ABSTRACT

Aim: To identify the etiological profile of nontraumatic myelopathies. Materials and Methods: Present study was a prospective cross- sectional type of study was conducted among 40 patients diagnosed with acute onset non traumatic quadriplegia / quadriparesis visited the department of Medicine of Dr. D. Y. Patil Medical College and Hospital Pimpri, Pune. Detailed medical history was taken for all selected patients. They were examined in detail with careful general, systemic and neurologic examination according proforma. Examination was done in a separate examination room to interpret the site of the neurological lesion through clinical signs and to reach a provisional diagnosis, before subjecting to further biochemical and radiological investigations according to the study design. Results: Mean age of patients in the study population was 43.92+14.36 years. Majority of them (32.5%) were in age group of 51 to 60 years. Of them 65% were males and 35% were females. Majority 60% had onset of quadriparesis more than 5 days, 27.5% had 1 to 5 days and 12.5% had onset <24 hours. Breathlessness was reported in 57.5 % of cases, fever in 52.5 percent, and petechiae/rash in 27.5 %.Majority 25% had GBS followed 12.5% had cervical disc prolapsed and other etiologies. Conclusion: Most common cause of non-traumatic quadriparesis was Guillian Barre Syndrome followed by cervical disc prolapsed. Keywords: Quadriparesis, Non-traumatic, Guillian Barre Syndrome
Publication date: 15/02/2022

https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1043.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.2.1043