Fadhulalla Lina, Obeid Tahir
Medicine and Surgery, University of Medical Sciences and Technology (UMST), Khartoum, SDN.
Neurology, University of Medical Sciences and Technology (UMST), Khartoum, SDN.
Cureus. 2025 Jul 22;17(7):e88500. doi: 10.7759/cureus.88500. eCollection 2025 Jul.
Comorbid conditions in epileptic patients depend on many factors like etiology, type of epileptic syndromes, social and environmental factors, which may differ from one region to another, which encourages us to do this study in Sudan, which is one of the low-income countries. Limited information is available regarding this in our region.
This is a hospital-based, prospective, descriptive, and cross-sectional study aimed at determining the common medical, neurological, psychological, and cognitive comorbidities. Data were obtained by interviewing 115 epileptic patients attending the outpatient clinic of the Academic Charity Teaching Hospital and the National Center for Neurological Science using a questionnaire from November 2019 to March 2020.
Out of 115 patients, 52.2% (60/115) were females. The duration of epilepsy ranged from 1 year to 37 years. A high rate of unemployment (72.2%) and a low level of education (36.5%) were observed among epileptic patients in Sudan. The number of comorbidities ranged from one (58.3%) to four (0.9%). Neurological comorbidities (67%) were the commonest, followed by medical (32.2%), psychological (26.1%), and lastly cognitive comorbidities (13%). The most prevalent comorbidities were migraine (33.7%), hypertension (27%), depression (50%), and impaired memory (13%).
This study sheds light on important prognostic factors in epileptic patients, which have not been previously analyzed in other research, particularly in Sudan. It introduces a new perspective on the condition, paving the way for further contributions in future studies.
癫痫患者的合并症取决于许多因素，如病因、癫痫综合征类型、社会和环境因素，这些因素可能因地区而异，这促使我们在作为低收入国家之一的苏丹开展这项研究。在我们地区，关于这方面的信息有限。
这是一项基于医院的前瞻性描述性横断面研究，旨在确定常见的医学、神经学、心理学和认知合并症。2019年11月至2020年3月期间，通过使用问卷对115名在学术慈善教学医院门诊和国家神经科学中心就诊的癫痫患者进行访谈来获取数据。
115名患者中，52.2%（60/115）为女性。癫痫病程从1年到37年不等。苏丹癫痫患者中观察到高失业率（72.2%）和低教育水平（36.5%）。合并症数量从一种（58.3%）到四种（0.9%）不等。神经学合并症（67%）最为常见，其次是医学合并症（32.2%）、心理学合并症（26.1%），最后是认知合并症（13%）。最常见的合并症是偏头痛（33.7%）、高血压（27%）、抑郁症（50%）和记忆力受损（13%）。
本研究揭示了癫痫患者重要的预后因素，这些因素在之前的其他研究中，尤其是在苏丹，尚未得到分析。它为该疾病引入了一个新的视角，为未来研究的进一步贡献铺平了道路。
