diagnosis and selecting the patients that surgery could help them.