Correlation of Demographic & Clinical Characteristics  in Patients with Generalized Seizures

Dr Borse .R.T; D B Kadam; Dr Gautam Vaggar; P S Borle

Volume : III, Issue : VIII, August - 2013

Correlation of Demographic & Clinical Characteristics in Patients with Generalized Seizures

Dr Borse . R. T, D B Kadam, Dr Gautam Vaggar, P S Borle

Abstract :

Introduction – Seizure being a complex Symptom of underlying disease, a detailed work up is generally required . No fixed guidelines exist to evaluate the cases of seizures. Aims & objectives:– To Study & Correlate Demographic & Clinical characteristics in Patients with Generalized Seizures. Material & Methods: – 266 patients of any age with history of generalized seizures were included .Demographic characters & clinical features were studied. Observation & Results :– Primary GTCS were in 81.58% & 18.42% had secondary generalized seizures. 53.38 % of patients were in 2nd &3rd decade with 59.77%, females .32.33% had drug omission as precipitating factor & 26.45% had head injury as risk factor. Loss of consciousness in 94.74, h/o fall during the episode in 40.23%, uprolling of eyeballs in 59.02%, tonic clonic movements in 86.09%, frothing from mouth in 58.65%,urinary incontinence in 39.10% were commonest clinically. Conclusions :– Adolescents, adults , females , right handed affected more . Primary generalized seizures were more common that too generalized tonic clonic. Drug omission was most common precipitant followed by mental stress & stroke , Head injury was most common risk factor . Mental stress ,head injury, seizures occurring at any time of the day , urinary incontinence, bowel incontinence ,postictal unconsciousness/ drowsiness were statistically significant for primary generalized seizures while Stroke & Aura was for secondary generalized seizures