Abstract

Background and objective - Seizures are common disorders found all over the world and are encountered frequently during medical practice in variety of settings. Etiological spectrum of acute symptomatic seizures in developing countries is different from developed countries. So this study was done to know the various etiologies of new onset seizures in adults in this region.
Methods - Consecutive 100 Cases of new onset seizures from the hospital attached to Vinayaka Mission’s Medical College, Karaikal, were included in the study. The etiology was determined by neuro imaging and appropriate investigations including cerebrospinal fluid examination.
Results - Of 100 patients 89% were acute symptomatic seizures 40% of SE were caused by neuro infections. Neuroinfection was the leading cause of seizure, which accounted for 34%, followed by Cerebrovascular accidents (29%) and metabolic (9%). Neuro cysticercosis is most common cause in neuroinfection (35%), followed by meningitis (29%) and cerebral malaria (17%). 8% of seizures were because of CNS Tuberculosis. 55% of the CVA were due stroke and 34% due to CVT. 14% of  seizures were pregnancy related. In patients with cerebrovascular diseases, aged under 40 years, cerebral venous thrombosis accounted for79%.