The Effect of Provoked Agents on Control of Epilepsy

Introduction: Epilepsy is the second most common neurological disorder after stroke but is still little understood. The incidence of single seizure in general population is 5%; whereas epilepsy developed in 1-2% people. The main purpose in epileptic patients is control and interruption of their seizure. Aim of this study was to find the prevalence of provoked agents in both epileptic and single seizure group. Methods: 331 patients with generalized seizure were referred to Neurological Emergency Room of Shiraz Namazi Hospital were collected. Their data was collected by a questionnaire. Results: 92.7% of all patients had at least one provoked agent. The most common provoked agents in the epileptic group was withdrawal or decreasing anti epileptic drug (AED) (41.4%); emotional stress (36.4%) and insomnia (34%) were second and third respectively. The most common provoked agent in the single seizure group was using of tramadol (42.6%); insomnia (40.2%) and emotional stress (34.2%) were second and third respectively. Conclusion: Putting all these words together, we should mention that with the high prevalence of provoked agents before convulsion among epileptic patients, it seems to be possible to control the seizure disorder with elimination of these agents from their lives, rather than increasing the dosage or even adding a new drug.