Background: In adults, seizure disorder is a one of major health concern in terms of burden of disease, nature of illness,and its impact on individual, family, and community. The present study was undertaken to assess clinical types, pathogenesis and clinical profile of seizures in adult and to study clinical correlation of seizures with EEG and Neuro imaging and hospital outcome after antiepileptic treatment.
Methods: Total 130 cases of age >12 years to till age presenting with new onset seizures were included in the study,during the period of one year from September 2019 to -August 2020. A detailed history was taken, clinical examination, laboratory investigation and EEG, CT/ MRI were done.
Results: The mean age of cases was 27.8 ± 3.6 years withmales’ predominance (82; 63.1%).Convulsion was the mostcommon presenting complaint (96 (73.8%) and GTCS was the most common type of seizure observed in 43 (33.1%) cases. The most common predisposing factor was stroke, found in 31 (23.8%) cases. On EEG report the most common pattern found was multifocal spike (42; 32.3%) while on MRI calcified neurocystecercosis was found in 4 cases (3.1%). Scar epilepsy was most common (42; 32.3%) followed by stroke infarct (21; 16.2%). The most common drug used for management of the cases was valproate (72; 55.4%) followed by phenytoin (58; 44.6%).
Conclusion: Identification and awareness about the etiological factors and seizure type help in better management of adultpatients. Primary care physicians play a pivotal role in identifying patients with adult onset seizures and should encourage these patients to undergo neuroimaging so as to arrive at an appropriate etiological diagnosis.