Professional paper
Head Trauma and Posttraumatic Epilepsy in Slavonski Brod, East Croatia, 1988-2008
Lidija Šapina
; General Hospital »Dr. Josip Benčević«, Department for Neurology, Slavonski Brod, Croatia
Vladimira Vuletić
; General Hospital »Dr. Josip Benčević«, Department for Neurology, Slavonski Brod, Croatia
Gordana Lojen
; General Hospital »Dr. Josip Benčević«, Department for Neurology, Slavonski Brod, Croatia
Željka Janjetović
; General Hospital »Dr. Josip Benčević«, Department for Ophtalmology, Slavonski Brod, CroatiaGeneral Hospital »Dr. Josip Benčević«, Department for Ophtalmology, Slavonski Brod, Croatia
Željka Vuković-Arar
; General Hospital »Dr. Josip Benčević«, Department for Ophtalmology, Slavonski Brod, Croatia
Abstract
Posttraumatic epilepsy is result of head trauma. The aim of our research was to establish how many patients after head trauma developed posttraumatic epilepsy (PTE). Retrospectively we analyzed 50 patients with head trauma different severity in period from 1989. to 2008., which we werified radiological, electroenfephalographic, and psychical changes were established according pto psychiatric examination. From 50 patient with head trauma, 40 developed seizures (3 in the firs 24 hours and 6 after first 24 hours to the end of first week, 31 after first week). By introducing antiepileptic therapy (AETh), 30 patients were seizure free, 10 patients had 1-2 epileptic seizure monthly (EPA/CPA), 10 patients got prophylactic AETh in period 6-12 months. 14 patients developed psychical changes which were verified by psychiatrist. The experience and literature show that posttraumatic epilepsy is good for treating with 1 or 2 antiepileptic, and remission is more difficult in case psychiatric comorbidity.
Keywords
epilepsy; Croatia; prognosis; trauma; therapy
Hrčak ID:
128230
URI
Publication date:
30.9.2014.
Visits: 1.436 *