Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984.

Abstract:

:The incidence of epilepsy and of all unprovoked seizures was determined for residents of Rochester, Minnesota U.S.A. from 1935 through 1984. Age-adjusted incidence of epilepsy was 44 per 100,000 person-years. Incidence in males was significantly higher than in females and was high in the first year of life but highest in persons aged > or = 75 years. Sixty percent of new cases had epilepsy manifested by partial seizures, and two thirds had no clearly identified antecedent. Cerebrovascular disease was the most commonly identified antecedent, accounting for 11% of cases. Neurologic deficits from birth, mental retardation and/or cerebral palsy, observed in 8% of cases, was the next most frequently identified preexisting condition. The cumulative incidence of epilepsy through age 74 years was 3.1%. The age-adjusted incidence of all unprovoked seizures was 61 per 100,000 person-years. Age- and gender-specific incidence trends were similar to those of epilepsy, but a higher proportion of cases was of unknown etiology and was characterized by generalized onset seizures. The cumulative incidence of all unprovoked seizures was 4.1% through age 74 years. With time, the incidence of epilepsy and of unprovoked seizures decreased in children and increased in the elderly.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Hauser WA,Annegers JF,Kurland LT

doi

10.1111/j.1528-1157.1993.tb02586.x

subject

Has Abstract

pub_date

1993-05-01 00:00:00

pages

453-68

issue

3

eissn

0013-9580

issn

1528-1167

journal_volume

34

pub_type

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