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Nervous System Disorders
A Global Epidemic
Donna C. Bergen, MD;
Donald Silberberg, MD
Arch Neurol. 2002;59:1194-1196.
Major new epidemiological analyses are focusing attention on disorders
of the nervous system as important causes of death and disability around the
world. One in every 9 individuals dies of a disorder of the nervous system.
Stroke outweighs all other neurological disorders combined as a cause of mortality.
Most disorders of the nervous system occur in developing countries. Developmental
disability due to malnutrition, and cognitive dysfunction associated with
parasitic infections are the most common neurological disorders. As the world's
population ages and the effects of infectious disease decline, the relative
effects of many disorders of the nervous system, including stroke and dementia,
are increasing. The disorders of the nervous system causing the highest rates
of death and disability are preventable and treatable. Increased awareness
of the global effects of neurological disorders should help health care planners
and the neurological community set appropriate priorities in research, prevention,
and management of these conditions.
From the Department of Neurological Sciences, Rush-Presbyterian-St
Luke's Medical Center, Chicago, Ill, and the World Federation of Neurology,
London, England (Dr Bergen); and the Department of Neurology, University of
Pennsylvania School of Medicine, Philadelphia (Dr Silberberg).
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