Research Article | | Peer-Reviewed

Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa

Received: 15 October 2024     Accepted: 4 November 2024     Published: 26 November 2024
Views:       Downloads:
Abstract

Background: children in Africa are mainly affected by epilepsy. This study describes the clinical and paraclinical profiles of epileptic children followed at the Neuro-Psychopathological Center of the University of Kinshasa (CNPP/Unikin). Method: a descriptive cross-sectional study analyzed the files of patients aged ≤ 15 years old admitted to the pediatric neurology unit of the CNPP/Unikin, from December 2015 to December 2020. The variables of interest were sociodemographic, clinical, and evolutionary. Excel 2010 and SPSS version 20.0 were used to manage the data. Results: 118 files of children (70 boys and 48 girls) were collected; 40.7% were between 11 and 15 years old. The mean (SD) age was 8.2 (4.1) years. Sixty percent of admissions were due to epilepsy. Forty-seven (39.8%) patients had idiopathic epilepsy. The majority (83.1%) of seizures is generalized and tonic-clonic seizure is predominant (64.4%). Comorbidities were dominated by neurodevelopmental disorders (8%). Nutritionally, hypocalcaemia (51.7%), hypomagnesaemia (16%) and hypokalemia (1.7%) were observed. Abnormalities during pregnancy and childbirth (23.7%) were the most common etiological factors. The seizures outcome under treatment was characterized, in general, by regression (64.4%). Conclusion: epilepsy is the leading cause of admission in CNPP/Unikin neuropediatric unit, with increasing rates. Nutritional disorders, abnormalities during pregnancy, and childbirth are the dominant etiological factors in these children living with epilepsy. Therefore, health policies must be deeply reassessed, Sub-Saharan Africa, to improve the management and prevention of both epilepsy and identified etiological factors.

Published in European Journal of Preventive Medicine (Volume 12, Issue 6)
DOI 10.11648/j.ejpm.20241206.12
Page(s) 138-145
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Clinic, Epilepsy, Neuropediatry, Paraclinic, Sub-Saharan Africa

