NON-TRAUMATIC MYELOPATHY- A STUDY OF CLINICAL AND ETIOLOGICAL SPECTRUM IN COVID 19 PATIENTS, JAIPUR

Abstract

Background: Diseases of the spinal cord are termed myelopathies, can be either traumatic or non-traumatic. The clinical presentation and causes of compressive myelopathies characteristically differ from those of non-compressive myelopathies, although rare
presentations in either category. Little information regarding the functional outcome of nontraumatic myelopathies as a whole is available in the current literature. With this background, we planned a study with the aim to find out various etiological factors and clinical profiles in patients of non-traumatic myelopathy.
Methods and Material: This observational, cross-sectional study was conducted among patients came to OPD/IPD of Neurology Unit, Department of General Medicine, National Institute of Medical Sciences and Research, Jaipur among patients with non-traumatic
myelopathy of age 18 years and above. Patients underwent All statistical analysis was performed in SPSS (statistical package for social sciences) version 23. Correlation and statistical analysis have been done between the etiology and clinical spectrum of nontraumatic myelopathy.
Results: In our study, out of 135 study subjects, 81(60%) cases were male and rest 54 (40%) were female. The most prevalent age group was 40-50 years. Around half of the cases, (48.2%) were presented with paraparesis and 54 (40%) with quadriparesis. Based on MRI findings, 75 (55.5%) were presented with compressive and 58 (42.9%) with non-compressive myelopathies and 2(1.6%) with unknown etiology.
Conclusions: Non-compressive myelopathy affects people across all age groups. Most of the patients are middle-aged and many of them are active members of the family. As seen in other long-duration studies, an underlying disease may be revealed in long-term follow-up of the patients.