New onset seizures: Etiology and co-relation of clinical features with computerized tomography and electroencephalography

Muralidhar, V; Venugopal, K

doi:10.4103/0974-5009.157036

Cited by 15 publications

(18 citation statements)

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“…According to American academy of neurology 24% of patients with new onset seizures without an apparent cause clinically, had abnormalities in EEG. Overall our study results were also similar to Muralidhar et al (16) in concluding the study results.…”

Section: Sridharan R Et Al (M-55% F-45%)supporting

confidence: 92%

Clinical and Radiological Evaluation of New - Onset Epiletic Seizures in a Tertiary Care Hospital

S¹,

Rao²,

Atluri³

et al. 2015

jebmh

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BACKGROUND: Epilepsy is one of the most familiar neurological disorders which can cause bodily injury and death from inadequately treated or untreated cases. The imaging and EEG of new onset seizures is done with different indications, to identify an acute illness as the underline course for the seizure and possible neurological deficit. To this purpose we have evaluated new onset seizures in adult patients in correlation with their clinical profile, Electroencephalography (EEG) and Computerized tomography (CT) imaging of brain. METHODS: This cross sectional study was studied in 100 adult patients, presenting with seizures attending the Emergency department, General Medicine and Neurology wards and OPD of Tertiary care teaching hospital during the period of March 2006 to March 2008. All the patients were examined clinically and subjected to CT imaging of brain and EEG. Other necessary blood investigations were also done. Correlation between various seizures and CT scan brain and EEG were studied. Descriptive statistics were used to analyze the data. RESULTS: 63% of patients were in the age group of 20-39 years, 63% were males and 37% were females. 65% presented with GTCS, 35% with partial seizures. CT scan was found abnormal in 49.2% patients in GTCS, 71.4% in partial seizures. EEG showed abnormal pattern in 39% patients. 40% of the patients with partial seizures had epileptic form discharges. 33% patients had focal lesions on CT brain with normal EEG. CONCLUSION: Generalized Tonic clonic seizures were the commonest type of seizures was present, seen mostly in male patients. CT scan brain was abnormal in 57% of the patients. Neurocysticercosis and calcified granuloma were the commonest causes for seizures up to 3 rd decade of life. Majority of the patients with focal lesions on CT scan brain had epileptic form discharges on EEG which indicate a strong correlation of EEG with CT findings. Initiating the treatment with antiepileptic drugs was left the sole discretion of the treating physician for a case of new onset seizures.

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Section: Sridharan R Et Al (M-55% F-45%)supporting

confidence: 92%

Clinical and Radiological Evaluation of New - Onset Epiletic Seizures in a Tertiary Care Hospital

S¹,

Rao²,

Atluri³

et al. 2015

jebmh

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“…6 55% of cases in the study were in between 31-50 years as similar to studies of Muralidhar V et al, and Venugopal K et al, who reported the same in their study. 7 The mean age of the study group in present study was less 42 years which is less when compared to the studies in the western countries which is more than 50 years. Findings in the study of Bladin CFA et al, reported more cases in >50 years age group which is contrary to the finding of present study.…”

Section: Discussioncontrasting

confidence: 65%

Aetiology of new onset seizures in cases admitted to an intensive care unit of a tertiary care hospital: a two year study

Pannem

Chintha

2019

Int J Adv Med

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Background: Seizures are a common neurological disorder encountered globally in regular medical practice. Hospital onset seizures may occur in patients who never had a history of seizure before hospitalization and may be due to causes that lead to hospitalization or acquired during hospitalization like stroke, neuro infection etc. The objectives of this study were the purpose of the present study was to study the incidence and to describe demographic and clinical characteristics of patients developing new onset seizures in an intensive care unit of a tertiary care hospital.Methods: A prospective study for two years was conducted on cases of seizures admitted in an intensive care unit of a tertiary care hospital. The etiology of all the cases was recorded based on the clinical history and necessary investigations like EEG and imaging studies of the brain in cases if required.Results: About 238 cases with males 177 and females 61 cases were enrolled, and 31-50 years was most common age group. Diabetes was the most common co morbidity associated and generalized seizures were most common. CVA was most common etiology (26.89%) and idiopathic next common. Infarct was most common cause of CVA and meningitis in infections. Generalized tonic clonic seizures was most common in cases with CVA as the aetiology followed by infective cases.Conclusions: It is mandatory to deal cautiously and carefully the cases of seizures developing in an ICU in addition to proper history and examination, each patient must undergo detailed EEG, imaging investigations and other ancillary investigations if necessary.

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“…Male-to-female ratio was 1.85:1 in our study. Literature reported mild to moderate preponderance of males, as seen in studies by Muralidhar and Venugopal[ 5 ] (2.12:1), Hirani and Shrivastva[ 6 ] (1.17:1), and Sendil et al . [ 8 ] (1.63:1).…”

Section: Discussionmentioning

confidence: 85%

“…Similar findings were reported by Chalasani and Kumar where 46.9% were in the age group of 21–40 years. [ 4 ] In studies by Muralidhar and Venugopal[ 5 ] (64%), Hirani and Shrivastva[ 6 ] (54%), and Saha et al . [ 7 ] (40%), highest proportion of patients were also aged <40 years.…”

Section: Discussionmentioning

confidence: 99%

Adult onset seizures: Clinical, etiological, and radiological profile

Kaur

Garg

Aggarwal

et al. 2018

J Family Med Prim Care

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Introduction:Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern.Materials and Methods:This was a prospective cross-sectional hospital-based study conducted on 100 cases presenting with adult onset seizures.Results:Adult onset seizures were most prevalent in the young and middle-aged adults than elderly; generalized seizures were more common than focal seizures. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age. Overall, the most common etiology of seizures was stroke, followed by idiopathic and central nervous system infections; yet, most common etiology of adult onset generalized and focal seizures was idiopathic and stroke, respectively. Regarding etiology, among younger adults, idiopathic seizures were predominant, whereas among middle aged and elderly, stroke was the most common etiology.Conclusions:It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach. Identification and awareness about the etiological factors and seizure type help in better management of these patients. 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. In the face of recent advances in neuroimaging techniques, the future prospective management of adult onset seizures appears bright and convincing.

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New onset seizures: Etiology and co-relation of clinical features with computerized tomography and electroencephalography

Cited by 15 publications

References 0 publications

Clinical and Radiological Evaluation of New - Onset Epiletic Seizures in a Tertiary Care Hospital

Clinical and Radiological Evaluation of New - Onset Epiletic Seizures in a Tertiary Care Hospital

Aetiology of new onset seizures in cases admitted to an intensive care unit of a tertiary care hospital: a two year study

Adult onset seizures: Clinical, etiological, and radiological profile

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