The status of epileptic patients in a developing African country: northwest Ethiopia

Of 1240 first-time consultations in the neuropsychiatric clinic of the Gondar College of Medical Sciences in an eleven-month period during 1985 and 1986, 152 patients came seeking relief from seizures. This paper deals with the origins and background of diagnostic, differential diagnostic, and therapeutic problems, and with problems of social rehabilitation. While in such a tradition-bound society certain hypotheses continue to have an unfavorable effect, there are unmistakable signs of positive change against a background of rapid social change. Conclusions are drawn for the better management of epileptic patients in developing countries.