O Parry1, E Bhebhe, L F Levy. 1. Department of Physiology, University of Zimbabwe, Harare, Zimbabwe.
Abstract
OBJECTIVES: To ascertain the aetiology of non-traumatic paraplegia in a Zimbabwean population and to compare findings with other studies from Africa. DESIGN: Retrospective survey over a six year period. SETTING: National Rehabilitation Centre, Ruwa, Zimbabwe. SUBJECTS: 159 patients referred to the National Rehabilitation Centre with non-traumatic paraplegia. RESULTS: The commonest causes of non-traumatic paraplegia were neoplasms (28% of cases) of which a third were metastatic, followed by tuberculosis (TB) (27%). Transverse myelopathy of unknown aetiology was diagnosed in 11% of cases and 6% had Guillain Barré syndrome. Miscellaneous conditions included: degenerative bone and joint conditions, degenerative cord disorders and infections. In 7% of cases no diagnosis was reached. On admission all patients were confined to wheelchairs. On discharge 49% had regained some degree of mobility. A year after discharge 48% were known to be alive and 18% had died. The fate of 34% was not known. CONCLUSIONS: The aetiology of non-traumatic paraplegia in a Zimbabwean population is similar to that reported from other African countries, with tumours and tuberculosis accounting for over half the cases. Survival appears to be related not only to the primary condition but also to the severity of the disability.
OBJECTIVES: To ascertain the aetiology of non-traumatic paraplegia in a Zimbabwean population and to compare findings with other studies from Africa. DESIGN: Retrospective survey over a six year period. SETTING: National Rehabilitation Centre, Ruwa, Zimbabwe. SUBJECTS: 159 patients referred to the National Rehabilitation Centre with non-traumatic paraplegia. RESULTS: The commonest causes of non-traumatic paraplegia were neoplasms (28% of cases) of which a third were metastatic, followed by tuberculosis (TB) (27%). Transverse myelopathy of unknown aetiology was diagnosed in 11% of cases and 6% had Guillain Barré syndrome. Miscellaneous conditions included: degenerative bone and joint conditions, degenerative cord disorders and infections. In 7% of cases no diagnosis was reached. On admission all patients were confined to wheelchairs. On discharge 49% had regained some degree of mobility. A year after discharge 48% were known to be alive and 18% had died. The fate of 34% was not known. CONCLUSIONS: The aetiology of non-traumatic paraplegia in a Zimbabwean population is similar to that reported from other African countries, with tumours and tuberculosis accounting for over half the cases. Survival appears to be related not only to the primary condition but also to the severity of the disability.
Authors: Abdu Kisekka Musubire; David B Meya; Paul R Bohjanen; Elly Tebasooke Katabira; Patrice Barasukana; David R Boulware; Ana-Claire Meyer Journal: Front Neurol Date: 2017-12-08 Impact factor: 4.003