Epilepsy classification and factors associated with control in Saudi adult patients

There is insufficient information on the epilepsies in Saudi Arabia. The objectives were to classify the patients according to seizure types and epilepsies as well as to determine the factors associated with control. In a hospital-based study, clinical information, electroencephalographic and neuroi...

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Bibliographic Details
Published in:Seizure (London, England) England), 1998-12, Vol.7 (6), p.501-504
Main Authors: Abduljabbar, Mohammed, Ogunniyi, Adesola, Daif, Abdulkader, Al-Tahan, Abdulrahman, Al-Bunyan, Muneera, Al-Rajeh, Saad
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age of Onset
Aged
Aged, 80 and over
Anticonvulsants - therapeutic use
Brain Diseases - diagnosis
Brain Diseases - epidemiology
Child
classification
Comorbidity
control
Disease Progression
Electroencephalography
epilepsy
Epilepsy - classification
Epilepsy - drug therapy
Epilepsy - epidemiology
Female
Genetic Predisposition to Disease
Humans
Logistic Models
Male
Middle Aged
Patient Compliance
prognosis
Saudi Arabia - epidemiology
Saudis
seizures
Survival Rate
Tomography, X-Ray Computed
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Summary:There is insufficient information on the epilepsies in Saudi Arabia. The objectives were to classify the patients according to seizure types and epilepsies as well as to determine the factors associated with control. In a hospital-based study, clinical information, electroencephalographic and neuroimaging findings were utilized to classify the cases into seizure types and epilepsies according to ILAE criteria and to determine the factors statistically associated with control. In the study there were 826 patients (454 males and 372 females; mean age = 28.7 years; >80% below 30 years at onset). The seizure types were: generalized tonic-clonic (43.8%), partial seizure secondarily generalized (41.9%), myoclonic (8.4%), simple partial (1.3%), complex partial (1.3%) and absence (0.4%). About 15% of the classifiable epilepsies were symptomatic. Most symptomatic epilepsies occurred in people over the age of 50 years. One-year remission rate was 80% and the factors associated with control were: compliance, monotherapy, therapeutic drug level and seizure type. The results showed that epilepsy predominantly affected young adults and confirmed the association of partial epilepsy with clinical and CT abnormalities. The 1-year remission rate was comparable with reports from other studies as well as the factors associated with control in our patients.
ISSN:1059-1311
1532-2688
DOI:10.1016/S1059-1311(98)80010-1