Preface and Introduction

SUMMARY Other demographic studies of epilepsy have revealed mean annual incidence rates ranging from 17/100,000 (Sato, 1964) to 70/100,000 (Pond et al., 1960) and prevalence rates from 2.8/S, OOO to as high as 15/1,000. Comprehensive review of their methods indicates that, although rates may indeed differ among different populations, a major problem is the wide variation in the completeness of case ascertainment and the definitions of epilepsy used.

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The Epidemiology of Epilepsy in Rochester, Minnesota, 1935 Through 1967

Hauser

1975

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Causes of Death in Institutionalized Epileptics

Iivanainen

Lehtinen

1979

Epilepsia

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To assess the causes of death in institutionalized epileptics, the patient records, death certificates, and other data from the only hospital for epileptics in Finland (Vaajasalo Hospital) were reexamined. During the years 1900--1976, 179 inpatients in Vaajasalo Hospital died; this was 12% of all inpatients. The most common causes of death were as follows: pneumonia in 40 cases, seizures in 34 cases (single seizure in 18 and status epileptics in 16), drowning in 29 cases, stroke in 10 cases, and heart infarct in 9 cases. Chronic intoxication caused by phenytoin and/or phenobarbitol was a common supplementary factor leading to death in patients who died of pneumonia or seizures. Thirteen deaths were recorded as suicides or suspected suicides (11 by drowning and 2 by strangulation). The results reflect the severe epilepsy and the poor conditions of the patients, as well as the poor condition of the local facilities in the past. The information obtained should be useful in the effort to improve medical care for these patients.

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Clinical Evolution and Prognosis of Childhood Epilepsies

Sofijanov¹

1982

Epilepsia

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Five-hundred twelve epileptic children were followed longitudinally for several years. The 2- and 4-year remission statuses at the latest examination were 50.6 and 44.2%, respectively. Dividing our sample into groups showing onset of seizures in infancy or at 2-3, 4-7, 8-10, or 11-14 years, the remission rates were as follows: 48.5, 67.6, 49, 46, and 33.3%. The rates of remission of generalized and focal epilepsies were similar (52.9 and 49.7%, respectively; chi 2 = 0.293; p greater than 0.5). The earlier the onset of seizures, the higher is the probability of their association with mental subnormality and neurologic deficits. Generalized epilepsies are more strongly associated with mental subnormality (40.1%) than are the focal epilepsies (13%), and the focal epilepsies are associated with neurologic deficit almost twice as frequently as are the generalized epilepsies (12.2 vs. 7.3%). Epidemiologically, the EEG is of little prognostic importance. The combined percentage of normalized (19%) and stabilized (17%) EEGs remains lower than the percentage of remission.

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Preface and Introduction

Cited by 4 publications

References 0 publications

The Epidemiology of Epilepsy in Rochester, Minnesota, 1935 Through 1967

The Epidemiology of Epilepsy in Rochester, Minnesota, 1935 Through 1967

Causes of Death in Institutionalized Epileptics

Clinical Evolution and Prognosis of Childhood Epilepsies

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