Abstract Details

Title Seizure Triggers in Persons with Epilepsy (PWE): A Cohort of 1975 Patients

Topic Epilepsy/Clinical Neurophysiology (EEG)

Presentation(s) P12 - Poster Session 12 (5:30 PM-6:30 PM)

Poster/Presentation
Number 9-002

Objective The aim of this study was to identify patient reported seizure triggers in Persons with Epilepsy (PWE). Along with identifying daily life factors, we also aimed to find the frequency of patients whose seizures were induced by these experiences.

Background Extrinsic factors that trigger seizures have previously been reported in PWE. However, the specific triggers and their frequency have not been as thoroughly studied.

Design/Methods This was a cross-sectional retrospective data analysis of 2455 PWE treated at a tertiary level epilepsy center. Patients diagnosed with either focal, generalized or combined focal and generalized epilepsy were included in the study. We analyzed patient demographics, seizure triggers and number of patients whose seizures were triggered by these factors.

Results There are currently 2455 patients in the database out of which 1975 are diagnosed with either focal, generalized or combined focal and generalized epilepsy. These patients are 48.2% male and 51.8% female, mean age 39.72±22.48 years. 1336 (67.6%) patients were diagnosed with focal, 618 (31.2%) patients were diagnosed with generalized, and 21 (1.06%) patients were diagnosed with combined focal and generalized epilepsy. Out of these 1975 patients, 323 (16.3%) patients reported daily life factors that acted as seizure triggers. A variety of factors were found to induce seizures in these patients. When identifying the frequency of these factors, the commonly reported triggers were missed medications (4.5%), stress (3.9%) and sleep deprivation (1.9%).

Conclusions Our findings show a variety of daily life factors act as seizure triggers in patients with epilepsy. Along with the anticipated factors such as missed medication and sleep deprivation, patient reported stress was found to be the second most common seizure trigger. Further research needs to be done to identify these particular correlations and counsel patients regarding seizure exacerbating factors and identify potential mitigating strategies.

Authors/Disclosures
Fahham Asghar, MD (The University of Toledo) PRESENTER	Mr. Asghar has nothing to disclose.
	No disclosure on file
Sumayya Naz, MD (ProMedica Neuroscience Center)	Dr. Naz has nothing to disclose.
Hira Pervez, MD, MBBS (University of Toledo)	Dr. Pervez has nothing to disclose.
Sidra Saleem, MD (University of Toledo)	Dr. Saleem has nothing to disclose.
Ajaz Sheikh, MD (ProMedica Neurosciences Center)	Dr. Sheikh has nothing to disclose.
Anum H. Riaz, MD	Dr. Riaz has nothing to disclose.
Imran I. Ali, MD, FAAN (University of Toledo COM)	Dr. Ali has received personal compensation in the range of $10,000-$49,999 for serving as an officer or member of the Board of Directors for ABPN.
Vicki A. Ramsey-Williams, MD, PhD (Neuroscience Center)	Dr. Ramsey-Williams has nothing to disclose.

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