A community-based case–control study of prevalence and pattern of cognitive impairments in patients with epilepsy residing in South-Eastern Nigeria
Identifieur interne : 001218 ( Main/Exploration ); précédent : 001217; suivant : 001219A community-based case–control study of prevalence and pattern of cognitive impairments in patients with epilepsy residing in South-Eastern Nigeria
Auteurs : Eugene O. Arinzechi ; Olubunmi A. Ogunrin ; Cosmas M. Nwosu ; Paul O. Nwani ; Kelechi O. Enwereji ; Lasbrey A. Asomugha ; Uche DimkpaSource :
- Journal of Neurosciences in Rural Practice [ 0976-3147 ] ; 2016.
Abstract
Epilepsy is the commonest neurological disorder encountered in Sub-Saharan Africa. The quality of life of patients with epilepsy (PWEs) is adversely affected by cognitive impairments.
This study investigated the prevalence and pattern of cognitive impairments in PWE in Ukpo community located in a South-Eastern state in Nigeria using Community Screening Interview for Dementia (CSID) and a computer-assisted cognitive test battery (FePsy).
Fifty-one PWEs were studied and compared with 51 age-, sex-and level of education-matched healthy controls. Diagnosis of epilepsy was confirmed clinically with eye-witness corroboration. Sociodemographic data and information on epilepsy variables were obtained with the aid of a questionnaire. Cognitive domains assessed include language, memory, orientation, attention, psychomotor speed and constructional praxis.
The prevalence rate of cognitive impairment using total CSID score was 19.6%. Analysis of CSID scores revealed significant impairment in language (17.6%), memory (29.4%), orientation (15.7%), attention (7.8%) and constructional praxis (15.7%) compared to healthy controls. A similar pattern was observed with FePsy but with better sensitivity indices for detecting cognitive impairment.
This study indicated significant prevalence rate of cognitive impairment among treatment-naïve PWE with profound affectation of memory, mental speed and language. In addition, the FePsy was found to be more sensitive and specific in assessment of cognitive function in PWE.
Url:
DOI: 10.4103/0976-3147.181488
PubMed: 27365959
PubMed Central: 4898110
Affiliations:
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Nwosu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Nwani, Paul O" sort="Nwani, Paul O" uniqKey="Nwani P" first="Paul O." last="Nwani">Paul O. Nwani</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Enwereji, Kelechi O" sort="Enwereji, Kelechi O" uniqKey="Enwereji K" first="Kelechi O." last="Enwereji">Kelechi O. Enwereji</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Asomugha, Lasbrey A" sort="Asomugha, Lasbrey A" uniqKey="Asomugha L" first="Lasbrey A." last="Asomugha">Lasbrey A. Asomugha</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dimkpa, Uche" sort="Dimkpa, Uche" uniqKey="Dimkpa U" first="Uche" last="Dimkpa">Uche Dimkpa</name><affiliation><nlm:aff id="aff3"><italic>Department of Human Physiology, Faculty of Basic Medical Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27365959</idno><idno type="pmc">4898110</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898110</idno><idno type="RBID">PMC:4898110</idno><idno type="doi">10.4103/0976-3147.181488</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000392</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000392</idno><idno type="wicri:Area/Pmc/Curation">000392</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000392</idno><idno type="wicri:Area/Pmc/Checkpoint">000884</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000884</idno><idno type="wicri:Area/Ncbi/Merge">003861</idno><idno type="wicri:Area/Ncbi/Curation">003861</idno><idno type="wicri:Area/Ncbi/Checkpoint">003861</idno><idno type="wicri:doubleKey">0976-3147:2016:Arinzechi E:a:community:based</idno><idno type="wicri:Area/Main/Merge">001219</idno><idno type="wicri:Area/Main/Curation">001218</idno><idno type="wicri:Area/Main/Exploration">001218</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A community-based case–control study of prevalence and pattern of cognitive impairments in patients with epilepsy residing in South-Eastern Nigeria</title><author><name sortKey="Arinzechi, Eugene O" sort="Arinzechi, Eugene O" uniqKey="Arinzechi E" first="Eugene O." last="Arinzechi">Eugene O. Arinzechi</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ogunrin, Olubunmi A" sort="Ogunrin, Olubunmi A" uniqKey="Ogunrin O" first="Olubunmi A." last="Ogunrin">Olubunmi A. Ogunrin</name><affiliation><nlm:aff id="aff2"><italic>Department of Medicine, Neurology Unit, University of Benin Teaching Hospital, Benin City, Nigeria</italic></nlm:aff></affiliation></author><author><name sortKey="Nwosu, Cosmas M" sort="Nwosu, Cosmas M" uniqKey="Nwosu C" first="Cosmas M." last="Nwosu">Cosmas M. Nwosu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Nwani, Paul O" sort="Nwani, Paul O" uniqKey="Nwani P" first="Paul O." last="Nwani">Paul O. Nwani</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Enwereji, Kelechi