Factores asociados a epilepsia refractaria. Hospital Abel Gilbert Pontón, año 2018
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La epilepsia es una enfermedad del sistema nervioso que se caracteriza por la activación desincronizada de una población neuronal, siendo la epilepsia refractaria la que más discapacidad genera. En cuanto a los resultados, los pacientes mestizos representaron el 58,69%, con nivel de instrucción primaria en el 50%, la procedencia urbana fue del 54,34%; el grupo prioritario en donde se identificó una mayor prevalencia de casos fue entre los 15 a 18 años con el 21,73%, el sexo masculino predominó con el 63,04%. Por otro lado, en relación al tiempo de evolución del cuadro clínico en este grupo de pacientes estudiados presentan más de 5 años de tiempo de evolución con el 63,04%, el apego al tratamiento se lo evidencio en el 60,86%, en cuanto al tipo de convulsiones tenemos que el 34,78% de los pacientes presentaron convulsiones tónico-clónicas. Finalmente, el 8,96% de los pacientes se les realizó callosotomía.
Epilepsy is a disease of the nervous system that is characterized by the desynchronized activation of a neuronal population, with refractory epilepsy being the one that generates the most disability. Regarding the results, mestizo patients represented 58.69%, with primary education level in 50%, urban origin was 54.34%; the priority group in which a higher prevalence of cases was identified was between 15 to 18 years with 21.73%, the male sex predominated with 63.04%. On the other hand, in relation to the time of evolution of the clinical picture in this group of patients studied have more than 5 years of evolution time with 63.04%, adherence to treatment was evidenced in 60.86%, in Regarding the type of seizures we have that 34.78% of the patients had tonic-clonic seizures. Finally, 8.96% of the patients underwent callosotomy.
Epilepsy is a disease of the nervous system that is characterized by the desynchronized activation of a neuronal population, with refractory epilepsy being the one that generates the most disability. Regarding the results, mestizo patients represented 58.69%, with primary education level in 50%, urban origin was 54.34%; the priority group in which a higher prevalence of cases was identified was between 15 to 18 years with 21.73%, the male sex predominated with 63.04%. On the other hand, in relation to the time of evolution of the clinical picture in this group of patients studied have more than 5 years of evolution time with 63.04%, adherence to treatment was evidenced in 60.86%, in Regarding the type of seizures we have that 34.78% of the patients had tonic-clonic seizures. Finally, 8.96% of the patients underwent callosotomy.
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Epilepsia refractaria, Factores de riesgo, Tratamiento, Indicadores de morbimortalidad, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Estudios retrospectivos, Epidemiología descriptiva