Epilepsy in Indian context.
According to International League Against Epilepsy (ILAE; 1993), Epilepsy is a condition characterized by recurrent (two or more) epileptic seizures, unprovoked by any immediate identified cause.
According to the World Health Organization (WHO), of the 50 million people with epilepsy worldwide, 80% reside in developing countries. Epilepsy was estimated to account for 0.5% of the global burden of disease. Epilepsy is a disorder of the brain which is characterized by an enduring predisposition to generate seizures and by its neurobiological, cognitive, psychological, and social consequences
The burden of epilepsy could be reduced in India by alleviating poverty and by reducing the preventable causes, viz. perinatal insults, parasitic diseases, and head injuries. Empowering primary healthcare workers to diagnose and start treatment might signiﬁcantly reduce the treatment gap and the disparities between rural and urban areas. In India with over 500,000 potential epilepsy surgery candidates, not more than 200 epilepsy surgeries per year are being undertaken today. Thus, only a minuscule of potential surgical candidates in our country ever gets a chance to undergo pre-surgical evaluation and surgery. This enormous surgical treatment gap can only be minimized by developing many more epilepsy surgery centers all over India.