THE PREVALENCE AND CLINICAL STATUS OF EPILEPSY AMONG BANGLADESHI CHILDREN

Dr. Md. Habibur Rahman*, Dr. Saida Binte Rahman, Dr. Mohammad Abul Khayer, Dr. Md. Sirrajul Islam Bhuiyan, Dr. Yamin Shahriar Chowdhury and Dr. Mohammad Imdadul Haque

ABSTRACT

Objective: In this study our main goal is to evaluate the prevalence and clinical status of epilepsy among Bangladeshi children. Method: This cross-sectional study was carried out at Tertiary Medical college and hospital from May 2014 to June 2015. A total of 120 children who had been seen in the epilepsy clinic were enrolled into the study. Sample were collected through purposive sampling as per inclusion criteria. Results: During the study, majority of the cases were male, 60%. Perinatal asphyxia present in 44% cases and neonatal seizures present in 40% cases. According to clinical presentation, 60% had generalized epilepsy followed by 60% had symptomatic epilepsy, 70% had multiple seizure,75% had high rate of seizures. 40% had major motor disability and 15% had minor motor disability. Also, 70% had poor cognitive development. Conclusion: The study shows that late and related neurodevelopmental morbidities occur in most children in tertiary institutions for seizure disorders. In Bangladesh, additional investigation is needed in the process of establishing early reference and extensive control of pediatric epilepsy.

Keywords: Epilepsy, seizure disorder, disability.