Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt
Hamdy N El-Tallawy,1 Wafaa M Farghaly,1 Tarek A Rageh,1 Ghaydaa A Shehata,1 Nabil A Metwally,2 Reda Badry,1 Mohammed A Sayed,3 Ahmed M Abdelwarith,2 Mahmoud R Kandil,1 Mohamed A Hamed,1 Khaled O Mohamed,1 Amal M Tohamy11Department of Neurology, Assiut University, Assiut, 2Department of Neurology, Fa...
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2016
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oai:doaj.org-article:c2d2b822edf243b893d9b77cce74732a2021-12-02T03:57:18ZSpectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt1178-2021https://doaj.org/article/c2d2b822edf243b893d9b77cce74732a2016-05-01T00:00:00Zhttps://www.dovepress.com/spectrum-of-epilepsy-ndash-prevalence-impact-and-treatment-gap-an-epid-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hamdy N El-Tallawy,1 Wafaa M Farghaly,1 Tarek A Rageh,1 Ghaydaa A Shehata,1 Nabil A Metwally,2 Reda Badry,1 Mohammed A Sayed,3 Ahmed M Abdelwarith,2 Mahmoud R Kandil,1 Mohamed A Hamed,1 Khaled O Mohamed,1 Amal M Tohamy11Department of Neurology, Assiut University, Assiut, 2Department of Neurology, Faculty of Medicine, Al-Azhar University – Assiut Branch, Assiut, 3Department of Neurology, Sohag University, Sohag, EgyptBackground: Epidemiology continues to be an important research tool in the study of epilepsy and related disorders, providing a better understanding of the frequency, causes, and natural history of the disorder.Objective: To estimate the prevalence of epilepsy in Al-Quseir, Red Sea Governorate, Egypt, and its magnitude of treatment gap.Methods: The study was part of a door-to-door study, including every door, to screen all inhabitants in Al-Quseir (33,818 inhabitants) by three specialists of neurology and 15 female social workers (for demographic data collection) using a standardized screening questionnaire. All suspected cases were subjected to detailed history, clinical examination, and electroencephalogram. Neuroimaging studies and estimation of serum drug level were done in select cases if needed.Results: The study revealed that the lifetime prevalence rate of epilepsy in Al-Quseir is 5.5/1,000, with the highest peak during early childhood, while that of active epilepsy is 3.3/1,000 population. The annual incidence rate is 48/100,000, and the age-specific incidence rate has a U-shaped pattern with two peaks of incidence in early infancy and elderly life. Localization-related epilepsy is the most frequently encountered type (58.8%). The treatment gap of epilepsy in Al-Quseir is 83.8%.Conclusion: The lifetime prevalence of epilepsy in Al-Quseir city, Red Sea Governorate, was 5.5/1000. Keywords: epidemiology, epilepsy, treatment gap, Egypt, Al-Quseir, epidemiologyEl-Tallawy HNFarghaly WMRageh TAShehata GAMetwally NABadry RSayed MAAbdelwarith AMKandil MRHamed MAMohamed KOTohamy AMDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1111-1118 (2016) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 El-Tallawy HN Farghaly WM Rageh TA Shehata GA Metwally NA Badry R Sayed MA Abdelwarith AM Kandil MR Hamed MA Mohamed KO Tohamy AM Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
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Hamdy N El-Tallawy,1 Wafaa M Farghaly,1 Tarek A Rageh,1 Ghaydaa A Shehata,1 Nabil A Metwally,2 Reda Badry,1 Mohammed A Sayed,3 Ahmed M Abdelwarith,2 Mahmoud R Kandil,1 Mohamed A Hamed,1 Khaled O Mohamed,1 Amal M Tohamy11Department of Neurology, Assiut University, Assiut, 2Department of Neurology, Faculty of Medicine, Al-Azhar University – Assiut Branch, Assiut, 3Department of Neurology, Sohag University, Sohag, EgyptBackground: Epidemiology continues to be an important research tool in the study of epilepsy and related disorders, providing a better understanding of the frequency, causes, and natural history of the disorder.Objective: To estimate the prevalence of epilepsy in Al-Quseir, Red Sea Governorate, Egypt, and its magnitude of treatment gap.Methods: The study was part of a door-to-door study, including every door, to screen all inhabitants in Al-Quseir (33,818 inhabitants) by three specialists of neurology and 15 female social workers (for demographic data collection) using a standardized screening questionnaire. All suspected cases were subjected to detailed history, clinical examination, and electroencephalogram. Neuroimaging studies and estimation of serum drug level were done in select cases if needed.Results: The study revealed that the lifetime prevalence rate of epilepsy in Al-Quseir is 5.5/1,000, with the highest peak during early childhood, while that of active epilepsy is 3.3/1,000 population. The annual incidence rate is 48/100,000, and the age-specific incidence rate has a U-shaped pattern with two peaks of incidence in early infancy and elderly life. Localization-related epilepsy is the most frequently encountered type (58.8%). The treatment gap of epilepsy in Al-Quseir is 83.8%.Conclusion: The lifetime prevalence of epilepsy in Al-Quseir city, Red Sea Governorate, was 5.5/1000. Keywords: epidemiology, epilepsy, treatment gap, Egypt, Al-Quseir, epidemiology |
format |
article |
author |
El-Tallawy HN Farghaly WM Rageh TA Shehata GA Metwally NA Badry R Sayed MA Abdelwarith AM Kandil MR Hamed MA Mohamed KO Tohamy AM |
author_facet |
El-Tallawy HN Farghaly WM Rageh TA Shehata GA Metwally NA Badry R Sayed MA Abdelwarith AM Kandil MR Hamed MA Mohamed KO Tohamy AM |
author_sort |
El-Tallawy HN |
title |
Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
title_short |
Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
title_full |
Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
title_fullStr |
Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
title_full_unstemmed |
Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt |
title_sort |
spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from al-quseir, egypt |
publisher |
Dove Medical Press |
publishDate |
2016 |
url |
https://doaj.org/article/c2d2b822edf243b893d9b77cce74732a |
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