Clinical profile and etiological evaluation of new onset focal seizure in adults

 

 

Abstract              Background: Adult onset seizures were most prevalent in the young and middle-aged adults. The analysis of etiology and clinical profile of seizures in adults necessitate decisions about the initiation and discontinuation of treatment that are different from those in younger patients. Aim: To assess clinical profile and etiology of evaluation of new onset focal seizure in adults. Material and Methods: This observational study included 100 cases of adult patients with new onset focal seizure disorder with age more than 18 years of either sex. All the 100 patients were examined clinically and subjected to CT scan brain and EEG. Other laboratory investigations were done along with lumbar puncture in selected patients. Results: The incidence of new onset focal seizures was more common in age group was between 51-60 years (24%). Focal seizures with intact awareness (38%) was the most common focal seizures followed by without intact awareness (31%) and with secondary generalization (29%).Most common etiology was stroke (42%) followed by CNS Infection (32%), scar epilepsy (12%) and brain tumour (9%). Conclusion: The most common age group for presentation is 50-60 yrs. Headache and Neurological deficit are most common symptoms. Focal seizures with Intact awareness is most common type of focal seizures. The most common aetiology for focal seizures is stroke followed by CNS Tuberculosis.

Key Word: new onset focal seizures, adults, neurological deficit, stroke