Epilepsy and psychogenic non-epileptic seizures in forcibly displaced people: A scoping review

Hallab, Asma; Sen, Arjune

doi:10.1016/j.seizure.2021.08.004

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…Exacerbations of chronic disorders, such as multiple sclerosis and epilepsy, may occur due to excessive stress and interrupted availability of maintenance medications. 18,21,22 Psychogenic nonepileptogenic seizures are also reported in FDPs.…”

Section: What Is Reportedmentioning

confidence: 99%

Neurologic Care of Forcibly Displaced Persons

et al. 2023

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There is a growing number of forcibly displaced persons (FDPs) worldwide. With more than 100 million people forcibly displaced today, there is an urgent mandate to understand the neurologic care needs of this population and how neurologists and other health care workers can most effectively provide that care. In this Emerging Issues in Neurology article, we attempt to: (1) define the scope of the problem of providing neurologic care to FDPs, (2) highlight commonly encountered clinical challenges related to neurologic care of FDPs, and (3) provide useful clinical information for neurologists and other clinicians who deliver care to FDPs with neurologic needs. We address the terminology of forcible displacement and how terms may differ across a person’s migration journey.Common challenges encountered by FDPs with neurologic needs across settings include loss of support systems, loss of personal health information, language barriers and differing expression of symptoms, differing belief systems, epidemiological patterns of disease unfamiliar to the clinician, and patients’ fear and perceived risks of engaging with health systems. Practical approaches are shared for clinicians who encounter an FDP with a neurologic presentation. Finally, the article discusses many unmet neurologic needs of FDPs, which require significant investment. These include addressing lapses in neurologic care during displacement and understanding the effects of forcible displacement on people with chronic neurologic conditions. Future research and educational resources should focus on improving epidemiological intelligence for neurologic conditions across geographies, developing curricula for optimizing the neurological care of FDPs, and evaluating the most appropriate and effective uses of health technologies in humanitarian settings.

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Section: What Is Reportedmentioning

confidence: 99%

Neurologic Care of Forcibly Displaced Persons

et al. 2023

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“…Convulsions are also unpredictable and difficult to witness, leading to fear and anxiety, including in health-care workers helping people who have been displaced. 5 Asylum seekers can, therefore, be wary of declaring an epilepsy diagnosis, fearing that this will prejudice refugee status applications. 5 All of these factors, coupled with, for example, a scarcity of medically trained personnel with appropriate expertise, contribute to forcibly displaced people with epilepsy receiving suboptimal care.…”

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confidence: 99%

“…A transcultural approach seems crucial; for example, Afghan refugees and asylum seekers have previously reported feeling isolated in their contact with host–country institutions that, superficially, seem culturally similar. 5 Awareness of common causes of epilepsy in Afghanistan, differential diagnoses for seizures, and the context that people are leaving, with special attention to hardships faced by women and girls, should help forcibly displaced Afghans with epilepsy and people who develop seizures to integrate into their receiving countries.…”

mentioning

confidence: 99%