Pub Date : 2022-12-04DOI: 10.56310/pjns.v17i02.184
Saima Nazish
Background : The efficacy and safety of thrombolytic therapies for the management of unknown time onset stroke (UTOS) and wake-up stroke (WUS) are in a debate. Objective: The objective of this scoping review is to map the existing research literature to answer the research question: What is the efficacy and safety of intravenous thrombolysis in the management of unknown time onset stroke? Data Sources: The literature search was conducted using the search terms {(Intravenous thrombolysis)} AND {(Unknown time onset stroke)} in pub med and Intravenous thrombolysis *, Unknown time onset stroke *in Cochrane. The review was limited to articles written in the English language. Databases searched included MEDLINE, PubMed and Cochrane electronic databases complemented with a manual search. Study Selection and Data Extraction: 45 articles of potential relevance were selected. Out of them 14 were containing relevant information direct to the question. The analysis was conducted by charting descriptive numerical data and by content analysis of the narrative representations Results: From 14 relevant papers, 2 Retrospective observational, 2 case control, 1 pilot study, and 5 recent randomized control trials were included for critical appraisal and review writing. Conclusions: The penumbral mismatch in UTOS is a cogent method to recognize the patients for thrombolytic therapy without significant risk, but the appropriate imaging criteria to maximize the efficacy and minimize bleeding complications of thrombolytic treatment still has to be fully defined. Results from ongoing trials may be promising with the use of advanced imaging modalities in selected patients.
{"title":"Intravenous thrombolytic therapies in the management of unknown onset and wakeup strokes: A scoping review","authors":"Saima Nazish","doi":"10.56310/pjns.v17i02.184","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.184","url":null,"abstract":"Background : The efficacy and safety of thrombolytic therapies for the management of unknown time onset stroke (UTOS) and wake-up stroke (WUS) are in a debate. \u0000Objective: The objective of this scoping review is to map the existing research literature to answer the research question: What is the efficacy and safety of intravenous thrombolysis in the management of unknown time onset stroke? \u0000Data Sources: The literature search was conducted using the search terms {(Intravenous thrombolysis)} AND {(Unknown time onset stroke)} in pub med and Intravenous thrombolysis *, Unknown time onset stroke *in Cochrane. The review was limited to articles written in the English language. Databases searched included MEDLINE, PubMed and Cochrane electronic databases complemented with a manual search. \u0000Study Selection and Data Extraction: 45 articles of potential relevance were selected. Out of them 14 were containing relevant information direct to the question. The analysis was conducted by charting descriptive numerical data and by content analysis of the narrative representations \u0000 Results: From 14 relevant papers, 2 Retrospective observational, 2 case control, 1 pilot study, and 5 recent randomized control trials were included for critical appraisal and review writing. \u0000Conclusions: The penumbral mismatch in UTOS is a cogent method to recognize the patients for thrombolytic therapy without significant risk, but the appropriate imaging criteria to maximize the efficacy and minimize bleeding complications of thrombolytic treatment still has to be fully defined. Results from ongoing trials may be promising with the use of advanced imaging modalities in selected patients.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80684031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-04DOI: 10.56310/pjns.v17i02.182
Zaid Waqar
A 24 years old man with known history of asthma came with acute presentation of ascending weakness for4 days following flu like symptoms and worsening of asthma. His complete blood counts showed elevated eosinophil count. Nerve conduction showed neuropathy. Diagnosed Churg Strauss syndrome due to presence of asthma, eosinophilia, neuropathy and pulmonary infiltrates. Churg Strauss is systemic eosinophilic vasculitis involving multiple organ systems.
{"title":"Churg Strauss syndrome with neuropathy: a case report","authors":"Zaid Waqar","doi":"10.56310/pjns.v17i02.182","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.182","url":null,"abstract":"A 24 years old man with known history of asthma came with acute presentation of ascending weakness for4 days following flu like symptoms and worsening of asthma. His complete blood counts showed elevated eosinophil count. Nerve conduction showed neuropathy. Diagnosed Churg Strauss syndrome due to presence of asthma, eosinophilia, neuropathy and pulmonary infiltrates. Churg Strauss is systemic eosinophilic vasculitis involving multiple organ systems.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80785707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-04DOI: 10.56310/pjns.v17i02.168
Habiba Hussain, M. Wasim, Haq Nawaz Khan, Hina Ayesha, Fazli Rabbi Awan
Background: Phenylketonuria (PKU) is a rare inherited metabolic disorder, caused by mutations in the phenylalanine hydroxylase (PAH). It is a treatable disorder if diagnosed earlier in life. The objective was to identify PKU patient(s) in the intellectually disabled children. Methods: Blood samples (n=100) were collected from intellectually disabled children from Faisalabad, Pakistan. Screening was performed on plasma samples through HPLC, and DNA samples were examined for mutational analysis of PAH through direct PCR and SSCP analyses. Results: 85% consanguinity rate, the average BMI (16.15 kg/m2) and head circumference (50.21 cm) was observed. Moreover, through biochemical and genetic analyses, not a single PKU patient was identified. Conclusion: Based on just one previous report and our small dataset it is concluded that either mutations are not common in the hotspot regions or chances of occurrence of PKU might be rare in Pakistan. Moreover, there is a need of more research on large scale to find the incidence of PKU in Pakistan.
