13 research outputs found

    Etude IRM des sequelles lesionnelles post - Traumatisme cranien

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    SCOPUS: re.jinfo:eu-repo/semantics/publishe

    ITINERAIRE THERAPEUTIQUE DES EPILEPTIQUES DANS L'ARRONDISSEMENT DE DJIDJA (DEPARTEMENT DU ZOU) AU BENIN

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    Epilepsy is a universal and chronical disease but unequally from various causes. This disease has also some mystical causes which are misunderstanding by people.Thus, the access to antiepileptic drugs is difficult so that people suffering of this disease do not treat it.In order to identify therapeutic way a transversal investigation has been done from January 10th and February 11th 2005 at DJIDJA, ZOU department.The results are:• At the first seizure, 76.3% take care early of that disease.• 55.3% have seen the traditional healer.• The traditional treatment has many components such as: by medicine and some spices, have their meals without certain food.• About antiepileptic drugs, only Phenobarbital 50mg was accessible in the drugs stores, which worker.• The weak on the socioeconomic level, the socio cultural aspects of the disease and the far distance between the village and the hospital are the limits of the use of antiepileptic drugs.The results suggest that epilepsy is considered as natural disease; but people to recover by traditional healer most of the time. So the medical treatment comes secondarily. Then it's urgent to make sensibilisation in order to promote use of antiepileptic drug. This will help enormously epilepsy treatment in villagesL'épilepsie est une affection chronique, universelle mais sûrement inégalitaire d'étiologie et de pronostics variés. Cette affection est encore chargée de mythes dans la majeure partie de la population. L'accessibilité aux antiépileptiques n'est pas facile et une forte proportion de ces épileptiques se retrouve sans traitement.Une enquête transversale à visée descriptive s'est déroulée du 10 Janvier au 11 février 2005 dans le but d'identifier l'itinéraire thérapeutique des épileptiques dans l'arrondissement de DJIDJA, département du ZOU.Il ressort de cette que :• Dès la première crise, 76,3% des malades avaient recours aux soins • 55,3% des patients avaient recours aux tradipracticiens pour la consultation initiale• Le traitement traditionnel était fait de potions à prendre tout le temps mais aussi d'interdits alimentaire et de désenvoûtement selon le cas.• Le phénobarbital était le seul antiépileptique disponible dans la zone d'étude ; il coûtait 5 FCFA le comprimé de 50mg. • Le faible niveau socio-économique des épileptiques dont 59,3% étaient agriculteurs et 22,2% inactifs, constituait un facteur limitant l'accessibilité aux soins antiépileptiques.Ces résultats suggèrent que l'épilepsie est de plus en plus considérée comme une maladie naturelle pourtant ce sont les tradipracticiens qui sont les plus consultés. Le traitement médical est ainsi relégué au second plan. Il est urgent de renforcer la sensibilisation de la population et de promouvoir l'usage des médicaments antiépileptiques. Ceci afin d'améliorer la prise en charge des malades dans nos villages

    Adrenoleucodystrophie liee a l’x observe a cotonou (Benin)

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    L’adrénoleucodystrophie (ALD) liée à l’X est une maladie génétique liée au chromosome sexuel X. Les auteurs rapportent le premier cas révélé par des crises épileptiques partielles myocloniques et observé au Bénin. Le diagnostic était fait sur la base d’une démyélinisation du système nerveux central, une accumulation des acides gras à très longue chaîne (AGTLC) et une mutation dans le gène ABCD1

    Epilepsy in Schools in Cotonou (Benin) Epilepsie en Milieu Scolaire a Cotonou (Benin) (English)

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    Background Despite important progress achieved in the knowledge and case management of epilepsy, this disease still remains burdened by secular beliefs in developing countries. This makes the epileptic, an excluded person with difficulties to access education, training and even appropriate health care. Objective The aim of the study is to assess to prevalence of epilepsy in school settings in Cotonou, Benin. Methods This cross-sectional study included 1400 subjects, was conducted in the 6th administrative zone of Cotonou and lasted from January 1st to May 31st, 2000. Results The prevalence of epilepsy in schools was found to be 7.9‰ (CI95‰ : 4.1‰ – 14.5‰) with a predominance in female subjects (p < 0.02) and an increase with age (

    Link between epilepsy and malnutrition in a rural area of Benin.

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    International audiencePURPOSE: Epilepsy and malnutrition are both important public health problems in sub-Saharan Africa. A relationship between epilepsy and malnutrition has been suspected for many years. Our objective was to investigate the association between epilepsy and malnutrition in Djidja, Benin. METHODS: A matched population-based cross-sectional case-control survey was performed: cases (patients with epilepsy) were matched to controls according to sex, age +/- 5 years, and village of residence. The World Health Organization's criteria for malnutrition was used. Anthropometric measurements (weight, height, mid arm upper circumference, triceps skinfold thickness) were taken. Bioelectrical impedance analysis, a standardized food and social questionnaire and a clinical examination were done. Statistical analysis (conditional logistic regression) was performed using SAS 8.0. RESULTS: A total of 131 cases and 262 controls were included. The prevalence of malnutrition was higher in cases than in controls (22.1% vs. 9.2%, p = 0.0006). Social factors were significantly different between cases and controls. Feeding difficulties were more frequent and health status was worse in cases. Seven variables were associated with epilepsy: (i) nutritional factors: mid arm upper circumference (prevalence odds ratio (pOR) = 0.7, CI: 0.6-0.9), cereal consumption <3 times during the 3 days before the study (pOR = 4.2, CI: 1.8-10.0), <3 meals/day (pOR = 4.2, CI: 1.6-10.9), tooth decay (pOR = 2.9, CI: 1.1-7.4), food taboos (pOR = 25.0, CI: 8.3-100.0), (ii) social factors: surrogate respondent (pOR = 16.8, CI: 3.1-90.3) and no second job (pOR = 7.1, CI: 2.3-22.3). CONCLUSION: Epilepsy and nutritional status are linked in sub-Saharan Africa. Programs to improve the nutritional status of people with epilepsy are needed
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