Aetiology of Convulsions in Relation to Clinical, Electrophysiological and Radiological Changes and Management

Abstract

Introducion: An epileptic seizure may be conceptualized as a paroxysmal pathological process in the brain of a heterogeneous etiology with heteromorphic clinical and electrophysiological manifestation. Current research aimed to study the aetiology of convulsions in relation to clinical, electrophysiological and radiological changes and management. Material and methods: It was a prospective study carried out on 50 patients of convulsions admitted in the medical wards. Patients with convulsions of all age groups were included in this study. Results: The incidence of convulsions in those people below 18 years of age was 30% and in adults above 50 years of age was 30%. The incidence is not in confirmation with porter’s studies where it is highest above 80% in the children below 18 years age. Most common etiology in study was cerebrovascular accidents 13(26%) and followed by infraction in 10 cases(20%). Incidence of seizure was more in males than compared to females. Most of the patients with seizures were presented with generalised tonic clonic seizures(20 cases). Conclusion: Focal seizures were more commoner than other groups of seizures. 20% of patients in this study remained undiagnosed with obscure aetiology. Keyword: Aetiology of Convulsions, Relation to Clinical, Electrophysiological and Radiological