O" sort="Enwereji, Kelechi O" uniqKey="Enwereji K" first="Kelechi O." last="Enwereji">Kelechi O. Enwereji</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Asomugha, Lasbrey A" sort="Asomugha, Lasbrey A" uniqKey="Asomugha L" first="Lasbrey A." last="Asomugha">Lasbrey A. Asomugha</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dimkpa, Uche" sort="Dimkpa, Uche" uniqKey="Dimkpa U" first="Uche" last="Dimkpa">Uche Dimkpa</name><affiliation><nlm:aff id="aff3"><italic>Department of Human Physiology, Faculty of Basic Medical Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Neurosciences in Rural Practice</title><idno type="ISSN">0976-3147</idno><idno type="eISSN">0976-3155</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Epilepsy is the commonest neurological disorder encountered in Sub-Saharan Africa. The quality of life of patients with epilepsy (PWEs) is adversely affected by cognitive impairments.</p></sec><sec id="st2"><title>Aim:</title><p>This study investigated the prevalence and pattern of cognitive impairments in PWE in Ukpo community located in a South-Eastern state in Nigeria using Community Screening Interview for Dementia (CSID) and a computer-assisted cognitive test battery (FePsy).</p></sec><sec id="st3"><title>Methods and Patients:</title><p>Fifty-one PWEs were studied and compared with 51 age-, sex-and level of education-matched healthy controls. Diagnosis of epilepsy was confirmed clinically with eye-witness corroboration. Sociodemographic data and information on epilepsy variables were obtained with the aid of a questionnaire. Cognitive domains assessed include language, memory, orientation, attention, psychomotor speed and constructional praxis.</p></sec><sec id="st4"><title>Results:</title><p>The prevalence rate of cognitive impairment using total CSID score was 19.6%. Analysis of CSID scores revealed significant impairment in language (17.6%), memory (29.4%), orientation (15.7%), attention (7.8%) and constructional praxis (15.7%) compared to healthy controls. A similar pattern was observed with FePsy but with better sensitivity indices for detecting cognitive impairment.</p></sec><sec id="st5"><title>Conclusion:</title><p>This study indicated significant prevalence rate of cognitive impairment among treatment-naïve PWE with profound affectation of memory, mental speed and language. In addition, the FePsy was found to be more sensitive and specific in assessment of cognitive function in PWE.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Preux, Pm" uniqKey="Preux P">PM Preux</name></author><author><name sortKey="Druet Cabanac, M" uniqKey="Druet Cabanac M">M Druet-Cabanac</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ngugi, Ak" uniqKey="Ngugi A">AK Ngugi</name></author><author><name sortKey="Bottomley, C" uniqKey="Bottomley C">C Bottomley</name></author><author><name sortKey="Kleinschmidt, I" uniqKey="Kleinschmidt I">I Kleinschmidt</name></author><author><name sortKey="Wagner, Rg" uniqKey="Wagner R">RG Wagner</name></author><author><name sortKey="Kakooza Mwesige, A" uniqKey="Kakooza Mwesige A">A Kakooza-Mwesige</name></author><author><name sortKey="Ae Ngibise, K" uniqKey="Ae Ngibise K">K 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uniqKey="Pulliainen V">V Pulliainen</name></author><author><name sortKey="Kuikka, P" uniqKey="Kuikka P">P Kuikka</name></author><author><name sortKey="Jokelainen, M" uniqKey="Jokelainen M">M Jokelainen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aldenkamp, Ap" uniqKey="Aldenkamp A">AP Aldenkamp</name></author><author><name sortKey="Baker, G" uniqKey="Baker G">G Baker</name></author><author><name sortKey="Mulder, Og" uniqKey="Mulder O">OG Mulder</name></author><author><name sortKey="Chadwick, D" uniqKey="Chadwick D">D Chadwick</name></author><author><name sortKey="Cooper, P" uniqKey="Cooper P">P Cooper</name></author><author><name sortKey="Poelma, J" uniqKey="Poelma J">J Poelma</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Arinzechi, Eugene O" sort="Arinzechi, Eugene O" uniqKey="Arinzechi E" first="Eugene O." last="Arinzechi">Eugene O. Arinzechi</name><name sortKey="Asomugha, Lasbrey A" sort="Asomugha, Lasbrey A" uniqKey="Asomugha L" first="Lasbrey A." last="Asomugha">Lasbrey A. Asomugha</name><name sortKey="Dimkpa, Uche" sort="Dimkpa, Uche" uniqKey="Dimkpa U" first="Uche" last="Dimkpa">Uche Dimkpa</name><name sortKey="Enwereji, Kelechi O" sort="Enwereji, Kelechi O" uniqKey="Enwereji K" first="Kelechi O." last="Enwereji">Kelechi O. Enwereji</name><name sortKey="Nwani, Paul O" sort="Nwani, Paul O" uniqKey="Nwani P" first="Paul O." last="Nwani">Paul O. Nwani</name><name sortKey="Nwosu, Cosmas M" sort="Nwosu, Cosmas M" uniqKey="Nwosu C" first="Cosmas M." last="Nwosu">Cosmas M. Nwosu</name><name sortKey="Ogunrin, Olubunmi A" sort="Ogunrin, Olubunmi A" uniqKey="Ogunrin O" first="Olubunmi A." last="Ogunrin">Olubunmi A. Ogunrin</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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