The Analysis of Generalized Tonic Clonic Seizures Associated Injuries in Emergency Department

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dc.contributor.authorAltunci, Yusuf Ali
dc.contributor.authorGokhan, Servan
dc.contributor.authorUstundag, Mehmet
dc.contributor.authorOrak, Murat
dc.contributor.authorOzhasenekler, Ayhan
dc.contributor.authorGuloglu, Cahfer
dc.date.accessioned2024-04-24T17:47:44Z
dc.date.available2024-04-24T17:47:44Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: Persons with epilepsy are believed to be at greater risk of incurring accidental injury than those without seizures. During generalized seizures the individual is unable to utilize protective reflexes during falls and may consequently suffer head, orthopedic, or soft tissue injury. Our aim is to evaluate the spectrum of trauma in epilepsy patients presenting to our emergency department as a result of generalized tonic-clonic seizure (GTCS). Methods: We retrospectively reviewed patient records collected between January 2004 and December 2007 at the Emergency Department of Dicle University Medical School. All patients aged 15 years or more with epilepsy and trauma due to generalized tonic clonic seizures were included in the study. Records were analyzed for age, gender, type of injury, sufficiency of anti-epileptic medication, and mortality. Results: The average age of the 51 patients included in the study was 26.02 +/- 9.86 years, range 15-52 years. Thirty-three patients (64.7%) were male; the male female ratio was 1.83. Soft tissue injuries were the most common injury (26 instances). Head trauma, cuts, dental and tongue injuries were less common. Blood levels of anti-epileptic medication were in the therapeutic range in 9 (17.6%) patients, while 42 (82.4%) had sub therapeutic levels for effective treatment. Four (7.8%) of the patients died. The trauma in 2 mortalities involved burns; remaining deaths were associated with submersion injury and fall (subarachnoidal hemorrhage). Conclusions: There was no significant association between sub therapeutic levels of anti-epileptic medication and mortality.en_US
dc.identifier.endpage11en_US
dc.identifier.issn2452-2473
dc.identifier.issue1en_US
dc.identifier.startpage7en_US
dc.identifier.urihttps://hdl.handle.net/11468/22716
dc.identifier.volume10en_US
dc.identifier.wosWOS:000421026600003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofTurkish Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpilepsyen_US
dc.subjectGeneralized Tonic Clonic Seizuresen_US
dc.titleThe Analysis of Generalized Tonic Clonic Seizures Associated Injuries in Emergency Departmenten_US
dc.titleThe Analysis of Generalized Tonic Clonic Seizures Associated Injuries in Emergency Department
dc.typeArticleen_US

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