Post-traumatic seizures—A prospective study from a tertiary level trauma center in a developing country

Thapa, Amit; Chandra, Sarat P; Sinha, Sumit; Sreenivas, V.; Sharma, Bhawani S.; Tripathi, Manjari

doi:10.1016/j.seizure.2010.02.004

Cited by 60 publications

(62 citation statements)

References 32 publications

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“…The findings on complex partial, SGPS, motor symptoms in the seizure, and time from brain injury to PTE partly confirms the results stated in the literature [10,11]. Seizures following trauma were related to severity of brain injury [10,11].…”

Section: Discussionsupporting

confidence: 87%

“…The course of PTE was unfavorable in 90% of our patients, which is higher than that reported by Grinenko and Zaitsev at 43% [9]. Many researchers including Mazzini et al and Thapa et al have accepted operative brain injury as a precipitating factor for early onset of seizure after TBI, which is the same result we found in this investigation [10,11].…”

Section: Discussionsupporting

confidence: 67%

“…This also means that the age range of patients was narrow in comparison to the Indian and Russian study [9,10]. The sex ratio (2.8:1 for males:females) in the current study was lower than results of Russian (4.8:1), Italian (4.7:1) and Indian studies (4.3:1) [9][10][11].…”

Section: Discussioncontrasting

confidence: 66%

“…Seizures following trauma were related to severity of brain injury [10,11]. The course of PTE was unfavorable in 90% of our patients, which is higher than that reported by Grinenko and Zaitsev at 43% [9].…”

Section: Discussioncontrasting

confidence: 50%

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2015

Cent Asian J Med Sci

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Objectives:To study the manifestations of the paroxysms, the variants of the course, and to determine the significant predictive factors for post-traumatic epilepsy (PTE) in Ulaanbaatar, Mongolia. methods: We obtained the histories of 109 PTE patients who came to district health associations and the Central First Clinic in Ulaanbaatar from 2011 to 2013. We conducted a questionnaire and performed clinical examination to evaluate seizures in accordance with semiologic and international classification of epileptic seizures. Clinical data was matched with the results of electroencephalography (EEG), computed tomography (CT), and magnetic resonance imaging (MRI). Results: Of the 109 patients, 93 (85%) presented with secondary generalized partial seizure (SGPS), 16 (15%) with partial seizure and 66 (60.5%) with motor phenomena. The seizure frequency was not correlated with the structural brain abnormalities, but there was an inverse association (r=-0.32, p<0.001) between seizure frequency and the duration of PTE. PTE was positively correlated with severe injury, contusion, early onset of seizures (p<0.05), and operative brain injury (p<0.005). conclusion: Clinical features of PTE were presented as secondary generalized seizure and motor phenomena in the majority of patients. PTE was characterized commonly by long durations of high seizure frequency and significantly affected by factors such as severity of head injury and operative brain injury.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 67%

Section: Discussioncontrasting

confidence: 66%

Section: Discussioncontrasting

confidence: 50%

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2015

Cent Asian J Med Sci

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“…More importantly, nearly half of these were found to be non-convulsive that could only be detected by continuous electroencephalograph (EEG) monitoring [2,6]. Seizures after TBI may lead to elevated intracranial pressure, cerebral metabolic distress, additional brain damage, and eventually a worse outcome [7,8]. Compared to convulsive seizures, nonconvulsive seizures (NCS) may have greater impact on patients' outcome as they are not easy to detect.…”

Section: Introductionmentioning

confidence: 99%