Prevalence of Epilepsy in a Rural District of Central Lao PDR
| Autor: | Hubert Barennes, Duc Si Tran, Michel Druet-Cabanac, Michel Strobel, Thi-Oanh Le, Pierre Huc, Peter Odermatt, Pierre-Marie Preux |
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| Přispěvatelé: | Neuroépidémiologie Tropicale et Comparée (NETEC), Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503)-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Université de Limoges (UNILIM), Unité Fonctionnelle Registre Général des Cancers du Limousin (UFRGC), CHU Limoges, Service de Santé au Travail [CHU Limoges], Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME) |
| Rok vydání: | 2006 |
| Předmět: |
Rural Population
endocrine system diseases Epidemiology Disease MESH: Epilepsy Generalized Epilepsy MESH: Health Surveys 0302 clinical medicine MESH: Rural Population Risk Factors MESH: Risk Factors Surveys and Questionnaires MESH: Child MESH: Neurologic Examination Medicine MESH: Incidence 030212 general & internal medicine Child MESH: Developing Countries Neurologic Examination MESH: Aged MESH: Middle Aged Incidence MESH: Infant Newborn Electroencephalography Middle Aged MESH: Infant 3. Good health Laos Child Preschool MESH: Epilepsy Epilepsy Generalized Medical emergency Adult medicine.medical_specialty Adolescent 03 medical and health sciences MESH: Cross-Sectional Studies MESH: Electroencephalography Humans Developing Countries Aged MESH: Adolescent MESH: Humans business.industry MESH: Questionnaires MESH: Child Preschool Infant Newborn Infant MESH: Adult Rural district medicine.disease Health Surveys eye diseases MESH: Epilepsies Partial Cross-Sectional Studies MESH: Laos Family medicine [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Epilepsies Partial sense organs Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neuroepidemiology Neuroepidemiology, Karger, 2006, 26 (4), pp.199-206. ⟨10.1159/000092407⟩ |
| ISSN: | 1423-0208 0251-5350 |
| DOI: | 10.1159/000092407 |
| Popis: | Purpose: To assess the prevalence of epilepsy in a rural district of Lao PDR and to describe the clinical and epidemiological profile of the disease. Methods: Door-to-door screening was performed on the entire population of 8 randomly selected villages in the Hinheub district, using an internationally validated and standardized questionnaire. Additional passive case detection was performed through village key informants. Suspected epilepsy patients identified by the questionnaire were revisited and examined by an experienced neurologist on two follow-up visits. The confirmation of epilepsy was based only on an in-depth clinical examination. Electroencephalograms were performed at the district health care center. Results: In the 8 villages, 277 suspected cases of epilepsy were identified among 4,310 interviewed subjects; 194 of whom (70%) underwent a clinical examination by a neurologist during the first visit while 65 of 83 remaining suspected cases were seen on the second confirmation visit. Twenty-seven persons with epilepsy were identified. Six additional patients were diagnosed in 219 self-referred subjects. An overall prevalence of 7.7 cases of epilepsy per thousand inhabitants was calculated (95% CI 5.3–10.7). Generalized epilepsy (21 cases, 63.6%) was commoner than partial epilepsy (9 cases, 27.3%). The remaining 3 cases (9.1%) were not-classifiable as either generalized or partial. EEG abnormal findings were found in 12 of the 24 patients (50.0%) who had an EEG registration. Conclusions: This is the first study in Lao PDR to estimate the prevalence of epilepsy. Compared to Western countries it shows a pattern towards a higher prevalence. |
| Databáze: | OpenAIRE |
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