A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City

Background:Even though Epilepsy is a common neurological disorder globally, developing countries still have insufficient epidemiological data regarding epilepsy. Aim of the Work:We aimed to estimate the prevalence of epilepsy in primary and preparatory school students in New Damietta city, Damietta...

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Main Authors: Mohamed Ali, Abdel Monem Mohamed Hassan, Ayman Mahmoud, Hossam Ali
Format: Article
Language:English
Published: Al-Azhar University, Faculty of Medicine (Damietta) 2021-07-01
Series:International Journal of Medical Arts
Subjects:
Online Access:https://ijma.journals.ekb.eg/article_185120_9f7f7caf2fbcb511c87100de9de92055.pdf
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author Mohamed Ali
Abdel Monem Mohamed Hassan
Ayman Mahmoud
Hossam Ali
author_facet Mohamed Ali
Abdel Monem Mohamed Hassan
Ayman Mahmoud
Hossam Ali
author_sort Mohamed Ali
collection DOAJ
description Background:Even though Epilepsy is a common neurological disorder globally, developing countries still have insufficient epidemiological data regarding epilepsy. Aim of the Work:We aimed to estimate the prevalence of epilepsy in primary and preparatory school students in New Damietta city, Damietta governorate, Egypt. Patients and Methods:A cross-sectional community-based study that was conducted over a period of six months from February to July 2020. All students from conventional schools were screened using a special validated Arabic translated questionnaire. Students with positive questionnaire findings were subjected to a detailed history, neurological examination, Electroencephalography [EEG], and Magnetic resonance imaging [MRI] whenever possible. Data were coded and analyzed. Result:Lifetime prevalence was 7.5/1000 in conventional schools. Male: Female ratio was 2:1 with statistical significance [95% Confidence Interval= 0.276 to 0.963]. Low socioeconomic class students had a statistically significant higher prevalence of epilepsy. Prenatal and neonatal insults, history of febrile convulsions, and family history of epilepsy were the risk factors with statistical significance. Generalized seizures were more frequent than focal and 62.2% of children were receiving treatment. EEG detected epileptiform discharges in 33.3% of students. Conclusion: The prevalence of overall epilepsy among primary and preparatory school students was similar to that of other Egyptian districts within the same age group. Being male and low socioeconomic status was associated with a high prevalence of epilepsy. The reported prevalence is similar to the prevalence of epilepsy in other Egyptian Governorates and other Arab countries, but lower than the prevalence in Upper Egypt and most developing countries.
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spelling doaj.art-ca076f90f93f4c7fa90cf4108d9785912022-12-21T18:00:33ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802021-07-01331657166310.21608/ijma.2021.64734.1278185120A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta CityMohamed Ali0Abdel Monem Mohamed Hassan1Ayman Mahmoud2Hossam Ali3Department of Neurology, Damietta Faculty of Medicine, Al-Azhar University, EgyptDepartment of Neurology, Faculty of Medicine, Al-Azhar University, EgyptDepartment of Public Health; Damietta faculty of Medicine, Al-Azhar university, EgyptDepartment of Neurology, Damietta Faculty of Medicine, Al-Azhar University, EgyptBackground:Even though Epilepsy is a common neurological disorder globally, developing countries still have insufficient epidemiological data regarding epilepsy. Aim of the Work:We aimed to estimate the prevalence of epilepsy in primary and preparatory school students in New Damietta city, Damietta governorate, Egypt. Patients and Methods:A cross-sectional community-based study that was conducted over a period of six months from February to July 2020. All students from conventional schools were screened using a special validated Arabic translated questionnaire. Students with positive questionnaire findings were subjected to a detailed history, neurological examination, Electroencephalography [EEG], and Magnetic resonance imaging [MRI] whenever possible. Data were coded and analyzed. Result:Lifetime prevalence was 7.5/1000 in conventional schools. Male: Female ratio was 2:1 with statistical significance [95% Confidence Interval= 0.276 to 0.963]. Low socioeconomic class students had a statistically significant higher prevalence of epilepsy. Prenatal and neonatal insults, history of febrile convulsions, and family history of epilepsy were the risk factors with statistical significance. Generalized seizures were more frequent than focal and 62.2% of children were receiving treatment. EEG detected epileptiform discharges in 33.3% of students. Conclusion: The prevalence of overall epilepsy among primary and preparatory school students was similar to that of other Egyptian districts within the same age group. Being male and low socioeconomic status was associated with a high prevalence of epilepsy. The reported prevalence is similar to the prevalence of epilepsy in other Egyptian Governorates and other Arab countries, but lower than the prevalence in Upper Egypt and most developing countries.https://ijma.journals.ekb.eg/article_185120_9f7f7caf2fbcb511c87100de9de92055.pdfepilepsyschoolchildrencross-sectional studyegypt
spellingShingle Mohamed Ali
Abdel Monem Mohamed Hassan
Ayman Mahmoud
Hossam Ali
A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
International Journal of Medical Arts
epilepsy
school
children
cross-sectional study
egypt
title A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
title_full A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
title_fullStr A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
title_full_unstemmed A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
title_short A community-Based Epidemiological Study of Epilepsy among Students of Primary and Preparatory School Stages in New Damietta City
title_sort community based epidemiological study of epilepsy among students of primary and preparatory school stages in new damietta city
topic epilepsy
school
children
cross-sectional study
egypt
url https://ijma.journals.ekb.eg/article_185120_9f7f7caf2fbcb511c87100de9de92055.pdf
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