الفهرس | Only 14 pages are availabe for public view |
Abstract This study is planned to investigate: - The prevalence of epilepsy in preparatory and secondary school students. - Seizures manifestations in positive cases. - Possible etiological factors and risk factors. - The coexistence of other developmental, educational and psychiatric disabilities in positive cases. - The presence of family history of epilepsy, other neurological diseases, psychiatric disorders or general medical conditions. Based on the results of the present study, the following can be concluded: 1- Prevalence rate of epilepsy in the preparatory and secondary school students in Minia city is 12.4/1000. 2- The prevalence in rural students was 13.2/1000, while it was 12.1/1000 in urban students. 3- Prevalence of epilepsy in females was 14/1000 in the whole sample, while it was 13.6/1000 and 14.2/1000 in rural and urban areas respectively. 4- The prevalence in males was 11.3/1000 in the whole sample, while it was 12.9/1000 in rural areas and 10.5/1000 in urban areas. 5- A higher percentage of epileptic students, in the total sample, was found among the very low (37.7%) then the low (32.6%) social class. 6- In this sample, generalized seizures were found in 90 cases (51.4%) of the whole sample, while partial seizures was the diagnosis in 81 cases (46.3%) and only 4 cases had mixed seizures (2.3%). Tonic clonic seizures (94.4%) represent the most common type of generalized seizures, followed by tonic seizures (7.8%). On the other hand, simple partial seizures (56.8%) represent the most common type of partial seizures in this sample of epileptic students, followed by complex partial seizures (44.4%). 7- Regarding the family history of neuropsychiatric disorders, 27.4% of the whole sample had a positive family history of epilepsy and 14.3% of febrile convulsions. Positive family history of psychiatric disorder was evident in 31.1% of the whole epileptic sample. Second degree relatives had the highest percentage in this group. 8- In our sample 14 epileptic students (8%) had a family history of mental retardation. 9- Investigations were done only according to the clinical evaluation and revealed that 97.1% of the whole sample had seizure of undetermined etiology and only 5 cases (2.9% of the whole sample) were diagnosed as secondary epilepsy, One case (20 %) was due to congenital arteriovenous malformation (AVM), Tow cases (40%) were degenerative and two cases (40%) as post traumatic epilepsy. |