To study the incidence of epilepsy in a rural area of Ethiopia.
A community-based study was performed in a random sample of villages with 61,686 inhabitants in a rural area of central Ethiopia.
In a door-to-door survey, all inhabitants in the study area were interviewed about seizures.
A standardized protocol was used.
All new cases with epilepsy that had occurred since a previous study was made 3.5 years earlier were included.
Fifty-three of the subjects were investigated with EEG.
One-hundred thirty-nine incident cases were identified, corresponding to an annual incidence of 64 in 100,000 inhabitants [95% confidence interval (Cl) 44-84]. The corresponding rate for males was 72 (CI 42-102) ; for females, it was 57 (Cl 31-84).
The highest age-specific incidence occurred in the youngest age groups (0-9 years) ; the next highest was in the group aged 10-19 years.
Generalized convulsive seizures occurred in 69%, partial seizures occurred in 20%, and unclassifiable seizures occurred in 11%. Seizures occurred daily in 10% and weekly in another 14% ; 33% had monthly seizures.
Twenty-two percent had a family history of epilepsy.
A history of head trauma was ascertained in 5.7% and was the most common possible etiologic factor identified.
Thirteen percent were treated with antiepileptic drugs (AEDs).
The incidence of epilepsy in Ethiopia is high. (...)
Mots-clés Pascal : Epilepsie, Ethiopie, Afrique, Zone rurale, Sexe, Age apparition, Forme clinique, Incidence, Epidémiologie, Randomisation, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie
Mots-clés Pascal anglais : Epilepsy, Ethiopia, Africa, Rural area, Sex, Age of onset, Clinical form, Incidence, Epidemiology, Randomization, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0299781
Code Inist : 002B17A03. Création : 15/07/1997.