Retrospective Analysis of the working of an epilepsy clinic in Peshawar

Abstract

Specialized epilepsy clinic is an accepted service in the management of patients with epilepsy. The clinical details, specialised investigations, pharmacological therapy int eh first two years of an epilepsy clinic in the neurology out patient clinic at Lady Reading Hospital Peshawar is reviewed. Data was collected from a performa at initial referral and review appointments at audit. 379 cases were analyzed among which 244 (64.4%) cases were under the age of thirty. A predisposing factor was indentified in 45 patients (11.2%). Mental subnormality was the most frequent predisposing factor. Electroencephalogram abnormality was identified in 56% of cases and a computerised tomographic scan of the head was abnormal in 17.6% of cases. 67% of patients were on monotherapy. Of the 379 cases 44.9% came for a follow-up review.