{"title":"Molecular analyses of Phenylketonuria in the intellectually disabled children from Faisalabad, Punjab, Pakistan","authors":"Habiba Hussain, M. Wasim, Haq Nawaz Khan, Hina Ayesha, Fazli Rabbi Awan","doi":"10.56310/pjns.v17i02.168","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.168","url":null,"abstract":"Background: Phenylketonuria (PKU) is a rare inherited metabolic disorder, caused by mutations in the phenylalanine hydroxylase (PAH). It is a treatable disorder if diagnosed earlier in life. The objective was to identify PKU patient(s) in the intellectually disabled children. \u0000Methods: Blood samples (n=100) were collected from intellectually disabled children from Faisalabad, Pakistan. Screening was performed on plasma samples through HPLC, and DNA samples were examined for mutational analysis of PAH through direct PCR and SSCP analyses. \u0000Results: 85% consanguinity rate, the average BMI (16.15 kg/m2) and head circumference (50.21 cm) was observed. Moreover, through biochemical and genetic analyses, not a single PKU patient was identified. \u0000Conclusion: Based on just one previous report and our small dataset it is concluded that either mutations are not common in the hotspot regions or chances of occurrence of PKU might be rare in Pakistan. Moreover, there is a need of more research on large scale to find the incidence of PKU in Pakistan.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84078869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-03DOI: 10.56310/pjns.v17i02.185
Soban Khan, Mariam Khalil, Zaid Waqar
Sinovac is an inactivated virus COVID 19 vaccine given emergency authorization for COVID 19 Pandemic. Different adverse reactions have been seen in after marketing of COVID 19 vaccines. Here we present a case of patient who developed cerebral venous sinus thrombosis two weeks after the first dose of SINOVAC vaccine.
{"title":"Post COVID-19 vaccine (SINOVAC) cerebral venous sinus thrombosis","authors":"Soban Khan, Mariam Khalil, Zaid Waqar","doi":"10.56310/pjns.v17i02.185","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.185","url":null,"abstract":"Sinovac is an inactivated virus COVID 19 vaccine given emergency authorization for COVID 19 Pandemic. Different adverse reactions have been seen in after marketing of COVID 19 vaccines. Here we present a case of patient who developed cerebral venous sinus thrombosis two weeks after the first dose of SINOVAC vaccine.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77213246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-02DOI: 10.56310/pjns.v17i02.192
Marium Mansoor, S. Pirani, Rabeeka Aftab, Tania Nadeem
OBJECTIVES To determine the frequency of depression in caregivers of stroke patients at a tertiary care teaching hospital in Karachi Pakistan. METHODS A cross-sectional study was conducted among caregivers of stroke, who were recruited from the Aga Khan University Hospital Karachi Pakistan, between January 2018 to October 2018. Data was collected through the Urdu Hamilton rating scale for depression (HAM-D-U) and it was analyzed using descriptive and inferential statistics. RESULTS A total of 136 caregivers participated in the study. Among them, 44.1 % were male and 55.9% were female. The mean age of caregivers was 45.38 ± 10.33 years. Using the HAM-D-U scale, depression was present in 64 (47.1%) caregivers. Out of them (n=64), 46 (33.8%) caregivers had mild depression whereas 18 (13.2%) had moderate depression. Depression was found to have a significant relationship with the age of the patient (p=0.002), education level of caregiver (p= 0.012), employment status of caregiver (p=0.012), being a sole caregiver (p=0.039), and monthly family income (p=0.016). CONCLUSIONS Caring for patients with neurological disorders is highly challenging and demanding. The need for this role may arise unexpectedly in one’s life; leaving little space for adjustment and coping. Depression itself can be very paralyzing for the sufferer especially if moderate to severe in intensity. Depression in stroke caregivers can be missed as patients are the center of a clinical visit. Hence, strategies should be designed and reinforced to screen patients and caregivers for depression along with a pathway for an easy and timely referral.
