Epilepsy and Epileptic Syndromes Cases Presented at Neuropediatricclinic of ?Mother Theresa? University Hospital Center, Tirana, 2012-2014

Object of study Identification of new epilepsies and epileptic syndromes cases presented at Neuropediatrics Clinic of Mother Theresa University Hospital Center, Tirana - 2012, classified according to ILAE 1985-89. Study Methodology The study is prospective. The study includes all new epilepsy cases filled in the outpatient and inpatient clinic. The study has taken into account children who have had more than two episodes of unprovoked seizures. Every individual has undergone these examinations Neurological examination, EEG Registration, fundoscopic examination, blood electrolytes, Children under 1-year-old with open fontanels were examined with Transfontanelar Ultrasound, A large part of them with CT- scan of the head. Results 511 total cases, 232 females (45.4 %) and 279 males (54.5 %). Children 0-15 years included as follows 73 children 0-1 years old, 165 children 1-4 years old, 179 children 5-10 years old and 94 children 11-15 years old. Partial epilepsy stood out in 298 children, benign-central-temporal forms in 78 children (15.2 %), temporal epilepsy41 children (8 %), occipital epilepsy in 119 children (23.2 %) and multifocal in 60 children (11.7 %).12 cases have resulted symptomatic with pathologic CT scan.103 children (20.1 %) with secondary generalized partial epilepsy, 29 have evolved from simple partial to secondary generalized, 74 from complex partial to secondary generalized. Generalized epilepsy, 67 children (13.1 %), 16 atonic forms, 23 generalized tonic-clonic, 3 clonic, 11 tonic, 4 mioclonic, 5 absence, 4 West syndrome, 1 case with encephalopathy, 3 unclassified, 40 cases of febrile seizures. Conclusions Out of 511 cases, 58.3 % belong to partial forms, followed by secondary generalized partial forms 20.2 %. Male cases stand out with 54.6 % of total cases. Predominant age is 5-10 years old (35 %). Febrile convulsions account for 7.8 % of cases. Idiopathic forms are predominant. (partialand generalized 86.26 % 76.71 %).