Particularites des accidents vasculaires cerebraux au Togo et en Afrique noire

Belo, M; Balogou, Aak; Goeh-Akue, E; Sognigbe, N; kumako, V; Djibril, M; Guinhouya, Kokou Mensah; Apetse, K; Kombate, D; Kinvi, S; Grunitzky, KE

doi:10.4314/jrsul.v9i2.52426

Cited by 4 publications

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“…The mortality rate at 30 days (1 month) was 35.4%. This result is in the range of mortality rates described in Black Africansin Togo [20] and France [27,36]. However, the mortality rate reported in this work was lower than that found by Raveloson et al in Madagascar [25].…”

Section: Discussionsupporting

confidence: 63%

“…In INTERSTROKE multicenter study conducted in 22 countries, O'Donnell et al [19] reported a frequency of 9% in the industrialized countries, 22% in South East Asia, 26% in South America and 34% in Africa. Belo et al [20] in a study of the characteristics of stroke in Black Africans from Togo, found incidences of ICH between 28% and 60%. Our hospital frequency of ICH (32.95%) was consistent with that interval.…”

Section: Discussionmentioning

confidence: 99%

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Hypertension and intracerebral hemorrhage in Brazzaville

Gombet¹,

Ossou-Nguıet²,

Gankama³

et al. 2013

WJCD

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Hypertension is not only an important risk factor, but also an important cause of spontaneous intracerebral hemorrhage. Its high prevalence in Africa reflects a high incidence of cerebral hemorrhage ranging from 30% to 60% against 10% to 20% in industrialized countries. The aim of our study was to determine the role of hypertension before the onset of intracerebral hemorrhage and its variations during the first three months. This was a longitudinal study conducted at the University Hospital of Brazzaville from 1 st January to 31 st August 2012 with all patients admitted for intracerebral hemorrhage. Patients with subarachnoid or pure intraventricular hemorrhage were excluded. The study variables were: history of hypertension, knowledge of its history, treatment, blood pressure on admission and during the first 3 months and the relationship between blood pressure and evolution. Statistical analysis was performed using the software SPSSS 16.1. The significance level was set at p < 0.05. During the study 261 patients were hospitalized for stroke, of which 82 (31.42%) were for intracerebral hemorrhage. The mean age was 55 ± 11 years and sex ratio of 2 men:1 woman. Hypertension was found in 80.5% of cases, of which 65.2% had known hypertension, but 82.6% had discontinued treatment. The mean systolic blood pressure was 194 ± 41 mm Hg and diastolic 104 ± 20 mm Hg. The location was deep in 85.71%. The normalization of blood pressure was obtained from the second week. After adjusting for confounders using logistic analysis, only uncontrolled hypertension was associated significantly and independently associated with a higher mortality rate (p = 0.042).

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Hypertension and intracerebral hemorrhage in Brazzaville

Gombet¹,

Ossou-Nguıet²,

Gankama³

et al. 2013

WJCD

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“…Notre étude a retrouvé 98 cas d'AVCH, représentant 49% de tous les AVC. Ce résultat est conforme aux données de la littérature qui retrouvait dans tous les cas la fréquence des AVCH inférieure à celle des AVC ischémique [2,3,7] Dans notre série l'âge moyen des patients était de 53,04+/-09,12 ans. Les études d'Anayo et al [4], d'Amor et al [8] et d'Awono Ateba et al [9] avaient trouvé respectivement un âge moyen de 52,46 ans, 56,13 ans et de 58+/-10,52 ans.…”

