Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria.
Can J Neurol Sci. 2013 Jul;40(4):576-9. doi: 10.1017/s0317167100014694.
Neurologic disorders represent a major burden of disease globally and the spectrum ranges from noncommunicable disorders like stroke and neurodegenerative disorders to central nervous system infections.
The purpose of the study is to assess the burden of neurological diseases in a tropical environment.
A one year retrospective survey of neurological diseases seen at the University of Calabar Teaching Hospital, Nigeria, was evaluated using patients' medical record.
Neurological diseases constituted 24.2% of all medical conditions seen over a one year period. Stroke was found to be the commonest cause of admissions accounting for 42.1% of the cases followed by peripheral neuropathy (13.8%) and meningoencephalitis (7.2%). The immediate case fatality rate was 33.6%. Fifty two percent were discharged home with various levels of recovery while 12.5% left against medical advice. About 2% were referred to other tertiary health institutions.
The pattern of neurologic diseases in the local medical wards was not remarkably different from those observed in Nigeria and elsewhere. Stroke remains the most frequent cause of neurologic admissions and mortality in this region is same as observed elsewhere.
神经疾病在全球范围内是一个主要的疾病负担，其范围从非传染性疾病如中风和神经退行性疾病到中枢神经系统感染。
本研究旨在评估热带环境中神经疾病的负担。
对尼日利亚卡拉巴尔大学教学医院一年来的神经疾病患者病历进行回顾性调查。
神经疾病占一年期间所有医疗条件的 24.2%。中风是最常见的住院原因，占病例的 42.1%，其次是周围神经病（13.8%）和脑膜脑炎（7.2%）。即时病死率为 33.6%。52%的患者出院回家，恢复程度不同，12.5%的患者未经医嘱出院，约 2%的患者被转诊到其他三级医疗机构。
当地病房的神经疾病模式与尼日利亚和其他地方观察到的没有明显不同。中风仍然是神经疾病住院的最常见原因，该地区的死亡率与其他地区相同。