References
[1] World Health Organization, Epilepsy. Fact sheet, 2024.
[2] Sayers J. The world health report 2001 — Mental health: new understanding, new hope. Bull World Health Organ. 2001; 79(11): 1085. PMCID: PMC2566704.
[3] Ngugi AK, Bottomley C, Kleinschmidt I, Wagner RG, Kakooza Mwesige A, Ae-Ngibise K et al. Prevalence of active convulsive epilepsy in sub-Saharan Africa and associated risk factors: cross- sectional and case control studies. Lancet Neurol. 2013; 12(3): 253- 263.
[4] Ngoungou EB, Quet F, Dubreuil CM, Marin B, Houinato D, Nubukpo P et al. Epidemiology of epilepsy in sub-Saharan Africa: a review of the literature. Sante. 2006; 16(4): 225-238.
[5] Dadah Samy Mohamed Lemine, Ben-Adji Djibrilla Wazir, Basse Anna Modji, Sow Adjaratou Dièynaba, Sene Marième Soda, Faye Mouhameth, Cisse Ousmane, Ba El Hadji Makhtar, Seck Lala Bouna, Diagne Side Ngor, Touré Kamadore, Diop Amadou Gallo, Ndiaye Mouhamadou Mansour, Ndiaye Moustapha. Epilespie of the child and adolescent in Senegal. African Journal of Neurological Sciences 2015 (33); 1: 3-9.
[6] Idro R, Gwer S, Kahindi M, Gatakaa H, Kazungu T, Ndiritu M, Maitland K, Neville BG, Kager PA, Newton CR. The incidence, aetiology and outcome of acute seizures in children admitted to a rural Kenyan district hospital. BMC Pediatr. 2008; 8: 5.
[7] Kaputu-Kalala-Malu Célestin et al. Epilepsy and acute seizures in children in sub-Saharan Africa: challenges and hopes. Pan African Medical Journal. 2016; 23: 58.
[8] Lecrubier Y, Weiller E, Hergueta T, Amorim P, Bonora L. I, J. P. Lépine J. P. (INSERM-PARIS, FRANCE) / Sheehan D, Janavs J, Baker R, Sheehan K. H., Knapp E., Sheehan M. (University of South Florida-TAMPA, USA). Mini International Neuropsychiatric Interview. Version 5.0.0 / DSM-IV / current (August 1998).
[9] Cambier J, Masson M, Dehen H. Abrégés de Neurologie. 11th edition, Masson, Paris, 2000, pp. 181-206.
[10] Ndiaye M, Sarr M, Mapoure Y, Diouf FS, Toure K, Sow AD et al. Epilepsy in the Senegalese neuro-pediatric context. Rev Neurol. 2008; 164(2): 162-168.
[11] Sounga Bandzouzi, P. E. G., Mpandzou, G. A., Diatewa, J. E., Motoula-Latou, D. H., Ngassaki, S., Mialoudama, C., Obondzo-Aloba, K. L., Bakoudissa, R., Mbourou Diouf, N., Mambila, G., Koubemba, C. G., & Ossou-Nguiet, P. M. (2021). Aspects Cliniques, Étiologiques et Thérapeutiques de l’Épilepsie du Nourrisson et de l’Enfant à Pointe-Noire. HEALTH SCIENCES AND DISEASE, 22(10).
[12] Hutu K, Kaputu K, Mukeba K, Okitundu LEA, Kayembe K. Retrospective analysis of 210 cases of epileptic seizure at the Centre Neuro-Psychopathologique de Kinshasa. Ann. Afr. Med, Vol. 3, N° 3, June 2010. 505-5011.
[13] Ndong MEY, Ndiaye M, Fall M. Idiopathic epilepsies in children: about 186 children followed for 3 years at CHU de Fann (Dakar- Senegal). Rev Neurol. 2016; 172(1): 55.
[14] Hurst LA, Reef HE. Neuropsychiatric disorders in Bantu. S Afr Med J. 1961; 35: 750-754.
[15] Orly J. Epilepsy in Uganda (rural) A study of eighty- three cases. Afr J Med Sci 1970; 1: 155- 160.
[16] Sarfaty, J. " Épilepsie et structuration psychique de l'enfant ", Contraste, vol. 38, no. 2, 2013, pp. 143-154.
[17] Wilmshurst JM, Burman R, gaillard WD, cross JH. Treatment of infants with epilepsy: common practices around the word. Epilepsia. 2015; 56(7): 1033-1046.
[18] Preux PM, Druet-Cabanac M. Epidemiology and etiology of epilepsy in sub-saharan Africa. Lancet Neurol. 2005; 4(1): 21-31.
[19] Mampunza MM, Matonda MM, Lelo M, Ngo Mbok, Babong CL, Mpundu J. Post-traumatic stress disorder and epilepsy: Experience of the "Telema" Mental Health Center in Kinshasa. Ann Afr Med. 2007; 1 (1): 59-63.
[20] Sabrina Crépin, Bertrand Godet, Benoît Chassain, Pierre-Marie Preux, Jean-Claude Desport, Malnutrition and epilepsy: complex links, Nutrition Clinique et Métabolisme, Volume 22, Issue 2, 2008, Pages 88-95.
[21] Richard Hackett, Thomas Iype, Malnutrition and childhood epilepsy in developing countries, Seizure, Volume 10, Issue 8, 2001, Pages 554-558.
[22] Stella L. Volpe, Joan I. Schall, Paul R. Gallagher, Virginia A. Stallings, A. G. Christina Bergqvist, Nutrient Intake of Children with Intractable Epilepsy Compared with Healthy Children, Journal of the American Dietetic Association, Volume 107, Issue 6, 2007, Pages 1014-1018.
[23] Mukalay M, Kalenga MK, Dramaix M, Hennart Ph, Kabyla I, Donnen Ph. Prevalence and determinants of malnutrition in children under 5 years of age in the Bongonga district of Lubumbashi. Ann Afr Med. 2009; 3 (1): 346- 354.
[24] EL Gengaihy ME, Wasif SM. Epidemiological study of epilepsy in Egypt. Neurologie tropicale. ED. AUPELF-UREF. John Libbey Eurotext, Paris 1993, pp. 39-45.
Cite This Article
  • APA Style

    Lukusa, A. N., Kabamba, V. H., Kabuayi, P. N., Mbombo, S. N., Malu, C. K., et al. (2024). Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa. European Journal of Preventive Medicine, 12(6), 138-145. https://doi.org/10.11648/j.ejpm.20241206.12

    Copy | Download

    ACS Style

    Lukusa, A. N.; Kabamba, V. H.; Kabuayi, P. N.; Mbombo, S. N.; Malu, C. K., et al. Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa. Eur. J. Prev. Med. 2024, 12(6), 138-145. doi: 10.11648/j.ejpm.20241206.12

    Copy | Download

    AMA Style

    Lukusa AN, Kabamba VH, Kabuayi PN, Mbombo SN, Malu CK, et al. Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa. Eur J Prev Med. 2024;12(6):138-145. doi: 10.11648/j.ejpm.20241206.12

