Post-stroke epilepsy in Burkina Faso (West Africa)

Napon, Christian; Dabilgou, Alfred Anselme; Kyelem, Julie Marie Adeline; Kaboré, Jean

doi:10.1016/j.jns.2016.06.038

Cited by 8 publications

(9 citation statements)

References 11 publications

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“…Ten of the 17 included studies were of cross-sectional designs, two studies included stroke survivors and healthy control pairs [ 16 , 17 ], and the remaining 5 were prospective observational studies of between 2- and 12-month duration [ 18 – 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…Notably, only one study [ 17 ] included participants recruited from their homes, rather than in hospital or physical rehabilitation settings. The remaining eight studies were conducted among medical inpatients [ 20 – 22 ] or outpatients [ 3 , 25 , 27 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the identified studies did not specify types or severity of stroke, nor were detailed exclusion criteria reported. Two studies included participants who were within a 6-month poststroke period [ 20 , 22 ]. The other studies were heterogeneous in terms of poststroke periods investigated.…”

Section: Resultsmentioning

confidence: 99%

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Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Ojagbemi

Akpa

Elugbadebo

et al. 2017

Behavioural Neurology

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Objective. We aimed to conduct a systematic review and meta-analysis of prevalence and characteristics of poststroke depression (PSD) in sub-Saharan Africa (SSA). Methods. We searched Medline, PsycINFO, and African Journals OnLine using keywords for stroke and depression and the .mp. operator for all 54 SSA countries/regions. Further information was retrieved through a manual search of references from relevant published and unpublished articles. We included only peer-reviewed original studies with epidemiological or experimental designs, conducted random-effect meta-analysis, and identified the most commonly associated factors by weight (inverse of variance method). Results. Seventeen studies, comprising 1483 stroke survivors, met the criteria for syntheses. The pooled frequency of clinically diagnosed PSD was 31% (95% CI = 26%-36%), versus 13.9% in healthy control pairs. Prevalence did not vary much across healthcare settings but was affected by methods of depression ascertainment. PSD was significantly associated with low education, cognitive impairment, physical disability, poor quality of life, and divorced marital status. Conclusion. Almost 1 in 3 individuals with stroke in SSA has clinical depression. Despite limitations around quality of identified studies, results of the present systematic review overlap with findings in the global literature and highlight useful targets for the design and trial of tailored intervention for PSD in SSA.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Ojagbemi

Akpa

Elugbadebo

et al. 2017

Behavioural Neurology

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“…The previously reported rates in rehabilitation or hospital settings in Nigeria were between 25.5% using a rating scale (Oladiji et al, 2009), and 39% using the Becks Depression Inventory (Fatoye et al, 2009). When depression was diagnosed according to DSM IV criteria, a recent study in Burkina Faso, another West-African country, reported a frequency 39% (Napon et al, 2012).…”

Section: Discussionmentioning

confidence: 97%

Cognitive dysfunction and functional limitations are associated with major depression in stroke survivors attending rehabilitation in Nigeria

Ojagbemi

Akinyemi

Baiyewu

2014

NRE

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BACKGROUND: The frequency and predictors of post-stroke depression diagnosed according to codified criteria remain unknown in Nigeria. OBJECTIVES: We report on the predictors of post-stroke major depressive disorder (MDD) in Nigeria using standardized assessment methods. METHOD: Using a case-control design, we consecutively recruited 260 participants. Among them were 130 stroke survivors attending rehabilitation. Along with historical details, an exploration for MDD meeting criteria in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders was carried out using a semi-structured interview. Cognition was assessed using both the Mini Mental State Examination and the modified Indiana University Token test, while disability was assessed using the modified Rankin Scale. Associations were explored using univariate and multivariate analyses. RESULTS: The diagnosis of MDD was more frequently present in the stroke survivors (41.5%, p < 0.001). It was strongly associated with female gender (p < 0.001, O.R = 3.77, 95% C.I = 1.78-8.00), disability (p = 0.001, O.R = 3.27, 95% C.I = 1.57-6.83), and cognitive dysfunction (p < 0.001, O.R = 5.28, 95% C.I = 2.25-12.41). Female gender (p = 0.037, O.R = 2.65, 95% C.I = 1.06-6.62) and cognitive dysfunction (P = 0.03, O.R = 4.58, 95% C.I = 1.68-12.46) were independent predictors of post-stroke MDD. CONCLUSION: Post stroke MDD is common in Nigerian survivors attending rehabilitation. The high rates reported in this population may be the result of factors affecting the efficient management of stroke in developing countries.

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“…It is currently established that the cut-off time for defining early or late seizures after stroke is seven days, and late seizures are currently defined as vascular epilepsy [5]. The different consideration of the definition of vascular epilepsy explains the differences in frequency observed in several studies [12,13]. The Oxfordshire Community Stroke Project reports that the incidence of post-stroke seizures increases dramatically with advancing age, with a male predominance [14].…”

Section: Discussionmentioning

confidence: 99%