Risk Factors of Late Post-traumatic Seizure.
- Author:
Seung Wook LEE
1
;
Seong Ho KIM
;
Eul Soo CHUNG
;
Jang Ho BAE
;
Byung Yun CHOI
;
Soo Ho CHO
Author Information
1. Department of Neurosurgery, Yeungnam University, College of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Late post-traumatic seizure;
Glasgow coma scale;
Subdural hematoma;
Depressed skull fracture;
Temporal bone fracture
- MeSH:
Anticonvulsants;
Brain;
Coma;
Craniocerebral Trauma;
Epilepsy, Post-Traumatic*;
Glasgow Coma Scale;
Hematoma, Subdural;
Humans;
Incidence;
Retrospective Studies;
Risk Factors*;
Seizures;
Skull;
Skull Fracture, Depressed;
Skull Fractures;
Temporal Bone
- From:Journal of Korean Neurosurgical Society
1999;28(10):1479-1484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The goal of our study was to identify and evaluate risk factors for late post-traumatic seizure. METHODS: This study is a retrospective clinical analysis of 52cases of late post-traumatic seizures among 1472 head injury patients treated in our institute from July 1986 to June 1996 and at least followed up over 2 years after head injury. RESULTS: 1) The incidence of late post-traumatic seizure was 3.5% of patients treated for head injury. 2) The factors affecting the incidence of late post-traumatic seizure were initial low Glasgow coma scale(3-8), subdural hematoma, depressed skull fracture(p<0.05). 3) Skull fracture located in temporal area showed higher incidence of late post-traumatic seizure(p<0.05). CONCLUSION: The risk factors for post-traumatic seizure are subdural hematoma, initial low Glasgow coma scale, depressed skull fracture and temporal bone fracture. Both newer antiepileptic drugs and therapies aimed at prevening the brain damage that underlies the development of seizures need to be studied to find an effective way of preventing late post-traumatic seizure through prospective study.
