In this prospective study, 1040 head injured patients including 746 males and 294 females admitted to Department of Neurosurgery - Hilla Teaching Hospital over 10 years period from 2008 to 2018 in Babylon – Iraq and successfully followed-up after discharge from hospital as outpatient. Only 95 cases complain from PTS including 68 males and 27 females. Several variables are studied including: sociodemographic characteristics, mechanism of head injury and the patient’s prognosis. Results: The incidence of PTS is 9% and incidence long term PTE is 5.4%. Peak seizures happen during one-year post head damage 78%. The incidence of PTS in the 1st year after head injury is 7%. PTS patients have biphasic age specific distribution. Male was the predominant gender to be affected by PTS. RTA is the major causative mechanism for PTE followed by accidental falling from height. Brain contusion, especially with lobar involvement, prolonged loss of consciousness and late seizures are the most frequent risk factors for developing PTS and PTE. Lobar affection and late onset seizures are the only statistically significant parameters. Only 58.9% of PTS patients remain epileptic. Immediate seizure constitute 31.6%, early seizure 15.8% and late onset seizure 52.6%. Generalized tonic-clonic seizure found in 74.7% of patients. Associated extra cranial injuries are present in only 10.5% cases and most of them 7.4% have PTE. Surgical treatment is done for 33.7% of patients and 65.6% of them have PTE. Conservative treatment is done for 66.3% of patient and 55.6% of them having PTE.

Post Traumatic Seizures, Post Traumatic Epilepsy, Traumatic Brain Injury