Frecuencia de crisis convulsivas en pacientes con trauma craneo encefalico ingresados en el Hospital Vicente Corral Moscoso, Cuenca 2013 - 2014

Abstract

Objective: To determinate the frequency of epileptic crisis in patients with TEC, who come to Vicente Corral Moscoso Hospital in the period 2012-2013

Method and Materials: This prospective, descriptive, study was conducted on patients who were attended or referred to the Regional Hospital “Vicente Corral Moscoso” of Cuenca for 3 months, based on the following judgment: patients after traumatic brain injury (TBI) with pathologies such as subdural hemorrhage, and intraparenchymal,subdural and epidural hematoma. The variables studied were: patient age, clinical presentation, type of injury, consciousness, the extension of injury visible with CT and report the same. It has been monitored the patients for 6 months for the occurrence and recurrence of seizures

To survey the data, we used a Form filled by those who perform the thesis, once collected, the data were entered in Microsoft Excel version 2007 software, version 12.0.4518.1014, the data were summarized in tables and graphs for presentation and descriptive analysis

Results: Patients with TBI who presented or were referred to the Hospital Vicente Corral Moscoso had a prevalence of 32% of posttraumatic seizures, 40% between 11 and 20 years, more common in males 25.81%. The most frequent lesion visible on TAC was epidural hematoma with 45% and a prevalence of post-TBI seizures of 16.13%. In this work, all cases with severe TBI had seizures post-TBI, whereas moderate and mild TBI showed only 9.8%. The immediate crisis was the most frequent with 29%. The 45.16% of patients have no symptoms after CT without major disability the 25.81%, and only 6.45% have severe disability according to the Rankin scale.

Keywords: SEIZURES, BRAIN TRAUMA, BRAIN INJURY, HEAD TRAUMA, VICENTE CORRAL MOSCOSO HOSPITAL