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Published on: June 21, 2019
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Post-Traumatic Epilepsy: Observations from an Urban Level 1 Trauma Center.
Daniel Kotas1, Huaqing Zhao2,3, John Turella3
1Department of Neurosurgery, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Neurology International
|August 28, 2024
Summary
Traumatic brain injury (TBI) can lead to post-traumatic epilepsy (PTE). Severe TBI significantly increases PTE risk, yet few patients receive adequate neurological follow-up, highlighting a critical gap in care.
Area of Science:
- Neurology
- Neurosurgery
- Trauma Care
Background:
- Traumatic brain injury (TBI) affects millions annually in the U.S.
- Post-traumatic epilepsy (PTE), a common sequela of TBI, impacts patient outcomes.
- Risk factors for PTE include severe TBI and penetrating head injuries.
Purpose of the Study:
- To determine the incidence of PTE in TBI patients.
- To identify significant risk factors for PTE development.
- To assess neurological follow-up rates in TBI patients with PTE.
Main Methods:
- Retrospective chart review of 1886 TBI patients over 5 years at a Level 1 Trauma Center.
- Patients identified using ICD-10-CM codes for TBI and PTE.
- Data collected on risk factors and neurologist encounters.
Main Results:
- 178 out of 1886 patients (9.44%) had TBI with PTE.
- Severe brain injury was a significant risk factor for PTE (OR 2.955, p < 0.0001).
- Only 10.7% of PTE patients saw a neurologist more than 6 months post-TBI.
Conclusions:
- A substantial number of TBI patients develop PTE.
- Severe TBI is a key predictor for PTE.
- There is a clear need for improved long-term neurological follow-up for TBI patients at risk of PTE.
