Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.
Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Epilepsy Behav. 2021 Mar;116:107727. doi: 10.1016/j.yebeh.2020.107727. Epub 2021 Jan 21.
The aim of the current study was to compare the risk and also the types of ictal injuries in three groups of people with seizures [i.e., IGE vs. TLE vs. FS].
This was a retrospective study. All patients with an electro-clinical diagnosis of IGE, TLE, or FS were recruited at the outpatient epilepsy clinic at Shiraz University of Medical Sciences, Shiraz, Iran, from 2008 until 2020. Age, sex, age at seizure onset, seizure type(s), and occurrence of ictal injury at any time since the onset of the seizures and its characteristics were registered routinely for all patients at the time of the first visit.
One thousand and one hundred seventy-four patients were studied (481 patients with IGE, 402 people with TLE, and 291 persons with FS). While the groups differed in their demographic and clinical characteristics, the rates of ictal injury did not differ significantly between the groups. Tongue injury was more frequently reported by patients with TLE compared with that by people with IGE or FS. Other types/locations of ictal injury were more or less reported by all three groups of the patients.
Ictal injuries may happen with more or less similar rates among people with epilepsy (IGE and TLE) and those with FS. Ictal injury (rate, type, or location) should not be used as a marker for any specific diagnosis among people with seizures.
本研究旨在比较三组癫痫患者[即 IGE 与 TLE 与 FS]的发作相关损伤风险和类型。
这是一项回顾性研究。所有在伊朗设拉子大学医学科学分校癫痫门诊以电临床诊断为 IGE、TLE 或 FS 的患者，从 2008 年至 2020 年被招募。在首次就诊时，常规为所有患者登记年龄、性别、发病年龄、发作类型和任何时间发作相关损伤的发生及其特征。
共研究了 1174 名患者（481 名 IGE 患者、402 名 TLE 患者和 291 名 FS 患者）。尽管三组在人口统计学和临床特征方面存在差异，但组间发作相关损伤的发生率无显著差异。与 IGE 或 FS 患者相比，TLE 患者更常报告舌损伤。所有三组患者或多或少地报告了其他类型/部位的发作相关损伤。
癫痫（IGE 和 TLE）和 FS 患者的发作相关损伤发生率可能相似。发作相关损伤（发生率、类型或部位）不应作为发作患者特定诊断的标志物。