    Copy | Download

  • @article{10.11648/j.ejpm.20241206.12,
      author = {Alphonsine Ntumba Lukusa and Victor Hutu Kabamba and Philippe Ntalaja Kabuayi and Sylvie Ntumba Mbombo and Celestin Kaputu-Kalala Malu and Daniel Okitundu Luwa E-Andjafano},
      title = {Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa
    },
      journal = {European Journal of Preventive Medicine},
      volume = {12},
      number = {6},
      pages = {138-145},
      doi = {10.11648/j.ejpm.20241206.12},
      url = {https://doi.org/10.11648/j.ejpm.20241206.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20241206.12},
      abstract = {Background: children in Africa are mainly affected by epilepsy. This study describes the clinical and paraclinical profiles of epileptic children followed at the Neuro-Psychopathological Center of the University of Kinshasa (CNPP/Unikin). Method: a descriptive cross-sectional study analyzed the files of patients aged ≤ 15 years old admitted to the pediatric neurology unit of the CNPP/Unikin, from December 2015 to December 2020. The variables of interest were sociodemographic, clinical, and evolutionary. Excel 2010 and SPSS version 20.0 were used to manage the data. Results: 118 files of children (70 boys and 48 girls) were collected; 40.7% were between 11 and 15 years old. The mean (SD) age was 8.2 (4.1) years. Sixty percent of admissions were due to epilepsy. Forty-seven (39.8%) patients had idiopathic epilepsy. The majority (83.1%) of seizures is generalized and tonic-clonic seizure is predominant (64.4%). Comorbidities were dominated by neurodevelopmental disorders (8%). Nutritionally, hypocalcaemia (51.7%), hypomagnesaemia (16%) and hypokalemia (1.7%) were observed. Abnormalities during pregnancy and childbirth (23.7%) were the most common etiological factors. The seizures outcome under treatment was characterized, in general, by regression (64.4%). Conclusion: epilepsy is the leading cause of admission in CNPP/Unikin neuropediatric unit, with increasing rates. Nutritional disorders, abnormalities during pregnancy, and childbirth are the dominant etiological factors in these children living with epilepsy. Therefore, health policies must be deeply reassessed, Sub-Saharan Africa, to improve the management and prevention of both epilepsy and identified etiological factors.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa
    
    AU  - Alphonsine Ntumba Lukusa
    AU  - Victor Hutu Kabamba
    AU  - Philippe Ntalaja Kabuayi
    AU  - Sylvie Ntumba Mbombo
    AU  - Celestin Kaputu-Kalala Malu
    AU  - Daniel Okitundu Luwa E-Andjafano
    Y1  - 2024/11/26
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ejpm.20241206.12
    DO  - 10.11648/j.ejpm.20241206.12
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 138
    EP  - 145
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20241206.12
    AB  - Background: children in Africa are mainly affected by epilepsy. This study describes the clinical and paraclinical profiles of epileptic children followed at the Neuro-Psychopathological Center of the University of Kinshasa (CNPP/Unikin). Method: a descriptive cross-sectional study analyzed the files of patients aged ≤ 15 years old admitted to the pediatric neurology unit of the CNPP/Unikin, from December 2015 to December 2020. The variables of interest were sociodemographic, clinical, and evolutionary. Excel 2010 and SPSS version 20.0 were used to manage the data. Results: 118 files of children (70 boys and 48 girls) were collected; 40.7% were between 11 and 15 years old. The mean (SD) age was 8.2 (4.1) years. Sixty percent of admissions were due to epilepsy. Forty-seven (39.8%) patients had idiopathic epilepsy. The majority (83.1%) of seizures is generalized and tonic-clonic seizure is predominant (64.4%). Comorbidities were dominated by neurodevelopmental disorders (8%). Nutritionally, hypocalcaemia (51.7%), hypomagnesaemia (16%) and hypokalemia (1.7%) were observed. Abnormalities during pregnancy and childbirth (23.7%) were the most common etiological factors. The seizures outcome under treatment was characterized, in general, by regression (64.4%). Conclusion: epilepsy is the leading cause of admission in CNPP/Unikin neuropediatric unit, with increasing rates. Nutritional disorders, abnormalities during pregnancy, and childbirth are the dominant etiological factors in these children living with epilepsy. Therefore, health policies must be deeply reassessed, Sub-Saharan Africa, to improve the management and prevention of both epilepsy and identified etiological factors.
    
    VL  - 12
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Sections