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Profile of Post-traumatic Epilepsy in Benin City, Nigeria.
MedLine Citation:
PMID:  20665457     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Post traumatic epilepsy is recurrent chronic seizures occurring after four weeks following brain injury. It commonly occurs after road traffic accidents thus making it a preventable cause of chronic seizures. The prevalence and pattern of this disorder is not known among Nigerian patients with epilepsy.
OBJECTIVE: This study aimed at determining the prevalence of and predisposing type of head injury to developing post traumatic epilepsy.
METHODS: We studied 244 consecutive patients with epilepsy attending the neurology clinic of a tertiary health facility in an urban Nigerian city by analyzing the details of their demographic and clinical data obtained with the aid of a structured questionnaire and from the Epilepsy Registry of a Neurology Unit between January and December 2006.
RESULTS: Thirty-eight patients with a mean age of 38.6 +/- 7.3 years (age range 15- 75 years) had posttraumatic epilepsy comprising 15.57% of all cases of epilepsy. Thirty-three (86.8%) had closed head injury. Thirty-two (84.2%) of the patients had positive history of loss of consciousness. Twentytwo patients (57.9%) sustained head injury from motor vehicle accidents. Majority of the patients had secondarily generalized seizures (73.7% of the cases). Twenty-seven (71.4%) of the 38 patients had seizure onset in the first year after brain injury. Depressed skull fracture (19/38; 50%) was the most common abnormal CT finding.
CONCLUSION: Post traumatic epilepsy contributes significantly to the number of patients with epilepsy presenting to our neurology services. There is need to educate people on the usefulness of seat-belts and helmets while driving.
Authors:
O A Ogunrin; A A Adeyekun
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  29     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-07-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  153-7     Citation Subset:  IM    
Affiliation:
Neurology Unit, Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria Correspondence: Dr. A. O. Ogunrin, Department of Medicine, PMB 1154, University of Benin, Benin City, Nigeria, E-mail: bunmifunmi@hotmail.com Telephone: 2348038818707 (Mobile), Fax: 23452251859.
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