Román G C
Neurology. 1994 Oct;44(10):1784-6. doi: 10.1212/wnl.44.10.1784.
During 1992-1993, an epidemic of neurologic disease in Cuba affected 50,862 patients with optic neuropathy, sensorineural deafness, predominantly sensory peripheral neuropathy, and dorsolateral myelopathy. The clinical syndromes were identical to those of prisoners of war subjected to nutritional restriction in tropical prison camps during World War II (Strachan's disease). A dietary deficiency of group B vitamins and sulfur-containing amino acids appears to have been the primary cause of the epidemic. This was a consequence of economic and political events in Cuba linked to the collapse of the Soviet Union and socialist countries. The recently toughened 30-year-old US economic embargo on Cuba contributed to these problems and hampered the investigation, treatment, and prevention of the epidemic. A plea is made to the neurologic community to request the lifting of the trade blockade on a humanitarian basis.
1992年至1993年期间，古巴爆发了一场神经系统疾病疫情，50862名患者出现视神经病变、感音神经性耳聋、以感觉为主的周围神经病变以及脊髓背外侧病变。这些临床综合征与二战期间在热带战俘营中遭受营养限制的战俘所患疾病（斯特罗恩病）相同。维生素B族和含硫氨基酸的饮食缺乏似乎是这场疫情的主要原因。这是古巴与苏联及社会主义国家解体相关的经济和政治事件的结果。美国最近加强的对古巴长达30年的经济禁运加剧了这些问题，并阻碍了对该疫情的调查、治疗和预防。在此向神经学界呼吁，请求基于人道主义解除贸易封锁。
