Seizures at adult emergency department in a tertiary hospital in Burkina Faso
Clinical Series, 22 - 28Tag this article
Objectives: To determine frequency and management of epileptic seizures in the emergency department of tertiary hospitals in Burkina Faso. Methods: We conducted a prospective study in the Emergency Department of Yalgado Ouedraogo University Teaching Hospital from September 2015 to December 2016. Patients older than 15 years with diagnosis of epileptic seizures were included. Results: One hundred nine patients with mean age 46.2 years were included in this study. Male gender was predominant (62%). Seventy-two percent of patients had chronic seizures. At admission, 88 % of patients presented generalized tonic clonic seizures and 23 % had generalized status epilepticus. Glasgow coma scale was moderate (9-12) in 57.8% of patients. Stroke was the underlying cause in 29.3% of cases. Diazepam and Phenobarbital were the commonest antiepileptic drugs during hospitalization. Hospital stay was 4 ± 1 days. Sodium valproate was the most prevalent treatment given at discharge. The mortality rate was 16.5%. Conclusion: Epileptic seizures are a frequent cause of admission in the Emergency Department of a tertiary hospital in Burkina Faso. There was lack of appropriate therapies and mortality was high.
KEY WORDS: Epileptic seizures, Status epilepticus, Emergency Department, Burkina Faso.