I think the best strategy for questions like these are to look at the properties of their graphs. If we bring $99$ from the RHS to the LHS, we have:
$\frac{(x + 1)}{99} = sin(\pi(x + 1)) = sin(\pi x + \pi)$
Now it is evident from the LHS of the above equation, that we're trying to draw a line $y = \frac{x}{99} + \frac{1}{99}$ with $y$-intercept of $\frac{1}{99}$. Also, our RHS is bounded between $1$ and $-1$. So for $x \geq 99$ and $x < -100$, we will definitely have no solution. That's enough with the LHS for now, let's shift our focus to RHS. We have a sine wave which is positively shifted by $\pi$, and covers a period in $[x, x + 2]$. Moreover, in a period, a sine wave covers every value between $[-1, 1]$ so it will intersect the line exactly twice in a period. This is a major clue, we just need to now look carefully at how many times those periods would be completed in the positive and the negative $x$-axis given the above constraints, and we'll have our answer.
Thus for the positive $x$-axis we'll have about $\lfloor \frac{99}{2} \rfloor * 2 = 98$ real solutions. For the negative $x$-axis, similarly, $\lfloor \frac{-100}{2} \rfloor * 2 = 100$ for a total of $198 + 1$ real solutions counting the one additional solution due to $x = 0$.