Journal of Neural Transmission · 2 authors, 2 centres
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This narrative review synthesizes 25 studies and reports a higher prevalence of epilepsy and seizures among homeless individuals compared to the general population, while also noting that homelessness is a risk factor for worse epilepsy outcomes.
The authors conducted a narrative review of 25 articles (retrospective cohort, cross-sectional, and review designs) to examine the relationship between homelessness, seizures, and epilepsy. The review's primary outcome was the prevalence of epilepsy and seizures in the homeless population. The discussion highlights a bidirectional relationship, where epilepsy contributes to social stigma and housing loss, and homelessness increases risk factors for seizures like head trauma and substance abuse. Limitations include the heterogeneous nature of the included studies and the presence of confounding factors such as substance abuse and traumatic brain injury, which can both cause seizures and be consequences of homelessness. The review implies a need for integrated care addressing both medical and social needs for this population.
