By J.M.K. Murthy
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Extra info for Epilepsy in the Tropics
Epilepsia 1990; 31:604. Gracia FJ, Bayard V, Triana E et al. Prevalencia de enfermedades neurologicos en el Corregimiento Belisario Porras, Distrito de San Miguelito, en Panama, 1986. Rev Med Panama 1988; 13:40-5. Gracia F, de Lao SL, Castillo L et al. Epidemiology of epilepsy in Guaymi Indians from Bocas del Toro Province, Republic of Panama. Epilepsia 1990; 31:718-23. Ducharne PLP et al. Estudios neuroepidemiologicos en Venezuela. Ministerio de Sanidad 1985. Ducharne PLP. Neuroepidemiologic studies in Venezuela.
Epilepsia 1992; 33:1051-6. Tekle HR, Forsgren L, Abebe L et al. Clinical and electroencephalographic characteristics of epilepsy in rural Ethiopia: A community based study. Epilepsy Res 1990; 7:230-9. 3 26 Epilepsy in the Tropics 31. 32. 3 33. 34. 35. 36. 37. 38. Keranen T, Riekkinen-PJ. Remission of seizures in untreated epilepsy. Br Med J 1993; 307:483-4. Mani KS, Rangan G, Srinivasan HV. Natural history of untreated epilepsy: A community based study in rural India. Epilepsia 1993; 34(Suppl 2):166-8.
Outcome studies of epilepsy have almost invariably been of the treated condition. Consequently two important questions remain unanswered: what is the possibility of spontaneous remission and what is the effect of early treatment on outcome. 20,21 Indeed some studies in developing countries have reported higher prevalence rates for epilepsy. 21,25-30 One explanation could be that epilepsy has a higher mortality rate in these countries, but this is unlikely to account for the whole difference. Another possible explanation is that case ascertainment for active seizures, was not optimal.
Epilepsy in the Tropics by J.M.K. Murthy