Management of epilepsy patients in Batamariba district, Togo

Objective – To describe the feasibility of managing epilepsy in a rural setting in a developing country. Methods – The project comprised four phases. After a study of the perception of epilepsy, we conducted a sensitization campaign in November 2001. The third phase was a survey, to detect epileps...

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Bibliographic Details
Published in:	Acta neurologica Scandinavica Vol. 116; no. 4; pp. 211 - 216
Main Authors:	Balogou, A. A. K., Grunitzky, E. K., Belo, M., Sankaredja, M., Djagba, D. D., Tatagan-Agbi, K., Mandlhate, C., Barakamfitiye, D.-G.
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-10-2007 Blackwell
Subjects:	Adolescent Adult Biological and medical sciences Child Child, Preschool Developing Countries epilepsy Epilepsy - epidemiology Epilepsy - therapy Feasibility Studies Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Human viral diseases Humans Infant Infectious diseases Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) neuroepidemiology Neurology Pregnancy Pregnancy Complications - epidemiology Pregnancy Complications - therapy Program Development Rural Health Services - organization & administration Togo - epidemiology treatment Viral diseases Viral diseases of the nervous system Togo Human Nervous system diseases Clinical management Treatment Epilepsy Central nervous system disease neuroepidemiology Cerebral disorder
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Summary:	Objective – To describe the feasibility of managing epilepsy in a rural setting in a developing country. Methods – The project comprised four phases. After a study of the perception of epilepsy, we conducted a sensitization campaign in November 2001. The third phase was a survey, to detect epilepsy patients, in which 6249 persons were asked to complete a questionnaire. Persons with epilepsy were then examined, treated, mainly with phenobarbital, and followed up. Results – The prevalence of epilepsy was estimated to be 15.7‰. Ninety‐two patients took antiepileptic drugs from 1 February 2002. By November 2005, 92.7% of all treated patients had achieved complete suppression of seizures, and 7.3% had reduced seizure frequency. Conclusions – Despite the stigma attached to epilepsy in many developing countries, it can be controlled by relatively simple measures. At present, 601 epilepsy patients are being followed up at the Nadoba health centre, where epilepsy is now the second commonest disease.
Bibliography:	ArticleID:ANE871 ark:/67375/WNG-XJLJVFV8-V istex:509541BFFC46478FB7647FC0CD124B7E0C044AC5 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0001-6314 1600-0404
DOI:	10.1111/j.1600-0404.2007.00871.x