الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
A single unprovoked seizure is a frequent phenomenon in the general population and the rate of seizure recurrence can vary widely. Individual risk is crucial in predicting patient outcomes and guiding treatment decisions.
The nature, timing and course of cognitive impairments in epilepsy remains an issue of substantial interest and concern, particularly the degree to which chronic medication-resistant epilepsy may lead to progressive cognitive impairment. While evidence to this effect has been reviewed, the early cognitive substrate upon which subsequent chronic epilepsy may exert its effects is an important consideration. The possibility that early onset or childhood epilepsy may adversely alter a child’s cognitive substrate in a greater than expected fashion despite their increased plasticity is an issue of clinical interest.
To date, a very small number of studies have examined cognition in children with new-onset epilepsy. Three of the five studies identified cognitive impairments at epilepsy onset, and mixed results may be attributable, at least in part, to the variable age ranges, test batteries and epilepsy characteristics across studies.
In the present study, the aim was to assess the cognitive impairment as a risk factor for recurrence of single unprovoked seizure among sample of patients attending Alexandria University outpatient clinics.
The present study was carried on one hundred patients aged 7 years and older suffering from single unprovoked seizure. An informed consent was taken from every patient before the beginning of the study after explaining the nature of the research