Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2010     Vol 35     No 3-4
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      UDK 616.853-07-053.5

ISSN 0350-2899, 35(2010) br.3-4 p.81-84

Case review

Epilepsy, The importance of timely diagnosis - Case report

Dragana Mitrović



Epilepsy is a disorder of brain function and presents sudden empting of a large number of neuronal cells in the brain which causes epilepsy attack. Epilepsy is a frequent neurological disease. In a year, 3-5 patients get epilepsy in 1000 people. The most frequent known causes of epilepsy are: head trauma, bleeding in the brain (intracerebral hemorrhage), abscess (intracerebral, subdural, epidural), encephalitis (bacterial and viral), bacterial meningitis, surgical procedure ion the brain, complications on parturition and birth, alcohol, tumours, narcotics, some medicines, metabolic disorders (hyponatremia, hyponatremia, hypocalcemia, hypoxia, hypoglycemia, hyperglycemia). Epilepsy can be caused by unknown cause – the so-called idiopathic epilepsy.
In addition to a thorough neurological examination, laboratory analysis and EEG, it is necessary to take a detailed anamnesis of the patient, so that the doctor could make the right diagnosis.
This work presents a 12 year-old patient I.M. who had loss of consciousness at school in October 2009. There is no data about how long the loss was nor whether there were any accompanying problems. The emergency doctor inspected the patient and sent him to the neurologist who, after a thorough examination and for further diagnostic procedures, sent the patient to be hospitalised in the tercial institution (Clinical Centre in Niš, Clinic for Children, Department of Neurology). During the 10 day-long hospitalisation, the patient underwent EEG (abnormal potentials of the big brain core found) and NMR (nuclear magnetic resonance) whereby no pathologic changes in endocranium were found. The patient was gradually given valproate in hospital conditions until a 1000mg daily dose. There were no attacks until the next check-up at the ambulance, and a regular EEG and laboratory findings were normal. One month later, a regular EEG was good, as well as laboratory findings for blood. The patient was increased the dose of valproate to 1500mg a day divided into two doses and the following check-up was scheduled in 4 months. In the meanwhile, the patient saw his doctor for other health problems (sore throat, pain in the ears) and received adequate therapy. The patient claimed that there were no problems caused by epilepsy. The treatment of epilepsy is ongoing; the boy feels good, spends his time with friends and attends school with no difficulties.
Key words: epilepsy, cause, diagnosis

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

      Corresponding Address:
Dragana Mitrović
Zdravstveni centar Knjaževac
Služba za zdravstvenu zaštitu predškolske i školske dece sa medicinom sporta i savetovalištem za mlade
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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