الفهرس 
ContentsOnly 14 pages are availabe for public view
 |  | from | 127 |  |  |
| | | from | 127 | | |
Abstract
Summary pilepsy affects approximately 50 million people worldwide, with 80% of these individuals residing in developing regions. Epilepsy accounts for about 1% of the global burden of disease CNS infections are the main cause of seizures and acquired epilepsy in the developing world. Geographical variations determine the common causes in a particular region. The Arab world is unique in terms of mixed ethnicity, varied religious practices (related to food and substances, marriage) and disease epidemiology. The available data of prevalence by age from the Arab countries showed the usual distribution of the highest rate in children and young adults, a lower rate in middle age, and a higher one in the elderly population. Denial and concealment is likely, especially among women in traditional Arab societies, as a diagnosis of epilepsy has implications for marriage arrangements. This explains at least in part the significant excess in prevalence for males. In Egypt, road accidents are the most common cause of brain injury owing to the lack of traffic regulation and failure to wear a seat belt Brain damage can also result from accidents, assault, and child abuse. This prospective hospital-based study was carried out over a 6 months period .The out-patient epilepsy clinic of Mansoura University Hospital manages children with epilepsy who were not covered by insurance service and all families were from low-income. The frequency of patients attending the clinic (children) during the period of study was 1144 patients. Out of whom 474 were children with epilepsy which represent a relative frequency rate of 41.4%. Our work aimed To : evaluate the frequency & diagnostic pattern of childhood epilepsy in our locality on hospital based study in Mansoura University Children`s Hospital. Our results shows : The highest frequency rate was in childhood (2-12).it was 79.7% of the cases We found that male percentage (61.8%) more than female (38.2%) Most of the patients (80.2%) were rural residents and urban areas are (19.8%). We reported that most of case were negative family history (82.3%) versus (17.7%) of cases were positive family history Parental consanguinity was reported in 23.8% of patients.No etiology (idiopathic/cryptogenic group) was identified for epilepsy in the majority patients (78.2%).Known cause for epilepsy was identified in 13.5% of patients (secondary epilepsy), among which non-specific CNS infection represented (57.8%) of them, followed by perinatal complications (35.9%) while head trauma was reported in only (6.2) % of children.(90.9%) of our children were compliance on their medication that’s because antiepileptic drugs are free and are prescribed from MUCH hospital. our patients were maintained mainly on valproate sodium (98.7%), carbamazepine (28.9%), leveitiracetam(26%) ,toprimate(12.4%), ethoxumide 1.7%), phenobarbitone (2.3%), lamotrigine (1.5%) of all our cases.And patients who maintained on single drug of AED were (55.3%), and who maintained on double medications were (29.3%), more than that were (15.4%).