Clinical and epidemiological profiles of non-traumatic myelopathies
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2016
Autores
Vieira de Rezende Pinto, Wladimir Bocca 
Sgobbi de Souza, Paulo Victor
Cristino de Albuquerque, Marcus Vinicius
Dutra, Livia Almeida
Pedroso, Jose Luiz
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Non-traumatic myelopathies represent a heterogeneous group of neurological conditions. Few studies report clinical and epidemiological profiles regarding the experience of referral services. Objective: To describe clinical characteristics of a non-traumatic myelopathy cohort. Method: Epidemiological, clinical, and radiological variables from 166 charts of patients assisted between 2001 and 2012 were compiled. Results: The most prevalent diagnosis was subacute combined degeneration (11.4%), followed by cervical spondylotic myelopathy (9.6%), demyelinating disease (9%), tropical spastic paraparesis (8.4%) and hereditary spastic paraparesis (8.4%). Up to 20% of the patients presented non-traumatic myelopathy of undetermined etiology, despite the broad clinical, neuroimaging and laboratorial investigations. Conclusion: Regardless an extensive evaluation, many patients with non-traumatic myelopathy of uncertain etiology. Compressive causes and nutritional deficiencies are important etiologies of non-traumatic myelopathies in our population.
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Arquivos De Neuro-Psiquiatria. Sao Paulo Sp, v. 74, n. 2, p. 161-165, 2016.