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Spectrum of epilepsy – prevalence, impact, and treatment gap: an epidemiological study from Al-Quseir, Egypt

Authors El tallawy H, Farghaly W, Rageh T, Shehata G, Metwally N, Badry R, Sayed M, Abdelwarith A, Kandil M, Ibrahim MAAEH, Mohamed K, Tohamy A

Received 1 May 2015

Accepted for publication 16 December 2015

Published 12 May 2016 Volume 2016:12 Pages 1111—1118


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Roger Pinder

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 Tohamy1

1Department of Neurology, Assiut University, Assiut, 2Department of Neurology, Faculty of Medicine, Al-Azhar University – Assiut Branch, Assiut, 3Department of Neurology, Sohag University, Sohag, Egypt

Background: 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

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