Affiliations: Department of Pediatric and Adolescent Medicine,
Bisheshwar Prasad Koirala Institute of Health Sciences, Dharan, Nepal | Department of Pediatrics, Institute of Medical
Sciences, Banaras Hindu University, Varanasi, India
Note: [] Correspondence: Dr. Shah Gauri Shankar, Department of Pediatrics
and Adolescent Medicine, Bisheshwar Prasad Koirala Institute of Health
Sciences, Dharan, Nepal. Tel.: +977 98424 15770; Fax: +977 25528757; E-mail:
gaurishankarshah@live.com
Abstract: The present study was undertaken to find out the prevalence, pattern
and etiology of seizure disorders iThe present study was undertaken to find out
the prevalence, pattern and etiology of seizure disorders in children attending
at a tertiary care center of a teaching hospital. The prevalence of seizure
disorder was 3.9/1,000. Generalized seizures were reported in 69.5%, partial
seizures in 19% and unclassified seizures in 11.4% of cases. Cranial
computerized tomography (CT) scan could be performed in 87 (82.8%) patients and
was abnormal in 66 (75.8%) cases. Neurocysticercosis was the most common (31%)
etiology detected, followed by brain atrophy 10 (11.4%) and cerebral dysgenesis
in seven (8%) children. The electroencephalogram (EEG) was abnormal in 48/87
(55.1%) cases and showed generalized discharges in 30 (62.5%) and focal
slowing/discharges in 18 (37.5%) patients. In conclusion, CT scan and EEG
should be undertaken in children with seizures to find out the etiological
diagnosis so that specific treatment and antiepileptic drugs can be chosen for
effective control.n children attending at a tertiary care center of a teaching
hospital. The prevalence of seizure disorder was 3.9/1,000. Generalized
seizures were reported in 69.5%, partial seizures in 19% and unclassified
seizures in 11.4% of cases. Cranial computerized tomography (CT) scan could be
performed in 87 (82.8%) patients and was abnormal in 66 (75.8%) cases.
Neurocysticercosis was the most common (31%) etiology detected, followed by
brain atrophy 10 (11.4%) and cerebral dysgenesis in seven (8%) children. The
electroencephalogram (EEG) was abnormal in 48/87 (55.1%) cases and showed
generalized discharges in 30 (62.5%) and focal slowing/discharges in 18 (37.5%)
patients. In conclusion, CT scan and EEG should be undertaken in children with
seizures to find out the etiological diagnosis so that specific treatment and
antiepileptic drugs can be chosen for effective control.
