Introduction: Epilepsy is either; idiopathic when there is no underlying cause or secondary if there is an underlying cause of egg brain tumors, stroke. There is a strong in conjunction between epilepsy and valvular lesions.
Objective: To study the relationship between valvular lesions and Epilepsy among Sudanese epileptic patients.
Methodology: Almost 50 Sudanese patients with valvular lesions were included in the study during Jane 2018 to Jane 2019.
Result: Out of 50 patients (48%) males while females (52%). Almost 40% of the patients were found to have generalized tonic colonic epilepsy, while 60% have focal epilepsy. Pure MS was the common valvular lesion observed. 14% of the patients had atrial fibrillation, especially with mitral stenosis .4% of the patients underwent valvotomy. Abnormal EEG was observed in 64% of the patients. Abnormal brain MRI was detected in 50% of the patients. Almost all the patients 100% diagnosed as having valvular lesions before being diagnosed with epilepsy.
Conclusion: There is a strong relationship between valvular lesions and epilepsy, most probably due to association with coexist arrhythmias resulting in cerebral infarction, tight valvular lesions, and rarely follow valvotomy valvular replacement.