Health
Epilepsy, Sign Of Degenerative Diseases, Stroke –Neurologist
A Professor of Internal Medicine and Neurology at the University of Nigeria, Nsukka (UNN), Enugu State, Ikenna Onwuekwe, says recurrent epilepsy in adults could be signs of degenerative diseases, stroke or tumour.
He advised that an elderly individual, who has been experiencing epilepsy, should be taken to a physician for thorough medical examination, so that the root cause can be diagnosed and treated.
According to Mayo Clinic, an online health portal, epilepsy is a central nervous system (neurological) disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behaviour, sensations and sometimes loss of awareness.
It noted that anyone can develop epilepsy, adding that it affects males and females of all races, ethnic backgrounds and ages.
Mayo Clinic explained that epilepsy has no identifiable cause in about half the people with the condition.
It noted that however, in the other half, the condition may be traced to various factors that include genetic influence, head trauma, brain abnormalities and infections like meningitis, HIV, viral encephalitis and some parasitic infections. Others are prenatal injury (before birth) and developmental disorders such as autism.
For degenerative disease, Docdoc.com, a medical information portal explained that it is a type of medical condition that causes a tissue or organ to deteriorate over time.
It noted that there are quite a number of degenerative diseases and many of them are associated with aging or could get worse during the aging process.
“Degenerative diseases are classified into three main groups: cardiovascular, neoplastic, and nervous system. The most common cardiovascular diseases are hypertension, coronary disease, and myocardial infarction. Neoplastic diseases include tumours and cancer. Diseases that affect the nervous system include Parkinson’s and Alzheimer’s.
“Degenerative diseases are caused by a wide variety of factors. Some are a direct result of normal wear and tear of the body, while others are perpetuated by poor health or an unhealthy lifestyle,” the site stated.
Prof. Onwuekwe, who is the Founder and Inaugural President of International League Against Epilepsy, Nigeria Chapter, clarified that seizures are different from epilepsy, noting that isolated seizures can occur from multiple causes and are not repetitive in nature, while epilepsy is repeated seizures that occur at least twice in the absence of fever.
Speaking with The Tide’s source, the neurologist, who is also the head of the Neurology Unit at the teaching hospital, said, “For older adults and elderly individuals, many causes of epilepsy are due to cerebrovascular diseases, such as stroke and neurodegenerative diseases.
“Tumours remain an important cause, while traumatic brain injury and post-surgery complications are known causes as well.”
Prof. Onwuekwe revealed that drug and alcohol abuse can also cause epilepsy in an older adult.
He said a person suffering from a seizure may not be aware of or mildly affected when having an episode.
The neurologist explained that the seizure manifestation of epilepsy may sometimes be mistaken for other conditions.
According to him, it is necessary that those close to elderly persons having epilepsy should watch out for the symptoms, as they may vary.
He added, “All seizures are of brain origin and involve sudden abnormal generations of very high electrical activity by cortical neurons with involvement of certain subcortical structures.
“There may be a complete loss of consciousness in seizures if both hemispheres of the brain are affected during the seizure. Otherwise, consciousness may be normal or only mildly affected if it is coming from one hemisphere.
“The seizure manifestation can be multiple and often mistaken for other conditions. Motor manifestation such as repetitive jerking of limbs on one or both sides of the body, or facial twitching, are called convulsions.
“Sensory manifestations such as repetitive loss of sensation or unusually heightened feelings in the face or limbs can occur. Visual components of seizures are recognised too.
“Speech arrest may occur. Abnormalities of involuntary functions such as breathing, blood pressure, gut functions, sweating, laughing or crying may all be types of seizures, just as repetitive short-lived behavioural changes.”
To address the increasing number of rape and defilement cases in Lagos communities, the State Ministry of Health has trained healthcare workers on the prevention and management of sexual assault cases.