{"title":"Prevalence of depression in caregivers of stroke patients in Karachi, Pakistan","authors":"Marium Mansoor, S. Pirani, Rabeeka Aftab, Tania Nadeem","doi":"10.56310/pjns.v17i02.192","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.192","url":null,"abstract":"OBJECTIVES \u0000To determine the frequency of depression in caregivers of stroke patients at a tertiary care teaching hospital in Karachi Pakistan. \u0000 METHODS \u0000A cross-sectional study was conducted among caregivers of stroke, who were recruited from the Aga Khan University Hospital Karachi Pakistan, between January 2018 to October 2018. Data was collected through the Urdu Hamilton rating scale for depression (HAM-D-U) and it was analyzed using descriptive and inferential statistics. \u0000 RESULTS \u0000A total of 136 caregivers participated in the study. Among them, 44.1 % were male and 55.9% were female. The mean age of caregivers was 45.38 ± 10.33 years. Using the HAM-D-U scale, depression was present in 64 (47.1%) caregivers. Out of them (n=64), 46 (33.8%) caregivers had mild depression whereas 18 (13.2%) had moderate depression. Depression was found to have a significant relationship with the age of the patient (p=0.002), education level of caregiver (p= 0.012), employment status of caregiver (p=0.012), being a sole caregiver (p=0.039), and monthly family income (p=0.016). \u0000 CONCLUSIONS \u0000Caring for patients with neurological disorders is highly challenging and demanding. The need for this role may arise unexpectedly in one’s life; leaving little space for adjustment and coping. Depression itself can be very paralyzing for the sufferer especially if moderate to severe in intensity. Depression in stroke caregivers can be missed as patients are the center of a clinical visit. Hence, strategies should be designed and reinforced to screen patients and caregivers for depression along with a pathway for an easy and timely referral.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79806148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-02DOI: 10.56310/pjns.v17i02.195
M. Hafeez
The objective of this paper is to advocate for Persons with disabilities’ (PWD) rights, to discuss issues solutions, social awareness and to promote diversity and inclusion. The word ‘Disability’ covers a wide range of irreversible permanent impairments including physical and mobility difficulties, hearing, visual impairment, specific learning disabilities including dyslexia, medical conditions and mental health problems that may hinder their full and effective participation in society on an equal basis with others.1 Handicap is the condition of being unable to perform due to physical or mental unfitness.
{"title":"Practical measures for disabled’s empowerment- Time for economic growth!","authors":"M. Hafeez","doi":"10.56310/pjns.v17i02.195","DOIUrl":"https://doi.org/10.56310/pjns.v17i02.195","url":null,"abstract":" The objective of this paper is to advocate for Persons with disabilities’ (PWD) rights, to discuss issues solutions, social awareness and to promote diversity and inclusion. \u0000 The word ‘Disability’ covers a wide range of irreversible permanent impairments including physical and mobility difficulties, hearing, visual impairment, specific learning disabilities including dyslexia, medical conditions and mental health problems that may hinder their full and effective participation in society on an equal basis with others.1 Handicap is the condition of being unable to perform due to physical or mental unfitness.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81029468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.56310/pjns.v17i01.177
Zaid Waqar
Ulcerative Colitis is an autoimmune Inflammatory Bowel Disease causing abdominal pain, bloody diarrhea and malnutrition and is associated with Intestinal and extra intestinal complications. The clinical course has remissions and flare ups. Thromboembolism is known risk associated with Ulcerative colitis. Here we present a case of a young man who presented with a flare up of ulcerative colitis and developed neurological deficits that were diagnosed as due to cerebral venous thrombosis. Cerebral venous thrombosis is rare complications rare complication of ulcerative colitis and maybe missed without proper work up and consideration of diagnosis.
{"title":"A case of ulcerative colitis presenting with cerebral venous thrombosis","authors":"Zaid Waqar","doi":"10.56310/pjns.v17i01.177","DOIUrl":"https://doi.org/10.56310/pjns.v17i01.177","url":null,"abstract":"Ulcerative Colitis is an autoimmune Inflammatory Bowel Disease causing abdominal pain, bloody diarrhea and malnutrition and is associated with Intestinal and extra intestinal complications. The clinical course has remissions and flare ups. Thromboembolism is known risk associated with Ulcerative colitis. Here we present a case of a young man who presented with a flare up of ulcerative colitis and developed neurological deficits that were diagnosed as due to cerebral venous thrombosis. Cerebral venous thrombosis is rare complications rare complication of ulcerative colitis and maybe missed without proper work up and consideration of diagnosis.","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82868125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.56310/pjns.v17i01.190
S. Younis
World Brain Day is celebrated annually on July 22nd, and this year’s theme was “Brain Health for All”. In honor of World Brain Day, Aga Khan University, in collaboration with the World Federation of Neurology, hosted an international webinar. This article summarizes the main proceedings and expounds upon key takeaways.
