Adult onset seizures: Clinical, etiological, and radiological profile
Introduction: Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and ra...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=1;spage=191;epage=197;aulast=Kaur |
| _version_ | 1818701294751186944 |
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| author | Sarabjot Kaur Ravinder Garg Simmi Aggarwal Sumit Pal Singh Chawla Ranabir Pal |
| author_facet | Sarabjot Kaur Ravinder Garg Simmi Aggarwal Sumit Pal Singh Chawla Ranabir Pal |
| author_sort | Sarabjot Kaur |
| collection | DOAJ |
| description | Introduction: Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern. Materials and Methods: This was a prospective cross-sectional hospital-based study conducted on 100 cases presenting with adult onset seizures. Results: Adult onset seizures were most prevalent in the young and middle-aged adults than elderly; generalized seizures were more common than focal seizures. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age. Overall, the most common etiology of seizures was stroke, followed by idiopathic and central nervous system infections; yet, most common etiology of adult onset generalized and focal seizures was idiopathic and stroke, respectively. Regarding etiology, among younger adults, idiopathic seizures were predominant, whereas among middle aged and elderly, stroke was the most common etiology. Conclusions: It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach. Identification and awareness about the etiological factors and seizure type help in better management of these patients. Primary care physicians play a pivotal role in identifying patients with adult onset seizures and should encourage these patients to undergo neuroimaging so as to arrive at an appropriate etiological diagnosis. In the face of recent advances in neuroimaging techniques, the future prospective management of adult onset seizures appears bright and convincing. |
| first_indexed | 2024-12-17T15:18:34Z |
| format | Article |
| id | doaj.art-6e3673dd16e2440b95ca9c54402f3950 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-17T15:18:34Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-6e3673dd16e2440b95ca9c54402f39502022-12-21T21:43:29ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632018-01-017119119710.4103/jfmpc.jfmpc_322_16Adult onset seizures: Clinical, etiological, and radiological profileSarabjot KaurRavinder GargSimmi AggarwalSumit Pal Singh ChawlaRanabir PalIntroduction: Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern. Materials and Methods: This was a prospective cross-sectional hospital-based study conducted on 100 cases presenting with adult onset seizures. Results: Adult onset seizures were most prevalent in the young and middle-aged adults than elderly; generalized seizures were more common than focal seizures. However, the incidence of generalized seizures showed a falling trend as the age advanced whereas focal seizures increased in incidence with advancing age. Overall, the most common etiology of seizures was stroke, followed by idiopathic and central nervous system infections; yet, most common etiology of adult onset generalized and focal seizures was idiopathic and stroke, respectively. Regarding etiology, among younger adults, idiopathic seizures were predominant, whereas among middle aged and elderly, stroke was the most common etiology. Conclusions: It is mandatory to deal carefully with each case of adult onset seizure with a tailor-made approach. Identification and awareness about the etiological factors and seizure type help in better management of these patients. Primary care physicians play a pivotal role in identifying patients with adult onset seizures and should encourage these patients to undergo neuroimaging so as to arrive at an appropriate etiological diagnosis. In the face of recent advances in neuroimaging techniques, the future prospective management of adult onset seizures appears bright and convincing.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=1;spage=191;epage=197;aulast=KaurAdult onsetfocal seizuresgeneralized seizuresseizure |
| spellingShingle | Sarabjot Kaur Ravinder Garg Simmi Aggarwal Sumit Pal Singh Chawla Ranabir Pal Adult onset seizures: Clinical, etiological, and radiological profile Journal of Family Medicine and Primary Care Adult onset focal seizures generalized seizures seizure |
| title | Adult onset seizures: Clinical, etiological, and radiological profile |
| title_full | Adult onset seizures: Clinical, etiological, and radiological profile |
| title_fullStr | Adult onset seizures: Clinical, etiological, and radiological profile |
| title_full_unstemmed | Adult onset seizures: Clinical, etiological, and radiological profile |
| title_short | Adult onset seizures: Clinical, etiological, and radiological profile |
| title_sort | adult onset seizures clinical etiological and radiological profile |
| topic | Adult onset focal seizures generalized seizures seizure |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=1;spage=191;epage=197;aulast=Kaur |
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