ReviewThe Lancet. Neurology2014
Epidemiology, causes, and treatment of epilepsy in sub-Saharan Africa.
Review in The Lancet. Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06634901 (The Impact of Health Literacy Education on Knowledge, Treatment Adherence and Stigma Among Adolescents With Epilepsy), which is not on this map. Cited by 146 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Impact of Health Literacy Education on Knowledge, Treatment Adherence and Stigma Among Adolescents With Epilepsy
Who cites it
146 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Prevalence, characteristics, and treatment outcomes of epilepsy in Nigeria: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- Health-related quality of life and its predictors among epilepsy patients in Ethiopia: Systematic review and meta-analysis.PloS one · 2025Pooled it
- Health-related quality of life and associated factors among epilepsy patients in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in neurology · 2025Pooled it
- Prevalence, incidence, and trends of epilepsy among children and adolescents in Africa: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Prevalence and factors associated with depressive symptoms among patients with epilepsy in Ethiopia: a national-based systematic review and meta-analysis.Frontiers in neurology · 2024Pooled it
- Unfavorable public attitude toward people with epilepsy in Ethiopia: A systematic review and meta-analysis study.Epilepsia open · 2023Pooled it
- Comorbidities of epilepsy in low and middle-income countries: systematic review and meta-analysis.Scientific reports · 2020Pooled it
- Meta-analysis of epilepsy prevalence in West Africa and its relationship with onchocerciasis endemicity and control.International health · 2020Pooled it
- Depression among epileptic patients and its association with drug therapy in sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Explanatory models of epilepsy: key deterrents to seeking biomedical care and effective epilepsy management in Uganda.Epilepsy & behavior : E&B · 2026Article
- A Multiphase Implementation of Ring Treatment: A Community-Engaged Control Program for T. Solium taeniasis/cysticercosis in Northern Peru.Research square · 2026Article
- Lived experiences of young people with epilepsy in a resource-constraint setting: Contemporary findings from Cape Coast, Ghana.Epilepsy & behavior reports · 2026Article
- The prevalence and determinants of epilepsy in Ghana: A population-based study in two districts using a three-stage approach.Epilepsia · 2026Article
- Clinical spectrum and documentation patterns of cerebral palsy among children at Arthur Davison Children's Hospital and Kitwe Teaching Hospital, Zambia: a retrospective record review.BMC pediatrics · 2026Article
- First corpus callosotomy for medically refractory epilepsy in The Gambia: an international cooperation case report and historical review.Acta epileptologica · 2026Article
- Article
- Epilepsy Treatment Outcome and Associated Factors in Children and Adolescents in a Resource-limited Setting: A Retrospective Cohort Study.Clinical medicine insights. Pediatrics · 2026Article
- Nodding Syndrome: The Need to Strengthen Epilepsy Care in Onchocerciasis-Endemic Areas and to Investigate the Pathogenesis of Onchocerciasis-Associated Epilepsy.The American journal of tropical medicine and hygiene · 2026Article
- Adherence to anti-seizure medications among pediatric epilepsy patients during the Sudan armed conflict.Conflict and health · 2026Article
- Bloodletting as a harmful and misguided first-aid response to seizures in sub-saharan Africa: a case-based review.Epilepsy & behavior reports · 2026Article
86 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
summaryEpilepsy is a common neurological disease in tropical countries, particularly in sub-Saharan Africa. Previous work on epilepsy in sub-Saharan Africa has shown that many cases are severe, partly a result of some specific causes, that it carries a stigma, and that it is not adequately treated in many cases. Many studies on the epidemiology, aetiology, and management of epilepsy in sub-Saharan Africa have been reported in the past 10 years. The prevalence estimated from door-to-door studies is almost double that in Asia, Europe, and North America. The most commonly implicated risk factors are birth trauma, CNS infections, and traumatic brain injury. About 60% of patients with epilepsy receive no antiepileptic treatment, largely for economic and social reasons. Further epidemiological studies should be a priority to improve understanding of possible risk factors and thereby the prevention of epilepsy in Africa, and action should be taken to improve access to treatment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.