1.The pattern and burden of neurological disorders: A systemic review of Neurology Department, Yangon General Hospital, Myanmar
Ohnmar ; Myat Kyaw ; Zarni Myint Shwe ; Khin Myat Po Po Kyaw ; Moe Zaw Myint ; Yan Lynn Aung ; Htet Htet Lin ; Yin Minn Aye ; San Oo ; Win Min Thit
Neurology Asia 2020;25(4):555-561
Objective: To understand the pattern and burden of neurological disorders at Department of Neurology,
Yangon General Hospital (YGH), Myanmar. Method: All patients admitted to Department of Neurology
had been prospectively registered and then analyses were performed on one year data from 1st January
to 31st December 2019. Results: Among study population of total 17606 cases, 65.5% attended
to neurology out-patient clinics, 20.1% were seen as referral cases and 14.4% were inpatients at
neurology ward. When analyzed the inpatients, 58% were male. Mean age was 47.2 ±19.1 years and
41-65 year age group was most commonly affected. The most common inpatient neurological diseases
were cerebrovascular diseases (CVD)(40.8%), central nervous system (CNS) infections (15.2%) and
peripheral nerve lesions (9.4%). Autoimmune diseases and headache disorders were more common
in women. Mortality rate in inpatients was 4.6%, among which stroke occupied for 55.1% and CNS
infection was 23.7%. Three most common neurological diseases in out-patient clinic were seizure
disorders (21.9%), CVD (20.7%) and headache disorders (11.2%). Among the referral cases, 43.7%
were CVD, 17.8% were CNS infections and 11% had seizures disorders. The most referred patients
(93.3%) came from general medical wards.
Conclusions: Entire range of neurological disorders was present in YGH. CVD and CNS infections
were the most common cause of incidence as well as the mortality. Knowing the burden can raise the
awareness about it and point out the prioritizing provision of essential health services. As similar in
controlling the communicable diseases, the importance of health education, preventive measures on
non-communicable disorders should be considered as national concern.