Epilepsy in the tropics by J M K Murthy; Alagiyawanna Mohotti Appuhamillage Nimal

By J M K Murthy; Alagiyawanna Mohotti Appuhamillage Nimal Kitsiri Senanayake

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Mortality due to convulsive disorders in a developing country in Asia: Trends over 20 years. Seizure 1995; 4:273-7. Jallon P. Mortality of epilepsy in Martinique, Workshop of mortality of epilepsy International League Against Epilepsy: Commission on the Burden of Epilepsy. Brussels: 2000. Diop AG. Mortality of epilepsy in Africa, Workshop of mortality of epilepsy International League Against Epilepsy: Commission on the Burden of Epilepsy. Brussels: 2000. Chapter 5 Knowledge, Attitude, and Practice of Epilepsy in Developing Countries Hasan Aziz and Zarin Mogal Epilepsy is a worldwide problem with a major impact on the personal, family, and social life of the affected individual and also on the society.

Massey EW, Schoenberg BS. Mortality from epilepsy, international patterns and changes over time. Neuroepidemiology 1985; 4:65-70. Tekle-Haimanot R, Forsgren L, Abebe M et al. Clinical and electroencephalographic characteristics of epilepsy in rural Ethiopia: A community-based study, Epilepsy Res 1990; 7:230-9. Jilek-Aall L, Rwiza HT. Prognosis of epilepsy in a rural African community: A 30-year follow-up of 184 patients in an outpatient clinic in rural Tanzania. Epilepsia 1992; 33:645-50. O’Donoghue MF, Sande JWAS.

15 The ‘tropical countries’ or ‘developing world’ represents a large, kaleidoscopic group of nations with varied economies16 and many cultures and sub-cultures within one country. 17 Here people with epilepsy encounter several significant barriers. These include: (1) inadequate manpower with expertise in clinical neurosciences; (2) regular availability of antiepileptic drugs (AEDs); (3) substandard drugs; (4) meager health budgetary allocation, epilepsy being a low priority; and (5) inadequate infrastructure in regards to communication and transportation.

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