{"title":"World Brain Day- brain health for all","authors":"S. Younis","doi":"10.56310/pjns.v17i01.190","DOIUrl":"https://doi.org/10.56310/pjns.v17i01.190","url":null,"abstract":"World Brain Day is celebrated annually on July 22nd, and this year’s theme was “Brain Health for All”. In honor of World Brain Day, Aga Khan University, in collaboration with the World Federation of Neurology, hosted an international webinar. This article summarizes the main proceedings and expounds upon key takeaways. ","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73096627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.56310/pjns.v17i01.159
Maria Khan
This is a short communication on new information emerging about stroke in women
这是一个关于女性中风新信息的简短交流
{"title":"Stroke: Are women worse off?","authors":"Maria Khan","doi":"10.56310/pjns.v17i01.159","DOIUrl":"https://doi.org/10.56310/pjns.v17i01.159","url":null,"abstract":"This is a short communication on new information emerging about stroke in women","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73694579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.56310/pjns.v17i01.165
Muhammad Essa, Gulandam, Aman ullah Kakar, Saleem Barech, Ihsan ul haq zarkon, Suhail Mari, Muhammad Dawood, Tahir Shah
Abstract Background of the Study: Epilepsy is a curable chronic neurological illness that is frequently associated to supernatural activity. Due to a lack of knowledge and awareness among the Common public. The objectives of this study were to determine common myths and misperception about epilepsy by analysing a comprehensive panel of variables in our local population. Methods: We conducted a face-to-face questionnaire interview survey in three different shopping malls 1000 people were randomly enrolled in this cross-sectional study at Quetta, Baluchistan, during the period of twenty-one august 2021 to 30 august 2021. Results: A total of 1000 people were interviewed among them 220(22%) were male and 780(78%) were female. People of all age group were included in the study. Out of thousand people 419 (41.9%) says epilepsy is brain disease, 488 (48.8%) responds its ghost attack, 23(2.3%) believes its psychosis. 980(98%) respondents had heard about epilepsy. The aspects of knowledge tested were on causes, types, and management of epilepsy. Forty-nine (4.9%) people believes that cause of epilepsy is head trauma, 488 (48.8%) said its Ghost attack, 67 (6.7%) said it’s because of evil eye, and 293 (29.3%) peoples believes that epilepsy is caused by Black magic. 928 (92.8%) who believed on domestic stunts such as sniffing shoes is effective in epilepsy. This result was much surprising because in this era of modern medicine and technology, still superstitious believes prevail among large population Conclusions: This study revealed a lack of awareness about epilepsy in Baluchistan, as well as the prevalence of both negative and favourable attitudes about Epilepsy. The study also emphasized to increase public awareness and epilepsy education initiatives to change public opinions and promote the use of standard epileptic treatment Keywords: Epilepsy, Attitudes, Knowledge
{"title":"Misperception about epilepsy among common public in Balochistan","authors":"Muhammad Essa, Gulandam, Aman ullah Kakar, Saleem Barech, Ihsan ul haq zarkon, Suhail Mari, Muhammad Dawood, Tahir Shah","doi":"10.56310/pjns.v17i01.165","DOIUrl":"https://doi.org/10.56310/pjns.v17i01.165","url":null,"abstract":"Abstract \u0000Background of the Study: \u0000Epilepsy is a curable chronic neurological illness that is frequently associated to supernatural activity. Due to a lack of knowledge and awareness among the Common public. The objectives of this study were to determine common myths and misperception about epilepsy by analysing a comprehensive panel of variables in our local population. Methods: We conducted a face-to-face questionnaire interview survey in three different shopping malls 1000 people were randomly enrolled in this cross-sectional study at Quetta, Baluchistan, during the period of twenty-one august 2021 to 30 august 2021. \u0000Results: A total of 1000 people were interviewed among them 220(22%) were male and 780(78%) were female. People of all age group were included in the study. Out of thousand people 419 (41.9%) says epilepsy is brain disease, 488 (48.8%) responds its ghost attack, 23(2.3%) believes its psychosis. 980(98%) respondents had heard about epilepsy. The aspects of knowledge tested were on causes, types, and management of epilepsy. Forty-nine (4.9%) people believes that cause of epilepsy is head trauma, 488 (48.8%) said its Ghost attack, 67 (6.7%) said it’s because of evil eye, and 293 (29.3%) peoples believes that epilepsy is caused by Black magic. 928 (92.8%) who believed on domestic stunts such as sniffing shoes is effective in epilepsy. This result was much surprising because in this era of modern medicine and technology, still superstitious believes prevail among large population \u0000Conclusions: This study revealed a lack of awareness about epilepsy in Baluchistan, as well as the prevalence of both negative and favourable attitudes about Epilepsy. The study also emphasized to increase public awareness and epilepsy education initiatives to change public opinions and promote the use of standard epileptic treatment \u0000Keywords: Epilepsy, Attitudes, Knowledge","PeriodicalId":19818,"journal":{"name":"Pakistan Journal of Neurological Sciences","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86367400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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