Clinical pattern of epilepsy and their EEG finding

2^nd International Conference on Epilepsy & Treatment

October 20-21, 2016 Rome, Italy

Riwaj Bhagat

College of Medical Sciences-Bharatpur, India

Posters & Accepted Abstracts: J Neurol Disord

Abstract :

Introduction: Electroencephalogram (EEG) is a widely used diagnostic tool in epileptic patients for conforming diagnosis and optimizing drug therapy. However, there is virtually rare literature and published data on clinical pattern of epilepsy and their EEG finding in Nepal. Therefore, we attempted to study the clinical pattern of epilepsy and their EEG finding. Methods: A descriptive retrospective study was conducted in tertiary care hospital, Chitwan, Nepal. Demographic profile, provisional diagnosis and EEG findings of epileptic patients between February 2011 and March 2014 were included and descriptive analysis was performed. Results: The incidence of epilepsy was higher in males than in females (57.2% vs. 48.8%). The majority of patients (54.7%) referred for EEG lie in the age group of 11-30 years. More than half (61.12%) of the seizures remained unclassified. Among the classified seizure, the incidence of generalized seizure is higher than partial seizure (75.85% vs. 23.21%). Similarly, majority (55.8%) of EEG recording was found to be normal and more than one third EEG records (38.1%) were unclassified. Conclusion: Routine twenty-minute EEGs are easy to perform and are well tolerated by patients; however, in more than half of the patients with provisional diagnosis of epilepsy, the initial EEG does not show epileptiform activity and the paroxysmal events due to its low sensitivity. Although, EEG is an essential tool for investigating epilepsy, diagnosis does not completely rely exclusively on its reading. Twenty-four hours EEG recording or Video-EEG monitoring (VEEG) may be useful tool.

Biography :

Email: forriwaj@gmail.com