Clinical Profile Of Patients With Seizure and Its Correlation With EEG and Neuroimaging

Introduction: Seizure is a paroxysmal event due to abnormal, excessive, hyper synchronous discharges from aggregates of CNS. Epileptic seizures are episodes that can vary from brief and nearly undetectable to long periods of vigorous shaking. These episodes can result in physical injuries to the patients. Aim: To study the clinical profile and correlations of neuroimaging and EEG in epileptic patients. Materials and methods: This study was done at L G Hospital, Ahmedabad, Gujarat State. The patients admitted with seizures were included after considering the exclusion criteria. The seizures in these patients were classified as per the classification of International classification of epileptic seizures. Results: Out of 142 patients, 60 patients had no abnormality on neuroimaging. 82 patients had some structural abnormality on neuroimaging. EEG was normal in 100 patients, while abnormal spike and wave and epileptiform discharge was found in 42 patients. 46 patients had normal EEG as well as normal MRI scan, while 28 patients had abnormal MRI and abnormal EEG. Conclusion: A significant correlation was observed between EEG changes and structural abnormality on neuroimaging