Non-traumatic paraplegis in a Zimbabwean population - a retrospective survey

Parry, O.; Bhebhe, E.; Lévy, L.

doi:10.4314/cajm.v45i5.8466

Cited by 11 publications

(27 citation statements)

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“…48 Tumours and tuberculosis-related NTSCI cases were high (28% and 27%, respectively). Transverse myelopathy accounted for 11% of the NTSCI cases.…”

Section: Sub-saharan Africa Southernmentioning

confidence: 99%

Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

2013

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Study design: Literature review. Objectives: Globally map non-traumatic spinal cord injury (NTSCI) incidence, prevalence, survival, level of injury and aetiology. Propose a research framework for NTSCI prevention and launch a repository of NTSCI data. Setting: Initiative of the International Spinal Cord Society Prevention Committee. Methods: Literature search of Medline and Embase (1959-June 2011). Relevant articles in any language regarding adults with NTSCI were included. Stratification of information about incidence and prevalence into green/yellow/orange/red data quality 'zones' and comparisons between World Health Organisation (WHO) regions and countries. Results: Three hundred and seventy-seven abstracts reviewed-45 of these from 24 countries in 12 of the 21 WHO global regions had relevant information. Only one publication had survival data. Prevalence data for NTSCI existed for only two countries, India (prevalence of 2 310/million population, Kashmir region) and Canada (prevalence of 1 120/million population). The incidence rates for WHO regions were: Asia Pacific, high income 20/million population/year; Australasia (26/million population/year); Western Europe median of 6/million population/year; North America, high income median 76/million population/year (based on poor-quality studies); and Oceania 9/million population/year. Developed countries tended to have a higher proportion of cases with degenerative conditions and tumours. Developing countries, in comparison, tended to have a higher proportion of infections, particularly tuberculosis and HIV, although a number also reported tumours as a major cause. Conclusions: Insufficient survival, prevalence and incidence data are a predominant finding of this review. The piecemeal approach to epidemiological reporting of NTSCI, particularly failing to include sound regional population denominators, has exhausted its utility. Minimum data collection standards are required.

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“…48 Tumours and tuberculosis-related NTSCI cases were high (28% and 27%, respectively). Transverse myelopathy accounted for 11% of the NTSCI cases.…”

Section: Sub-saharan Africa Southernmentioning

confidence: 99%

Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

2013

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“…Parry et al 17 examined the etiology of 159 non-traumatic SCI in the population of Zimbabwe. The most frequent cause of non-traumatic SCI was neoplasm (28%), one-third of them being metastatic.…”

Section: Etiology Of Non-traumatic Scismentioning

confidence: 99%

“…[15][16][17] Only in Ethiopia, where a routine HIV screening was made, HIV-infection was indicated as the most common cause. 14 However, both vacuolar myelopathy and infections secondary to HIV are lumped under the denominator 'myelitis because of HIV' .…”

Section: Etiology Of Non-traumatic Scismentioning

confidence: 99%

Etiology of spinal cord injuries in Sub-Saharan Africa

et al. 2011

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“…[1][2][3][4][5][6][7] In the previous study in Ethiopia 4 mentioned above, this entity was attributed to HIV and was lumped together with vacuolar myelopathy to be called myelitis because of HIV (17%).…”

Section: This Study Of Nontraumatic Spinal Cord Diseases At the Tikurmentioning

confidence: 99%

“…Worldwide, the epidemiological data of nontraumatic spinal cord diseases are scarce. Some of the available studies in Sub-Saharan Africa [1][2][3][4][5][6][7] are very old and were conducted on the basis of clinical diagnosis and spinal X-ray because of unavailability of computed tomography (CT) and magnetic resonance imaging (MRI). Spinal tuberculosis (TB) was apparently the primary cause of nontraumatic spinal cord lesions in sub-Saharan Africa and, together with neoplasms, account for almost half of the reported cases.…”

Section: Introductionmentioning

confidence: 99%

Spectrum of nontraumatic myelopathies in Ethiopian patients: hospital-based retrospective study

Fidèle

Amare

2015

Spinal Cord

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Study design: This is a retrospective hospital-based study. Objectives: The study aimed at a better understanding of the etiology, clinical presentation and treatment outcome of nontraumatic myelopathies in Ethiopian patients. Setting: Etiologies of nontraumatic myelopathies have not been evaluated extensively in most sub-Saharan African countries. The available studies in this region were conducted before the widespread clinical use of modern neuroimaging modalities. This study was conducted in Addis Abba, Ethiopia. Methods: We retrospectively analyzed medical files of patients with a diagnosis of myelopathy (age ⩾ 13 years) admitted or followed up at Tikur Anbesa Hospital between 1 January 2010 and 30 June 2013. Results: Records of 105 patients were analyzed. The male to female ratio was 1.7. The mean age was 38.5 years. Weakness, sensory symptoms (including sensory level), back pain and sphincter dysfunction were the dominant features. Etiologies were dominated by spinal tuberculosis (23.8%) followed by spinal cord neoplastic lesions (primary (10.5%) and secondary neoplasms 8.6%). Other important etiological causes were transverse myelitis (16.2%), degenerative cervical spondylotic myelopathy (15.2%), amyotrophic lateral sclerosis (4.8%) and neuromyelitis optica/multiple sclerosis (3.8%). The mortality rate was 9.5%. Among the patients who died, 40% had chest infection as a complication and 70% presented with complete weakness. Conclusion: Infections remain a major cause of spinal cord disease, and tuberculosis constitutes public health target for reducing the incidence of myelopathies. Early detection and treatment of complications may reduce the high rate of mortality and morbidity observed.

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Non-traumatic paraplegis in a Zimbabwean population - a retrospective survey

Cited by 11 publications

References 0 publications

Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

Etiology of spinal cord injuries in Sub-Saharan Africa

Spectrum of nontraumatic myelopathies in Ethiopian patients: hospital-based retrospective study

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