Pediatric Neurology in Resource-Limited Settings: a Systematic Review

Bearden, David

doi:10.1007/s40124-018-0155-x

Cited by 3 publications

(3 citation statements)

References 59 publications

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“…Paediatric neurologists and local medical personnel practicing in low-resource settings face multiple challenges. Access to neuroimaging and specialised neurophysiological testing, such as EEG (electroencephalography), is typically concentrated in single centres, usually located in larger cities [1].…”

Section: Limitations To Delivery Of Care In Resource-limited Countriesmentioning

confidence: 99%

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Pediatric neurology and epilepsy care in low-middle income countries: Importance of collaborative efforts and active involvement of local leaders.

Vidaurre

Spiciarich

Beal

et al. 2019

JICNA

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The lack of access to proper neurological care is a significant problem in low- to middle-income countries.The development of local training programmes, development of national programmes in collaboration with medical colleges and creation of online educational material are examples of various initiatives currently being implemented across the world.Collaborative efforts between medical societies and these local groups will be vital to the success of these initiatives, and for the improvement of access to paediatric neurology care in these underserved areas.

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Section: Limitations To Delivery Of Care In Resource-limited Countriesmentioning

confidence: 99%

“…The World Health Organization (WHO) recommends a ratio of one neurologist per 100,000 inhabitants. In the USA, there is approximately one neurologist per 26,200 people [1]. In African countries, this ratio ranges from 1:711,856 to 1:5,099,908 [2].…”

Section: Introductionmentioning

confidence: 99%

Pediatric neurology and epilepsy care in low-middle income countries: Importance of collaborative efforts and active involvement of local leaders.

Vidaurre

Spiciarich

Beal

et al. 2019

JICNA

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“…Resources for the diagnosis and management of neurologic disorders such as epilepsy are often limited in low-income and middle-income countries such as Bangladesh 8. Several aspects of epilepsy management that may be considered routine in tertiary or specialist settings are not applicable to community-based settings 9.…”

Section: Introductionmentioning

confidence: 99%

Improving epilepsy control among children with cerebral palsy in rural Bangladesh: a prospective cohort-based study

et al. 2022

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ObjectiveTo define the prevalence and seizure subtypes among children with cerebral palsy (CP) in rural Bangladesh and explore barriers to optimum epilepsy control.DesignProspective cohort study.SettingThe study was conducted in Shahjadpur, a rural subdistrict of Bangladesh.ParticipantsChildren (<18 years) with CP and epilepsy identified using the Bangladesh CP Register (BCPR) in the study site.MethodsAssessments were conducted in three focused epilepsy clinics overseen by a paediatric neurologist between December 2016 and January 2018, with intervening phone and video-conference follow-ups. Details of event type, frequency and medication compliance were collected. Antiepileptic drugs (AEDs) were prescribed based on seizure type, family income, comorbidity and medication availability.Results23.4% (170/726) of the BCPR cohort had a clinical diagnosis of epilepsy of whom 166 were assessed. Following the focused epilepsy clinics, 62.0% (103/166) children were clinically determined to have ongoing epileptic seizures. 62.1% (64/103) had generalised onset tonic clonic seizures, 27.2% (28/103) had focal onset seizures with impaired awareness and 10.7% (11/103) had other seizure types. None of the children with prolonged seizures (31/103) had an emergency seizure management plan. Non-epileptic events were being pharmacologically treated as seizures in 18.1% (30/166) children. Financial constraints were the main reason for non-compliance on follow-up.ConclusionsGaps in optimum epilepsy management in rural Bangladesh are amenable to improvement anchored with local healthcare workers. Training and clinical care focused on recognition of common seizure types, seizure mimics and rationalising use of available AEDs can be facilitated by better referral pathways and telehealth support.

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Infantile spasms: Etiology, lead time and treatment response in a resource limited setting

Surana

Symonds

Srivastava

et al. 2020

Epilepsy & Behavior Reports

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Pediatric Neurology in Resource-Limited Settings: a Systematic Review

Cited by 3 publications

References 59 publications

Pediatric neurology and epilepsy care in low-middle income countries: Importance of collaborative efforts and active involvement of local leaders.

Pediatric neurology and epilepsy care in low-middle income countries: Importance of collaborative efforts and active involvement of local leaders.

Improving epilepsy control among children with cerebral palsy in rural Bangladesh: a prospective cohort-based study

Infantile spasms: Etiology, lead time and treatment response in a resource limited setting

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