Clinical Profile of Patients with Partial Seizure

Abstract

In partial seizure the epileptic discharge begins in one area of the brain and may or may not spread to other areas of the brain.When the discharge spreads to both the hemisphere it may lead to partial seizure with secondary generalization.It is a descreptive cross sectional study carried out at Tribhuvan University Teaching Hospital between April 2012 to April 2013. A total of 70 patients with partial seizure attended medical opd and admitted to medical ward. There were 40 males and 30 females. Age distribution of patient’s presentation with partial seizure was as follows. Less then 20 years of age: 27 patients. 20-40:24 Patients. 41-60: 21 Patients. 60-80: 8 patients. 20 patients had simple partial seizure. 20 patients had complex partial seizure: 30 patients had partial seizure with secondary generalization. Age at onset of partial seizure: Less than 20 years:45 Patients. 21-40 years:12 patients 41-60 years:20 patients. More than 60 years: 3 patients. Duration before starting treatment: Less than 6 months:33 Patients. 6 month – 1year: 6 patients. More than 1 year: 31 Patients.Status epilepticus: 3 patients.Drug history: carbamazepine, Phenytoin.

EEG : Normal in 36 patients.Abnormal in 34 patients.Neuroimaging: Tuberculoma: 6 patients, Calcifed granuloma:39 patients,Tuberous sclerosis:2 patients,mesial temporal sclerosis:3 Patients,Cerebral infarction:12 Patients.Normal :18 patients.Family history of seizure was present in 10 patients.

DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10051

Journal of Nobel Medical College Vol.3(1) 2014; 31-34