A Study of patients profile with Acute Symptomatic Seizures in Annal Gandhi Memorial Government Hospital, Trichy

The study “A Study of patients profile with Acute Symptomatic Seizures in Annal Gandhi Memorial Government Hospital, Trichy” was a cross sectional study of 100 patients admitted with first episode of seizures in Annal Gandhi Memorial Government Hospital Trichy. Patients who satisfied the inclusion criteria were included in the study and a detailed history was taken from the relatives about the type of seizure and co morbid conditions. Examination of CNS was done to find out any under lying neurological deficit including fundus examination to look for papilledema. Investigations done in all patients were CBC, blood sugar, urea, creatinine, serum electrolytes, liver function test, ECG, chest x-ray and CT brain was done for all patients. MRI brain was done for some indicated cases. Analysis of the type of seizure, etiology of seizure and specific pathology was done. This study shows that CNS infections like Tuberculoma, Neurocysticercosis, encephalitis and brain abscess are treatable causes of seizures in our hospital. So identification of the underlying pathology by various investigations and neuroimaging modalities are very important in the management of these patients. Patients with metabolic abnormalities, on correction of the underlying condition seizure will be controlled and diagnosis is important to avoid long term AED treatment