The Pattern of Neurological Conditions in a Tertiary Institution in Nigeria: Six Years Experience in Ekiti State, Nigeria https://doi.org/10.60787/NMJ-64-4-218

Main Article Content

Paul Olowoyo
Olumuyiwa Ariyo
Gbenga Popoola
Oluwatosin Oguntoye
Segun Atolani
Olukayode Talabi
Olusegun Adegbaye
Osirounmuro Ogunmola
Segun Momoh
Kikelomo Olowoyo
Rufus Akinyemi
Mayowa Owolabi

Keywords

Neurological disorders, Ekiti, Nigeria

Abstract

Background: Neurological disorders constitute major causes of morbidity, and globally, they are the leading causes of death. There is a dearth of neurologists in most African countries and the very few available ones are concentrated in urban areas. The cardiovascular risk factors responsible for most cases of acute and chronic neurological disorders are also prevalent in rural areas. Therefore, there is a need to observe the pattern of these disorders in the rural areas too, to appreciate the disease burden as it would help in the judicious allocation of human and other healthcare resources.


Methodology: We reviewed the case files of patients seen at the neurology clinic and admitted via the emergency department into the Federal Teaching Hospital, Ido-Ekiti, over a period of 6 years (2016 to 2021).


Results: A total of 881 patients were seen during the study period, and they were mostly elderly male patients with chronic disorders in which stroke was the most common neurological disorder (44.9%) followed by seizure disorder (13.1%), and neurodegenerative disorders (9.9%). Tumors and myopathies were the least seen disorders.


Conclusions: Health literacy on cardiovascular risk factors and even distribution of manpower and material resources will help reduce the burden of neurological disorders among the attendees of the Ekiti tertiary health institution.

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References

1. Feigin VL, Vos T, Nichols E, Owolabi MO, Carroll WM, Dichgans M, et al. The global burden of neurological disorders: translating evidence into policy. The Lancet Neurology. 2020;19:255-65.

2. Cojocaru IM, Cojocaru M, Silosi I, Vrabie CD. Peripheral nervous system manifestations in systemic autoimmune diseases. Mædica. 2014;9:289.

3. Uwakwe R. The pattern of psychiatric disorders among the aged in a selected community in Nigeria. International Journal of Geriatric Psychiatry. 2000;15:355-62.

4. https://naijagists.com/Yoruba Actress Iyabo Oko: Spiritual Attack Caused My Stroke. I'm Not Dead, I'm Recovering In India - NaijaGists.com - Proudly Nigerian DIY Motivation & Information Blog. Assessed 10 August 2023.

5. Nweke MC, Eze CK. The place of spiritual and traditional beliefs in stroke rehabilitation in sub-Saharan Africa: A scoping review. Journal of Complementary and Alternative Medical Research. 2019:1-16.

6. Mateen FJ, Clark SJ, Borzello M, Kabore J, Seidi O. Neurology training in sub‐Saharan Africa: A survey of people in training from 19 countries. Annals of Neurology. 2016;79:871-81.

7. Gami AS, Witt BJ, Howard DE, Erwin PJ, Gami LA, Somers VK, et al. Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies. Journal of the American College of Cardiology. 2007;49:403-14.

8. Raimi TH, Odusan O, Fasanmade O. High prevalence of central obesity in rural South-Western Nigeria: Need for targeted prevention. 2015.

9. Oladapo O, Salako L, Sodiq O, Shoyinka K, Adedapo K, Falase A. A prevalence of cardiometabolic risk factors among a rural Yoruba south-western Nigerian population: a population-based survey: cardiovascular topics. Cardiovascular Journal of Africa. 2010;21:26-31.

10. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors J, Culebras A, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44:2064-89.

11. Daniel S, Lees A. Parkinson's Disease Society Brain Bank, London: overview and research. Journal of Neural Transmission Supplementum. 1993;39:165-72.

12. Van Vliet I, De Beurs E. The MINI-International Neuropsychiatric Interview. A brief structured diagnostic psychiatric interview for DSM-IV en ICD-10 psychiatric disorders. Tijdschrift Voor Psychiatrie. 2007;49:393-7.

13. Ekenze O, Onwuekwe I, Ezeala B. Profile of neurological admissions at the University of Nigeria Teaching Hospital Enugu. Nigerian Journal of Medicine. 2010;19:419-22.

14. Singh A, Jenkins C, Calys-Tagoe B, Arulogun O, Sarfo S, Ovbiagele B, et al. Stroke investigative research and education network: public outreach and engagement. Journal of Community Medicine & Health Education. 2017;7:518. doi: 10.4172/2161-0711.1000518.

