Thiam Lamine, Seck Ndiogou, Diouf François Niokhor, Boiro Djibril, Niang Babacar, Sagna Salimata Diang, Coundoul Adama, Faye Pape Mactar, Ndiaye Moustapha, Fall Amadou Lamine, Ndiaye Ousmane
Université Assane Seck de Ziguinchor, Hôpital de la Paix de Ziguinchor, Ziguinchor, Sénégal.
Université Gaston Berger de Saint Louis, Hôpital régional de Saint Louis, Saint Louis, Sénégal.
Pan Afr Med J. 2020 Dec 30;37:387. doi: 10.11604/pamj.2020.37.387.21902. eCollection 2020.
Epilepsy poses a public health problem in Senegal. The purpose of the study was to describe the clinical and paramedical features of epilepsy in children at the Ziguinchor Peace Hospital (ZPH). We conducted a literature review of the medical records of children with epilepsy, from January 1, 2015 to December 31, 2018. Patients aged < 15 years followed up for epilepsy at the ZPH were included. Incomplete medical records were excluded. Data from fifty-five (37 boys and 18 girls) children were collected; 70.9% of them were ≤5 years of age. Mean age of patients was 4.3 years. Patients were from rural (60%) and disadvantaged families (67.3%). Seizures were generalized (72.7%) and focal (27.3%). Eighteen patients had idiopathic epilepsy, 17 had non-idiopathic epilepsy. Etiological factors were dominated by abnormalities associated with pregnancy and childbirth (29.1%). Epilepsy is common at the ZPH. It is most common in rural areas among boys under the age of 5 years from disadvantaged families. Generalized tonic-clonic and focal seizures are the most frequent clinical state and abnormalities associated with pregnancy and childbirth are the most commonly found etiologies.
癫痫在塞内加尔是一个公共卫生问题。本研究的目的是描述济金绍尔和平医院（ZPH）儿童癫痫的临床和辅助检查特征。我们对2015年1月1日至2018年12月31日期间癫痫患儿的病历进行了文献回顾。纳入了在ZPH接受癫痫随访的15岁以下患者。排除不完整的病历。收集了55名儿童（37名男孩和18名女孩）的数据；其中70.9%年龄≤5岁。患者的平均年龄为4.3岁。患者来自农村（60%）和弱势家庭（67.3%）。发作类型为全身性发作（72.7%）和局灶性发作（27.3%）。18例患者为特发性癫痫，17例为非特发性癫痫。病因以与妊娠和分娩相关的异常为主（29.1%）。癫痫在ZPH很常见。在农村地区，5岁以下来自弱势家庭的男孩中最为常见。全身性强直阵挛发作和局灶性发作是最常见的临床类型，与妊娠和分娩相关的异常是最常见的病因。
