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PO18-WE-63 Knowledge, perceptions and practice with respect to epilepsy among traditional healers in the Batibo health district, Cameroon
19th World Congress of Neurology, Poster Abstracts / Journal of the Neurological Sciences 285 S1 (2009) S155–S339
Conclusions: We can conclude that seizures at the beginning of delirium tremens implicated better outcome, concerning duration of delirium tremens and hospital treatment, with somewhat better cognitive status. PO18-WE-63 Knowledge, perceptions and practice with respect to epilepsy among traditional healers in the Batibo health district, Cameroon A.K. Njamnshi1 , S.A. Angwafor1 , E.N. Tabah1 , F.N. Yepnjio2 , A.Z. Lekoubou1 , F. Dema1 , H.A. Yumo3 , F.F. Angwafo4 , W.F.T. Muna5 . 1 Neurology, Central Hospital Yaounde, Fac. Med. and Biomed. Sci, Yaounde, Cameroon; 2 Neurology, Faculty of Medicine, Dakar, Senegal; 3 Medicine, Batibo District Hospital, Batibo, Cameroon; 4 Surgery, FMBS, University of Yaounde 1, Yaounde, Cameroon; 5 Internal Medicine and Specialties, FMBS, University of Yaounde 1, Yaounde, Cameroon
S261
of their children with PWE although 55.5% would offer equal employment to PWE. About 63% thought that epilepsy was a form of insanity while 50.3% considered it to be of supernatural origin. The independent determinants of attitudes in this sample population were the belief that epilepsy is a form of insanity (P = 0.004) or is caused by a mental illness (P = 0.003), having read about epilepsy (P = 0.018) and being married (P = 0.007). Conclusions: Our study demonstrates a high level of awareness and fairly good knowledge on epilepsy in this sample but prevailing misconceptions on the disease. The inappropriate attitudes and practices observed are better than those reported in elsewhere in Cameroon and this can be related to the epilepsy education and treatment programme that has been put in place in Badissa by our team. PO18-WE-65 Non-convulsive status epilepticus as a first attack of seizure
Background and purpose: Cameroon has one of the highest prevalence rates of epilepsy in Africa, and there is still a lot of stigma associated with epilepsy in Cameroon (Njamnshi et al. 2008, 2009). We have argued for non-physician management of epilepsy in resource-limited countries like Cameroon (Njamnshi, 2009, Epilepsia). The purpose of this study was to understand the approach of Traditional Healers to epilepsy care so as to develop a community-based epilepsy care programme in the Batibo health district (HD). Methods: Using a 18-item questionnaire, interviews were carried out with102 traditional healers randomly selected from two associations of THs in the Batibo HD. Results: Most THs had heard about epilepsy (98.0%), knew someone with epilepsy (97.8) or had witnessed a seizure (92.2%). About 40% would object to their children associating with PWE, 46.1% would object to their children marrying PWE, while 51% linked the disease to insanity. Though 61.8% of the traditional healers could not offer any treatment for epilepsy, most of them thought it was treatable (74.5%) and would readily refer a patient to the hospital (95.1%). Conclusion: Traditional healers (THs) have a fairly good knowledge on epilepsy. Though they still have negative practices, the attitudes of THs towards PWE in the Batibo HD are satisfactory when compared to those the general public and students in the same community. These findings suggest that there is a solid basis for collaboration between the modern and traditional health systems in order to bridge the epilepsy treatment gap in Cameroon. Furthermore, our data call for the training of traditional healers on epilepsy for eventual collaboration with western physicians.
H.A. Ebrahimi Meimand1 , F. Ebrahimi Meimand2 . 1 Clinical Neurosciences Research Center, Kerman University of Medical Sciences, Kerman, Islamic Republic of Iran; 2 Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran
PO18-WE-64 Knowledge, attitudes and practices with respect to epilepsy in Badissa village, centre region of Cameroon
A. Garcia De La Fuente1 , R. Rangel Guerra2 . 1 Hemodynamic Unit, Hospital Christus Muguerza, Monterrey, Nuevo Leon, Mexico; 2 Neurology, Hospital Universitario, Monterrey, Nuevo Leon, Mexico
A.K. Njamnshi1 , F. Dema1 , E.N. Tabah1 , A.C. Zoung Kanyi Bissek2 , F.N. Yepnjio3 , P. Ongolo Zogo4 , A.S. Angwafor1 , J.Y. Fonsah1 , A.Z. Lekoubou1 , F.F. Angwafo5 , W.F.T. Muna2 . 1 Neurology, Central Hospital Yaounde, Fac. Med. Biomed. Sci, Yaounde, Cameroon; 2 Int Med and Specialties, FMBS University of Yaounde 1, Yaounde, Cameroon; 3 Neurology, Faculty of Medicine, Dakar, Senegal; 4 Medical Imaging, FMBS University of Yaounde 1, Yaounde, Cameroon; 5 Surgery, FMBS University of Yaounde 1, Yaounde, Cameroon Purpose: The aim of this study was to assess the KAP with respect to epilepsy in Badissa, Cameroon within the framework of a series of studies mandated by the Ministry of Public health. Some years ago, our team set up an epilepsy education and treatment programme in this region with a high prevalence of epilepsy. Methods: We carried out a face-to-face interview of 164 subjects during a door-to-door community survey in Badissa village. Results: Everybody had heard about epilepsy, 98.8% knew at least one person with epilepsy (PWE), and 97.6% had seen at least one epileptic seizure. Regarding attitudes, 16% would refuse their children associating with PWE, 32% would refuse marriage
