Non-traumatic paraplegia [correction of paraplegis] in a Zimbabwean population--a retrospective survey.
OBJECTIVE
To ascertain the aetiology of non-traumatic paraplegia in a Zimbabwean population and to compare findings with other studies from Africa.


METHODS
Retrospective survey over a six year period.


METHODS
National Rehabilitation Centre, Ruwa, Zimbabwe.


METHODS
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.
Parry
O
O
Department of Physiology, University of Zimbabwe, Harare, Zimbabwe.
Bhebhe
E
E
Levy
L F
LF
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D020275:Guillain-Barre Syndrome / Q000150:complications; D006801:Humans; D008875:Middle Aged; D010264:Paraplegia / Q000453:epidemiology* / Q000209:etiology* / Q000534:rehabilitation; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013125:Spinal Neoplasms / Q000150:complications; D015996:Survival Rate; D014399:Tuberculosis, Spinal / Q000150:complications; D015030:Zimbabwe / Q000453:epidemiology