Original Articles Causes of uncontrolled seizures among Sudanese children

Badrelddin A. Abass, Inaam N. Mohamed, Maha A. Elseed, Zein A. Karrar

Abstract


Introduction and Objectives: An uncontrolled seizure in children is a commonly encountered problem.
The aim of this study is to investigate for the possible causes of uncontrolled seizures among Sudanese
children.
Patients and methods: This is a cross sectional, hospital based study conducted in 2013 at the two main
epilepsy outpatient clinics in Khartoum State. An uncontrolled seizure is defined as a seizure, which is
persistent despite the prescription of one or two first line anticonvulsant drugs and having a frequency of
more than one seizure per month over the last 6 months.
Results: Out of 240 patients with seizures, 65(27%) fulfilled the inclusion criteria, 32(49.2%) were on
two anti-epileptic drugs (AEDs), 18(27.7%) on polytherapy and 15(23.1%) on monotherapy. The majority
of patients were of low socioeconomic status. In 27(41.5%) patients the cost of AEDs accounted for
10-20 % of the monthly family income. The commonest cause of uncontrolled seizures was found to be
unaffordability of AEDs in addition to other causes.
Recommendations: There is a dire need for AEDs to be available at an affordable cost especially for
children on multiple drugs and to be fully covered by health insurance. Some of the AEDs need to be
registered in Sudan.

Keywords


Original ;Articles ;Causes of; uncontrolled ;seizures among ;Sudanese ;children

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