Solitary epileptic seizure--the risk of recurrence.
Patients experiencing solitary unprovoked epileptic seizure have different risks of recurrence. The possible risk factors include in particular: structural cerebral lesion and its cause, history of febrile seizures, family history of epilepsy, the type of seizure, epileptiform EEG discharges and the problem of initiation or (or not initiation) of antiepileptic treatment after the first paroxysm. The factors shown above were evaluated in a group of 30 patients with solitary unprovoked epileptic seizure. Regarding recurrence of epileptic seizure, the only significant factor appeared to be initiation of treatment after the first unprovoked paroxysm (p<0.001). We observed a 30% and 33.33% risk of recurrence following the initial epileptic seizure in patients after the first unprovoked seizure in less than 1 and 3 years, respectively.
Kollár
Branislav
B
1st Department of Neurology, University Hospital, Faculty of Medicine, Comenius University, Bratislava, Slovakia. b.kollar@pobox.sk
Buranová
Darina
D
Goldenberg
Zoltán
Z
Klobucníková
Katarína
K
Varsik
Pavel
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D055502:Secondary Prevention; D012640:Seizures / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D012931:Social Environment
D000927:Anticonvulsants