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Year : 2006  |  Volume : 14  |  Issue : 1  |  Page : 47-50

Epilepsy predisposing to thermal burns: experience Fom Aligarh, Uttar Pradesh

Department Of Plastic and Reconstructive Surgery, jNMC, AMU, Aligarh, India

Correspondence Address:
Neeraj K Nathani
Senior Resident, Department Of Plastic and Reconstructive Surgery J.N.M.C., A.M.U., Aligarh (U.P)
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Source of Support: None, Conflict of Interest: None

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In a prospective study over a period of one year, 8 epileptics were treated for acute thermal burn or its sequelae. All the burns were sustained during epileptic seizure. 4 cases were admitted with acute thermal burn while the remaining 4 cases were admitted with burn sequelae i.e.1 case with Marjolin's ulcer over burn scar on right leg, 1 case with ectropion of both upper eyelids and 2 cases with nonhealing ulcer over left leg & left arm respectively. Out of 8 cases studied, 2 cases had sustained second episode of burn. All the patients were females, age ranging from 18 to 50 years. All the patients sustained burns while cooking on unguarded open fire except 1 who sustained burn while warming hands on fire. Percentage of burn varied from 3 O/O to 85 %.One patient with 85 O/O deep thermal burn died during treatment. Out of 8 patients, 6 patients had never taken antiepileptic drugs despite frequent seizures with loss of consciousness; remaining 2 patients had taken irregular, inadequate treatment for sometime and then stopped it: Poverty, illiteracy, unawareness, ignorance and superstitions of the patients that seizure are due to some bad supernatural powers and epilepsy being considered a social taboo are factors that prevent patients from taking treatment. Patients need to be educated and motivated to take adequate and regular treatment for optimal seizure control. Involvement of government & nongovernmental organizations are stressed to eradicate the myths, educate the patients and their cohabitants regarding proper and regular medications for epilepsy, so as to keep it in control lest it leads to further burns in kitchen.

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