Seminars in Neurology · 2024 · 17 citations · 25 references
MedicineHealth PolicyHealth SciencesEpilepsyGlobal HealthHealth EquityAdult EpilepsyComorbidities Of EpilepsyEpilepsy SurgeryAdult Epilepsy CareEpilepsy DiagnosisImplementation In Marginalized CommunitiesRefractory Epilepsy CareSeizure Burden AssessmentStigma In EpilepsyTreatment GapTreatment Outcomes In Epilepsy
The burden of epilepsy in the Latin America and the Caribbean (LAC) region causes a profound regional impact on the health care system and significantly contributes to the global epilepsy burden. As in many other resource-limited settings worldwide, health care professionals and patients with epilepsy in LAC countries face profound challenges due to a combination of factors, including high disease prevalence, stigmatization of epilepsy, disparities in access to care, limited resources, substantial treatment gaps, insufficient training opportunities for health care providers, and a diverse patient population with varying needs. This article presents an overview of the epidemiology of epilepsy and discusses the principal obstacles to epilepsy care and key contributors to the epilepsy diagnosis and treatment gap in the LAC region. We conclude by highlighting various initiatives across different LAC countries to improve epilepsy care in marginalized communities, listing strategies to mitigate treatment gaps and facilitate better health care access for patients with epilepsy by enhancing the epilepsy workforce.
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Early Identification of Refractory Epilepsy
Patrick Kwan, Martin J. Brodie · New England Journal of Medicine · 2000 · 5.2K citations · Full text
Medicine, Neurology, Pharmacotherapy +17
The Treatment Gap in Epilepsy: The Current Situation and Ways Forward
H. Meinardi, Robert A. Scott, Ria Reis et al. · Epilepsia · 2001 · 391 citations · Full text
Prevalence, Incidence, and Etiology of Epilepsies in Rural Honduras: The Salamá Study
Marco T. Medina, Reyna M. Durón, Lisandro Martínez et al. · Epilepsia · 2005 · 180 citations