First seizure in adults: a prospective study from the emergency department
| Autor: | F. J. Villaverde, C. Cabeza, P. Peña, Angel P. Sempere, J. A. Tejerina, Beatriz Martı́nez-Menéndez |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Substance-Related Disorders Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Diagnosis Differential Seizures Convulsion medicine Humans Prospective Studies Prospective cohort study Aged Aged 80 and over Neurologic Examination Brain Diseases Epilepsy business.industry Cerebral infarction Illicit Drugs Symptomatic seizures General Medicine Emergency department Middle Aged medicine.disease Surgery First seizure Alcoholism Neurology Etiology HIV-1 Female Neurology (clinical) medicine.symptom Emergencies business Emergency Service Hospital |
| Zdroj: | Acta neurologica Scandinavica. 86(2) |
| ISSN: | 0001-6314 |
| Popis: | A prospective study of 98 consecutive adults with a first seizure to determine the most important etiological factors and the optimum diagnostics. 27 were thought to have cryptogenic seizures. Main causes of symptomatic seizures were: cerebral infarction, alcohol-withdrawal, CNS infections, tumors, vascular malformations, traumatism and miscellanea. Eight were infected by human immunodeficiency virus (HIV-1) representing 8.2% of all the patients with a first seizure and 20% of the 15-45-year age group. CT disclosed structural lesions in 33 cases. MRI in those with normal CT and no other explanation of seizure revealed additional lesions in 22.2%, but did not change management in any. We conclude that CT is essential in evaluation of adults with first seizure. MRI may be useful in selected cases. The HIV-infected now represent an important group with a first seizure. |
| Databáze: | OpenAIRE |
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