Ngoungou E B, Quet F, Dubreuil C M, Marin B, Houinato D, Nubukpo P, Dalmay F, Millogo A, Nsengiyumva G, Kouna-Ndouongo P, Diagana M, Ratsimbazafy V, Druet-Cabanac M, Preux P M
Institut d'épidémiologie neurologique et de Neurologie tropicale, EA 3174 Faculté de médecine, Limoges, France.
Sante. 2006 Oct-Dec;16(4):225-38.
Epilepsy is, above all tropical, moreover, very african in its frequency and gravity. Data on the prevalence of epilepsy shows it to be two or three times more prevalent in tropical zones than in industrialized countries in non tropical areas, however it is rare to find data on the incidence and prognosis of epilepsy in sub-Saharan Africa. It is difficult to determine the relative contribution of each of the causes of epilepsy. Only a few case-control studies have been carried out in sub-Saharan Africa. Infectious diseases, in particular parasitic diseases such as neurocysticercosis or cerebral malaria, seem to be the cause of the majority of the cases of epilepsy. However it is necessary to do additional epidemiological studies to determine the etiologies of epilepsy more precisely in sub-Saharan Africa.
癫痫首先在热带地区较为常见,而且在非洲,其发病频率和严重程度都很高。关于癫痫患病率的数据表明,热带地区的患病率是非洲以外非热带工业化国家的两到三倍,然而,撒哈拉以南非洲地区癫痫发病率和预后的数据却很少见。很难确定癫痫各病因的相对作用。撒哈拉以南非洲地区仅开展了少数病例对照研究。传染病,特别是寄生虫病,如神经囊尾蚴病或脑型疟疾,似乎是大多数癫痫病例的病因。然而,有必要开展更多的流行病学研究,以便更准确地确定撒哈拉以南非洲地区癫痫的病因。