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Epilepsy in Asia: Disease burden, management barriers, and challenges
Eugen Trinka1,2, Patrick Kwan3, ByungIn Lee4
1Department of Neurology, Christian Doppler Klinik, University Hospital Paracelsus Medical University, Salzburg, Austria.
Epilepsia
|June 29, 2018
Summary
Epilepsy affects millions globally, with 80% in low-resource nations. Many in Asia face stigma and inadequate treatment, highlighting the need for improved epilepsy care and research.
Area of Science:
- Neurology
- Public Health
- Global Health
Background:
- Epilepsy is a significant global health issue, impacting up to 70 million individuals worldwide.
- A disproportionate burden, nearly 80%, resides in low- and middle-income countries with limited resources.
- Individuals with epilepsy experience higher rates of physical and psychological comorbidities, including anxiety and depression, impacting quality of life and increasing premature mortality risk.
Purpose of the Study:
- To review the burden of epilepsy in Asia.
- To examine the challenges faced by people with epilepsy in the region.
- To assess the current management and treatment landscape of epilepsy in Asia compared to global standards.
Main Methods:
- A narrative review approach was employed.
- Data were systematically collected using specified search criteria.
- Included articles focused on epilepsy epidemiology, diagnosis, comorbidities, mortality, stigmatization, and treatment.
Main Results:
- Stigmatization is prevalent in Asia, affecting education, employment, and marriage.
- Access to epilepsy treatment is highly variable; up to 90% in resource-limited areas receive inadequate or no conventional antiepileptic therapy.
- While advanced treatments and epilepsy surgery exist in some Asian countries, they are often underutilized and inaccessible, particularly in remote regions.
Conclusions:
- Significant gaps exist in epilepsy management and access to care across Asia, particularly in resource-limited settings.
- Further epidemiologic research is crucial for accurate data collection and targeted interventions.
- Coordinated regional and global efforts are essential to improve epilepsy treatment access and overall care for affected individuals.
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