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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence of neurocysticercosis among people with epilepsy in rural areas of Burkina Faso
Epilepsia, Volume 53, No. 12, Year 2012
Notification
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Description
Purpose: To estimate the lifetime prevalence of neurocysticercosis (NCC)-associated epilepsy and the proportion of NCC among people with epilepsy in three Burkina Faso villages. Methods: Three villages were selected to represent three types of pig-rearing methods: (1) Batondo, where pigs are left to roam; (2) Pabré, where pigs are mostly tethered or penned; and (3) Nyonyogo, where the majority of residents are Muslim and few pigs are raised. In Batondo and Nyonyogo, all concessions (a group of several households) were included. Half of the concessions in Pabré were randomly chosen. All households of selected concessions were included, and one person per household was randomly selected for epilepsy screening and serologic testing for cysticercosis. Self-reported cases of epilepsy were also examined and confirmed cases included in analyses other than the estimate of NCC-associated epilepsy prevalence. Epilepsy was defined as ever having had more than one episode of unprovoked seizures. Individuals with medically confirmed epilepsy had a computerized tomography (CT) scan of the brain before and after contrast medium injection. The diagnosis of NCC was made using a modification of the criteria of Del Brutto et al. Key Findings: Thirty-nine (4%) of 888 randomly selected villagers and 33 (94%) of 35 self-reported seizures cases were confirmed to have epilepsy by medical examination. Among the 68 participants with epilepsy who had a CT scan, 20 patients were diagnosed with definitive or probable NCC for a proportion of 46.9% (95% confidence interval [CI] 30.2-64.1) in Batondo and 45.5% (95% CI 19.0-74.1) in Pabré. No cases of NCC were identified in Nyonyogo. Significance: All the definitive and probable cases of NCC were from the two villages where pig breeding is common. Prevention policies intended to reduce the burden of epilepsy in this country should include measures designed to interrupt the life cycle of Taenia solium. © 2012 International League Against Epilepsy.
Authors & Co-Authors
Millogo, Athanase
Burkina Faso
University Hospital Center Sourou Sanou
Nitiéma, Pascal A.
United States, Oklahoma City
University of Oklahoma Health Sciences Center
Carabin, Hél̀ene
United States, Oklahoma City
University of Oklahoma Health Sciences Center
Boncœur-Martel, Marie Paule
France, Limoges
Hopital Dupuytren
Rajshekhar, Vedantam
India, Vellore
Christian Medical College, Vellore
Tarnagda, Zékiba S.
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Praet, Nicolas
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Dorny, Pierre
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Cowan, Linda Demetry
United States, Oklahoma City
University of Oklahoma Health Sciences Center
Ganaba, Rasmané
Burkina Faso
Health Training
Hounton, Sennen Houessey
United States, New York
Unfpa
Preux., Pierre Marie
France, Limoges
Institut D’epidémiologie Neurologique et de Neurologie Tropicale
Cissé, Rabiou
Burkina Faso, Ouagadougou
Yalgado Ouedraogo Teaching Hospital
Statistics
Citations: 42
Authors: 13
Affiliations: 10
Identifiers
Doi:
10.1111/j.1528-1167.2012.03687.x
e-ISSN:
15281167
Study Design
Cross Sectional Study
Study Locations
Burkina Faso