Prevalence and treatment gap in childhood epilepsy in a north Indian city: a community-based study.

ABSTRACT

BACKGROUND: Epilepsy is one of the most common neurological disorders prevalent in childhood period. There is scarcity of epidemiological data, required to plan services in resource constrained developing nations. OBJECTIVE: To study the prevalence and treatment gap in childhood epilepsy in north Indian city, in the age group of 1-18 years. METHODS: A two stage stratified cluster sampling; probability proportionate to size (PPS) was employed. A ten question screening questionnaire was employed to identify the presence of epilepsy. Definitions provided by International League against Epilepsy (ILAE) were used to classify screen positive subjects as epilepsy and to calculate the treatment gap. RESULTS: The prevalence rate for epilepsy was 6.24/1000 population. Febrile seizures and neurocysticercosis were most common causes of symptomatic seizures in childhood. CONCLUSION: This study of epidemiology of epilepsy provides valuable aid in optimizing effective community approach, thereby improving outcomes of childhood epilepsy.