摘要： Introduction Neurology is a branch of medicine concerned with the study and treatment of disorders of the nervous *** To see the perception of Sudanese medical students towards *** About 300 medical students from 24 Sudanese medical colleges were involved in the study. A questionnaire including 17 questionsResults Male to female ratio 1:2, 33% are interested in neurology; most of the students (78%) have good knowledge about neurology. 80% think that neurology is difficult. 20% considers neurology as a future career option. 86% think that neurological signs difficult to detect. 33% think that neurological disease can be treated in spite of being complicated. 90% think that neurological cases are challenging and interesting. 60% think that neurological patients are uncooperative and difficult to examine. Almost 70% think that the majority of neurological disease have poor prognosis. Regarding neurological teaching 90% prefer rounds, 70% lectures, 60% videos, 50% tutorials .Almost 80% prefer to examine patient in private room and 20% in general ward. About 80% thinks that the difficult part of neurology is movement ***: Revolution of the style of teaching of neurology should be considered by neurologist.

关键词： Disabilities   Madagascar   Schistosomiasis   Spinal cord diseases   Tuberculosis  

摘要： Background Etiology confirmation of non-traumatic spinal cord diseases are still a problem in Africa and so their treatment and management of neurological disabilities. In Madagascar, only two cases of myelitis have been published until *** To describe causes and outcome of spinal cord diseases to rise the etiology diagnosis challenge and improvement of our *** A prospective descriptive study was conducted between November 2017 and March 2019. It included any patient with spinal cord disease semiology. Auxillary findings with biology and spinal MRI were prescribed. Outcome was evaluated by the Lipton and Taesdall *** Twenty-two of 1149 patients were included. Fifteen performed spinal MRI. Seven infectious etiology: 03 schistosomiasis and 04 tuberculosis. Six non-infectious etiology: 02 myelitis, 01 vascular malformation, 02 metastatic spinal cord disease, 01 meningioma. No etiology found in 09 patients. Thirteen benefited corticosteroid bolus. Specific management for those with etiology. Functional rehabilitation for all. Disabilities outcome didn’t worsen for the majority of cases that was managed at the disease starting. Only 02 patients developed a bedsore and phlebitis of the lower *** In poor settings as Madagascar, diagnosis tools and drug options for spinal cord diseases are often nonavailable or nonaffordable. Results of this study rise the point of challenge with local facilities and financial features versus skills of Malagasy neurologist well trained worldwide. International collaboration with other specialities for training, care and research are useful and encouraged for nervous system disease management in poor settings.