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The Pattern of Neurological Disorders;Revisited Prevalence Data of a Dedicated Neurology Clinic in Sudan

Case Reports in Clinical Medicine 2021年第11期10卷 339-358页

作者： Muaz Elsayed Omer Aladil Abdalla Hamid Rayan Tonga Sara Misbah Elsadig Mohamed Hasan Ahmed Musaab Ahmed Mohamed Khalafallah Saeed Omdurman Islamic university Faculty of Medicine and Health Sciences Khartoum Sudan International university of Africa Faculty of Medicine and Health Sciences Khartoum Sudan MBBS Resident in Internal Medicine Sudan Medical Specialization Board SMSB Khartoum Sudan mrcp senior consultant neurologist soba university hospital Department of Medicine Faculty of Medicine University of Khartoum Khartoum Sudan Department of Medicine and HIV Metabolic Clinic Milton Keynes University Hospital NHS Foundation Trust Eaglestone Milton Keynes Buckinghamshire UK College of Medicine Physiology Department Ajman university Ajman UAE The university of Science and Technology Faculty of Medicine Omdurman Teaching Hospital Khartoum Sudan

Background: The diverse modes in geographical locations, environmental factors, genetic and racial characteristics play a complex role in determining the pattern of neurological disorders worldwide. Determining the pattern of neurological disorders enables health policymakers to plan evidently for service, training, and research priorities. Few prevalence studies in neurology were conducted in Sudan. Methods: This is a retrospective hospital-based study that reviewed the medical records of patients who attended a Dedicated Neurology Clinic (DNC) in Omdurman, the national Capital of Sudan, for 24 months, from January 2016 to January 2018. This study aimed to determine the DNC pattern of neurological disorders as a representative subset prevalence in Sudan. neurologists conducted the medical workup for diagnosis after at least two visits. All patients have ethically consented. Results: The total number of patients was 1050. Only 749 patients (71.3%) fulfilled the inclusion criteria. The mean age was 46.5 ± 1.9, and males were 45.3%. 72% were from the Capital. The presenting symptoms were headache (16.6%), seizures (11.5%), limbs weakness (11.2%), and lower percentages for other neurological symptoms. The commonest diagnoses were Stroke 12.4%, Epilepsy 9.3%, Primary Headache 8.8%, Movement Disorders 7.3%, Peripheral Neuropathy 6%, Dementia 4% Neuroinfections 1.4%, Demyelinating Disorders 2.6%, Spinal Spondylotic Radiculopathy 2.6% and 1.7% for Cerebral Venous Thrombosis. Conclusion: The data from Sudan-DNC showed that the most common neurological disorders descendingly were Stroke, Epilepsy, Headache, Movement Disorders, Peripheral Neuropathy, Dementia, Infections, Demyelinating Disorders, Spinal Spondylotic Radiculopathy, and Cerebral Venous Thrombosis. The demyelinating disorders and peripheral neuropathy showed a higher percentage than our previous preliminary prevalence study in 2012 compared to th

关键词： Sudan Prevalence Neurological Disorder Stroke Dedicated Clinic

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