Introduction: Epilepsy can interfere with a child's cognitive development and may result in academic difficulty. Our objective is to identify and estimate the link between epilepsy and academic difficulties. Methods: This is a prospective descriptive and analytical case-control study carried out at the Antsakaviro Laboratory of Neurosciences and Mental Health for the cases and in the four Public Primary Schools of the rural commune of Anjepy for the controls from 1st October 2014 to 31st January 2015. The frequency of school difficulties in epileptic and non-epileptic children, the relationship between epilepsy and school difficulties were evaluated. Results: The frequency of school difficulty in children with epilepsy was 49.13% compared to 25% in non-epileptic children with an Odds Ratio of 2.90 with 95% specificity and a confidence interval of 1.87 to 4.43. Among the cases, 52.94% of the children had their first seizure before the age of 2 years with a predominance of generalized tonic-clonic seizures at 57.65%, the majority of which were of the idiopathic type (67.06%). The majority of children with epilepsy had a lack of concentration in 43.53% of cases and memory impairment in 31.76%, while memory impairment (38%), lack of concentration in 20% and repetition in 20% of non-epileptic children.  Conclusion: Epilepsy is a serious illness for the child that can lead to a learning disability. Therefore, prevention of seizures and early detection are essential.

Introduction: Idiopathic Parkinson's disease is a neurodegenerative disorder characterized by motor disorders, akinesia or bradykinesia, rigidity, resting tremor and impaired posture reflexes or even frequent falls. In daily practice, an abnormal blood pressure profile is often observed in parkinsonian patients. In this study, we described the 24h blood pressure profile in our patients with idiopathic Parkinson's disease. Methodology: This is a prospective and descriptive observational study of patients hospitalized from May to October 2016 for idiopathic Parkinson's disease at the Department of Neurology at Pontarlier Hospital. We included all patients with an UPDRS (Unified Parkinson's Disease Rating Scale) score greater than 12 who made a consciousness (20%), isolated falls (12%), vertigo (11%), visual blur (8%), and other signs (25%). Conclusion: The particular clinical manifestations related to hypotension deserve more attention from us based on the interest of a systematic research in all the parkinsonian and related patients.

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Subarachnoid hemorrhage is defined as a sudden irruption of blood in subarachnoid spaces. This study aims to determine the profile and in-hospital evolution of patients with post aneurysmal subarachnoid hemorrhage, who did not have surgical treatment in the Neurology Unit of Befelatanana University Hospital, Antananarivo, Madagascar. This study was a descriptive retrospective study within a period of 4 years, from January 1st, 2014 to December 31th, 2017. The study was carried out in hospitalized patients for subarachnoid hemorrhage with aneurysmal origin. We included 52 patients, with an average age of 48 years and a female predominance. They are housewives in majority of cases. 52% of the cases live in urban areas while 77% of cases have high blood pressure. The main clinical manifestation was a sudden headache, and intracranial aneurysm was located at the anterior communicating artery in 52% of cases. All patients benefited from drug treatments in majority of cases. Due to the lack of financial means, 60% had neurological complications. However, in-hospital mortality rate was at 13%. This study helps us to suggest to our patients medical treatment of their subarachnoid hemorrhage during hospitalization because of difficult access to surgery. It also aims to propose surgery outside the acute phase of the disease.