Caregiver reported incidence of status epilepticus in persons with epilepsy in Enugu, Southeast Nigeria: Frequency of prolonged seizures among outpatients

Frequency of prolonged seizures among outpatients

Birinus Ezeala-Adikaibe
University of Nigeria
Obinna Onodugo
University of Nigeria Nsukka
Bibiana Oti
Enugu State University Teaching Hospital
Fintan Ekochin
Enugu State University Teaching Hospital
Ernest Nwazor
Federal Medical Center Owerri
Innocent Okoye
Odimegwu Ojukwu Teaching Hospital Awka
Chidimma Orah-Okpala
University of Nigeria Nsukka
Pascaline Onodugo
University of Nigeria Nsukka
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  • Submited: June 2, 2021
  • Published: January 1, 2022

Abstract

Background: Status epilepticus is a neurological emergency which may occur in people with epilepsy. Ascertaining the incidence of status epilepticus in the community is wrought with many challenges and few reports exist in sub–Saharan Africa, a region with a high burden of epilepsy.

Objective: The aim of this study was to describe reported incidence of status epilepticus among epilepsy patients attending neurology outpatient clinic in Enugu.

Methods: This was cross-sectional study carried out in the medical out-patient clinics in Enugu Nigeria. Data were collected using a semi-structured questionnaire. Informants were patients and their caregivers. Status epilepticus defined as seizures based on International League Against Epilepsy criteria.

Results: Data of 154 patients were reviewed and analysed. A total of 56(36.4%) confirmed that they had experienced seizures that could be described as status epilepticus (males (36.3%) and females (36.5%)).  P=0.98.  About 54.5% of those with stroke and 47.9% of patients who had cluster seizures reported a history of status epilepticus. Factors that correlated with having status epilepticus were history of cluster seizures, family history of epilepsy and having no past history of seizure related admissions.

Conclusions: The reported incidence of status epilepticus among epilepsy patients attending tertiary hospital clinics in Enugu is high. Factors that may account for this includes, non-adherence, or greater seizure severity. Careful patient education will improve emergency management of epilepsy to reduce the morbidity related to epilepsy in the community.

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How to Cite
Ezeala-Adikaibe, B., Onodugo, O. ., Oti, B., Ekochin, F., Nwazor, E., Okoye, I., Madiwe, N. ., Orah-Okpala, C., & Onodugo, P. (2022). Caregiver reported incidence of status epilepticus in persons with epilepsy in Enugu, Southeast Nigeria: Frequency of prolonged seizures among outpatients. Ethiopian Medical Journal, 60(01). Retrieved from https://emjema.org/index.php/EMJ/article/view/1923

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