Epileptic Seizures in Multiple Sclerosis Patients

Objective: The presence of epileptic seizures in patients with multiple sclerosis (MS) is a well-known phenomenon. The aims of our study, performed in our clinic are to point out the correlation of the mean age/gender and age of MS patients with the onset of seizures, to identify the types of epilep...

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Main Authors: Kamber Zeqiraj, Nexhat Shatri, Jera Kruja, Afrim Blyta, Enver Isaku, Nazim Dakaj
Format: Article
Language:English
Published: Galenos Yayinevi 2013-06-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-46362
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author Kamber Zeqiraj
Nexhat Shatri
Jera Kruja
Afrim Blyta
Enver Isaku
Nazim Dakaj
author_facet Kamber Zeqiraj
Nexhat Shatri
Jera Kruja
Afrim Blyta
Enver Isaku
Nazim Dakaj
author_sort Kamber Zeqiraj
collection DOAJ
description Objective: The presence of epileptic seizures in patients with multiple sclerosis (MS) is a well-known phenomenon. The aims of our study, performed in our clinic are to point out the correlation of the mean age/gender and age of MS patients with the onset of seizures, to identify the types of epileptic seizures in MS patients by sex/age, to identify the correlation between relapses and seizures, and to identify the main electrophysiological / imaging changes. Material and Met-hod: The medical records of 300 MS patients observed between January 2000 and December 2009 in the Neurological Clinic of University Clinical Centre of Kosova were reviewed. All patients fulfilled the McDonald MS criteria Epilepsy diagnosis was based on the ILAE (International League against Epilepsy) (1983) criteria while epileptic seizures were classified based on the ILAE classification (1981). Results: Out of 300 MS patients enrolled in this study, 49 (16.33%) were identified with seizures or epilepsy. In 23 (47%) patients out of 49, seizures or epilepsy appeared after the MS diagnosis. In 6 patients (12.2%), epileptic attacks preceded the MS diagnosis, while in 20 patients (40.8%), epilepsy was diagnosed before multiple sclerosis. These patients were treated with antiepileptics. Out of 23 patients (47%) in whom the epileptic seizures appeared after the MS diagnosis, 17 (74%) had simple partial seizures, and 6 (26%) had complex partial seizures. Based to our study, the epileptic seizures in MS patients appeared about 2.2 years after the MS diagnosis. Discussion: Simple partial seizures were 2.8 times more frequent compared to complex partial seizures. In female patients the prevalence of complex partial seizures was higher than in male patients with multiple sclerosis
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spelling doaj.art-fc5d445482b34f58b1a2a276183923f92023-02-15T16:10:43ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X1309-25452013-06-01192404310.4274/Tnd.46362Epileptic Seizures in Multiple Sclerosis PatientsKamber Zeqiraj0Nexhat Shatri1Jera Kruja2Afrim Blyta3Enver Isaku4Nazim Dakaj5University Clinical Center Of Kosovo In PrishtinaUniversity Clinical Center Of Kosovo In PrishtinaUniversity Hospital Center "mother Theresa", Tirana / AlbaniaUniversity Clinical Center Of Kosovo In PrishtinaUniversity Clinical Center Of Kosovo In PrishtinaUniversity Clinical Center Of Kosovo In PrishtinaObjective: The presence of epileptic seizures in patients with multiple sclerosis (MS) is a well-known phenomenon. The aims of our study, performed in our clinic are to point out the correlation of the mean age/gender and age of MS patients with the onset of seizures, to identify the types of epileptic seizures in MS patients by sex/age, to identify the correlation between relapses and seizures, and to identify the main electrophysiological / imaging changes. Material and Met-hod: The medical records of 300 MS patients observed between January 2000 and December 2009 in the Neurological Clinic of University Clinical Centre of Kosova were reviewed. All patients fulfilled the McDonald MS criteria Epilepsy diagnosis was based on the ILAE (International League against Epilepsy) (1983) criteria while epileptic seizures were classified based on the ILAE classification (1981). Results: Out of 300 MS patients enrolled in this study, 49 (16.33%) were identified with seizures or epilepsy. In 23 (47%) patients out of 49, seizures or epilepsy appeared after the MS diagnosis. In 6 patients (12.2%), epileptic attacks preceded the MS diagnosis, while in 20 patients (40.8%), epilepsy was diagnosed before multiple sclerosis. These patients were treated with antiepileptics. Out of 23 patients (47%) in whom the epileptic seizures appeared after the MS diagnosis, 17 (74%) had simple partial seizures, and 6 (26%) had complex partial seizures. Based to our study, the epileptic seizures in MS patients appeared about 2.2 years after the MS diagnosis. Discussion: Simple partial seizures were 2.8 times more frequent compared to complex partial seizures. In female patients the prevalence of complex partial seizures was higher than in male patients with multiple sclerosishttp://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-46362Epilepsymultiple sclerosissimple partial seizurescomplex partial seizureselectroencephalographymagnetic resonance imaging
spellingShingle Kamber Zeqiraj
Nexhat Shatri
Jera Kruja
Afrim Blyta
Enver Isaku
Nazim Dakaj
Epileptic Seizures in Multiple Sclerosis Patients
Türk Nöroloji Dergisi
Epilepsy
multiple sclerosis
simple partial seizures
complex partial seizures
electroencephalography
magnetic resonance imaging
title Epileptic Seizures in Multiple Sclerosis Patients
title_full Epileptic Seizures in Multiple Sclerosis Patients
title_fullStr Epileptic Seizures in Multiple Sclerosis Patients
title_full_unstemmed Epileptic Seizures in Multiple Sclerosis Patients
title_short Epileptic Seizures in Multiple Sclerosis Patients
title_sort epileptic seizures in multiple sclerosis patients
topic Epilepsy
multiple sclerosis
simple partial seizures
complex partial seizures
electroencephalography
magnetic resonance imaging
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-46362
work_keys_str_mv AT kamberzeqiraj epilepticseizuresinmultiplesclerosispatients
AT nexhatshatri epilepticseizuresinmultiplesclerosispatients
AT jerakruja epilepticseizuresinmultiplesclerosispatients
AT afrimblyta epilepticseizuresinmultiplesclerosispatients
AT enverisaku epilepticseizuresinmultiplesclerosispatients
AT nazimdakaj epilepticseizuresinmultiplesclerosispatients