{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:01:01Z","timestamp":1788717661647,"version":"build-2803163510"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Epileptic seizures and the unpredictable falls resulting from epileptic seizures predispose the people living with epilepsy (PLWE) to various physical injuries as well as postictal cognitive and behavioral changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of the study was to determine the frequency and patterns of seizure-related physical injuries, postictal cognitive impairments, and behavioral changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This was a cross-sectional descriptive study in a Southeast Nigeria local government area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>PLWE identified during a two-phase door-to-door survey and their caregivers were interviewed using a semi-structured questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>The Statistical Package for the Social Sciences version 22.0 was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 56 cases of active convulsive seizures comprising 33 (58.9%) males and 23 (41.1%) females, with a mean age of 32.9 \u00b1 14.2. The lifetime prevalence of seizure-related physical injuries, postictal behavioral changes, and postictal cognitive impairments was 9.8 per 1000 (95% confidence interval [CI]: 9.1\u201310.0), 8.4 per 1000 (95% CI: 7.2\u20139.2), and 6.3 per 1000 (95% CI: 4.9\u20137.5), respectively. Skin\/soft-tissue injuries and tongue laceration were the most frequent physical injuries found in 66.1% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 37\/56) and 60.7% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 34\/56) of cases, respectively. The frequency of soft-tissue injuries was significantly higher (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 5.038;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0248) in the females 78.3% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18\/23) than the males 48.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 16\/33). About a third of the females 39.1% had burn injuries compared to 18.1% of the males.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Seizure-related injuries are common and have the tendency to increase the burden of epilepsy and epilepsy-related stigma from deformities and the chronic disfiguring scars resulting from such injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_39_24","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T03:01:22Z","timestamp":1723604482000},"page":"628-634","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria"],"prefix":"10.4103","volume":"23","author":[{"given":"Obiora Daniel","family":"Anaje","sequence":"first","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Osemeke","family":"Nwani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"},{"name":"Department of Internal Medicine, Department of Mental Health, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maduaburochukwu Cosmas","family":"Nwosu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"},{"name":"Department of Internal Medicine, Department of Mental Health, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lasbrey Azuoma","family":"Asomugha","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"},{"name":"Department of Internal Medicine, Department of Mental Health, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chetanna Chioma","family":"Anaje","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifeoma Adaigwe","family":"Amaechi","sequence":"additional","affiliation":[{"name":"Department of Medical Rehabilitation, Department of Mental Health, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olisaeloka Ginikachi","family":"Ebeogu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Leeds General Infirmary, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunday Onyemaechi","family":"Oriji","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Department of Mental Health, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinwe Chioma","family":"Ndukwe","sequence":"additional","affiliation":[{"name":"Department of Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda Ifunanya","family":"Eze","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Neurology Unit, Enugu State University of Science and Technology Teaching Hospital Parklane, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nnamdi 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