Evaluation of the types of epilepsy and other conditions in Kerman

Hossein Ali Ebrahimi M.D Professor of neurology-

Faridadin Ebrahimi M.D

Kerman University of medical sciences

دانشگاه علوم پزشکی کرمان

EPILEPSY is a disorder characterized by recurrent seizures of cerebral origin, presenting with episodes of sensory, motor or autonomic phenomenon with

or without loss of consciousness. Epilepsy is the second most common chronic neurological condition seen by neurologists.

Epilepsy is a chronic condition with complex effects on a person’s social, vocational, and psychological function.

Three to five per cent of the population have a seizure sometime in their life and half to one percent of the population have ‘active epilepsy’.

With time, the incidence of epilepsy and of unprovoked seizures decreased in children and increased in the elderly.

There is geographic variation in the incidence of epileptic syndromes likely to be associated with genetic and environmental factors, although as yet causality has not been fully

established.

The diagnosis of epilepsy is essentiallyclinical, based on an eyewitness account of the seizure.

All patients who referred to our clinic evaluated.At least 2 years followed.

EEG performed for all patients.The patients who need imaging was performed

Type Male Female Total

T-C 418 364 782

S.T-C 307 174 481

C.P.S 87 64 151

J.M.E 37 56 93

S.P.S 20 23 43

Myoclonic 16 8 24

Lennox Gaust. 15 14 29

Petit mal 3 3 6

West Synd. 2 5 7

Atonic 9 5 14

F-General 55 56 111

Total 1026 805 1831

Unclassified 57 33 90

Our study in comparison with other

CPS43%

SPS14%

GTC37%

Myocl3%

Unclassify3%

Other study

CPS40%

SPS3%

GS50%

Myocl2%

Unclassify5%

Our study

Our study in comparison with other

61%15%

3%

6%

7% 8%

Etiology in other study

CryptogenVascular P Trauma TumorAlcoholOthers

79%

10%

2%

3% 2% 0% 3%

0ur study

CryptogenM.RetardCPP.TraumaTumorVascularOther

Epilepsy syndrome Type 100,000 of all cases Rate (per Percentage)

Idiopathic localization-related 1.7 7%

Symptomatic localization-related 13.6 56%

Juvenile myoclonic epilepsy 0.2-1.1 1-2.5%

GTCS on awakening 7 27%

West syndrome 0.9 1%

Absence epilepsy 0.9 2-3%

Lennox–Gastaut 0.9-4 1-3.2%

incidence of some of the epilepsy syndromes

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