Résumé
Quadriparesis is a major disabling health problem. Its importance is due to the incapacitating disability that often persists despite treatment. The study was aimed at detecting the etiologies and clinical presentation of Sudanese patients with quadriparesis, as there was no available documented information about quadreparesis in Sudan. This is a descriptive hospital based cross-sectional study of 100 patients admitted to Elshaab Teaching Hospital [ETH] from January 2002 to October 2003, who presented with four limbs weakness. Out of 100 patients 55 were males and 45 were females. 55% were in the age group of 18-44. Patients were originally from different states and different racial groups. Weakness was the presenting complains in all patients. 75% of the patients presented with gradual onset weakness. MRI detected the lesion in all patients with cervical cord compression. Cervical cord compression, acute inflammatory demyelinating polyradiculopathy, motor neuron disease and muscular dystrophy constituted the etiological bulk of quadriparesis in the Sudan
Résumé
poverty, pressing priorities and tropical diseases prevailed added to the factors that delay the implementation of laparoscopic cholecystectomy [LC]. The objective of this study was to assess the feasibility and safety of LC in this country [sudan]. from june 1995-may 1999, we enrolled 288 patients presented with symptomatic gallstone disease without pre selection criteria. 242 were females and 46 were males, mean age 48.1 years. LC was successful in 201 [94.81%] patients including 49 patients with acute cholecystitis. The operation was done the same day of admission and 60 [29.35%] were able to leave as a day case. There was no mortality and no common bile duct injury. LC is feasible, safe and cost effective in sudan