Section: Données Socio-épidémiologiquesunclassified

Facteurs pronostiques de l’hématome cérébral spontané à la tomodensitométrie

Admin,

AMADOU Abdoulatif,

KAMMY NKAMDOUM Gilles Landdry

et al. 2021

J Afr Imag Méd

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Objective: to determine the prognostic factors of cerebral heamatoma on ct-scan in patients with hemorrhagic stroke Materials and Methods: it was a prospective analytical study of 06 months duration, including 98 patients admitted in the Neurology ward of the Lomé campus university teaching hospital for ct-scan proved cerebral hematoma in hemorrhagic stroke (HS). The studied variables were age, sex, clinical signs, topography and volume of hematoma, mass-effet, mortality and hospitalisation duration. Results : 98 patients with cerebral hematoma were enrolled. The mean age was 53,04±10,9 years with 1.0 sex-ratio. HTA was the main risk factor (40.89%). Motor deficit (35.7%) was the most frequent clinical. The mortality rate was 41.8% (41 cases). Among dead patients, the hematoma was subcortical in 75.6%,with a volume greater than 30 cm3 in 634%, and 70.7% had a midline deviation of more than 10mm with a statiscally significant difference. The average duration of hospitalisation of dead patients or surviving patients had no significant relationship with the topography, the volume of the hematoma, or the brain midline deviation. Conclusion: The volume and topography, associated with brain midline displacement could be the prognostics factors for brain hematoma on ct-scan. RÉSUMÉ Objectif : déterminer à la tomodensitométrie (TDM) les facteurs pronostiques de l’hématome intracérébral de l’accident vasculaire hémorragique (AVCH). Matériels et méthodes : étude prospective analytique couvrant une période de 06 mois, portant sur 98 patients hospitalisés au service de Neurologie du CHU campus de Lomé, victimes d’un AVCH, avec un hématome intra parenchymateux confirmé au scanner cérébral. Les paramètres étudiés concernaient l’âge, le sexe, les signes cliniques, la topographie, le volume de l’hématome, les engagements, le pronostic vital et la durée du séjour hospitalier. Résultats : 98 cas d’AVCH avec un hématome intracérébral étaient colligés. L’âge moyen était de 53,04±10,9 ans et le sex-ratio de 1. L’HTA était le principal facteur de risque (40,89%). Les signes cliniques étaient dominés par le déficit moteur avec 35 cas (35,7%). 41 cas (41,8%) de décès étaient enregistrés. Parmi les patients décédés, l’hématome était sous cortical dans 75,6% des cas, le volume de l’hématome était supérieur à 30cm3 dans 63,4% des cas et dans 70,7% des cas, la déviation de la faux du cerveau était supérieure à 10mm avec une différence statistiquement significative. La durée moyenne d’hospitalisation des patients décédés ou survivants n’avait pas de relation significative avec la topographie, ni le volume de l’hématome, ni de l’engagement. Conclusion : Le volume et la topographie des lésions, associés à l’engagement seraient des facteurs du pronostic vital de l’hématome intracérébral à la TDM.

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“…In Africa, the incidence of stroke is increasing as a result of the epidemiological transition, and is now between 26 and 30 per 100,000 inhabitants in sub-Saharan Africa, with a prevalence of between 58 and 243 per 100,000 inhabitants [3].…”

Section: Introductionmentioning

confidence: 99%

Mortality from Stroke in Young People in Brazzaville

Boubayi,

Diatewa,

Mpandzou

et al. 2024

WJNS

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Introduction: Cerebrovascular accidents (CVA) are an absolute neurovascular emergency and the main cause of mortality and acquired disability in adults. In the Congo, stroke is the leading cause of mortality and the leading cardiovascular emergency, with a hospital frequency of between 49.74% and 56.2%. The aim of the study was to identify the mortality factors associated with stroke in young people in Brazzaville. Patients and Methods: This is a longitudinal analytical study conducted from February to period from February to September 2019 in the neurology, general intensive care and medical emergency departments of the Brazzaville University Hospital (CHUB). All subjects aged 18 -55 years of completed age, admitted for arterial stroke confirmed by brain imaging, were included. Study variables were: age, gender, socioeconomic level, laterality, time to admission and CT scan, vascular risk factors, history of cardiomyopathy, atrial fibrillation, TIA (transient ischemic attack) or stroke, NIHSS (National Institutes of Health Stroke Scale) score, Glasgow score, blood pressure, temperature, heart rate, occurrence or non-occurrence of complications, blood glucose, creatinine, lipid profile and blood count. Data were analyzed using SPSS 21 software. Descriptive analyses were performed using SPSS 21 software. Results: 103 patients were included in the study, of whom 45 (43.7%) had ischemic stroke and 58 (56.3%) with hemorrhagic stroke. Mortality was high at 29.1% in our study, and mainly concerned hemorrhagic strokes (73.7%). Two-week mortality in our study accounted for 63.33% of total lethality. After simple logistic regression, the factors associated with death within two weeks were age between 40 -44 years (OR (odds ratio) = 2.95; p = 0.01), hemorrhagic stroke (OR = 1.41; p = 0.07), mass effect (OR = 3.26; p < 0.01), ventricular flooding (OR = 2.86; p < 0.001),

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Particularites des accidents vasculaires cerebraux au Togo et en Afrique noire

Cited by 4 publications

References 0 publications

Hypertension and intracerebral hemorrhage in Brazzaville

Hypertension and intracerebral hemorrhage in Brazzaville

Facteurs pronostiques de l’hématome cérébral spontané à la tomodensitométrie

Mortality from Stroke in Young People in Brazzaville

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