Epilepsy prevalence in the 0-17 age group in trabzon, Turkey
Murat Topbaş1, Sükrü Ozgün, Müjgan F Sönmez
1Karadeniz Technical University, Faculty of Medicine, Department of Public Health, Turkey.
Insights
The prevalence of childhood epilepsy in Trabzon, Turkey, is 8.6 per 1000 children. Risk factors include low socioeconomic status, postpartum seizures, meningitis, head trauma, febrile convulsions, and family history.
Area of Science:
- Neurology
- Epidemiology
- Pediatrics
Background:
- Epilepsy is a common and serious neurological disorder globally.
- Understanding regional prevalence and risk factors is crucial for public health initiatives.
Purpose of the Study:
- To determine the prevalence of epilepsy in children aged 0-17 years in Trabzon, Turkey.
- To identify associated risk factors for childhood epilepsy in the region.
Main Methods:
- A two-phase cross-sectional epidemiological study was conducted.
- Diagnosis of epilepsy followed International League against Epilepsy (ILAE) guidelines.
- Statistical analysis used the chi-square test with a significance level of P<0.05.
Main Results:
- The prevalence of epilepsy was 8.6 per 1000 children (95% CI: 5.9-11.4).
- Identified risk factors included low socioeconomic level, postpartum seizures, meningitis, head trauma, febrile convulsions, and family history.
- Generalized tonic-clonic seizures were most common (64.9%), and 25% of affected children had never attended school.
Conclusions:
- Childhood epilepsy prevalence in Trabzon is relatively low compared to other Turkish regions and developing countries.
- Risk factors identified highlight potential targets for prevention and intervention strategies.
Objective:
Epilepsy is a most common serious neurological disorder and is one of the world's most prevalent non-communicable diseases. The aim of this study was to determine the prevalence and risk factors of epilepsy in 0-17 year old children in Trabzon, Turkey.
Methods:
A cross-sectional epidemiological investigation was performed in two phases, a screening phase and a confirmation of the diagnosis phase. The gold standard was a clinical investigation and neurological examination. The diagnosis of epilepsy followed clinical guidelines proposed by the International League against Epilepsy (ILAE). The chi-square test was used in analysis of the results and P-value <0.05 was calculated.
Findings:
The prevalence per 1000 participants of epilepsy was 8.6 (5.9-11.4; (95%)CI). We detected 37 cases (18 males and 19 females) of epilepsy. The male/female ratio was 0.95. This study showed an increased risk for epilepsy with low socioeconomic level, a history of postpartum seizure, meningitis, head trauma, febrile convulsion and family history of epilepsy. More than one seizure type was present in 15 (40.5%) of epileptic children. Generalized tonic-clonic seizures were determined in 24 patients (64.9%) and absence type in 9 (24.3%). It was found that 25.0% of children with epilepsy had never visited the school at the time the study was performed due to the disease and attendant seizures.
Conclusion:
The prevalence of epilepsy in Trabzon is low compared to other parts of Turkey and other developing countries.
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