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Prevalence of childhood and adolescence epilepsy in Upper Egypt (desert areas)

Authors
  • Farghaly, Wafaa M.1
  • Abd Elhamed, Mohamed A.1
  • Hassan, Enas M.2
  • Soliman, Wael T.2
  • Yhia, Mohamed A.2
  • Hamdy, Nermin A.2
  • 1 Assuit University, Department of Neurology, Assiut, Egypt , Assiut (Egypt)
  • 2 Minia University, Department of Neurology, Minya, Egypt , Minya (Egypt)
Type
Published Article
Journal
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Publisher
Springer Berlin Heidelberg
Publication Date
Nov 09, 2018
Volume
54
Issue
1
Identifiers
DOI: 10.1186/s41983-018-0032-0
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundA high prevalence of epilepsy in children is frequently found in developing countries.ObjectiveThis study aimed to determine the prevalence and clinical pattern of childhood and adolescence epilepsy in Upper Egypt.MethodsThis is a door-to-door study conducted on all inhabitants < 18 years in Al Kharga district and Al Qusier city (36,195 subjects). The study was conducted through two stages; every stage consisted of two phases (screening and diagnostic).ResultsLifetime prevalence of childhood and adolescence epilepsy (children < 18 years) in Upper Egypt was 9.7/1000, with higher prevalence among children < 12 years (10.8/1000) than adolescents (7.2/1000). The age-specific prevalence was highest in early childhood (12.01/1000) and least at adolescence (7.2/1000). More than half of the patients (59.4%) had idiopathic epilepsy. The most frequent etiology for structural/metabolic epilepsy was perinatal complications, particularly in infancy, followed by central nervous system (CNS) infections, in childhood, and post-traumatic epilepsy in adolescence. Partial seizures were more frequent in infancy, while generalized seizures were more frequent in late childhood and adolescence. Generalized tonic-clonic seizures (GTCS) were the most frequent type of seizures.ConclusionPrevalence of childhood and adolescence epilepsy in Upper Egypt was not so much different from other developing countries. Idiopathic epilepsy was more prevalent than structural/metabolic cases. Perinatal complications, CNS infections, and head injury were the most frequent etiologies, and generalized tonic-clonic seizures were the most frequent seizure type.

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