15. Talabi O. A 3–year review of neurologic admissions in University College Hospital Ibadan, Nigeria. West African Journal of Medicine. 2003;22:150-1.

16. Owolabi L, Shehu M, Shehu M, Fadare J. Pattern of neurological admissions in the tropics: Experience at Kano, Northwestern Nigeria. Annals of Indian Academy of Neurology. 2010;13:167.

17. Ibrahim A, Owolabi LF, Musa BM, Aliyu S, Rabiu M, Yakasai AM. Pattern of in-patient neurologic review: An experience from a Tertiary Hospital North-Western Nigeria. Annals of African medicine.2016;15:47.

18. Desalu OO, Wahab KW, Fawale B, Olarenwaju TO, Busari OA, Adekoya AO, et al. A review of stroke admissions at a tertiary hospital in rural Southwestern Nigeria. Annals of African Medicine.2011;10:80-5.

19. Ogun S, Ojini F, Ogungbo B, Kolapo K, Danesi M. Stroke in south west Nigeria: a 10-year review. Stroke. 2005;36:1120-2.

20. Njoku C, Aduloju A. Stroke in Sokoto, Nigeria: A five year retrospective study. Annals of African Medicine. 2004;3:73-6.

21. Onwuchewa A, BellGam H, Asekomeh Gs. Stroke at the university of port harcourt teaching hospital, rivers state, Nigeria. Tropical Doctor. 2009;39:150-2.

22. Tegueu CK, Nguefack S, Doumbe J, Fogang YF, Mbonda PC, Mbonda E. The spectrum of neurological disorders presenting at a neurology clinic in Yaoundé, Cameroon. The Pan African Medical Journal. 2013;14:148.doi: 10.11604/pamj.2013.14.148.2330

23. Olubunmi A. Epilepsy in Nigeria–a review of etiology, epidemiology and management. Benin Journal of Postgraduate Medicine. 2006;8: 27-51.

24. Komolafe M, Owagbemi O, Alimi T. The distribution and pattern of neurological disease in a neurology clinic in Ile-Ife, Nigeria. Nigerian Journal of Clinical Practice. 2018;21:1520-4.

25. Muangpaisan W, Mathews A, Hori H, Seidel D. A systematic review of the worldwide prevalence and incidence of Parkinson’s disease. Journal of the Medical Association of Thailand. 2011;94:749-55.

26. Sarfo FS, Akassi J, Badu E, Okorozo A, Ovbiagele B, Akpalu A. Profile of neurological disorders in an adult neurology clinic in Kumasi, Ghana. Eneurologicalsci. 2016;3:69-74.

27. Owolabi MO, Adu D, Ramsay M, Ovbiagele B. Understanding the rise in cardiovascular diseases in Africa: harmonising H3Africa genomic epidemiological teams and tools: cardiovascular topic. Cardiovascular Journal of Africa. 2014;25:134-6.

28. Akinyemi RO, Ovbiagele B, Adeniji OA, Sarfo FS, Abd-Allah F, Adoukonou T, et al. Stroke in Africa: profile, progress, prospects and priorities. Nature Reviews Neurology. 2021;17:634-56.

29. De Freitas G, Bogousslavsky J. Primary stroke prevention. European Journal of Neurology. 2001;8:1-15.

30. Pandian JD, Gall SL, Kate MP, Silva GS, Akinyemi RO, Ovbiagele BI, et al. Prevention of stroke: a global perspective. The Lancet. 2018;392:1269-78.

31. Luchsinger JA, Mayeux R. Cardiovascular risk factors and Alzheimer’s disease. Current Atherosclerosis Reports. 2004;6:261-6.

32. Wang C, Tian F, Zhou Y, He W, Cai Z. The incidence of cervical spondylosis decreases with aging in the elderly, and increases with aging in the young and adult population: a hospital-based clinical analysis. Clinical Interventions in Aging. 2016;11:47.

33. Thakur K. The Global Burden of Neuroinfectious Diseases. 2017. American Academy of Nuerology Institute 2017. Available at:
http://www.upandrunningnetworks.com/files/C222_2.pdf Assessed 10 August 2023.

34. Clayton JA. Sex influences in neurological disorders: case studies and perspectives. Dialogues in Clinical Neuroscience. 2016;18:357.

35. Haast RA, Gustafson DR, Kiliaan AJ. Sex differences in stroke. Journal of Cerebral Blood Flow & Metabolism. 2012;32:2100-7.

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