Abstract
A retrospective study of all 100 cases of non-traumatic (medical) paraplegia admitted to a large hospital in northern Tanzania over an eight-year period was undertaken; 15 of the patients were examined. Patients' ages ranged from 2 to 80 years (mean 31), and 67 were male. Seventy-one lived under 85 km (53 miles) from the hospital, and the average period from onset of symptoms of paraplegia to admission to the referral hospital was ten weeks. Tuberculosis was the most frequent cause of paraplegia (54%), followed by neoplasia (13%) and schistosomiasis, (6%). No cases of nutritional myelopathy were diagnosed. In 12 cases a diagnosis could not be established. The average period spent in hospital was 11 weeks, and 35 patients made a good recovery and were ambulant at discharge.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Batson O. V. THE FUNCTION OF THE VERTEBRAL VEINS AND THEIR ROLE IN THE SPREAD OF METASTASES. Ann Surg. 1940 Jul;112(1):138–149. doi: 10.1097/00000658-194007000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Collomb H., Quere M. A., Cros J., Giordano C. Les neuropathies dites nutritionnelles au Sénégal. J Neurol Sci. 1967 Jul-Aug;5(1):159–179. doi: 10.1016/0022-510x(67)90014-7. [DOI] [PubMed] [Google Scholar]
- Greenblatt D. J., Allen M. D., Shader R. I. Toxicity of high-dose flurazepam in the elderly. Clin Pharmacol Ther. 1977 Mar;21(3):355–361. doi: 10.1002/cpt1977213355. [DOI] [PubMed] [Google Scholar]
- HADDOCK D. R. NEUROLOGICAL DISORDERS IN TANZANIA. J Trop Med Hyg. 1965 Jul;68:161–166. [PubMed] [Google Scholar]
- Hamilton D. Some experience with paraplegia in a small hospital in Nepal. Paraplegia. 1978 Feb;15(4):293–301. doi: 10.1038/sc.1977.44. [DOI] [PubMed] [Google Scholar]
- Hart R. H. Maternal and child health services in Tanzania. Trop Doct. 1977 Oct;7(4):179–185. doi: 10.1177/004947557700700416. [DOI] [PubMed] [Google Scholar]
- Jain A. P., Gupta P., Nigam S. P., Kakrani A. L. A study of spastic paraplegia in rural Central India. J Trop Med Hyg. 1978 Jan;81(1):9–12. [PubMed] [Google Scholar]
- MONTGOMERY R. D., CRUICKSHANK E. K., ROBERTSON W. B., MCMENEMEY W. H. CLINICAL AND PATHOLOGICAL OBSERVATIONS ON JAMAICAN NEUROPATHY; A REPORT ON 206 CASES. Brain. 1964 Sep;87:425–462. doi: 10.1093/brain/87.3.425. [DOI] [PubMed] [Google Scholar]
- Patel M. B., Yajnik V. H. Spastic paraplegia--an aetiological and clinical study. J Indian Med Assoc. 1971 Apr 16;56(8):225–229. [PubMed] [Google Scholar]
- Singh A., Katiyar B. C., Ganguly S. P., Mukerjee K. C., Somani P. N. Paraplegia: an aetiological survey. J Indian Med Assoc. 1971 Apr 16;56(8):219–223. [PubMed] [Google Scholar]
- Stone E. D. Surgery in rural Tanzania. Trop Doct. 1981 Apr;11(2):56–67. doi: 10.1177/004947558101100205. [DOI] [PubMed] [Google Scholar]