J Med Assoc Thai 2007; 90 (11):2271

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Basic Knowledge of Epilepsy among Medical Students
Tiamkao S Mail, Tiamkao S , Auevitchayapat N , Arunpongpaisal S , Chaiyakum A , Jitpimolmard S , Phuttharak W , Phunikhom K , Saengsuwan J , Vannaprasaht S

Background: The medical students’ knowledge about basic medical neuroscience in the preclinical level may be fragmented and incomplete.
Objective: Evaluate the knowledge of students prior to a lecture on epilepsy in clinical level.
Material and Method: One hundred ten fourth-year medical students’ knowledge was accessed by a selfadministered questionnaire.
Results: The presented results revealed that 91.8% of respondents knew that epilepsy arose from a transient dysfunction in the brain. Generalized tonic-clonic seizures (GTCs) were the most common type (91.5%) they knew and absence seizures were the least common type (33.6%) they knew. All of them knew that eating pork and punishment of gods did not cause epilepsy. However, 50% thought that genetics was a cause and 80.3% did not know that stroke and sleep deprivation (92.7%) cause epilepsy. About treatment and prognosis, only 28.2% of respondents thought epilepsy can be cured and patients should take antiepileptic drugs (AEDs) for seizure free 2-5 years (48.2%), life long (33.6%). They knew that the patients should be prohibited from driving (80%), working on machinery (74.5%), and (27.3%) avoid drinking. However, they knew that the patients could marry (100%), get pregnant (98.2%), and lactate (91.9%). Regarding the first aid management, 50.9% of them recommended that placing a piece of wood between the teeth during a seizure and perform chest compressions (20.0%). Means knowledge scores is about 60%, the highest score is the definition of epilepsy (90.2%) and the lowest is type of seizure (43%).
Conclusion: The findings indicated that lecturers should review aspects of pathophysiology and emphasize on type of seizure, cause, consequences, and prognosis including first-aid management.

Keywords: Basic knowledge, Medical student, Epilepsy


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