การศึกษาระบาดวิทยาคลินิกของผู้ป่วยโรคลมชัก ที่มารับการรักษาที่คลินิกผู้ป่วยนอกอายุรกรรม โรงพยาบาลมหารารารราชสีมา จำนวน 375 ราย

บทคัดย่อ

Three hundred seventy five cases of epileptic patients who were treated at medical out patient clinic , Maharat Hospital , Nakhon ratchasima Province during January - December 1995 . I found that three hundred sixty patients epilepsy by history taking and observation, nine patients were syncope and six patients were hyperventlation . The majority of patients (65 %) were male. The mean age was 33 years (range 15-81 years ).The first onset of seizure mostly occurred in the aged of 25 years or below (67 % ). The mean frequency of seizures were 13 times/month (range 1 time/year - 10 times/day). The durations of treatment were from 3 months to 50 years (mean=6.3 years). The history of febrle convulsion, I found 11 % in epileptic patients and mostly related to the patient who developed seizure at the aged below 15 years. The distribution of seizure types , 63% had generalized seizure, 37 % had partial seizure , these were classified based on The In ternational League against Ebilepsy. 91% were unknown etiology. 20% were misclassification. Only 7.5% of cases were checked by-EEG and 2.7% by CT brain scan. Most of cases (82%) were treated by single antiepleptic drug and 66% could control seizure.