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KMID : 0381219740060040202
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Journal of RIMSK
1974 Volume.6 No. 4 p.202 ~ p.213
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The Statistical Observation of the Status Epilepticus
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Abstract
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In this study, it was attempted to reveal the characteristic clinical pictures of the status epilepticus in their socioeconomical status, clinical types of seizure, seizure pattern and frequency, clinical manifestations, precipitating factors and presumed etiology, E.E.G. patterns, episode of febrile convulsion, and prognostic distribution, etc.
22 cases of status epilepticus who were admitted to Dept. of Neuropsychiatry, Sacred Heart Hospital, Chung Ang Univ. from July 1968 to February 1974, were investigated in this study.. Among them, 12 cases were admitted to Hangang Sacred Heart Hospital, Chung Ang Univ., 10 cases were admitted to Pildong Sacred Heart Hospital, Chung Ang Univ..
The result were as follows:
1. In the age distribution of status epilepticus, majority of them (68. 3%) were distributed to the range of age from 20 to 39, and their mean age was 26. 9. Among them, 11 cases were male patients, and they were mainly distributed age of 30^?39. The other 11 cases were female patients, and they were mainly distributed age of 20-29. In the age of onset in status epilepticus, majority of them (63.7%) were occured initial attack after the age of 20.
2. As to the socio-economical status, majority of them (63.6%) were lower level, and the status epilepticus of Hangang Sacred Heart Hospital were predominantry lower socio-e=onomical level than the status epilepticus of Pildong Sacred Heart Hospital.
3. As to the clinical types of status epilepticus, grand mal epilepsy occupied 68.3%, focal epilepsy 13. 7%, petitmal epilepsy 4.5%, mixed type 4.5%, infantile spasm 4.5% and psychomotor epilepsy 4.5%.
4.. 27. 3% of the status epilepticus had past history of febrile convulsion in early life, and 45. 5% of the status epilepticus had no past history of previous epileptic convulsion.
5. As to the seizure patterns of status epilepticus, average number of total seizures was 8. 5, average frequency of seizure was 1. 7/week, greatest number of seizure was 6. 4, total time of loss of consciousness was 6. 7 hours, 31. 8% of them occured during sleeping, and 45. 5% of them occured during winter.
6. As to the clinical manifestations accompanied or followed by status epilepticus, there were observed salivation, pallor, cyanosis, incontinence, flushing, tongue bite, mastication in their
accompanied symptoms, and there were also observed amnesia, headache, sleeping, contusion, behavior problem, vomiting, paralysis in their followed symptoms.
7. The status epilepticus who had aura before seizure were 54. 5% of all patients. Among aura, headache occupied 18.2%, and nausea & vomiting occupied 13.6%.
8. As to the precipitating factors & presumed etiology, it was found that 81.8% of total patients has precipitating factors, and 68.3% of total patients has presumed etiological factors. The most frequent preapitating factor was fever (18. 2%), and the most frequent presumed etio!ogical factor was infection (27. 2%).
9. The status epilepticus producing abnormal E.E.G. were 81. 2% of patients who was taken E.E.G., and among them, the most frequent E.E.G. patterns were paroxysmal slow wave (46. 1% and spike and wave (23. 1%).
10. As to the prognostic distribution, it was found that 36. 4% of total patients were bad prognosis in spite of adequate treatment by anticonvulsants. And the status epilepticus who admitted to Hangang Sacred Heart Hospital comparing with Pildong Sacred Heart Hospital, were predominantly worse in their prognosis.
11. It was revealed that comparing with the status epilepticus who admitted Pildong Sacred Heart Hospital, the status epilepticus who admitted Hangang Sacred Heart Hospital had the following characteristic pictures;
1) Their age of onset were earlier before the age of 20.
2) Their socio-economical level were relatively lower.
3) Their total seizure number during repetitive seizure were relatively greater. 4) Their repetitive seizure were frequently occured during winter. 5) Confusion were frequently followed by repetitive seizure.
6) Their presumed etiology were not related with cysticercosis and paragonimiasis.
7) Their prognosis for status epilepticus were not better in spite of proper treatment.
It was concluded that presumed etiological factors of the status epilepticus were closely related with their socio-economical level, and it was considered that their attack were precipitate by nutritional deficiency, hard work, insomnia, inadequate heavy drinking, inadequate treatment and prevention to infection.
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