Management of first seizure: An inductive reading to the local clinical parameters among libyan doctors

Ashraf Rajab, A. Bennour, S. Lawgaly
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Abstract

Background: Epilepsy is a common neurological disorder with the first onset of seizure represents a common cause of emergency department visit. Objectives: The objective of this study is to provide the data as well as to assess our local clinical practice parameters regarding the management of patients with first-onset seizure. Patients and Methods: A retrospective study was carried out using the medical records at 7th October hospital, included all patients admitted to the hospital with first seizure during the time period from “January 2013 to January 2014.” Results: Out of 145 patients presented with seizures, 52 (36%) patients presented with first seizure and admitted to the general medical ward and were managed by internist. The mean age of the study population was 45 ± 24 years, 26 (50%) patients were male. Thirteen (25%) patients had unprovoked seizure and 39 had provoked seizure with stroke being the most common cause. Brain scan and electroencephalogram were ordered in 28 (54%) and 16 (31%), respectively. Anti-epileptic drugs were prescribed to 32/52 (62%) patients, including all poststroke seizure patients and seven patients with unprovoked first seizure. Conclusion: We provided data regarding patients presenting with first seizure and insight into local practice regarding care of this group of patients. To our knowledge, such data were not reported before from our area. The findings were partly in agreement with evidence-based practice, though justification was still needed. The larger and more constructed study is warranted as “First Fit Presentation” is one of the common presentations in the emergency department.
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第一次癫痫发作的管理:利比亚医生对当地临床参数的归纳阅读
背景:癫痫是一种常见的神经系统疾病,首次发作是急诊科就诊的常见原因。目的:本研究的目的是提供数据,并评估我们当地的临床实践参数,有关首次发作癫痫患者的管理。患者和方法:采用10月7日医院的病历进行回顾性研究,纳入2013年1月至2014年1月期间入院的所有首次癫痫发作患者。结果:145例出现癫痫发作的患者中,52例(36%)首次出现癫痫发作,住在普通病房,由内科医生管理。研究人群的平均年龄为45±24岁,男性26例(50%)。13例(25%)患者有非诱发性癫痫发作,39例有诱发性癫痫发作,卒中是最常见的原因。分别有28例(54%)和16例(31%)进行了脑部扫描和脑电图检查。32/52例(62%)患者使用抗癫痫药物,包括所有卒中后癫痫发作患者和7例无诱发性首次癫痫发作患者。结论:我们提供了有关首次发作患者的数据,并深入了解了当地对这组患者的护理实践。据我们所知,我们地区以前没有报告过这样的数据。这些发现部分与基于证据的实践相一致,尽管仍需要证明。由于“首次健康报告”是急诊科常见的报告之一,因此更大规模和更结构化的研究是有必要的。
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