Traitement des adultes épileptiques en milieu hospitalier à Bobo-Dioulasso (Burkina-Faso) Volume 15, issue 1, Janvier 2003

Centre-Hospitalier national Souro Sanou, Bobo-Dioulasso, Burkina-Faso. UFR des Sciences de la Santé, Université de Ouagadougou, Burkina-Faso Institut d’Épidémiologie Neurologique et de Neurologie Tropicale, Limoges, France.

Epilepsy is a public health problem in Africa due to its high prevalence and the risk of social exclusion. The authors report a follow-up protocol for epileptic patients treated at Bobo-Dioulasso hospital. There were 104 males and 54 females ranging from 18 to 80 years. Phenobarbitone was the most frequently prescribed drug. Antiepileptic drugs were combined with traditional drugs in 57 cases. After two years of treatment, 91 patients experienced no seizure for at least one year. In patients with good compliance (80.4%), there were few side-effects that did not lead to stop the treatment.There is a need of anti-epilepsy programs including healers in the management of epilepsy in Black Africa. Sensitisation about epilepsy in general population and availability of low-priced AED should improve epilepsy management.