The Director, Public Affairs in the ministry, Tunbosun Ogunbanwo, in a statement on Monday said the training equipped health workers with the knowledge and skills to provide professional, compassionate, and timely care to survivors.
Dr Folasade Oludara, Director, Family Health and Nutrition, State Ministry of Health, said the growing number of rape and defilement cases in Lagos communities necessitated the upskilling of healthcare workers who are often the first responders to survivors.
Oludara, represented by Dr Oluwatosin Onasanya, Deputy Director, Child Health, said the government recognised the critical role of health professionals in both clinical management and legal documentation of sexual assault cases.
She explained that the training was designed to ensure healthcare workers are adequately equipped to identify, document, and manage sexual assault cases effectively.
According to her, the training will strengthen Lagos’ coordinated health system response to gender-based violence.
She disclosed that the state government had already provided equipment and specimen collection tools to health facilities, noting that the training complemented this investment by building the competence of personnel handling such sensitive cases.
Oludara explained that doctors and nurses at the primary, secondary, and tertiary levels who serve as first contact points for survivors were carefully selected from all 57 LGAs and LCDAs, particularly from areas with higher incident rates.
The SGBV Programme Manager, Lagos State Ministry of Health, Dr Juradat Aofiyebi, emphasised that the capacity-building initiative was a strategic step toward improving survivor-centred healthcare delivery and prosecution outcomes.
Aofiyebi added that the training underscored the government’s commitment to reducing the prevalence of sexual assault through a robust, multi-sectoral approach.
“The training provides healthcare workers with the knowledge to properly identify survivors, document findings accurately, and provide comprehensive care, all of which contribute to justice delivery and prevention of repeat offences.
She said the ministry would sustain such training to ensure that every survivor who presented at a Lagos health facility received quality, non-judgmental care.
Mrs Adebanke Ogunde, Deputy Director, Directorate of Public Prosecutions (DPP), Lagos State Ministry of Justice, highlighted the importance of medical documentation in sexual assault trials.
She explained that most convictions hinge on the quality of medical reports and forensic evidence provided by healthcare professionals, noting that medical reports served as vital corroborative evidence in court, particularly in cases involving children.
“Your medical reports are crucial; they can determine whether justice is served or denied,” she said.
Ogunde reminded health workers of their legal duty to report suspected sexual assault cases to the police or the Lagos State Domestic and Sexual Violence Agency (DSVA).
Similarly, Dr Oluwajimi Sodipo, Consultant Family Physician, Lagos State University Teaching Hospital (LASUTH), underscored the importance of timely medical attention, psychosocial support, and non-stigmatising care for survivors.
Sodipo explained that immediate presentation within 72 hours of assault improved chances of preventing infections and collecting viable forensic evidence.
He commended Lagos State for sustaining its inter-agency collaboration and continuous professional training on SGBV.
Sodipo, however, called for the strengthening of DNA and forensic capacities, improved insurance coverage, and better remuneration for healthcare workers.
“We must sustain motivation and continuous retraining if we want to retain skilled professionals and enhance justice outcomes,” he added.
Also, Mrs Margret Anyebe, Claims Officer, Lagos State Health Management Agency (LASHMA), said domestic and sexual violence response had been integrated into the ILERA EKO Health Insurance Scheme.
Anyebe explained that survivors of sexual and domestic violence are covered for medical treatment, investigations, and follow-up care under the state’s Equity Fund for vulnerable groups.
“Hospitals are to provide first-line care, document, and refer survivors appropriately, while LASHMA ensures prompt reimbursement and oversight,” she said.
The technical session of the ongoing National Council on Health (NCH) meeting on Monday reviewed 35 out of the 82 policy memos submitted ahead of full Council deliberations scheduled for later in the week.
Dr Kamil Shoretire, Director of Health Planning, Research and Statistics, disclosed this on Tuesday during the Technical Session of the 66th Regular meeting of the NCH ongoing in Calabar, Cross River.
