Clinical and instrumental risk factors for epileptic seizures in patients after traumatic brain injury

Abstract

The aim: analysis of factors influencing the risks of posttraumatic epilepsy (РТЕ). Materials and Methods. The study involved 71 patients with traumatic brain injury of moderate and severe with emerging after her epileptic seizures. Among the subjects was 56 (78.9%) males and 15 (21.1%) females. The average age of the subjects was 65.6±10,3 years. The control group was 25 (71.4%) male patients and 10 (28.6%) females. The average age of the patients was 54.4.±9.3 years. Analysis of factors influencing the risks of РТЕ use nonparametric Spearman correlation and multivari-ate analysis of variance. Results. Among the many factors to be statistically significant risk factors for РТЕ was alcohol intoxication at the time of trauma 27 (38,0%), relative to the control group 2 (5.7%) p<0.01. Localization of the center of the temporal lobe encephalomalacia 11 (15.3%) with values in the control group 6 (17.1%), p<0.02. The increase in the severity of the brain injury also leads to an increase in the risk of head injury. The presence of an open head injury 54 (76.1 %) and 15 (42.9%) in the control group, p<0.03. Conclusion. The severity of traumatic brain injury and aggravating factors when it occurs significantly increases the risk of posttraumatic epilepsy.

Keywords

• post-traumatic epilepsy
• risk factors
• traumatic brain injury