Épilepsie du sujet âgé à Conakry

Morel, Yves; Cisse, Fodé Abass; Drame, Fatoumata; Cissé, A; Guilavogui, Vamala; Souaré, Ibrahima Sory

doi:10.1016/j.neurol.2012.01.162

Cited by 1 publication

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“…This predominance of cerebrovascular disease among the causes of epilepsy in the elderly has been reported previously in several studies. [4][5][6]12,13 In 41 patients (66.1%), we did not find a definite cause. Of these 41 patients, only nine patients underwent brain imaging that was normal.…”

Section: Discussionmentioning

confidence: 86%

“…This predominance of focal-onset seizures has been reported previously in several studies. 4,6,10,11 However, Kuate-Tegueu et al 5 reported as far as they are concerned in Cameroon a predominance of generalized tonic-clonic seizures (44%).The high prevalence of focal brain lesions in the elderly explains this predominance of focal-onset seizures in these persons.…”

Section: Discussionmentioning

confidence: 99%

“…Only a few studies had been published on epilepsy in the elderly in sub-Saharan Africa. [4][5][6] In Niger, there are no epidemiological data on epilepsy in the elderly. Thus, we designed this study to evaluate the management of epilepsy in the elderly at a tertiary referral center in Niger to obtain a comprehensive understanding to determine the intrahospital deficiencies to improve and to make recommendations in terms to improve the management of epilepsy in the elderly in Niger.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Etiological Characteristics of Epilepsy in the Elderly: A Hospital-Based Study from a Tertiary Care Referral Center of Niamey, Niger

Assadeck

Daouda

Mamadou

et al. 2019

Journal of Neurosciences in Rural Practice

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Objectives The aim of this study is to evaluate the management of epilepsy in the elderly at a tertiary referral center in Niger to obtain a comprehensive understanding to determine the intrahospital deficiencies to improve and to make recommendations in terms to improve the management of epilepsy in the elderly in Niger. Materials and Methods We conducted a retrospective study at the Neurology Outpatient Clinic of the National Hospital of Niamey (Niger) over a period of 5 years from May 2013 to May 2018, collecting all cases of patients aged 60 years or over diagnosed with epilepsy by neurologists. From the registers of consultation, we collected and analyzed for each patient the demographic, clinical, etiological, and therapeutic data, as well as the outcomes during follow-up visits. Results Of the 4,576 patients of all ages seen during the period of our study, we included 62 patients aged 60 years or over diagnosed with epilepsy with a hospital frequency of 1.35%. The mean age of patients was 65.82 ± 5.72 years (range: 60 and 83 years) with a predominance of the male sex (sex ratio at 1.6). Patients aged 60 to 64 years were the most represented (43.5%). Generalized tonic–clonic seizures were the most frequent (41.9%), followed by focal to bilateral tonic-clonic seizures (25.8%). All patients underwent electroencephalogram. Only 30 patients (48.4%) underwent brain imaging, and mainly brain computed tomography scan. The etiologies included poststroke epilepsy (25.8%), brain tumors (3.2%), cerebral toxoplasmosis (3.2%), and cerebral meningioma (1.6%). We found 41 cases (66.1%) of epilepsy without definite etiology and with an incomplete workup. Carbamazepine and phenobarbital were the only two antiepileptic drugs (AEDs) used. Conclusion The present study shows limited access to newer generation AEDs and diagnostic tests of epilepsy in Niger. Considerable efforts should be made to facilitate for people living with epilepsy the accessibility to diagnostic tests and the newer generation AEDs to improve the quality of epilepsy management in Niger.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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