Seizure recurrence after a first unprovoked seizure:With and without treatment
<ul> <li><strong>BACKGROUND</strong>: Most of the studies have shown that approximately one third of patients with single seizure will experience a second one. Data regarding seizure-free survival time and recurrence rate vary widely. We invest...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2008-08-01
|
| Series: | Journal of Research in Medical Sciences |
| Subjects: | |
| Online Access: | http://journals.mui.ac.ir/jrms/article/view/1006 |
| _version_ | 1828420771063529472 |
|---|---|
| author | Mohammad Reza Najafi Ali Mehrabi Farideh Najafi |
| author_facet | Mohammad Reza Najafi Ali Mehrabi Farideh Najafi |
| author_sort | Mohammad Reza Najafi |
| collection | DOAJ |
| description | <ul> <li><strong>BACKGROUND</strong>: Most of the studies have shown that approximately one third of patients with single seizure will experience a second one. Data regarding seizure-free survival time and recurrence rate vary widely. We investigated the likelihood of a second attack and seizure-free survival time with and without early treatment in our epileptic patients.</li> <li><strong>METHODS</strong>: Patients of the first unprovoked seizures were recruited between 2000-2005 years. They were randomized into two groups: one treated with carbamazepine and the other was not treated. After obtaining a written consent, all patients were followed up for a second seizure for a period ranging from 12 to 36 (19.1 &plusmn; 5) months.</li> <li><strong>RESULTS</strong>: A total number of 150 patients were enrolled in this study, of which 13 patients were lost to follow up. The remaining patients (71 males and 66 females) were followed up during 5 years. They were randomized into two groups: treatment (50 patients) and non-treatment (87 patients); 30.2% of all patients were without relapsing, of which 48.9% were on treatment (case) and 19.5% did not receive any treatment (the control group). The mean seizure-free survival times were 6 months and 3.8 months in the treated and non-treated patients, respectively (P = 0.017).</li> <li><strong>CONCLUSIONS</strong>: We found strong correlation between relapse and treatment started after the first attack (P < 0.05); i.e., the patients who received treatment in their first attack may be at lower risk of relapsing.</li> <li><strong>KEY </strong><strong>WORDS: </strong>Unprovoked seizure, first seizure, recurrence, treatment, survival time.</li> </ul> |
| first_indexed | 2024-12-10T15:17:56Z |
| format | Article |
| id | doaj.art-81657879a151419a890bc353cbe5cc9a |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-12-10T15:17:56Z |
| publishDate | 2008-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-81657879a151419a890bc353cbe5cc9a2022-12-22T01:43:45ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362008-08-01134161165Seizure recurrence after a first unprovoked seizure:With and without treatmentMohammad Reza NajafiAli MehrabiFarideh Najafi<ul> <li><strong>BACKGROUND</strong>: Most of the studies have shown that approximately one third of patients with single seizure will experience a second one. Data regarding seizure-free survival time and recurrence rate vary widely. We investigated the likelihood of a second attack and seizure-free survival time with and without early treatment in our epileptic patients.</li> <li><strong>METHODS</strong>: Patients of the first unprovoked seizures were recruited between 2000-2005 years. They were randomized into two groups: one treated with carbamazepine and the other was not treated. After obtaining a written consent, all patients were followed up for a second seizure for a period ranging from 12 to 36 (19.1 &plusmn; 5) months.</li> <li><strong>RESULTS</strong>: A total number of 150 patients were enrolled in this study, of which 13 patients were lost to follow up. The remaining patients (71 males and 66 females) were followed up during 5 years. They were randomized into two groups: treatment (50 patients) and non-treatment (87 patients); 30.2% of all patients were without relapsing, of which 48.9% were on treatment (case) and 19.5% did not receive any treatment (the control group). The mean seizure-free survival times were 6 months and 3.8 months in the treated and non-treated patients, respectively (P = 0.017).</li> <li><strong>CONCLUSIONS</strong>: We found strong correlation between relapse and treatment started after the first attack (P < 0.05); i.e., the patients who received treatment in their first attack may be at lower risk of relapsing.</li> <li><strong>KEY </strong><strong>WORDS: </strong>Unprovoked seizure, first seizure, recurrence, treatment, survival time.</li> </ul>http://journals.mui.ac.ir/jrms/article/view/1006Unprovoked seizure, first seizure, recurrence, treatment, survival time. |
| spellingShingle | Mohammad Reza Najafi Ali Mehrabi Farideh Najafi Seizure recurrence after a first unprovoked seizure:With and without treatment Journal of Research in Medical Sciences Unprovoked seizure, first seizure, recurrence, treatment, survival time. |
| title | Seizure recurrence after a first unprovoked seizure:With and without treatment |
| title_full | Seizure recurrence after a first unprovoked seizure:With and without treatment |
| title_fullStr | Seizure recurrence after a first unprovoked seizure:With and without treatment |
| title_full_unstemmed | Seizure recurrence after a first unprovoked seizure:With and without treatment |
| title_short | Seizure recurrence after a first unprovoked seizure:With and without treatment |
| title_sort | seizure recurrence after a first unprovoked seizure with and without treatment |
| topic | Unprovoked seizure, first seizure, recurrence, treatment, survival time. |
| url | http://journals.mui.ac.ir/jrms/article/view/1006 |
| work_keys_str_mv | AT mohammadrezanajafi seizurerecurrenceafterafirstunprovokedseizurewithandwithouttreatment AT alimehrabi seizurerecurrenceafterafirstunprovokedseizurewithandwithouttreatment AT faridehnajafi seizurerecurrenceafterafirstunprovokedseizurewithandwithouttreatment |