Abstract

Objective: To show the clinical characteristics of the pediatric population with the diagnosis of epilepsy at the Western General Hospital. Methodology: Retrospective observational descriptive study of 145 children seen by outpatient clinic and hospital admissions with a diagnosis of epilepsy in the period from January 1, 2021 to December 31, 2023. The classification established by the International League Against Epilepsy (ILAE) was used. Result: Male sex (55.8%) more frequent, in the age range of 1 to 5 years of age (33.1%). Within the classification of generalized type epilepsy (86.2%) Classification by etiology: the most frequent was idiopathic (43.1%), followed by structural (34.6%), the most associated structural cause is infantile cerebral palsy (66%). Remission rate : 2 patients with recurrence (1.3%) in the same period of time, so we can consider a very acceptable recurrence figure. 9 patients Epilepsy cure rate: 9 children (9.2%). Refractory rate: 7 children (4.8%) associated with some epileptic syndrome. The encephalogram is the main diagnostic tool, being abnormal in 66.2%, magnetic resonance imaging is the most used in 64.8%. The treatment most often provided in the institution is levetiracetam in 49.3% and valproate in 21.5%. Conclusion: Our institution has the resources and multidisciplinary team necessary to complete an acceptable diagnostic approach that allows favorable control of the disease with a low rate of recurrence and refractoriness to epilepsy treatment.