Apport de l’IRM dans la prise en charge des compressions médullaires lentes non traumatiques

Badji, Nfally; Dème, Hamidou; Akpo, Géraud; Ndong, Boucar; Touré, M.; Diop, Sokhna Ba; Niang, El Hadj

doi:10.11604/pamj.2016.24.221.8525

Cited by 4 publications

(17 citation statements)

References 13 publications

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“…Degenerative lesions (84.2%) were the predominant pathology in our series. This rate is consistent with those of Badji [13] , Adambounou [2] and Ekouele [14] who also found a high frequency of degenerative pathology in 32%, 30.47% and 11.9% respectively. The high rate of degenerative lesions is probably due to the advanced age of some patients.…”

Section: Mri Datasupporting

confidence: 92%

“…On the other hand, Badji et al [13] found 5% of infectious lesions, a rate similar to ours. He also found a case of abscessed myelitis which was isolated in a context of multifocal spondylodiscitis.…”

Section: Mri Datasupporting

confidence: 91%

“…Cervical spinal tumours represent 3.5% of cases. Adambounou [2] and Badji [13] found respectively 8.56% and 16% of cases of tumour pathology. Tumour pathology constituted 75% of cases with a predominance of malignant tumours (65%) in the series by MR KHALIL et al [16] .…”

Section: Mri Datamentioning

confidence: 99%

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Contribution of MRI to the exploration of spinal pathologies in the medical imaging department of the CNHU/HKM in 2021

Thierry,

Dwmm

et al. 2022

Int. J. Radiol. