| Sleep seizures versus wake seizures: a comparative hospital study on clinical, electroencephalographic and radiological profile. | |
| | |
MedLine Citation:
|
PMID: 18688139 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Epileptic seizures, predominantly or exclusively during sleep had been the focus of attention for many electroencephalographers. Though few epileptic syndromes are associated with sleep seizures (SS) its frequencies in Indian patients is still unknown. AIM: To find out the patterns of epilepsies in patients having SS and compare them with patients having wake seizures (WS). SETTING AND DESIGN: Open label hospital based study. MATERIALS AND METHODS: One hundred and forty-four (13%) patients having predominantly SS were compared with 976 (87%) patients of WS by various clinical, electrophysiological and radiological factors. STATISTICAL ANALYSIS: Chi square test and student T test, using software SPSS (version 10, 1999) was applied to compare various parameters. Relative risk was calculated by 2 x 2 contingency table. RESULTS: The seizure semiology was better defined in patients with WS and GTCS was more common in SS (P=0.001). Wake-electroencephalogram (EEG) was abnormal in significantly (P=0.001) higher number of patients with WS. Symptomatic etiologies were found in more than half patients. Left lobe involvement was more common in patients having SS (P=0.000). After symptomatic, idiopathic generalized and frontal lobe epilepsy were most frequent with SS. Undetermined epilepsy was found in 37 (25.7%) patients with SS. CONCLUSION: Epilepsies associated with SS were less frequent and had symptomatic cause in most cases. Left hemispherical and frontal lobe lesion were more commonly associated with SS. Frontal lobe and idiopathic generalized epilepsy was most frequent in patients of SS. Sleep EEG should always be done in patients with sleep seizures. |
| | |
Authors:
|
Deepak Goel; Manish Mittal; K K Bansal; R K Srivastav; A Singhal |
Related Documents
:
|
2618579 - The natural history of late-onset epilepsy secondary to vascular disease. 7379699 - New patients versus revolving door patients. 11792159 - Single small enhancing computed tomographic (ct) lesions in indian patients with new-on... 3288959 - Intraparenchymal cerebral cysticercosis in children: diagnosis and treatment. 12583469 - The clinical spectrum of neurocysticercosis in the uttaranchal region. 20580529 - Evolution of hemiplegic attacks and epileptic seizures in alternating hemiplegia of chi... 9104439 - Multiple cerebral infarctions in a patient with refractory idiopathic thrombocytopenic ... 21439749 - Comparison between a clinical activity index (harvey-bradshaw-index), laboratory inflam... 1706839 - Fate of explanted icd patients. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Neurology India Volume: 56 ISSN: 0028-3886 ISO Abbreviation: Neurol India Publication Date: 2008 Apr-Jun |
Date Detail:
|
Created Date: 2008-08-08 Completed Date: 2009-06-02 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0042005 Medline TA: Neurol India Country: India |
Other Details:
|
Languages: eng Pagination: 151-5 Citation Subset: IM |
Affiliation:
|
Department of Neurology, Himalayan Institute of Medical Sciences, Dehradun, India. goeld007in@yahoo.co.in |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Child Child, Preschool Electroencephalography / methods Female Hospitals Humans Infant Magnetic Resonance Imaging / methods Male Middle Aged Seizures / classification, epidemiology, physiopathology* Severity of Illness Index Sleep / physiology* Tomography Scanners, X-Ray Computed Wakefulness / physiology* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Atlantoaxial joint distraction as a treatment for basilar invagination: A report of an experience wi...
Next Document: Serotonin transporter gene polymorphisms in patients with chronic tension-type headache: A prelimina...