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Cause And Management Of Epilepsy In Nigeria
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CHAPTER FIVE
5.1 Conclusion
Epilepsy is a common neurological disorder in Nigeria. Many individuals are affected in rural areas, although prevalence data is not available. In this study we aimed to establish the prevalence of epilepsy in a rural community in south-east Nigeria, a community suspected for having a high number of people living with epilepsy. We compared this with the prevalence in a nearby semi-urban community in north-central Nigeria. In both communities we identified potential causes of epilepsy and obtained information on the social beliefs regarding epilepsy. We used door-to-door surveys and focus group discussions.
The epilepsy prevalence in the rural community was 20.8/1000 (95% confidence interval (CI) 15.7-27.4). The prevalence in the semi-rural community was lower, namely 4.7/1000 (CI: 3.2-6.9). The difference in prevalence was highly significant (x2 test, p < 0.0001). In both communities most people with epilepsy in both communities included poor obstetric practices, frequent febrile convulsions, head trauma, meningitis and neurocysticercosis. In both communities we found stigma of people with epilepsy.
The epilepsy prevalence in the semi-urban community is similar to that in industrialized countries. In contrast, the rural community has a much higher prevalence. This may require the establishment of specific community based epilepsy control programs. Community interventions should focus on treatment of acute epilepsy and on stigma reduction.
5.2 RECOMMENDATIONS
ï¶ TO HEALTH CARE PROVIDERS:
i. Early diagnosis and treatment to avoid complications
ii. Health Education on danger of epilepsy
ï¶ TO PREGNANT MOTHERS:
i. Health education on focus ANC
ii. To ensure safe delivery in a well equip health facility
iii. Prompt to referral in case of delay in the second stage of labour.
iv. To identify the abnormalities during pregnancy.
ï¶ COMMUNTIY: should provide a law.
i. To avoid playing in a danger zone eg.
a. Well
b. River
c. Motor pack
d. Grounding machine
e. Riding horse etc.
ï¶ TO GOVERNMENT:
i. A person with eye defect should be discourage in driving
ii. Supply of epilepsy drugs
iii. Avoid over speed during or when driving
iv. Provision of law of drugs inforcement against drugs trafficals. Etc.
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TABLE OF CONTENTS - [ Total Page(s): 1 ] TABLE OF CONTENTSCHAPTER ONE Introduction Background to the study Statement of the problem Justification for the study Objectives of the studyCHAPTER TWO Concept of epilepsy Types of epilepsy Effects of epilepsy Causes of epilepsy Signs and symptoms of epilepsy Diagnosis Management Complication Prevention of epilep ... Continue reading---
CHAPTER ONE - [ Total Page(s): 2 ]CHAPTER ONEINTRODUCTION1.0 Background of the study; Epilepsy is the most common non-infectious neurologic disease in developing African countries, including Nigeria and it remains a major medical and social problem. Historically, epilepsy was believed to be a sacred disease that is the result of the invasion of the body by a god. It was thought that only a god could deprive a healthy man of his senses, throw him to the ground, convulse him and then rapidly restore him to his former self again. ... Continue reading---
CHAPTER TWO - [ Total Page(s): 9 ]When medications fail to provide adequate control over seizures, surgery may be an option. With epilepsy surgery, a surgeon removes the area of your brain that's causing seizures.Doctors usually perform surgery when tests show that:• Your seizures originate in a small, well-defined area of your brain• The area in your brain to be operated on doesn't interfere with vital functions such as speech, language, motor function, vision or hearingAlthough many people continue to n ... Continue reading---
CHAPTER THREE - [ Total Page(s): 1 ]CHAPTER THREE3.0 METHODOLOGYThe study was descriptive design and mainly literature search. Keywords used during this presentation are definition, causes, physical signs and symptoms, management/treatment, complications and prevention of epilepsy. Published articles, textbooks, journals, search engines such as Google, Wikipedia, Pubmed were reviewed in presenting this seminar paper. ... Continue reading---
CHAPTER FOUR - [ Total Page(s): 2 ]CHAPTER FOUR DISCUSSION In Nigeria most diseases affecting the brain which include epilepsy are assumed to be due to affliction by evil spirits (25) this belief is responsible to a large extent for patients with seizure disorders seeking treatment from traditional healers. Danesi and Adetunji in a survey of 265 epileptic patients in Lagos reported that 47.6% used African traditional medicine alone, 24.1% combined traditional medicine with spiritual healing, 20.4% used spiritual healing a ... Continue reading---
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