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Evaluation of the types of epilepsy and other conditions in Kerman. Hossein Ali Ebrahimi M.D Professor of neurology- Faridadin Ebrahimi M.D. Kerman University of medical sciences . دانشگاه علوم پزشکی کرمان. - PowerPoint PPT Presentation
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Evaluation of the types of epilepsy and other conditions in Kerman
Hossein Ali Ebrahimi M.D Professor of neurology-
Faridadin Ebrahimi M.D
Kerman University of medical sciences
دانشگاه علوم پزشکی کرمان
EPILEPSY is a disorder characterized by recurrent seizures of cerebral origin, presenting with episodes of sensory, motor or autonomic phenomenon with
or without loss of consciousness. Epilepsy is the second most common chronic neurological condition seen by neurologists.
Epilepsy is a chronic condition with complex effects on a person’s social, vocational, and psychological function.
Three to five per cent of the population have a seizure sometime in their life and half to one percent of the population have ‘active epilepsy’.
With time, the incidence of epilepsy and of unprovoked seizures decreased in children and increased in the elderly.
There is geographic variation in the incidence of epileptic syndromes likely to be associated with genetic and environmental factors, although as yet causality has not been fully
established.
The diagnosis of epilepsy is essentiallyclinical, based on an eyewitness account of the seizure.
All patients who referred to our clinic evaluated.At least 2 years followed.
EEG performed for all patients.The patients who need imaging was performed
Type Male Female Total
T-C 418 364 782
S.T-C 307 174 481
C.P.S 87 64 151
J.M.E 37 56 93
S.P.S 20 23 43
Myoclonic 16 8 24
Lennox Gaust. 15 14 29
Petit mal 3 3 6
West Synd. 2 5 7
Atonic 9 5 14
F-General 55 56 111
Total 1026 805 1831
Unclassified 57 33 90
Our study in comparison with other
CPS43%
SPS14%
GTC37%
Myocl3%
Unclassify3%
Other study
CPS40%
SPS3%
GS50%
Myocl2%
Unclassify5%
Our study
Our study in comparison with other
61%15%
3%
6%
7% 8%
Etiology in other study
CryptogenVascular P Trauma TumorAlcoholOthers
79%
10%
2%
3% 2% 0% 3%
0ur study
CryptogenM.RetardCPP.TraumaTumorVascularOther
Epilepsy syndrome Type 100,000 of all cases Rate (per Percentage)
Idiopathic localization-related 1.7 7%
Symptomatic localization-related 13.6 56%
Juvenile myoclonic epilepsy 0.2-1.1 1-2.5%
GTCS on awakening 7 27%
West syndrome 0.9 1%
Absence epilepsy 0.9 2-3%
Lennox–Gastaut 0.9-4 1-3.2%
incidence of some of the epilepsy syndromes
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