Background: Electroencephalography (EEG) is established for evaluating several acute and chronic medical conditions of neurological basis. In much of Nigeria and Africa, it is largely unavailable and underutilized due to scarcity of neurologists and high costs of the equipment. It offers a relatively simple and efficient way to help manage many encephalopathies if well utilized in trained hands. Aim: This study aimed to determine how physicians practicing in Enugu perceive and utilize electroencephalography routinely. Method: Physicians attending a statewide meeting in Enugu in August 2018 were consecutively recruited and a pretested questionnaire was administered after obtaining prior consent. Sociodemographic data as well as their knowledge, attitude and practice of electroencephalography were documented and analyzed. Results: There were 486 respondents (males 335: females 151) and 345 (71%) were specialists in various disciplines while 141 (29%) were general practitioners. Only 7 doctors (1.4%) claimed ignorance of electroencephalography and 6 (1.2%) stated it was not useful. Majority, 333 doctors (69.1%) believed it had no impact on routine patient management. This perception was highest for Dental Surgery (100%) and lowest for Internal Medicine (23%) specialists. Most doctors (425, 87.4%) agreed that neurologists should analyze recordings. Most physicians had no access to electroencephalography (61.7%) and had no interest in acquiring the machine (50.8%). Conclusion: Electroencephalography is an underappreciated investigative modality amongst physicians in Enugu, despite a high burden of neurological diseases in the population. More education, training and awareness of its utility are needed for medical students and doctors to reverse the trend.
References
[1]
Brazier, M.A.B. (1960) The Electrical Activity of the Nervous System. 2nd Edition, Pitman Medical Publishing, London.
[2]
Millet, D. (2002) Origins of EEG. Seventh Annual Meeting of the International Society for the History of the Neurosciences (ISHNS). Los Angeles, California, USA.
[3]
Wiedemann, H.R. (1994) Hans Berge. European Journal of Pediatrics, 153, 705. https://doi.org/10.1007/BF01954482
[4]
Neuroscience Clerkship (2004) Electroencephalography. Department of Neurology, Case Western Reserve University, Cleveland. http://casemed.case.edu/clerkships/neurology/NeurLrngObjectives/EEG.htm
[5]
Vancini, R., Benedito-Silva, A.A., Sousa, B.S., Gomes da Silva, S., Ma-Souza-Vancini, M.I. and Vancini-Campanharo, C.R. (2012) Knowledge about Epilepsy among Health Professionals: A Cross-Sectional Survey in Sao Paulo, Brazil. British Medical Journal Open, 2, e000919. https://doi.org/10.1136/bmjopen-2012-000919
[6]
Sanya, E.O. and Musa, T. (2005) Attitude and Management of Epilepsy—The Perspective of Private Practitioners. Nigerian Medical Practitioner, 516, 130-133.
[7]
Harimanana, A., Chivorakul, P., Souvong, V., Preux, P.M. and Barennes, B. (2013) Is Insufficient Knowledge of Epilepsy the Reason for Low Levels of Healthcare in the Lao PDR? BioMed Central Health Services Research, 13, 41. https://doi.org/10.1186/1472-6963-13-41
[8]
Gomes, M. (2000) Doctors’ Perspectives and Practices Regarding Epilepsy. Arquivos de Neuro-Psiquiatria, 58, 221-226. https://doi.org/10.1590/S0004-282X2000000200003
[9]
Epilepsy in the WHO African Region—Bridging the Gap (2004) Joint Publication of World Health Organization and International Bureau of Epilepsy. WHO African Regional Office, Brazzaville, 30-35.
[10]
Hämäläinen, M., Hari, R., Ilmoniemi, R.J., Knuutila, J. and Lounasmaa, O.V. (1993) Magnetoencephalography—Theory, Instrumentation, and Applications to Noninvasive Studies of the Working Human Brain. Reviews of Modern Physics, 65, 413-497. https://doi.org/10.1103/RevModPhys.65.413
[11]
Yang, H., Ang, K.K., Wang, C., Phua, K.S. and Guan, C. (2016) Neural and Cortical Analysis of Swallowing and Detection of Motor Imagery of Swallow for Dysphagia Rehabilitation—A Review. Progress Brain Research, 228, 185-219. https://doi.org/10.1016/bs.pbr.2016.03.014
[12]
Jestrović, I., Coyle, J.L. and Sejdić, E. (2015) Decoding Human Swallowing via Electroencephalography: A State-of-the-Art Review. Journal Neural Engineering, 12, Article ID: 051001. https://doi.org/10.1088/1741-2560/12/5/051001
[13]
Meinardi, H., Scott, R.A. and Reis, R. (2008) The Treatment Gap in Epilepsy: The Current Situation and Ways Forward. Epilepsy, 42, 136-149. https://doi.org/10.1046/j.1528-1157.2001.32800.x
[14]
Luan, B. (2018) Single-Unit Leadless EEG Sensor. Doctoral Dissertation, University of Pittsburg, Pittsburg. http://d-scholarship.pitt.edu/id/eprint/33387
[15]
Elliott, J. and Shneker, B. (2008) Patient, Caregiver, and Health Care Practitioner Knowledge of, Beliefs about, and Attitudes toward Epilepsy. Epilepsy and Behavior, 12, 547-556. https://doi.org/10.1016/j.yebeh.2007.11.008
