Neurological and functional recovery in tuberculosis patients with spinal cord injury in The Netherlands
| Autor: | Eva Maria Nadine Wouda, Maarten H. Coppes, Huib A. M. Kerstjens, Tjip S. van der Werf, Marga Tepper, Jos M. A. Kuijlen, Wiel C M de Lange, Ymkje Stienstra, Onno W. Akkerman |
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| Přispěvatelé: | Microbes in Health and Disease (MHD), Groningen Research Institute for Asthma and COPD (GRIAC) |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Tuberculosis Adolescent medicine.medical_treatment Neurological function Physical Therapy Sports Therapy and Rehabilitation Young Adult 03 medical and health sciences 0302 clinical medicine MANAGEMENT Humans Medicine In patient Prospective Studies 030212 general & internal medicine Tetraplegia Spinal cord injury Motor score Aged Netherlands Retrospective Studies OUTCOMES Rehabilitation business.industry Recovery of Function Middle Aged spinal tuberculosis medicine.disease Functional recovery Case-Control Studies treatment outcome Physical therapy Female spinal cord injuries Tuberculosis Spinal Neurology (clinical) business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Neurorehabilitation, 40(3), 439-445. IOS Press |
| ISSN: | 1878-6448 1053-8135 |
| Popis: | BACKGROUND: Spinal tuberculosis (TB) accounts for approximately 1% to 3% of all TB cases and it can cause a wide range of neurological symptoms, from none to a complete spinal cord injury (SCI), resulting in complete paraplegia or tetraplegia.OBJECTIVES: To describe the functional and neurological outcome of SCI caused by TB.METHODS: Retrospective data on the admission period was combined with prospectively collected data on long-term follow-up. Primary outcome was neurological outcome in terms of motor function. Secondary outcome measures were functional outcome in terms of level of independence and community participation. Results were compared to the outcome in patients with SCI due to trauma.RESULTS: Six TB patients with complete motor SCI (American Spinal Injury Association Impairment Scale (AIS) A or B) were compared to eighteen patients with traumatic SCI. Most TB patients regained almost full neurological function (median motor score improved from 50 to 100), and reached high levels of independence, whereas trauma patients did not improve neurologically (median motor score remained 50) and reached a plateau in level of independence.CONCLUSIONS: SCI due to tuberculosis in the Netherlands shows remarkable improvement in both neurological and functional outcome, especially compared with traumatic SCI. |
| Databáze: | OpenAIRE |
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