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Published on: September 20, 2024
[Epilepsy in children in the Sunnmøre District]
Noralv Breivik1, Thomas Reiher
1Barneavdelingen, Alesund sjukehus, 6026 Alesund. noralv.breivik@helse-sunnmore.no
Insights
Pediatric epilepsy prevalence in Sunnmøre, Norway, aligns with Nordic and international data. This study assessed childhood epilepsy services, finding diagnoses and treatments followed global standards.
Area of Science:
- Pediatric Neurology
- Epidemiology
- Public Health
Background:
- Epilepsy in children presents unique diagnostic and management challenges.
- Understanding regional prevalence is crucial for healthcare planning and resource allocation.
Purpose of the Study:
- To ascertain the prevalence and incidence of childhood epilepsy in the Sunnmøre Hospital Trust catchment area.
- To compare findings with existing Norwegian and international epilepsy studies.
- To evaluate the adequacy of medical services provided to pediatric epilepsy patients.
Main Methods:
- Retrospective analysis of hospital records for children born between 1989 and 2003.
- Population size: 30,106 children.
- Prevalence estimated as of December 31, 2003, adhering to International League Against Epilepsy guidelines.
Main Results:
- Identified 141 children with epilepsy, yielding a total prevalence of 4.7 per 1000 children.
- Point prevalence of active epilepsy was 3.8 per 1000 children.
- Seizure classification: 52% focal, 37% generalized; epilepsy syndrome classification: 50% focal, 40% generalized.
Conclusions:
- Childhood epilepsy prevalence in Sunnmøre is comparable to other Nordic countries.
- Seizure and epilepsy syndrome classifications align with international findings.
- Incidence rates in Norway have remained stable; patient care adheres to international guidelines.
Background:
The intention of this retrospective study was to collect information on epilepsy in children in the catchment area of the Sunnmøre Hospital Trust, to compare the findings with other Norwegian and international studies and to assess the medical services for this patient group.
Material And Methods:
We studied hospital records for all children born in the period 1989-2003 (a population of 30,106), and estimated the point prevalence for the date 31.12.2003. Guidelines and proposals from the International League Against Epilepsy were followed.
Results:
141 children with epilepsy were identified (88 boys and 53 girls), the sex ratio was 1.66 and the total prevalence 4.7 (3.9-5.5) per 1000 children. At the prevalence date, 114 children had active epilepsy, giving a point prevalence of 3.8 (3.1-4.5) per 1000 children. For the year 2003, the incidence rate of new cases was 46.8 per 100,000. 52% of the seizures were classified as focal, 37% as generalized and 11% were unclassified. Of the epilepsies and epileptic syndromes, 50% were classified as focal, 40% as generalized and 10% were unclassified. A likely aetiology of the epilepsy was found in 41% of the cases.
Interpretation:
The prevalence of epilepsy in children in the Sunnmøre District does not differ from that in other Nordic countries. Classification of seizures and the distribution of epilepsies and epileptic syndromes were similar to that in other studies. The incidence of epilepsy among children in Norway has remained quite stable the last 30-40 years. The study shows that patients were diagnosed and treated according to international guidelines and recommendations.
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