DOI: 10.36347/sjams.2017.v05i02.063

Pages: 620-625

This study is aimed to study the cases of new onset epilepsy with regard to their etiology and type of convulsion in adults of more than 18 years. In this study incident cases were selected rather than prevalent cases of epilepsy. It is observational and prospective study. In this study patients of new onset seizure admitted in ward of tertiary care hospital of Ahmedabad were taken. Patients more than 18 years of age with first episode of seizure were selected. They were studied with detailed history, complete general and systemic examination, thorough neurological assessment, routine investigation, CT scan, fundoscopic examination and CSF examination. EEG and MRI were done in selected cases. In this study mean age was 45.56 years. Past history like HBP, headache, Koch’s and DM was found in 58%. 54% had primary generalized seizure. 20 % had simple partial seizure. CSF abnormality was found in 14%. EEG abnormality was found in 40 % in this study. On CT scan examination, infection and SOL were found to be similar about 20% each. MRI in selected patients was abnormal in 18% of cases. 17 cases were due to CVA. Seizure is more prevalent in extremes of ages. Past history is significant in diagnosing etiology of seizure, which was letter confirmed by CT scan. Generalized seizure is most common type with incidence of 74%. EEG is useful, as it was abnormal in 67% and it always correlate with structural brain lesion. CVA was most common cause of etiology.