Neuroepidemiology
Original Paper
Epidemiological Survey of Epilepsy in the Special School Population in the City of Buenos AiresA Comparison with Mainstream Schools Board of Health, Buenos Aires City Authority, Buenos Aires, Argentina
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Article / Publication Details
Received: July 22, 2008
Accepted: September 29, 2008
Published online: December 16, 2008
Issue release date: February 2009
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4
ISSN: 0251-5350 (Print)
eISSN: 1423-0208 (Online)
For additional information: https://www.karger.com/NED
Abstract
Background: Previous studies in special schools have shown a high prevalence of epilepsy, which is strongly associated with cerebral palsy and severe mental retardation. The conditions regulating school placement have also been described in those studies. In the City of Buenos Aires, information is known only for mainstream schools. Objective: To determine the prevalence and characteristics of epilepsy in special schools and to compare results with common primary education settings. Design and Methods: A cross-sectional study was carried out in special schools in the City of Buenos Aires, by adopting the same definitions, diagnostic criteria and questionnaire as those used in a previous study in the common primary school population. Responses from 1,682 children, aged 6–16 years, residing in the City of Buenos Aires, with mental retardation, visual or hearing impairment, psychiatric disorders and motor disabilities were analyzed. Results: A total of 121 children with epilepsy were detected. Lifetime prevalence was 71.9‰ and active prevalence was 64.8‰ (22–25 times greater than rates in mainstream schools). Prevalence was highest in girls and generalized seizures prevailed over other seizure types. Ninety-two percent of cases received antiepileptic drugs, 57.9% as a single drug treatment and 85.1% in adequate doses. Only 56% of the children with a diagnosis of epilepsy proved to be true-positive cases, and almost 40% received antiepileptic drugs for nonepileptic disorders. Malformations/degenerative disease were the most common etiology. Conclusions: Special schools contain clusters of children with epilepsy as a comorbid condition. False high frequency is due to misdiagnoses and unnecessary treatments. These schools are an important target for educational interventions.
© 2008 S. Karger AG, Basel
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References
- Tidman L, Saravanan K, Gibbs J: Epilepsy in mainstream and special educational primary school setting. Seizure 2003;12:47–51.
- Shepherd C, Hosking G: Epilepsy in school children with intellectual impairments in Sheffield: the size and nature of the problem and the implications for service provision. J Ment Defic Res 1989;33:511–514.
-
Peet DS: Retrospective review of the epidemiology of epilepsy in special schools for children with cerebral palsy, learning difficulties, and language and communication difficulties. McGill J Med 2006;9:19–23.
- Sabbagh SE, Soria C, Escolano S, Bulteau C, Dellatollas G: Impact of epilepsy characteristics and behavioral problems on school placement in children. Epilepsy Behav 2006;9:573–578.
- Somoza MJ, Forlenza RH, Brussino M, Licciardi L: Epidemiological survey of epilepsy in the primary school population in Buenos Aires. Neuroepidemiology 2005;25:62–68.
- Ochoa Sangrador C, Palencia Luaces R: Study of the prevalence of epilepsy among schoolchildren in Valladolid, Spain. Epilepsia 1991;32:791–797.
- Lhatoo SD, Sander WAS: The epidemiology of epilepsy and learning disability. Epilepsia 2001;42(suppl 1):6–9.
- Bulteau C, Jambaque I, Viguier D, Kieffer V, Dellatolas G, Dulac O: Epileptic syndromes, cognitive assessment and school placement: a study of 251 children. Dev Med Child Neurol 2000;42:319–327.
-
Ackland MJ, Wade RW: Health status of Victorian special school children. J Pediatr Child Health 1995;31:571–575.
External Resources
- Airaksinen EM, Matilainen R, Mononen T, Mustonen K, Partanen J, Jokela V, Halonen P: A population-based study on epilepsy in mentally retarded children. Epilepsia 2000;41:1214–1220.
- Danielsson S, Gillberg IC, Billstedt E, Gillberg C, Olsson I: Epilepsy in young adults with autism: a prospective population-based follow-up study of 120 individuals diagnosed in childhood. Epilepsia 2005;46:918–923.
- Steffenburg S, Gillberg C, Steffenburg U: Psychiatric disorders in children and adolescents with mental retardation and active epilepsy. Arch Neurol 1996;53:904–912.
- Mouridsen SE, Rich B, Isager T: Epilepsy in disintegrative psychosis and infantile autism: a long-term validation study. Dev Med Child Neurol 1999;41:110–114.
-
Nelson KB, Ellenberg JH: Antecedents of seizure disorders in early childhood. Am J Dis Child 1986;40:1053–1061.
- Bruck I, Antoniuk SA, Spessatto A, Schmitt de Bem R, Hausberger R, Pacheco CG: Epilepsy in children with cerebral palsy. Arq Neuropsiquiatr 2001;59:35–39.
- Goulden KJ, Shinnar S, Koller H, Katz M, Richardson SA: Epilepsy in children with mental retardation: a cohort study. Epilepsia 1991;32:690–697.
- Steffenburg U, Hagberg G, Viggedal G, Kyllerman M: Active epilepsy in mentally retarded children. I. Prevalence and additional neuro-impairments. Acta Paediatr 1995;84:1147–1152.
- Steffenburg U, Hagberg G, Kyllerman M: Characteristics of seizures in a population-based series of mentally retarded children with active epilepsy. Epilepsia 1996;37:850–856.
- Herrgård EA, Karvonen M, Luoma L, Saavalainen P, Määttä S, Laukkanen E, Partanen J: Increase number of febrile seizures in children born very preterm: relation of neonatal, febrile and epileptic seizures and neurological dysfunction to seizure outcome at 16 years of age. Seizure 2006;15:590–597.
- Ross EM, Peckham CS, West PB, Butler NR: Epilepsy in childhood: findings from the National Child Development Study. BMJ 1980;280:207–210.
- Meins W: Prevalence of psychotropic and anti-epileptic drug use in mentally handicapped students. Z Kinder Jugendpsychiatr 1991;19:15–18.
- Aman MG, Field CJ, Bridgman GD: City-wide survey of drug patterns among non-institutionalized mentally retarded persons. Appl Res Ment Retard 1985;6:159–171.
Article / Publication Details
Received: July 22, 2008
Accepted: September 29, 2008
Published online: December 16, 2008
Issue release date: February 2009
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4
ISSN: 0251-5350 (Print)
eISSN: 1423-0208 (Online)
For additional information: https://www.karger.com/NED
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