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

ABSTRACT

Introducion An epileptic seizure may be conceptualized as aparoxysmal pathological process in the brain of a heterogeneousetiology with heteromorphic clinical and electrophysiologicalmanifestation. Current research aimed to study the aetiologyof convulsions in relation to clinical, electrophysiological andradiological changes and management.Material and methods: It was a prospective study carried outon 50 patients of convulsions admitted in the medical wards.Patients with convulsions of all age groups were included inthis study.Results: The incidence of convulsions in those people below18 years of age was 30% and in adults above 50 years ofage was 30%. The incidence is not in confirmation withporter’s studies where it is highest above 80% in the childrenbelow 18 years age. Most common etiology in study wascerebrovascular accidents 13(26%) and followed by infractionin 10 cases(20%). Incidence of seizure was more in males thancompared to females. Most of the patients with seizures werepresented with generalised tonic clonic seizures(20 cases).Conclusion: Focal seizures were more commoner than othergroups of seizures. 20% of patients in this study remainedundiagnosed with obscure aetiology.