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KMID : 0360919680110120981
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Journal of the Korean Medical Association
1968 Volume.11 No. 12 p.981 ~ p.994
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EPILEPSY IN KOREA
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朴忠緖/Park, C S
朴小花/沁濟用/李聖淑/Park, S H/Sim, J Y/Lee, S S
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Abstract
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Total 901 epilepsy cases, cryptogeic and symptoout of approximately 1, 400 recorded epileptics since 1958 to 1966 at the Neurology Department of the National Medical Center, were investigated and the ´following results were obtained.
1. Age and age of onset are reasonably in good accordance with the results in other contries except the difference owing to different materials. About 70% of the patients had the 1 st fit below age 20.
2. Male to female ratio is 1.85: 1, considerably higher male predominance compared to other countries, probably due to the Korean females´ hesitancy to attend the clinic.
3. People with low education have many epileptics but the ratio per 100,000 population is gradually higher as education becomes higher.
4. Low economic class has higher incidence of epilepsy.
5. Duration of epilepsy is mostly 2~5 years.
Reraly it extends to 4050 years.
6. Type of epilepsy is mostly grandmal (72.2%), Jacksonian (13.2%), Petitmal and Psychomotor, like those in other countries.
Relative infrequency of Petitmal and Psychomotr epileptics are probably caused by their attendence to Pediatric or Psychiatric clinics.
7. Among causes of symptomtic epilepsy, the unique finding in Korea is Cerebral Paragonimiasis. In crptogenic epilepsy, the patients and their relative usually tended to deny family history.
8. The interval between causative factors to the onset of epilepsy is usually within 1 year, but in some cases it extended up to 15 years.
9. Neurological signs of the symptomatic epileptics are mental deterioration, hemiplegia, hemiparesis, hyperrefle_xia, other cerebaral signs, hemianopsia, lremisensory change, cerebral palsy, optic atrophy, cerebellar signs, neurosis and so on in this order of frequency.
10. Plain skull X-ray showed calcifications most frequently, esp. calcifications due to cerebral paragonimiasis Nine percent of the total cases showed some abnormalities.
11. Among 210 pneumoencephalpgrams, 81% showed brain atrophy.
12. Among 49 cerebral angiograms, 47% showed abnormal findings, mainly displacement of the main arteries.
13. Among 58 electroencephalograms, 84.5% showed abnormal waves, mostly modrate or severer abnormalities.
14. Among 243 cases, hypertension was found in 14% of the cases.
15. Effect of drug therapy for the epileptic seizures was as followes; In the properly treated group, about 90% of the cases became free form fits, about 92% of the cases showed more than 90% improvement and about 95% of the cases showed more than 50% improvement.
Including improperly treated group, the total cases showed more than 50% improvement in 81% of them.
16. Prevalence of epilepsy according to Name showed about uniform rate between 0.8~18.2, mostly 2~7, per 100,000 population except Jae, Mo, and pyung which showed 140 152, and 275 respectively
This report lacks details of various aspects of epilepsy and describes only general superficial aspects.
Further elaborate work in epilepsy is expected to be performed by neurologists on the ground of advanced neurology speciality in this country.
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KEYWORD
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