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Journal of Pediatric Neurology 2013; 11(02): 103-106
DOI: 10.3233/JPN-130603
Georg Thieme Verlag KG Stuttgart – New York

Pattern of seizure disorders in children in Eastern Nepal

Shah Gauri Shankar
a   Department of Pediatric and Adolescent Medicine, Bisheshwar Prasad Koirala Institute of Health Sciences, Dharan, Nepal
,
Mishra Om Prakash
b   Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
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Publication History

30 May 2012

23 November 2012

Publication Date:
30 July 2015 (online)

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Abstract

The present study was undertaken to find out the prevalence, pattern and etiology of seizure disorders iThe present study was undertaken to find out the prevalence, pattern and etiology of seizure disorders in children attending at a tertiary care center of a teaching hospital. The prevalence of seizure disorder was 3.9/1,000. Generalized seizures were reported in 69.5%, partial seizures in 19% and unclassified seizures in 11.4% of cases. Cranial computerized tomography (CT) scan could be performed in 87 (82.8%) patients and was abnormal in 66 (75.8%) cases. Neurocysticercosis was the most common (31%) etiology detected, followed by brain atrophy 10 (11.4%) and cerebral dysgenesis in seven (8%) children. The electroencephalogram (EEG) was abnormal in 48/87 (55.1%) cases and showed generalized discharges in 30 (62.5%) and focal slowing/discharges in 18 (37.5%) patients. In conclusion, CT scan and EEG should be undertaken in children with seizures to find out the etiological diagnosis so that specific treatment and antiepileptic drugs can be chosen for effective control.

Keywords

Seizures - children - CT scan