By J M K Murthy; Alagiyawanna Mohotti Appuhamillage Nimal Kitsiri Senanayake
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Additional info for Epilepsy in the tropics
Gomez JG, Arciniegas E, Torres J. Prevalence of epilepsy in Bogota, Colombia. Neurology 1978; 28:90-4. Pradilla-Ardila G, Puentes F, Rivera R et al. Estudio Neuroepidemilogico en Giron Santander. UIS 1984. Cruz ME, Schoenberg BS, Ruales J et al. Pilot study to detect neurologic disease in Ecuador among a population with a high prevalence of endemic goiter. Neuroepidemiology 1985; 4:108-16. Mendizabal JE, Salguero LF. Prevalence of epilepsy in a rural community of Guatemala. Epilepsia 1996; 37:373-6.
If the death rate of the general population is high, as is likely in developing countries, the SMR will be relatively lower than the SMR of a developed country where the death rate of the general population is low. One other way of looking at mortality is the study of death certificate data. In developing countries such as India, death certificates do not exist in rural areas. Moreover, even in developed countries, epilepsy is not listed in death certificates in more than 10-20% of patients with epilepsy.
0%). 9% of deaths. 1% of deaths. 3% of deaths. 2%). There was a decline in the death rates over the 20 years period. 55 per 1000 in 1987. 19/1000 in 1987. This drop in death rate paralleled a drop in the proportion of deaths attributed to “febrile convulsions” and “convulsions”. 4 In Martinique, Jallon10 collected all patients with seizures who had been hospitalized or seen by neurologists and pediatricians over one-year period. 11 References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Sander JWAS, Sillanpaa M.