The Pattern of Childhood Epilepsies at National Hospital Abuja Nigeria
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 6
Abstract
Aims: we aim to investigate the pattern of childhood epilepsies in a tertiary hospital in the federal capital city of Nigeria. Settings and Design: retrospective descriptive study Methods and Material: The folders of children managed for epilepsy at the Paediatric Neurology Clinic of NHA over a period of five years(August 2009 to July 2013) were retrieved and relevant socio-demographic and clinical information extracted and retrospectively analyzed. Results: 226 subjects met the criteria for inclusion and were analyzed. The children were between the ages of 1 month to 17years. 157(69.5%) were male. 155(68.6%) were of upper social class. 32(14.2%) patients had positive family history of seizure disorder. 207(91.6%) were diagnosed of generalized seizure. Of the etiology of the seizure; in majority, no factor was identified while brain anoxia and brain infection were the commonest identified causes. 219(96.9%) patients showed abnormal EEG recording while in 75(33.2%) had brain MRI abnormality.160(70.8) patients had AED switched to a different anticonvulsant for various reasons. 41(18.1%) patients had there drug changed once, 2(0.9%) patients had drug switched twice, while 117(51.8%) had drug substituted more than twice. 33(14.6%) patients are on AED polytherapy. 31(13.7%) patients had been seizure free for more than two years. Dennis R. Shatima, Chidi C. Ulonnam et al JMSCR Volume 2 Issue 6 June 2014 Page 1368 JMSCR Volume||2||Issue||6||Page 1367-1377 ||June 2014 2014 Conclusions: The study reviews the pattern of occurrence of epilepsy in NHA. Two common etiologies identified were brain anoxia and brain infection. Majority of the patients were observed to have intractable seizure which calls for a need to review the factors that favor poor control in the subjects.
Authors and Affiliations
Dennis R. Shatima
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