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SEIZURE CONTROL STATUS AND ASSOCIATED FACTORS IN EPILEPSY PATIENTS
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Abstract
Background: Epilepsy is a common chronic neurological disorder that significantly impacts health and quality of life. Although most patients can achieve seizure control with antiepileptic drugs, approximately one-third remain inadequately controlled. Objectives: To determine the rate of seizure control and identify associated factors among epilepsy patients treated at Can Tho Central General Hospital. Materials and Methods: A cross-sectional descriptive study was conducted on 41 patients aged ≥16 years diagnosed with epilepsy. Good seizure control was defined as being seizure-free during the previous three months. Results: Sociodemographic factors such as age, sex, residence, occupation, marital status, and comorbidities were not significantly associated with seizure control (p>0.05). In contrast, a pre-treatment seizure frequency of >3 seizures/month, disease duration of 1–5 years, and the presence of previous craniotomy findings on imaging were significantly associated with poorer seizure control (p<0.05). Conclusion: Most patients achieved good seizure control; however, high pre-treatment seizure frequency, longer disease duration, and structural brain abnormalities were associated with inadequate control. These factors should be carefully considered in clinical management and follow-up.
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Keywords
Epilepsy, seizure control, associated factors.
References
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