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Epilepsy care and outcome in low- and middle-income countries: A scoping review.
Bankole, Nourou Dine Adeniran; Dokponou, Yao Christian Hugues; De Koning, Rosaline; Dalle, David Ulrich; Kesici, Özgür; Egu, Chinedu; Ikwuegbuenyi, Chibuikem; Adegboyega, Gideon; Yang Ooi, Setthasorn Zhi; Dada, Olaoluwa E; Erhabor, Joshua; Mukambo, Emmanuel; Olobatoke, Tunde Ayomide; Takoutsing, Berjo D; Bandyopadhyay, Soham.
Afiliación
  • Bankole NDA; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Dokponou YCH; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • De Koning R; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Dalle DU; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Kesici Ö; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Egu C; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Ikwuegbuenyi C; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Adegboyega G; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Yang Ooi SZ; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Dada OE; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Erhabor J; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Mukambo E; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Olobatoke TA; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Takoutsing BD; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
  • Bandyopadhyay S; Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
J Neurosci Rural Pract ; 15(1): 8-15, 2024.
Article en En | MEDLINE | ID: mdl-38476408
ABSTRACT

Objectives:

Epilepsy is a common neurological condition in low- and middle-income countries (LMICs). This study aims to systematically review, analyze, evaluate, and synthesize information on the current state of medical and surgical management and outcomes of epilepsy in LMICs. Materials and

Methods:

Systematic searches were conducted on MEDLINE, EMBASE, World Health Organization Global Index Medicus, African Journals Online, WOS, and Scopus, covering the period from the inception of the databases to August 18th, 2021, focusing on studies reporting management and outcomes of epilepsy in LMICs.

Results:

A total of 2298 unique studies were identified, of which, 48 were included (38035 cases). The mean age was 20.1 ± 19.26 years with a male predominance in 60.92% of cases. The type of seizure commonly reported in most of the studies was absence seizures (n = 8302, 21.82%); partial focal seizure (n = 3891, 10.23%); and generalized tonic-clonic seizures (n = 3545, 9.32%) which were the next most common types of seizures. Mesiotemporal epilepsy was less frequently reported (n = 87, 0.22%). Electroencephalogram was commonly used (n = 2516, 6.61%), followed by computed tomography scan (n = 1028, 2.70%), magnetic resonance imaging (n = 638, 1.67%), and video telemetry (n = 484, 1.27%) in the care of patients with seizures. Primary epilepsy was recorded in 582 patients (1.53%) whereas secondary epilepsy was present in 333 patients (0.87%). Carbamazepine was the most used anti-epileptic drug (n = 2121, 5.57%). Surgical treatment was required for 465 (1.22%) patients.

Conclusion:

In LMICs, epilepsy is underreported. There is still a lack of adequate tools for the diagnosis of primary or secondary epilepsy as well as adequate access to medical management of those reported.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Neurosci Rural Pract Año: 2024 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Neurosci Rural Pract Año: 2024 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Estados Unidos