We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Clinical Profile of Patients with Epilepsy in Tertiary Care Hospital in Nepal.
- Authors
Acharya, Niranjan; Sedain, Gopal; Lamsal, Kamal S.; Agrawal, Jagdish Prasad
- Abstract
The main Objective of this study is to study the Demographic profile, aetiology and prescribing pattern in patients with Epilepsy in Nepal. This is a descriptive study of one hundred patients with Epilepsy was conducted in Tribhuvan University Teaching Hospital. A total of 100 consecutive patients presented with at least 2 episodes of seizures were included in the study and followed up for at least 2 years. Epilepsy was diagnosed on history, clinical presentation, confirmed and categorized by Electroencephalography. Imaging was done in all patients. During follow up seizure recurrence, drug related side effects, and treatment modifications were noted. Of one hundred epileptic patients, who visited Tribhuvan University Teaching Hospital, 63% were of low socio-economic status and belong to rural areas of Nepal. Sex distribution was almost similar (49 vs 51). The most common type was Generalized Tonic Clonic Seizure. Twelve patients had associated psychiatric illness. Neurocysticercosis was found to be the most common cause of seizure. Neurocysticercosis can cause refractory seizure. Number of seizure attack prior to start of medication had direct correlation with seizure control i.e more number of the attack more difficult to control and vice versa. In Conclusion epilepsy is more common in low socio-economic group. Generalised tonic clonic seizure is the most common seizure type. Neurocysticercosis is the most common cause of epilepsy in Nepal. Early diagnosis and adequate treatment is the most important factor for good seizure control. New antiepileptic drugs has significant role in refractory epilepsy.
- Subjects
NEPAL; EPILEPSY; TERTIARY care; BRAIN diseases; ELECTROENCEPHALOGRAPHY; DRUG side effects
- Publication
Nepal Journal of Neuroscience, 2012, Vol 9, Issue 2, p57
- ISSN
1813-1948
- Publication type
Article