Download Atlas: Epilepsy Care in the World 2005 by World Health Organization PDF

By World Health Organization

This atlas is among the so much complete compilations of accessible assets for epilepsy ever tried, delivering an illustrative presentation of knowledge at the present prestige of epilepsy providers and care to be had from a hundred and sixty international locations overlaying 97.5% of the area population.The information be certain what execs within the box of epilepsy have identified for a very long time - that epilepsy care is grossly insufficient in comparison with the desires in such a lot international locations. by way of epilepsy care, such a lot international locations are constructing nations .

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Because of the relatively high prevalence of surgically remediable epilepsy syndromes, particularly mesial temporal lobe epilepsy, investment in such epilepsy surgery centres, even in the poorest regions of the world, could greatly reduce the economic and human burden of epilepsy. 47 EPILEPSY: THE CARE PRO V I D E R S Epilepsy: the care providers 49 15 M ED I C AL PROFESSIONALS Introduction ◆ The respondents were asked about the number of specialist medical professionals such as neurologists, neuropaediatricians, psychiatrists and neurosurgeons involved for 50% or more of their time in providing epilepsy care.

7% of the responding countries (N=92). A total of 19 265 hospital beds for epilepsy care are reported to be available in 50 countries. One third of these are reported for shortterm epilepsy care while the rest are for residential longterm care. 82). 1% have access to less than one hospital bed for epilepsy care per 100 000 population. 65 in Europe. 46 for high-income countries. Almost half of the high-income countries also have less than one hospital bed for epilepsy care per 100 000 population.

Pharmacological treatment Modern pharmacotherapy of epilepsy was heralded by the serendipitous discovery of the anticonvulsant properties of phenobarbital in 1912 by Alfred Hauptmann. Despite the development of successive generations of AEDs, phenobarbital has retained a unique position in the therapeutic armamentarium and is still the most widely prescribed treatment worldwide. Its advantages include reliability of supply, affordable cost, broad spectrum of action and ease of use (56). The drug also has disadvantages such as sedation, behavioural side-effects, enzyme induction and possible teratogenesis.

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