He said that 10 of the memos considered were recommended for Council’s approval, eight were noted, and 18 stepped down for further work.
According him, two additional memos were deferred and will be re-presented after revisions are made.
At the reconvening of the session, Ms Kachallom Daju, Permanent Secretary, Ministry of Health and Social Welfare, said that there were five memos from the Coordinating Minister of Health, adding that they were all related to the Department of Food and Drugs.
Daju said that the memos were stepped down on Monday and scheduled for re-presentation.
She also provided clarification on the previously contentious healthcare waste-management memo, explaining that the N3.5 million requests tied to the proposal had already been repurposed by the Global Fund.
“I have followed up, and I am informed that the funds have been reprogrammed. Just so we put it to rest, we will not be discussing that memo anymore,” she said.
She also said that the final memo considered on Monday was the proposal for the inclusion of telemedicine services under the National Health Insurance Authority (NHIA).
“The next memo scheduled for presentation is the proposal for the establishment of Medipool as a Group Purchasing Organisation (GPO) for medicines and health commodities in Nigeria.
Meanwhile, Dr Oritseweyimi Ogbe, Secretary of the Ministerial Oversight Committee (MOC), formally notified the Council of the establishment of Medipool, a new public-private GPO created to strengthen the procurement of medicines and health commodities nationwide.
Presenting an information memorandum at the technical session, Ogbe explained that Medipool was the first nationally approved GPO designed to leverage economies of scale, negotiate better prices, and ensure quality-assured medicines.
He said this was beginning with primary healthcare facilities funded through the Basic Health Care Provision Fund (BHCPF).
According to him, Medipool was established after a proposal to the Ministry of Health, followed by appraisals and endorsements by the Project Implementation and Verification Committee (PIVAC) and the Ministry of Finance Incorporated (MOFI).
“It subsequently received Federal Executive Council approval, with MOFI now owning 10 per cent of the company’s shares. The Infrastructure Concession Regulatory Commission has also approved its operations.
“Under the model, Medipool will work with Drug Management Agencies (DMAs) in all states to aggregate national demand and negotiate directly with reputable manufacturers to obtain competitive prices and guaranteed-quality supplies.
“The platform will function as a one-stop shop for DMAs, who will then distribute medicines to health facilities through existing state structures.”
Ogbe added that while Medipool will initially focus on BHCPF-supported primary healthcare centres, it was expected to expand to other levels of care nationwide.
“The organisation will provide regular reports to the ministry of health and participate in national logistics working groups to ensure transparency, oversight, and technical guidance,” he said.
The News Agency of Nigeria (NAN) reports that Day One of the 66th NCH technical session opened with a call reaffirming the Ministry’s commitment to advancing Universal Health Coverage under the theme “My Health, My Right”.
“The delegates also adopted the amended report of the 65th NCH, setting the stage for informed deliberations.
The implementation status of the 19 resolutions from the previous Council was also reviewed, highlighting progress and gaps.
The authorities of Police Clinic in Port Harcourt have reported high cases of Malaria in its facility.
The revelation was made by Mrs Udoh Mba Robert, a Chief Superintendent of Police and senior medical personnel in the Clinic.
She told The Tide that,”the Hospital admits sixty (60) to seventy (70) patients in a month”.
On how the facility runs, she stated that the hospital is under the National Health Insurance Scheme as most patients are treated almost free.
She maintained that staff of the hospital have been trained professionally to manage health issues that come under the purview of the National Health Insurance Scheme.
Mrs. Robert explained that malaria treatment also falls under NHIA, as patients are expected to pay only 10 per cent for their treatment while the government takes care of the outstanding bills.
NHIA, she further stated covers treatment and care for uniform personnel like the police force, military men, civil servants and all others working for the government.
Urging the public to seek professional medical attention, Mrs. Robert said the facility is open to workers in the federal services, especially police staff.
Favour Umunnakwe, Victory Awaji, Excel Nnodim