Non-convulsive status epilepticus (NCSE) is clinically characterized by altered mental status and the diagnosis is confirmed by electroencephalography. Patients in NCSE may exhibit a wide range of clinical presentations including subtle memory deficits, bizarre behavior, psychosis, or coma. In a prospective population based study of status epilepticus, NCSE represented approximately 5% of status epilepticus cases presenting in Richmond, Virginia (14). Usually NCSE occurred in epileptic patients, metabolic disorders and others, but without history of any disorder not reported. Case report: A 39 years old woman referred to our clinic due to mental change. This patients had not history of seizure, only used warfarin (anti coagulant agent) due to atrial fibrillation. Physical examinations were normal. Electroencephalogram for has done, showed slow waves (2–3 Hz) in all traces. All of laboratory tests were normal. Brain MRI has done and has not abnormality. Phenytoin started, after tow hours mental change omitted. An electroencephalogram has done again after a day, abnormality has not seen. Conclusion: NCSE may be the first attack of seizure, thus diagnosis is very difficult. PO18-WE-66 Aneurysmal malformation of the vein of Galen (AMVG) – report of 3 cases managed successfully with endovascular treatment
Introduction: After “reviewing 23 cases with aneurysm of the vein of Galen, concluded that the venous sac most probably represents the persistence of the median prosencephalic vein (embryonic) of Markowski and not the vein of Galen”. Objective: To present our experience with the endovascular treatment of 3 patients with aneurysmatic malformation of the vein of Galen. Material and Methods: All patients underwent CAT scan of the brain, Transcranial color Doppler and Magnetic Resonance Imaging of the brain, before and after treatment. Patient 1, male, 5 months of age, developed hydrocephalus and transcranial bruit. He was treated through intraarterial endovascular with N.bytilcyano acrylate (NBCA) in the first session and he later underwent ventriculo-peritoneal shunt. Patient 2, Male, 5 months of age, developed cardiac failure and bilateral proptosis. He was treated initially through intracranial approach with partial embolization with NBCA and later on through transtorcular approach, because the venous drainage was carried out through the ophthalmic veins, due to the fact that he had congenital occlusion of the jugular
Conclusions: We can conclude that seizures at the beginning of delirium tremens implicated better outcome, concerning duration of delirium tremens and hospital treatment, with somewhat better cognitive status. PO18-WE-63 Knowledge, perceptions and practice with respect to epilepsy among traditional healers in the Batibo health district, Cameroon A.K. Njamnshi1 , S.A. Angwafor1 , E.N. Tabah1 , F.N. Yepnjio2 , A.Z. Lekoubou1 , F. Dema1 , H.A. Yumo3 , F.F. Angwafo4 , W.F.T. Muna5 . 1 Neurology, Central Hospital Yaounde, Fac. Med. and Biomed. Sci, Yaounde, Cameroon; 2 Neurology, Faculty of Medicine, Dakar, Senegal; 3 Medicine, Batibo District Hospital, Batibo, Cameroon; 4 Surgery, FMBS, University of Yaounde 1, Yaounde, Cameroon; 5 Internal Medicine and Specialties, FMBS, University of Yaounde 1, Yaounde, Cameroon
S261
of their children with PWE although 55.5% would offer equal employment to PWE. About 63% thought that epilepsy was a form of insanity while 50.3% considered it to be of supernatural origin. The independent determinants of attitudes in this sample population were the belief that epilepsy is a form of insanity (P = 0.004) or is caused by a mental illness (P = 0.003), having read about epilepsy (P = 0.018) and being married (P = 0.007). Conclusions: Our study demonstrates a high level of awareness and fairly good knowledge on epilepsy in this sample but prevailing misconceptions on the disease. The inappropriate attitudes and practices observed are better than those reported in elsewhere in Cameroon and this can be related to the epilepsy education and treatment programme that has been put in place in Badissa by our team. PO18-WE-65 Non-convulsive status epilepticus as a first attack of seizure
Background and purpose: Cameroon has one of the highest prevalence rates of epilepsy in Africa, and there is still a lot of stigma associated with epilepsy in Cameroon (Njamnshi et al. 2008, 2009). We have argued for non-physician management of epilepsy in resource-limited countries like Cameroon (Njamnshi, 2009, Epilepsia). The purpose of this study was to understand the approach of Traditional Healers to epilepsy care so as to develop a community-based epilepsy care programme in the Batibo health district (HD). Methods: Using a 18-item questionnaire, interviews were carried out with102 traditional healers randomly selected from two associations of THs in the Batibo HD. Results: Most THs had heard about epilepsy (98.0%), knew someone with epilepsy (97.8) or had witnessed a seizure (92.2%). About 40% would object to their children associating with PWE, 46.1% would object to their children marrying PWE, while 51% linked the disease to insanity. Though 61.8% of the traditional healers could not offer any treatment for epilepsy, most of them thought it was treatable (74.5%) and would readily refer a patient to the hospital (95.1%). Conclusion: Traditional healers (THs) have a fairly good knowledge on epilepsy. Though they still have negative practices, the attitudes of THs towards PWE in the Batibo HD are satisfactory when compared to those the general public and students in the same community. These findings suggest that there is a solid basis for collaboration between the modern and traditional health systems in order to bridge the epilepsy treatment gap in Cameroon. Furthermore, our data call for the training of traditional healers on epilepsy for eventual collaboration with western physicians.
