Diagnostic Factors in Adult Males Following Initial Seizures: A Three-Year Follow-up
NAVY MEDICAL NEUROPSYCHIATRIC RESEARCH UNIT SAN DIEGO CA
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Seventy-seven navy enlisted men with a mean age of 23.2 years range 17 to 48 were admitted to the hospital after their first seizure and given a provisional diagnosis of convulsive disorder. The subjects were followed-up for three years to see if reliable predictors of subsequent seizures and diagnosis could be obtained at the first examination. If not readmitted because of a second seizure, each patient was recalled at the end of his first and third year in the study for follow-up examinations. Following a second seizure and readmission to the hospital, 39 were diagnosed as having a convulsive disorder, 18 a psychiatric disorder, and 5 a neurological illness. Thirty-six percent never had a second seizure. Of those experiencing a second seizure, 77 were readmitted during the first year. Three variables were found to be useful predictors of second seizures and final diagnosis type of seizure major motor electroencephalographic classification spikes with or without slow waves and presence of post-ictal confusion and disorientation.
- Medicine and Medical Research