Context: The diagnosis of epilepsy, its types and its differentiation from non-epileptic paroxysmal events (NEPEs) are very important and it mainly relies on detailed history, examination, neuroimaging and electroencephalogram (EEG). The profile of such events may be variable according to setting and region of study. Our study highlights regional profile of such events at a rural tertiary care teaching hospital of Central Gujarat.
Aims and Objectives: To study demographic, clinical, MRI and EEG profile of paroxysmal (epileptic versus non-epileptic) events.
Methods: We enrolled one hundred pediatric patients who were having any form of abnormal body movements or paroxysmal events with or without alteration in sensorium. As per clinical needs, EEG and neuroimaging were also done. Pertinent data of same were collected from records.
Results: Total 100 patients were enrolled. The proportion of epileptic events versus non-epileptic paroxysmal events was 10: 1 (89 Vs 11). Out of these 100, 43 had first episode of paroxysmal event whereas rest 57 had repeat episodes. Around 1/3rd events had identifiable precipitating factors. Most common type of event was generalized epileptic events. Majority of patients were from lower socio-economic strata. MRI and EEG were done in 49 and 55 patients respectively. The MRI was abnormal in 36 patients, whereas EEG was abnormal in 43 patients.
Conclusion :The profile of epileptic and non-epileptic paroxysmal events in our region is almost similar to other tertiary care hospitals. Structural brain abnormalities and generalized discharges were the commonest MRI and EEG abnormality respectively.
Keywords: Epilepsy, Nonepileptic paroxysmal events (NEPEs), Seizure mimics, Semiology
Key words: Epilepsy, Nonepileptic paroxysmal events (NEPEs), Seizure mimics, Semiology
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