Neurological diseases as seen at the outpatient Paediatric Neurology Clinic in Benin City

O, J; Sykes, R. M.

doi:10.1080/02724936.1984.11748338

Cited by 16 publications

(21 citation statements)

References 3 publications

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“…A relatively high prevalence of drop attacks was found among epileptic cases in our study which was one point of departure from the findings in the other studies 9 . This is a unique finding in our study whose basis was investigated and needs further examination.…”

Section: Discussioncontrasting

confidence: 57%

“…However the reporting of the predominance of grand mal epilepsy was not consistent in the studies on children as the findings by Kotsopoulos's 6 and et al in USA who found partial seizures to be more frequent in children than grand mal epilepsy. It is not immediately clear why grand mal prevailed over partial seizures in our setting and in other African based reports 2,3,9 . It may be suggested that the partial seizures remain unnoticed and the patients sought medical attention when it had secondarily evolved into generalized tonic-clonic seizure and this is especially true in the absence of EEG investigation.…”

Section: Discussionmentioning

confidence: 40%

“…Some of the febrile seizures were related to infections such as severe malaria and persisting after the initial episodes of malaria, a study observed in Kenya 6 . The second commonest neurological disorder in many settings is cerebral palsy whose global prevalence is about 2.5 per 1000 live births 1,7,8,9,10 . Ndiaye 11 found a similarly high burden from cerebral palsy among children attending outpatient follow up in Dakar (2002).…”

Section: Introductionmentioning

confidence: 99%

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Pattern of neurological diseases as seen in outpatient children: the experiences from Orotta Referral Hospital Asmara, Eritrea.

Ogbe¹,

Nyarangó²,

Mufunda³

2010

Jrnl Erit Med Assoc

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Objective: To determine the pattern of neurological diseases in children. Methods: This was a prospective cohort study of paediatric patients reporting to the Paediatric Neurological Clinic at Orotta Referral Hospital with neurological diseases. The systematic evaluation of patients was carried out from 2002 to 2005. Results: Altogether 736 children with age ranging from 3 months to 15 years being 61% boys and 39% girls, presented with different neurological disorders. Although the cases may have presented with more than one diagnosis (29.6%), the most frequent neurological diseases were epilepsy (25.9%), cerebral palsy(C/P) (19.3%) and post febrile neurological diseases (12.5%) and others. Out of all epileptic cases, grand mal(GTCS) (74%), partial seizures (5.6%), akinetic attacks(drop attacks) (5.6%) and petit mal (absence siezures) (3.2%) were the commonest types of epilepsy. In the majority of epilepsy (63.5%) no cause was found. There was no gender difference in all neurological disorders studied. Discussion and Conclusion: Epilepsy is a common disease in children. The prevailing enigma that epilepsy is rare in children is an unfounded myth making it imperative for appropriate index of clinical suspicion whenever a paediatric patient presents with unusual clinical pattern. The increased number of epileptic cases at first attendance with age calls for aggressive treatment at the early stages when neurological deficits are likely to occur as the disease may have spontaneously permanent remission. The high number of cases with cerebral palsy and post febrile illness neurological diseases necessitates urgent preventive measures and appropriate management in the country.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 40%

Section: Introductionmentioning

confidence: 99%

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Pattern of neurological diseases as seen in outpatient children: the experiences from Orotta Referral Hospital Asmara, Eritrea.

Ogbe¹,

Nyarangó²,

Mufunda³

2010

Jrnl Erit Med Assoc

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“…It costs US$100-150 for a computed tomography scan; this is much more than the average monthly salaries of the greater population of Nigerians. 6,13 This has contributed to the low imaging rates for children with seizure disorders in Nigeria. 6,13 Most centers managing children with seizure disorders have access to electroencephalography.…”

Section: Tertiary-level Health Carementioning

confidence: 99%

“…The most common neurology disorders seen are seizure disorders and cerebral palsy, which have remained constant over the past 20 years. [6][7][8][9][10][11][12] Although virtually all the centers have access to neuroimaging studies, the cost of these studies is prohibitive and not affordable to most patients. It costs US$100-150 for a computed tomography scan; this is much more than the average monthly salaries of the greater population of Nigerians.…”

Section: Tertiary-level Health Carementioning

confidence: 99%

Child Neurology Services in Africa

et al. 2011

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The first African Child Neurology Association meeting identified key challenges that the continent faces to improve the health of children with neurology disorders. The capacity to diagnose common neurologic conditions and rare disorders is lacking. The burden of neurologic disease on the continent is not known, and this lack of knowledge limits the ability to lobby for better health care provision. Inability to practice in resource-limited settings has led to the migration of skilled professionals away from Africa. Referral systems from primary to tertiary are often unpredictable and chaotic. There is a lack of access to reliable supplies of basic neurology treatments such as antiepileptic drugs. Few countries have nationally accepted guidelines either for the management of epilepsy or status epilepticus. There is a great need to develop better training capacity across Africa in the recognition and management of neurologic conditions in children, from primary health care to the subspecialist level. Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Europe PMC Funders Group Europe PMC Funders Author ManuscriptsEurope PMC Funders Author Manuscripts challenges in children across the continent. The presentations highlighted key common themes, namely, the need to promote education, training, and research. Building on these areas will have a ripple effect of improving child health care, improving facilities, and retaining skilled specialists in Africa.The following text collates the data delivered at this meeting, specifically from Ghana, Nigeria, Malawi, and Uganda, and provides a broader summary of the overall services across the continent. Summary of Services Across Africa, Focusing on EpilepsyA survey of 23 countries across Africa (Algeria, Cameroun, Cote d'Ivoire, Democratic Republic of Congo, Egypt, Ethiopia, Ghana, Kenya, Malawi, Mali, Mauritius, Mozambique, Namibia, Nigeria, Rwanda, Sénégal, South Africa, Sudan, Togo, Tanzania, Uganda, Zambia, Zimbabwe; Figure 1) focused broadly on child neurology capacity and needs (2008)(2009)(2010)(2011). Questionnaires were sent to key pediatric physicians known to be practicing in the country to provide information on the services.

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