Rahamefy Odilon Randrianasolo¹*, Glorien Lemahafaka², Dorée Augustia Raharimaminjatovosoa³, Julien Razafimahefa⁴, Noel Zodaly⁴ and Alain Djacoba Tehindrazanarivelo⁴

¹Neurology Department, PZAGA University Hospital, Faculty of Medicine, University of Majunga, Madagascar
²Neurology Department, Tanambao University Hospital, Faculty of Medicine, University of Toliary, Madagascar
³Neurology Department, Place Kabary University Hospital, Faculty of Medicine, University of Antsiranana, Madagascar
⁴Neurology Department, Befelatanana University Hospital, Faculty of Medicine, University of Antananarivo, Madagascar

*Corresponding Author: Rahamefy Odilon Randrianasolo, Neurology Department, PZAGA University Hospital, Faculty of Medicine, University of Majunga, Madagascar.

Received: February 05, 2023; Published: February 22, 2023

Abstract

To estimate the prevalence of epilepsy in the rural community of the western province of Madagascar, a door-to-door survey of the general population was carried out in the rural community of Ambolomoty in the Western province of Madagascar during September and October 2021. Cluster sampling was used with a cluster effect of 3, an expected prevalence of 5%, and a 95% confidence interval. Face-to-face interviews by trained investigator, were conducted using a structured questionnaire. Epilepsy was defined as the occurrence of at least two seizures. Two hundred and forty-one subjects were investigated. The crude prevalence of epilepsy was 9.2%. Epilepsy begins before the age of five years in 81.81%. Structural epilepsy was found in 86.36%, and motor generalized onset in 81.81%. A history of obstructed labor was reported in 59.09% with resuscitation at birth for all. In this rural community, the occurrence of epilepsy was four times higher than in other localities of Madagascar. The high frequency of birth injuries and severe structural epilepsy could be one of the causes of this situation. The reinforced strategy of epilepsy management and improved birth injury prevention should be implemented in an emergency in this locality.

Keywords:Prevalence; General Population; Birth Injuries; Developmental Disorders; Madagascar

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Citation

Citation: Rahamefy Odilon Randrianasolo., et al. “Prevalence of Epilepsy in Rural Areas of Madagascar". Acta Scientific Neurology 6.3 (2023): 29-33.

Copyright

Copyright: © 2023 Rahamefy Odilon Randrianasolo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.