Neurological disorders in the Zulu

Cosnett, J. E.

doi:10.1212/wnl.14.5.443

Cited by 26 publications

(10 citation statements)

References 1 publication

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“…Earlier reports suggested that migraine was uncommon in Africans [6], a viewpoint expressed even in more recent times. As late as 1973, migraine was not mentioned among the neurologic disorders in Senegal [7] and in Uganda [8], and was said to be 'unduly rare' among Africans in Zimbabwe [9] and in Natal, South Africa [10]. On the other hand, migraine was 'very prevalent' in Ghana [11] and was reported in Africans from both Kenya and Nigeria [12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Osuntokun

Schoenberg

Nottidge³

et al. 1982

Neuroepidemiology

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As part of a pilot study to determine the feasibility of a survey to detect major neurologic diseases among rural populations in developing countries, it was possible to obtain data on the prevalence of migraine in a rural Nigerian population. Using defined diagnostic criteria, a neurologist identified 62 individuals among a group of 903 as having migraine, yielding a point prevalence ratio of 69/1,000. The prevalence among females was approximately twice the figure for males. In 80%, a first-degree relative suffered from ''similar headaches''. Above age 39, the age-specific prevalence ratio declined with increasing age. The relative risk of epilepsy in those with migraine was 3. The high prevalence of migraine, comparable to reported data from Caucasian populations in developed countries, is surprising.

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Section: Discussionmentioning

confidence: 99%

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Osuntokun

Schoenberg

Nottidge³

et al. 1982

Neuroepidemiology

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“…Authors in the book did not mention migraine as a problem in Senegal [1] and Uganda [2]. It was reported to be unduely rare in Zimbabwe [3,4] and South Africa [5]. The neurologists in both Zimbabwe and South Africa specifically remarked on the extreme rarity of the condition.…”

Section: Introductionmentioning

confidence: 99%

Burden of headache in Africa

Haimanot¹

2003

J Headache Pain

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The literature on the prevalence and health burden of headache in Africa is scanty. In addition to the limited published materials one has to rely on the personal experience of prominent neurologists to get a broad picture of the magnitude of the problem on the continent. This review focuses on sub-Saharan Africa for the simple reason that the countries south of the Sahara have more or less similar sociodemographic characteristics which provides possibilities to make comparisons and some guarded conclusions.In as far as the global picture of headache is considered, there are similarities and differences between the situation in the North (i.e. Europe and North America) and the tropical South. Headache in Africa is common, although less frequent than in the North. It exhibits similar clinical manifestations. However, sub-Saharan Africa has its own particularities. Because of the low life expectancy in African countries, in prevalence studies one deals with relatively young populations. Environmentally, there is the role of the tropical hot climate and the high prevalence of infectious diseases. It is our observable experience that in the African culture pain is tolerated more than in the West. On top of this, diseases are perceived in the magico-religious context where traditional healing plays a big role. Socioeconomically, low incomes, poor infrastructures and inadequate healthcare coverage make the disease burden of headache different from that in the rich and developed North.

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“…A particular point at issue is whether the prevalence of headache or any particular variety of headache (e.g., migraine) varies with the nature of the society or with educa tional level and socioeconomic status. A striking contrast exists, for example, between some older reports from African societies where cases of migraine were said to be extremely rare [6,7] and a report from a small meeting of the highly educated mem bers of the British Ophthalmological Society where migraine was discussed and, in an open discussion after presentation of a pa per, several members of the small audience mentioned that they had had classic mi graine [8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence Survey of Headache in a Rural Mexican Village

et al. 1991

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Prevalence of headache was studied by house-to-house survey of a small remote Mexican village where the population was characterized by a low income and high rate of illiteracy. Severe headache was found in 8.9% of the male population and in 10.6% of the females. Approximately half of these individuals gave a history suggestive of headache with aura, but reinterview by a neurologist revealed that in one third of such histories the visual phenomena were probably not true aurae. Only in the over 35-year age-group was headache more prevalent in females. ''Incapacitating'' headache was usually equated with ''severe'' headache and was 10 times as frequent in the over 55-year age-group as in younger people. Sophisticated interviewers (neurologists) obtained different results from less trained interviewers.

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Neurological disorders in the Zulu

Cited by 26 publications

References 1 publication

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Burden of headache in Africa

Prevalence Survey of Headache in a Rural Mexican Village

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