Pattern of childhood epilepsies in Sagumu, Nigeria.

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dc.contributor.authorOgunlesi, Tinuadeen_US
dc.contributor.authorOgundeyi, Mojisolaen_US
dc.contributor.authorOlowu, Adebiyien_US
dc.date.accessioned2009-04-29en_US
dc.date.accessioned2009-05-30T10:56:52Z
dc.date.available2009-04-29en_US
dc.date.available2009-05-30T10:56:52Z
dc.date.issued2009-04-29en_US
dc.description.abstractOBJECTIVE: To determine the prevalence, aetiology and clinical pattern of childhood epilepsies in a Nigerian tertiary hospital. METHODS: A review of hospital records of children managed for epilepsies at the Pediatric Neurology Clinic. Data studied included the age at presentation, sex, socio-economic class, probable aetiology, clinical type of seizure, Electroencephalopgraphic (EEG) pattern and presence of other neurologic disorders co-existing with seizures. RESULTS: Out of 183 children, 138 had epilepsies giving a prevalence of 75.4%. Sixty nine (54.7%) were aged 6 months to 3 years at the first visit and 115 (69.9%) belonged to lower socio-economic classes IV and V. Birth asphyxia 47 (37.3%) and brain infections in 28 (21.9%) were the leading aetiologies. Generalized tonic-clonic seizures, complex partial seizures and rolandic seizures occurred in 55 (76.9%), 8 (6.3%) and 2 (4.8%) children respectively. Inter-ictal EEG abnormalities were recorded among 72/77 children. Seizures co-existed with other neurologic deficits in 86 (68.3%) of all epileptic cases. 95 (75.4%) children had defaulted from the clinic as at the time of the study. 21 (19.6%) had poor response to drug treatment. Presence of other neurological disorders (p = 0.029) and multiple aetiologies (p = 0.0000) were associated with poor response to drug treatment. CONCLUSION: Most cases of childhood epilepsy in Sagamu, Nigeria are due to preventable perinatal and neonatal conditions. Therefore, improved obstetric and neonatal care may reduce the prevalence of this condition.en_US
dc.description.affiliationDepartment of Pediatrics, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria. tinude_ogunlesi@yahoo.co.uken_US
dc.identifier.citationOgunlesi T, Ogundeyi M, Olowu A. Pattern of childhood epilepsies in Sagumu, Nigeria. Indian Journal of Pediatrics. 2009 Apr; 76(4): 385-9en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/79172
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshCatchment Area (Health)
dc.subject.meshChild
dc.subject.meshChild, Preschool
dc.subject.meshElectroencephalography
dc.subject.meshEpilepsy --diagnosis
dc.subject.meshEpilepsy --epidemiology
dc.subject.meshEpilepsy --etiology
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshNigeria --epidemiology
dc.subject.meshPrevalence
dc.subject.meshSex Distribution
dc.subject.meshSocioeconomic Factors
dc.titlePattern of childhood epilepsies in Sagumu, Nigeria.en_US
dc.typeJournal Articleen_US
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