How Often Excitation Precipitates Seizure? Relative Difference of Frequency and Significance in Different Types of Epilepsy

Authors

  • KM Rahman Dhaka Medical College Hospital
  • RN Chowdhury Dhaka Medical College Hospital
  • ATMH Hasan Dhaka Medical College Hospital
  • KFM Ayaz Dhaka Medical College Hospital
  • T Miah Dhaka Medical College Hospital
  • B Alam Dhaka Medical College Hospital
  • QD Mohammad Dhaka Medical College Hospital

DOI:

https://doi.org/10.3329/jom.v13i2.12748

Keywords:

Generalized epilepsy (GE), Localization related epilepsy (LRE)

Abstract

Background: Epilepsy is a chronic neurological disorder, which presents with recurrent, unprovoked seizures. Seizure occurs spontaneously usually, but there may be association of various triggers. These triggers may act as seizure precipitating factors (SPFs).

Objective: To find out the frequency of excitation as a SPF and its relationship to different types of epileptic patients attending Neurology and Medicine outpatient department (OPD) of a tertiary care hospital in Bangladesh.

Methods: This was a cross sectional study carried out in specialized epilepsy weekly outdoor clinic of Neurology and Medicine outpatient department (OPD) of Dhaka Medical College Hospital from January 2008 to July 2011. Epilepsy syndromes were broadly classified into four categories using the classification system of International League Against Epilepsy (ILAE) namely, generalized epilepsy (GE), localization related epilepsy (LRE), symptomatic and unclassified. Each patient was evaluated and classified by consultant neurologist. All participants were interviewed through a predesigned close ended questionnaire to identify frequency of excitation as a SPF.

Result: Among all the patients 71.5% were male, with most common age group at the time of interview was 11-20 years (36.8%). About 62% could identify at least one precipitator. Excitation (25.2%) was the most common SPF reported by patients followed by emotional stress in 17.7%. Excitation was found to be significantly associated with generalized epilepsy (p<.000).

Conclusion: Most of the patients can identify their seizure precipitant. Excitation showed a strong association with generalized epilepsy.

DOI: http://dx.doi.org/10.3329/jom.v13i2.12748

J Medicine 2012; 13 : 143-146

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Author Biographies

KM Rahman, Dhaka Medical College Hospital

Assistant Professor of Neurology

RN Chowdhury, Dhaka Medical College Hospital

Assistant Professor, Neurology

ATMH Hasan, Dhaka Medical College Hospital

Medical Officer, Medicine OPD

KFM Ayaz, Dhaka Medical College Hospital

Assistant Professor, Medicine

T Miah, Dhaka Medical College Hospital

Assistant Professor, Medicine

B Alam, Dhaka Medical College Hospital

Associate Professor, Neurology

QD Mohammad, Dhaka Medical College Hospital

Professor, Neurology

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Published

2012-11-26

How to Cite

Rahman, K., Chowdhury, R., Hasan, A., Ayaz, K., Miah, T., Alam, B., & Mohammad, Q. (2012). How Often Excitation Precipitates Seizure? Relative Difference of Frequency and Significance in Different Types of Epilepsy. Journal of Medicine, 13(2), 143–146. https://doi.org/10.3329/jom.v13i2.12748

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Section

Original Articles