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Door-to-door survey of major neurological disorders in Al Kharga District, New Valley, Egypt: methodological aspects

Research Authors
Hamdy NA El Tallawy, Wafaa MA Farghaly, Nabil A Metwaly, Tarek A Rageh, Ghaydaa A Shehata, Noha Abo Elfetoh, Ahmed M Hegazy, Esam A El-Moselhy, Ibrahim Rayan, Bastawy MA Al-Fawal, Abd Elhamed
Research Journal
Neuroepidemiology
Research Member
Research Publisher
Karger Publishers
Research Rank
1
Research Vol
Vol. 35 issue 3
Research Website
NULL
Research Year
2010
Research_Pages
185-190
Research Abstract

Abstract
Epidemiology of neurological disorders is still lacking in Egypt. The door-to-door method is the most suitable one to screen neurological disorders in our country. Over a 4-year period (June 1, 2005 to May 31, 2009), screening and examination had been carried out to ascertain the incidence and prevalence rate of epilepsy, stroke, cerebral palsy and Bell’s palsy, as well as the prevalence of dementia, extrapyramidal syndromes, muscle and neuromuscular disorders, cerebellar ataxia and primary nocturnal enuresis among the urban and rural population of Al Kharga District, New Valley, Egypt. A total of 62,583 people were screened by 3 neurologists in a door-to-door manner, including every door, using a standardized Arabic questionnaire to detect any patient with a neurological disorder. This was a project study of neurological disorders including 3 stages: first stage (June 1, 2005 to May 31, 2006) for data collection, designing a standardized questionnaire and screening; second stage (June 1, 2006 to May 31, 2008) for case ascertainment, classification of neurological disorders and investigations, and third stage (June 1, 2007 to May 31, 2009) for data entry and statistical analysis. The results of this study revealed that the total prevalence rate of neurological disorders in Al Kharga District, New Valley was 2.4/100 with no significant difference among both sexes. The highest prevalence rate was recorded among elderly people (60+ years; 9.25%) and among children (≤18 years; 2.9%).