Abstract
Background: Seizures are sudden, uncontrolled electrical disturbances in the brain that causes widerange of symptoms. Predominant causes are CNS infection, trauma, space occupying lesion, cerebrovascular accidentsetc. The goal of the emergency clinician is to differentiate seizures from mimics andidentify reversible causes.Management focuses on identifying reversible causes such as hypoxia, hypoglycemia and initiating pharmacological treatment. Aim: The aim is to study different variablesrelated to clinical profile, management and outcome of the patients presenting with seizures inEmergency Department (ED).Material & Methods: We conducted a prospective observational studyon 200 patients who presented with seizures in the emergency medicine department according toinclusion and exclusion criteria from September 2020-October 2021. In all patients of our study, primary and secondary surveys along with immediate resuscitation were done. A brief history, clinical examination and all necessary hematological and radiological investigations were done. Patients weretreated accordingly and followed-up until discharge or death.Results: Out of 200, 73% patients weremales and 27% were females. Mean age of study population was 49.3 years. Idiopathic(26%) was theleading cause followed by alcohol withdrawal seizure(20%) and cardio-vascular accident (13%) withgeneralized tonic clonic seizures (GTCS) being the commonest type (67%). Majority of patients(95%) were treated with anti-epileptic drugs (AEDs).Conclusion:Along with immediate primaryresuscitation, early identification, prevention of recurrence and treating the cause forms the basis ofmanagement of seizures in emergency department. Key Words: Seizure, Management, Idiopathic, Emergency department
Accepted Version
Published Version
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