Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1714094
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Pediatric Neuromuscular Disorders in Ile-Ife, Nigeria: Pattern and the Challenges with Management

1  Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria
,
Abiodun J. Kareem
1  Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria
,
Musa Ayogu
1  Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria
› Author Affiliations
Funding None.
Further Information

Publication History

07 February 2020

29 May 2020

Publication Date:
05 August 2020 (online)

Abstract

To describe the presentation pattern and challenges with the management of pediatric neuromuscular disorders (NMDs) in Ile-Ife, Nigeria through retrospective review of their clinical records. We recruited 24 children aged 14 days to 15 years with a male preponderance (male-to-female ratio = 2.4:1). Late presentation was a prominent feature which was highest among children with myopathies with a mean duration of symptoms of 46.5 ± 33.4 months before presentation. Peripheral neuropathy was the most common type of NMDs (63.0%). Among these, injection nerve palsy from the use of wrong site for intramuscular injections was the most common (60.0%). Nonavailability of electrophysiologic and genetic testing as well as appropriate medications was the major challenges. Acquired NMDs are common in our setting. There is a need to improve preventive measures of acquired NMDs and early diagnosis of the inherited types.