Facteurs pronostiques des accidents vasculaires cérébraux ischémiques au service de neurologie du CHU de Conakry, en Guinée

Barry, Souleymane; Condé, Kaba; Bah, Aissatou Kenda; Balde, Amadou Talibé; Touré, Mohamed Lamine; Tassiou, Nana Rahamatou; Sakadi, Foksouna; Nitcheu, A.W.; Diallo, MS T; Hamani, Abdelaziz; Soumah, F.M.; Bah, F.K.; Rafkat, S.A.; Doufene, D.; Cisse, Fodé Abass; Cissé, A

doi:10.1016/j.npg.2020.09.004

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…These results report a predominance of cerebral infarctions. Chiasseu Mbeumi MT et al [4] in Cameroon as well as Barry SD et al in Guinea [18] found 60% and 69.8%, respectively, of cerebral infarction. Epidemiological studies in developed countries [6,7] report 80% to 85% of cerebral infarctions against 20% to 15% of intracerebral hematomas.…”

Section: Discussionmentioning

confidence: 98%

Stroke in Sub-saharan Africa: Observations from Donka National Hospital

Guillavogui¹,

Sylla²,

Sakadi³

et al. 2021

IJBECS

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Introduction: Stroke is a major public health problem, the consequences of which are as much medico-social as they are economic. The main objective is to make a socio-demographic, clinical, therapeutic and prognostic assessment in the short term in a medico-surgical emergency department in Guinea. Material and Methods: This was a descriptive retrospective study lasting 2 years from January 1 st , 2014 to December 31 st , 2015 inclusive. All complete medical records of patients hospitalized for stroke confirmed by brain scan were included in this study. Sociodemographic, clinical, para-clinical, therapeutic and evolutionary data were collected. Results: During the 2 years out of 1321 patients hospitalized in the intensive care unit, strokes represented 7.3% of cases. The average age was 67.2 years old with the extremes of 30 and 99 years old. We had a male predominance of 59 men versus 38 women with a sex ratio of 1.55. The most common cardiovascular risk factors were high blood pressure (74.23%), diabetes (22.68%), and age (89.69%). The Glasgow Score was between 3 -8/15 in 49 patients or 50.52%. The death rate was 14.4%. Conclusion: The management of serious strokes in intensive care units in emergency rooms considerably reduces short-term mortality and neurological sequelae of patients.

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Section: Discussionmentioning

confidence: 98%

Stroke in Sub-saharan Africa: Observations from Donka National Hospital

Guillavogui¹,

Sylla²,

Sakadi³

et al. 2021

IJBECS

View full text Add to dashboard Cite

show abstract

“…At present, some authors [ 20 , 31 ] consider that the diagnostic certainty of neurosyphilis in its typical, atypical and vascular aspects should also include the determination of immunoglobulins - increase in immunoglobulin synthesis, presence of oligoclonal IgG bands and intrathecal synthesis of anti-threponemal antibodies Although in this study our diagnostic criteria were based essentially on clinical data, positive VDRL-TPHA serology in blood and cerebrospinal fluid, predominantly lymphocytic hypercellularity and proteinorachy found in several African studies [ 15 , 17 , 19 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The existence of cerebrovascular complications of neurosyphilis is now a well-established fact since the initial publications of Hoosmand et al (1972) [ 1 ], Aupy et al (1982) [ 2 ], Johns et al (1987) [ 3 ], and recent ones by Flint et al (2005) [ 4 ], Bouraza et al (2008) [ 5 ], Lachaud et al (2010) [ 6 ], Marks et al (2017) [ 7 ], Currens et al (2022) [ 8 ], and many other series. Studies on vascular accidents in sub-Saharan Africa are numerous although poorly documented [ [9] , [10] , [11] , [12] , [13] , [14] , [15] ] and syphilitic etiology is little mentioned outside of Maghreb works [ 5 , 16 ].…”

Section: Introductionmentioning

confidence: 99%