Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria.
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Authors
Anaje, Obiora Daniel
Nwani, Paul Osemeke
Nwosu, Maduaburochukwu Cosmas
Asomugha, Lasbrey Azuoma
Anaje, Chetanna Chioma
Amaechi, Ifeoma Adaigwe
Ebeogu, Olisaeloka Ginikachi
Oriji, Sunday Onyemaechi
Ndukwe, Chinwe Chioma
Eze, Linda Ifunanya
Issue Date
2024-08-13
Type
Journal Article
Language
en
Keywords
Wessex Classification Subject Headings::Neurology::Stroke
Alternative Title
Abstract
Epileptic seizures and the unpredictable falls resulting from epileptic seizures predispose the people living with epilepsy (PLWE) to various physical injuries as well as postictal cognitive and behavioral changes. Aims: The aim of the study was to determine the frequency and patterns of seizure-related physical injuries, postictal cognitive impairments, and behavioral changes. Settings and design: This was a cross-sectional descriptive study in a Southeast Nigeria local government area. Results: There were 56 cases of active convulsive seizures comprising 33 (58.9%) males and 23 (41.1%) females, with a mean age of 32.9 ± 14.2. The lifetime prevalence of seizure-related physical injuries, postictal behavioral changes, and postictal cognitive impairments was 9.8 per 1000 (95% confidence interval [CI]: 9.1-10.0), 8.4 per 1000 (95% CI: 7.2-9.2), and 6.3 per 1000 (95% CI: 4.9-7.5), respectively. Skin/soft-tissue injuries and tongue laceration were the most frequent physical injuries found in 66.1% (n = 37/56) and 60.7% (n = 34/56) of cases, respectively. The frequency of soft-tissue injuries was significantly higher (χ2 = 5.038; P = 0.0248) in the females 78.3% (n = 18/23) than the males 48.5% (n = 16/33). About a third of the females 39.1% had burn injuries compared to 18.1% of the males. Conclusions: Seizure-related injuries are common and have the tendency to increase the burden of epilepsy and epilepsy-related stigma from deformities and the chronic disfiguring scars resulting from such injuries.
Description
Citation
Anaje OD, Nwani PO, Nwosu MC, Asomugha LA, Anaje CC, Amaechi IA, Ebeogu OG, Oriji SO, Ndukwe CC, Eze LI, Morah NJ, Omaga IC, Ogunniyi A. Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria. Ann Afr Med. 2024 Aug 13. French, English.
Publisher
Wolters Kluwer
License
Copyright © 2024 Copyright: © 2024 Annals of African Medicine.
Journal
Annals of African medicine
Volume
Issue
PubMed ID
ISSN
0975-5764