Ndiaye M, Sene-Diouf F, Diop A G, Sakho Y, Ndiaye M M, Ndiaye I P
Service de Neurologie CHU-FANN, Sénégal.
Dakar Med. 1999;44(1):49-53.
Spinal tuberculosis is the first etiology of spinal cord compression in our areas. We are studying the epidemiological, clinical and therapeutic aspects of Pott's disease. We have collected all children aged from 0 to 15 years admitted for Pott's disease in department of Neurology in CHU Fann SenegaIL from January 1st 1983 to December 31st 1997 spinal tuberculosis. The diagnosis was both clinical and paraclinical. 27 children aged to 2-15 years were hospitalized for Pott's disease. The sex-ratio was equal to 2 in favour of boys. 77.77% of patients were consulted more than a month after the outbreak of the paraplegia. The notion of tuberculous contagion was found in 25.92% of the cases. The main clinical signs were paralysis of the limbs, sensory symptoms and bladder sphincter dysfunction. In 96.29% anomaly of disc and vertebra were recorded, more often affecting two vertebrae. The myelography, performed in 13 patients objectivized an epidural stop in 92.30% of the cases. There was a favorable evolution in 92% of patients under antituberculous chemotherapy. Spinal tuberculosis is an affection cheating all ages and it remains the first etiology of spinal cord compression in our areas. Therefore there is a necessity of primary safety by fighting against tuberculosis what is still in our areas.
脊柱结核是我们地区脊髓压迫的首要病因。我们正在研究波特氏病的流行病学、临床和治疗方面。我们收集了1983年1月1日至1997年12月31日在塞内加尔法恩大学神经科因波特氏病入院的所有0至15岁儿童的脊柱结核病例。诊断包括临床诊断和辅助检查诊断。27名2至15岁的儿童因波特氏病住院。男女比例为2，男性居多。77.77%的患者在截瘫发作一个多月后才就诊。25.92%的病例发现有结核传染情况。主要临床症状为肢体瘫痪、感觉症状和膀胱括约肌功能障碍。96.29%的患者记录有椎间盘和椎体异常，更常见的是累及两个椎体。13名患者进行了脊髓造影，其中92.30%的病例显示有硬膜外梗阻。92%接受抗结核化疗的患者病情有好转。脊柱结核是一种影响各年龄段的疾病，它仍然是我们地区脊髓压迫的首要病因。因此，在我们地区仍有必要通过抗击结核病来实现初级预防。
