EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST- part 1 potx

[...]... Neurophysiol 19 90;76:296- 316 , with permission 5 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The Global Campaign against Epilepsy, a joint program of the WHO, ILAE, and IBE, was launched in 19 97 to “bring epilepsy out of the shadows,” in order to address discrimination against those with epilepsy and to narrow the treatment gap in developing regions of the world the manifestation... Table 1. 1 Not only have a majority of the ILAE and IBE national chapters taken up aspects of the Global Campaign in their own countries, but Regional Declarations, which identify problems and propose solutions for ministries of health and other health care organizations, have been created for Europe, TABLE 1. 1 Objectives of the ILAE/IBE/WHO Global Campaign against Epilepsy: Bringing Epilepsy Out of the. .. where the majority of individuals with epilepsy live More information about the ILAE and IBE, and about their chapters, can be found on their websites www.ilae-epilepsy.org and www.ibe-epilepsy.org The objectives of this text would be greatly enhanced by the establishment of ILAE and IBE chapters in those developing countries that do not already have them These websites also contain information about the. .. procedures for beginning new ILAE and IBE chapters This is addressed in more detail in Chapter 9 The Global Campaign against Epilepsy, a joint program of the WHO, ILAE, and IBE, was launched in 19 97 to “bring epilepsy out of the shadows,” in order to address discrimination against those with epilepsy and to narrow the treatment gap in developing regions of the world The objectives of the Global Campaign... epilepsies in developing countries ADDRESSING THE BURDEN OF EPILEPSY IN THE DEVELOPING WORLD Studies by the World Health Organization (WHO) have determined that epilepsy accounts for approximately 1% of the global burden of disease Among primary disorders of the brain, epilepsy is one of the four most important causes of economic and personal loss, the other three being affective disorders, dementias,... of WHO has pledged to commit personnel and resources to this campaign Further information on the Global Campaign against Epilepsy can be obtained from its website www.who.int/mental_ health/management/globalepilepsy campaign/en/, or by writing to: PO Box 21, 210 0 AA Heemstede, The Netherlands OBJECTIVES This textbook is intended for neurologists working in developing countries It assumes sophisticated... regions should consider the benefits of allowing neurologists to focus their professional activities on improving the capability of general practitioners, nurses, and other health workers to provide adequate care for people with epilepsy, leaving the neurologists to see only the most difficult patients themselves Invariably, the paucity of well-trained neurologists, and in many cases the virtual absence... disorders unassociated with lesions in the brain or other neurologic disturbances, and they often remit spontaneously Epileptic disorders are considered to be symptomatic or secondary when they result FIGURE 1. 2 Schematic diagram illustrating interfrom lesions or other disturbances actions of the fluctuating threshold for seizures determined by nonspecific predisposing of the brain that may produce factors... Oceania, and North America, and one more is planned in the near future for the eastern Mediterranean region (Middle East and North Africa) Demonstration projects designed to identify people with epilepsy and bring them to treatment centers are now ongoing in China and Senegal, and are planned for Argentina and Zimbabwe In 19 99, the WHO raised the Global Campaign against Epilepsy to cabinet level, making... combine to cause the characteristic pattern of cell loss and gliosis in the hippocampus Such early insults, for example prolonged febrile seizures, are common in developing countries The synaptic reorganization of surviving neurons is believed to increase susceptibility for abnormal hypersynchronization, which then leads to KEYPOINTS I A The most common form of epilepsy, at least in the industrialized . Clinical Neurology EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST World Federation of Neurology Seminars in Clinical Neurology Epilepsy: Global Issues for the Practicing Neurologist Jerome. propose solutions for ministries of health and other health care organizations, have been created for Europe, EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST 6 KEYPOINTS ■ The Global Campaign against. epilepsy accounts for approximately 1% of the global burden of disease. Among primary disorders of the brain, epilepsy is one of the four most important causes of economic and personal loss, the other three