Epilepsy in the Tropics: I. Epidemiology, Socioeconomic Risk Factors, and Etiology

Bittencourt, P. R. M.; Adamolekum, B; Bharucha, Nadir E.; Carpio, Arturo; Cossío, Otto Hernández; Danesi, M A; Dumas, Michel; Meinardi, H.; Ordinario, Artemio T.; Senanayake, Nimal; Shakir, Raad; Sotelo, Julio

doi:10.1111/j.1528-1157.1996.tb01035.x

Cited by 115 publications

(85 citation statements)

References 33 publications

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“…Idiopathic seizures have a low prevalence, significantly lower than the results of other recent investigations in Europe [43][44][45] . Perhaps this fact is due to the disproportional increase in the prevalence of cryptogenic and symptomatic epilepsy, a characteristic of underdeveloped and developing countries.…”

Section: Discussionmentioning

confidence: 51%

Urban prevalence of epilepsy: populational study in São José do Rio Preto, a medium-sized city in Brazil

Borges

Guerreiro

et al. 2004

Arq. Neuro-Psiquiatr.

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-The aim of this study was to determine the prevalence of epilepsy in the urban population of São José do Rio Preto. This is a medium-sized city of 336000 inhabitants, located in the northwest of the state of São Paulo, Brazil. Method:A cross-sectional epidemiological investigation with a randomized sample was performed in two phases, a screening phase and a confirmation of the diagnosis phase. The gold standard was a clinical investigation and neurological examination. The chi-square test was used in analysis of the results and p-value value < 0.05 was considered significant. Prevalence was calculated with 95% confidence interval. Results: The study sample size was 17293 individuals, with distributions of gender, age, and race similar to the general population.The prevalence per 1000 inhabitants of epilepsy was 18.6, of these 8.2 were active, defined as at least one seizure within the last two years. The prevalence per 1000 inhabitants for the age groups (years) was 4.9 (0-4), 11.7 (5-14), 20.3 (15-64) and 32.8 (65 or over). Conclusion: Prevalence of both accumulated and active epilepsy was elevated, comparable to other developing nations, in particular those of Latin America. However, the prevalence of epilepsy in childhood was low, whilst in aged individuals it was high similar to industrialized nations.KEY WORDS: epilepsy, epidemiology, prevalence, Latin America. Prevalência urbana da epilepsia: estudo populacional em São José do Rio Preto -cidade de médio porte do BrasilRESUMO -Antecedentes: O objetivo deste estudo foi determinar a prevalência da epilepsia na população urbana de São José do Rio Preto, com 336000 habitantes, localizada no noroeste do Estado de São Paulo/ Brasil. Método: O estudo populacional, tipo corte transversal, em amostra aleatória, constituiu-se de uma fase de rastreamento, mediante um questionário. O padrão ouro para confirmação diagnóstica foi a história clínica e o exame neurológico. Os testes do χ 2 e intervalo de confiança de 95% (IC-95%) foram usados para análise dos resultados, tendo sido considerados significantes os de valor p≤ 0,05. Resultados:A amostra estudada foi de 17293 pessoas, cuja distribuição quanto ao sexo, à faixa etária e à raça foram semelhantes à da população em geral. A prevalência de epilepsia por 1000 hab. foi 18,6, sendo 8,2 para ativa considerando-se, pelo menos, uma crise no período dos últi-mos 2 anos. A prevalência na faixa etária de 0 a 4 anos foi 4,9, de 5 a 14, 11,7; de 15 a 64, 20,3; e acima dos 65 anos foi 32,8. Conclusão: As prevalências de epilepsia acumulada e ativa foram elevadas, semelhantes às dos países em desenvolvimento, em particular, aos da América Latina. A prevalência de epilepsia na infância foi baixa, enquanto que nos idosos foi elevada, semelhantes às observadas em países desenvolvidos. Estes resultados são relevantes no planejamento de medidas sanitárias, adequação ao tratamento da população, considerando a alta prevalência encontrada, para minimizar o impacto da epilepsia na população.

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Section: Discussionmentioning

confidence: 51%

Urban prevalence of epilepsy: populational study in São José do Rio Preto, a medium-sized city in Brazil

Borges

Guerreiro

et al. 2004

Arq. Neuro-Psiquiatr.

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“…Some of the prevalence rates reported from rural areas of developing countries are as follows: 5.8/1,000 in Guatemala (lo), 10.2/1,000 in Tanzania ( 1 l), 2.47/1,000 in Kashmir, India (12), 57/1,0OO in the Guaymi Indian population of Panama (13), and 37/1,000 in Nigeria (14). In general, population-based WHO protocol studies have given an average prevalence rate of 18.5/1,000 (6). Incidence studies are not available in Turkey, however, because of the lack of a standard registry.…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the prevalence of epilepsy from developed countries are satisfactory. The average prevalence of epilepsy in the developed countries is generally accepted to be 6.0/1 .000 (6) [Rochester, MN. U.S.A. 6.8/1,000 (7), Iceland 3.6 (8).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Epilepsy in Silivri, a Rural Area of Turkey

et al. 1999

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Summary: Purpo.re: To learn the prevalcnce of epilepsy in Silivri, a western town of Turkey, a randomized door-to-door wvey was conducted u\ing a standard questionnaire. The method of the study was adopted from the suggestions of the World Health Organization (WHO) for prevalence studies in developing countries, and the criteria were derived from ures at the onset or during the course of the disease, a figure that reveals the high prevalence of mystical beliefs about the disease in the study area.

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“…Although, increasing health awareness, the gap between the rate and prevalence of epilepsy in developing and developed countries still exists (Dahiya et al, 2017). In developed countries, the average prevalence rate is 5-6/1000 (Bittencourt et al, 1996;Jallon, 1997;Kuriacose et al, 2014). Comparing with developed countries, the prevalence rate is 2 to 25 times higher in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Prescribing Pattern of Antiepileptic Drugs and Assessment of Quality of Life of Epileptic Patients and the Knowledge of Their Care Givers

2017

J App Pharm Sci

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A hospital based prospective study was done at a tertiary care hospital over a period of six month to analyze the prescribing pattern of antiepileptic drugs, assess the knowledge of patient's caregivers regarding epilepsy and quality of life of epileptic patients. 105 patients were covered during the study period. It was observed that male population (63.8%) was more prevalent to epilepsy than females. Generalized tonic-clonic seizure (52.9%) were the most common type of epileptic seizure, followed by Complex partial seizure (22.1%). Levetiracetam (71.4%) was the most frequently prescribed, followed by Phenytoin (31.4%). Poly therapy (59%) was frequently used. Before counseling, most of the patient's caregivers had a medium level of knowledge regardless of education. Counseling was found to be an effective tool in improving the knowledge of the patient's caregivers. Regarding with the quality of life, the patients were found to have more distress associated with lower energy/fatigue. Seizure worry and social functioning are other domains which have some effects related to quality of life. The study concluded that care of epileptic patients must be taken in to account by considering the various factors influencing the quality of life in these patients.

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Epilepsy in the Tropics: I. Epidemiology, Socioeconomic Risk Factors, and Etiology

Cited by 115 publications

References 33 publications

Urban prevalence of epilepsy: populational study in São José do Rio Preto, a medium-sized city in Brazil

Urban prevalence of epilepsy: populational study in São José do Rio Preto, a medium-sized city in Brazil

Prevalence of Epilepsy in Silivri, a Rural Area of Turkey

Evaluation of Prescribing Pattern of Antiepileptic Drugs and Assessment of Quality of Life of Epileptic Patients and the Knowledge of Their Care Givers

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