Abstract
Background: The most common age groups for adult-onset seizures were young and middle-aged individuals. Decisions about the start and end of treatment must take into account the clinical profile and analysis of the etiology of seizures in adults. These decisions must differ from those made for younger patients.
Aim: to evaluate the clinical characteristics and cause of an adult's new-onset focal seizure.
Material and Methods: In this observational study, 200 adult patients of either sex with a new onset focal seizure condition were enrolled. Each of the 200 patients underwent a clinical examination, a brain CT scan, and an EEG. In some patients, lumbar punctures were combined with other laboratory tests.
Results: The age range between 51 and 60 years had the highest incidence of new-onset focal seizures (24%). The most frequent type of focal seizures were those with intact awareness (38%) followed by those without intact awareness (31%) and those with secondary generalization (29%). Stroke (42%), CNS infection (32%), scar epilepsy (12%), and brain tumor (9%) were the most frequent etiologies.
Conclusion: 50 to 60 years old is the most typical age range for presentations. The most typical symptoms are neurological impairment and headache. The most frequent sort of focal seizures are those accompanied by intact awareness. Following stroke as the most frequent cause of focused seizures is CNS tuberculosis.
Key Word: new onset focal seizures, adults, neurological deficit, stroke.