Table 2.
No increase in seizure frequency (n = 255) | Increase in seizure frequency (n = 85) | P value | ||
---|---|---|---|---|
Age (mean ± SD) | 30.6 ± 12.2 | 27 ± 11.3 | 0.01 | |
Sex | Males | 112 (43.9 %) | 50 (58.8 %) | 0.01 |
Females | 143 (56.1 %) | 35 (41.2 %) | ||
Early onset of epilepsy | >15 y | 103 (40.8 %) | 23 (27.1 %) | 0.02 |
< 15y | 152 (59.2 %) | 62 (72.9 %) | ||
Epilepsy duration | < 15 y | 130 (51 %) | 46 (54.1 %) | 0.6 |
>15 y | 125 (49 %) | 39 (45.9 %) | ||
IQ | > 70 | 207 (81.2 %) | 61 (71.8 %) | 0.9 |
< 70 | 48 (18.8 %) | 24 (28.2 %) | ||
Generalized tonic-clonic seizures | No | 47 (18.4 %) | 20 (23.5 %) | 0.3 |
Yes | 208 (81.6 %) | 65 (76.5 %) | ||
Sleep related epilepsy | No | 127 (49.8 %) | 30 (35.3 %) | 0.02 |
Yes | 128 (50.2 %) | 55 (64.7 %) | ||
DRE | No | 195 (76.5 %) | 28 (32.9 %) | < 0.001 |
Yes | 59 (23.5 %) | 57 (67.1 %) | ||
DRE* | Not lesional | 25 (42.4 %) | 26 (45.6 %) | 0.8 |
Lesional | 34 (57.6 %) | 31 (54.4 %) | ||
DRE strategy | Dual ASMs | 14 (23.7 %) | 18 (31.6 %) | 0.2 |
Triple ASMs | 45 (76.3 %) | 39 (68.4 %) | ||
Etiology | Idiopathic | 83 (32.6 %) | 27 (31.8 %) | 0.4 |
Symptomatic | 109 (42.7 %) | 42 (49.4 %) | ||
Unknown | 63 (24.7 %) | 16 (18.8 %) | ||
Carbamazepine | No | 158 (62 %) | 49 (57.6 %) | 0.4 |
Yes | 97 (38 %) | 36 (42.4 %) | ||
Non-compliance | No | 199 (78 %) | 55 (64.7 %) | 0.01 |
Yes | 56 (22 %) | 30 (35.3 %) | ||
Frequent ASMs prescribing changes | No | 224 (87.8 %) | 57 (67.1 %) | 0.4 |
Yes | 31 (12.2 %) | 28 (32.9 %) | ||
Sub therapeutic ASMs level | No | 239 (93.7 %) | 72 (84.7 %) | 0.009 |
Yes | 16 (6.3 %) | 13 (15.3 %) | ||
Reported alcohol problem | No | 252 (98.8 %) | 84 (98.8 %) | 1 |
Yes | 3 (1.2 %) | 1 (1.2 %) | ||
Depression | No | 225 (88.2 %) | 67 (78.8 %) | 0.03 |
Yes | 30 (11.8 %) | 18 (21.2 %) | ||
Anxiolytic medications | No | 243 (95.3 %) | 75 (88.2 %) | 0.02 |
Yes | 12 (4.7 %) | 10 (11.8 %) |
SD: standard deviation, IQ: intelligence quotient, DRE: drug resistant epilepsy, ASMs: anti-seizure medications.
116 patients had DRE.