Abstract
Background: Partial seizure is well-defined as sudden extreme, profligate, and limited electrical discharges by gray matter from some portions of the brain due to certain structural & metabolic abnormalities. Objective: To distinguish the etiologies of partial seizures and to clarify its association with the age of affected patients. Patients and Methods: A prospective study, done on all patients with neurological consultation in Al- Batool Teaching Hospital, Baqubah Teaching Hospital and Al Yarmouk teaching Hospital from Nov, 2016 to Dec, 2018. Patients with partial seizures and/with secondary generalization were merged. This was fortified through a full history, physical checkup, EEG, and MRI of the brain. The study’s sample comprising 106 patients with partial seizures, the age ranged from 6-75 years, with 52 males and 54 females. Results: Atypical neuroimaging was found in (61%) of patients. Tumors occurred in (19.7%) of patients, the highest of them below 40 years of age while infarctions comprised 25.5% of patients outside this age. Complex partial seizures(CPS) patients with temporal lobe foci comprised 83.7 % and (16.2%) had frontal lobe problems, while (49%) of Simple partial seizures (SPS) patients had frontal lobe foci, 22% frontoparietal and 13% had parietal lobe foci and had brain lesions were spotted in 75.4% of patients with SPS and (35.1%) with complex partial seizures. Conclusion: Infarction is a common reason for partial seizures in patients above 40 years while below this age the tumor is common etiology. A partial seizure is connected mostly with brain lesions. Keywords: Partial seizures, comorbid factors, brain lesions
Highlights
Partial with patients with epilepsy [1,2,3,4,5]
Sixty-five patients with partial epilepsy had lesions that were revealed on MRI &CT were shown in table 2
The patients who presented with simple partial seizure are 16 (15.1%), while 19 (17.9%) patients complained of complex- partial seizure, secondary generalization occurred in 71 patients (67%) as shown in table3
Summary
Partial (focal or localization linked) with patients with epilepsy [1,2,3,4,5]. Roughly 5epilepsy the greatest seizure disorder met 10% of people will have at least one seizure during their lifespan, with the highest frequency happening in early childhood and late adulthood [3,4,5,6]. Certain structural and metabolic anomalies in the brain will unsurprisingly lower the epilepsy threshold [13,]. It seems that rise in seizure is best explained by the inheritance of a greater vulnerability to epilepsy [14,37,38,39,40,41,42]. Seizures before the age of 20 years are rarely associated with tumors [16]. Patients with partial seizures and/with secondary generalization were merged This was fortified through a full history, physical checkup, EEG, and MRI of the brain. Conclusion: Infarction is a common reason for partial seizures in patients above 40 years while below this age the tumor is common etiology.
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