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The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

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Open Access 01-12-2021 | Status Epilepticus | Research

Cluster seizures and status epilepticus in new onset seizures among adult Egyptians

Authors: Mahmoud Hemeida Mahmoud, Eman Mahmoud Awad, Ahmed Khalil Mohamed, Mohamed Ahmed Shafik

Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Issue 1/2021

Abstract

Background

New onset seizure (NOS) is defined as the first seizure within a 24-h period ever experienced by the patient. Cluster seizures (CS) or status epilepticus (SE) can be the first manifestation of epilepsy or it may be a symptom of a brain tumor, a systemic disorder, an infection, or a syndrome. This study aims to determine the etiology of CS and SE in NOS among adult Egyptians. One hundred twenty adult Egyptian patients presented with NOS were enrolled in a hospital-based cross-sectional observational study within a time period of 6 months from March till September 2018. All patients were subjected to neurological examination including mini mental status examination, laboratory, neuroimaging, and electroencephalogram.

Results

Among 120 adult patients presented with NOS, males were prevalent (63%). Older adults (> 55 years) were prevalent (60%). Of the patients, 25% presented by CS, while 11% presented by SE. Post-stroke epilepsy (41%) was the predominant etiology of NOS. Cerebrovascular diseases (CVDs) were the prevalent etiology of SE in NOS (35%). NOS presented by CS were more prevalent among patients with brain tumors (29%) in comparison to CVDs (25%).

Conclusion

CS represented 25% of NOS in adult Egyptian patients. SE is prevalent among 11% of NOS. Despite CVDs being the most prevalent etiology of NOS in adult population (41%) including those presented with SE (35%), brain tumors are the most prevalent etiology of new onset CS (29%).

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Title: Cluster seizures and status epilepticus in new onset seizures among adult Egyptians
Authors: Mahmoud Hemeida Mahmoud
Eman Mahmoud Awad
Ahmed Khalil Mohamed
Mohamed Ahmed Shafik
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Status Epilepticus
Epilepsy
Brain Tumor
Subdural Hematoma
Encephalitis
Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery / Issue 1/2021
Electronic ISSN: 1687-8329
DOI: https://doi.org/10.1186/s41983-021-00342-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cluster seizures and status epilepticus in new onset seizures among adult Egyptians

Abstract

Background

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Results

Conclusion

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