H.A. Ebrahimi Meimand1 , F. Ebrahimi Meimand2 . 1 Clinical Neurosciences Research Center, Kerman University of Medical Sciences, Kerman, Islamic Republic of Iran; 2 Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran
PO18-WE-64 Knowledge, attitudes and practices with respect to epilepsy in Badissa village, centre region of Cameroon
A. Garcia De La Fuente1 , R. Rangel Guerra2 . 1 Hemodynamic Unit, Hospital Christus Muguerza, Monterrey, Nuevo Leon, Mexico; 2 Neurology, Hospital Universitario, Monterrey, Nuevo Leon, Mexico
A.K. Njamnshi1 , F. Dema1 , E.N. Tabah1 , A.C. Zoung Kanyi Bissek2 , F.N. Yepnjio3 , P. Ongolo Zogo4 , A.S. Angwafor1 , J.Y. Fonsah1 , A.Z. Lekoubou1 , F.F. Angwafo5 , W.F.T. Muna2 . 1 Neurology, Central Hospital Yaounde, Fac. Med. Biomed. Sci, Yaounde, Cameroon; 2 Int Med and Specialties, FMBS University of Yaounde 1, Yaounde, Cameroon; 3 Neurology, Faculty of Medicine, Dakar, Senegal; 4 Medical Imaging, FMBS University of Yaounde 1, Yaounde, Cameroon; 5 Surgery, FMBS University of Yaounde 1, Yaounde, Cameroon Purpose: The aim of this study was to assess the KAP with respect to epilepsy in Badissa, Cameroon within the framework of a series of studies mandated by the Ministry of Public health. Some years ago, our team set up an epilepsy education and treatment programme in this region with a high prevalence of epilepsy. Methods: We carried out a face-to-face interview of 164 subjects during a door-to-door community survey in Badissa village. Results: Everybody had heard about epilepsy, 98.8% knew at least one person with epilepsy (PWE), and 97.6% had seen at least one epileptic seizure. Regarding attitudes, 16% would refuse their children associating with PWE, 32% would refuse marriage
Non-convulsive status epilepticus (NCSE) is clinically characterized by altered mental status and the diagnosis is confirmed by electroencephalography. Patients in NCSE may exhibit a wide range of clinical presentations including subtle memory deficits, bizarre behavior, psychosis, or coma. In a prospective population based study of status epilepticus, NCSE represented approximately 5% of status epilepticus cases presenting in Richmond, Virginia (14). Usually NCSE occurred in epileptic patients, metabolic disorders and others, but without history of any disorder not reported. Case report: A 39 years old woman referred to our clinic due to mental change. This patients had not history of seizure, only used warfarin (anti coagulant agent) due to atrial fibrillation. Physical examinations were normal. Electroencephalogram for has done, showed slow waves (2–3 Hz) in all traces. All of laboratory tests were normal. Brain MRI has done and has not abnormality. Phenytoin started, after tow hours mental change omitted. An electroencephalogram has done again after a day, abnormality has not seen. Conclusion: NCSE may be the first attack of seizure, thus diagnosis is very difficult. PO18-WE-66 Aneurysmal malformation of the vein of Galen (AMVG) – report of 3 cases managed successfully with endovascular treatment
Introduction: After “reviewing 23 cases with aneurysm of the vein of Galen, concluded that the venous sac most probably represents the persistence of the median prosencephalic vein (embryonic) of Markowski and not the vein of Galen”. Objective: To present our experience with the endovascular treatment of 3 patients with aneurysmatic malformation of the vein of Galen. Material and Methods: All patients underwent CAT scan of the brain, Transcranial color Doppler and Magnetic Resonance Imaging of the brain, before and after treatment. Patient 1, male, 5 months of age, developed hydrocephalus and transcranial bruit. He was treated through intraarterial endovascular with N.bytilcyano acrylate (NBCA) in the first session and he later underwent ventriculo-peritoneal shunt. Patient 2, Male, 5 months of age, developed cardiac failure and bilateral proptosis. He was treated initially through intracranial approach with partial embolization with NBCA and later on through transtorcular approach, because the venous drainage was carried out through the ophthalmic veins, due to the fact that he had congenital occlusion of the jugular