DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20202893

Profile of epileptic patients at a tertiary care centre

Kushel Verma, Dinesh Dutt Sharma, R. C. Sharma

Abstract


Background: The present study was done in a tertiary care centre of North India to know the profile of epilepsy.

Methods: Total of 210 patients were selected during the period August, 2017 to July 2018 who attended outpatient clinic of the Department of Neurology, Indira Gandhi Medical College, Shimla, Himachal Pradesh. Detailed clinical history was taken, general physical examination, and routine blood examination were carried out.

Results: Of all the cases, sex ratio (male:female) was 2.39:1. A high proportion of cases (43.3%) were from lower-middle socio-economic group. 76.7% patients had generalized seizures. For 38.6% patients, frequency of seizures was more than 8 in the past 6 months. 71.9% of the patients were using only one anti-epileptic drug.

Conclusions: Patients with seizures comprise a significant burden in inpatient department of developing countries.


Keywords


Anti-epileptic drug, Epilepsy, People with epilepsy, Seizure

Full Text:

PDF

References


Commission on Classification and Terminology of the ILAE: Proposal for revised classification of epilepsies and epileptic syndromes. Epilepsia 1989;30:389-99.

Banerjee TK, Ray BK, Das SK, Hazra A, Ghosal MK, Chaudhuri A, et al. A longitudinal study of epilepsy in Kolkata, India. Epilepsia. 2010;51:2384-91.

Fisher RS, Boas WVA, Blume W, Elger C, Genton P. Epileptic seizures andepilepsy: definitions proposed by the International League against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005;46:470-2.

Engel J. Mesial temporal lobe epilepsy: what have we learned? Neuroscientist. 2001;7:340-52.

Silberman EK, Sussman N, Skillings G, Callanan M. Aura phenomena and psychopathology: a pilot investigation. Epilepsia.1994;35:778-84.

Goldstein MA, Harden CL. Epilepsy and anxiety. Epilepsy Behav.2000;1:228-34.

Trinka E, Kienpointner G, Unterberger I, Luef G, Bauer G, Doering LB, et al. Psychiatric comorbidity in juvenile myoclonic epilepsy. Epilepsia. 2006;47:2086-91.

Bredkjaer SR, Mortensen PB, Pamas J. Epilepsy and non-organic non-effective psychosis, National epidemiologic study. Br J Psychiatry. 1998;172:235-8.

Torta R, Keller R. Behavioral, psychotic, and anxiety disorders in epilepsy: etiology, clinical features, and therapeutic implications. Epilepsia. 1999;40 (10):2-20.

Harden CL. Epilepsy and anxiety. Epilepsy Behav. 2000;1(4):228-34.

Babu CS, Satishchandra P, Sinha S, Subbakrishna DK. Co-morbidities in people living with epilepsy: hospital based case-control study from a resource-poor setting. Epilepsy Res. 2009;86:146-52.