Santhosh Nandanavana Subbareddy, Sinha Sanjib, Satishchandra Parthasarathy
Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Ann Indian Acad Neurol. 2014 Mar;17(Suppl 1):S3-S11. doi: 10.4103/0972-2327.128643.
There are 50 million people living with epilepsy worldwide, and most of them reside in developing countries. About 10 million persons with epilepsy are there in India. Many people with active epilepsy do not receive appropriate treatment for their condition, leading to large treatment gap. The lack of knowledge of antiepileptic drugs, poverty, cultural beliefs, stigma, poor health infrastructure, and shortage of trained professionals contribute for the treatment gap. Infectious diseases play an important role in seizures and long-term burden causing both new-onset epilepsy and status epilepticus. Proper education and appropriate health care services can make tremendous change in a country like India. There have been many original researches in various aspects of epilepsy across India. Some of the geographically specific epilepsies occur only in certain regions of our country which have been highlighted by authors. Even the pre-surgical evaluation and epilepsy surgery in patients with drug-resistant epilepsy is available in many centers in our country. This article attempts to provide a complete preview of epilepsy in India.
全球有5000万人患有癫痫,其中大多数居住在发展中国家。印度约有1000万癫痫患者。许多活动性癫痫患者未得到针对其病情的适当治疗,导致巨大的治疗差距。对抗癫痫药物缺乏了解、贫困、文化信仰、耻辱感、卫生基础设施差以及训练有素的专业人员短缺都导致了治疗差距。传染病在癫痫发作和长期负担中起着重要作用,可导致新发癫痫和癫痫持续状态。适当的教育和适当的医疗服务可以给印度这样的国家带来巨大变化。印度各地在癫痫的各个方面都有许多原创研究。一些具有地理特异性的癫痫仅发生在我国的某些地区,作者对此进行了强调。甚至我国许多中心都可为耐药性癫痫患者提供术前评估和癫痫手术。本文试图全面介绍印度的癫痫情况。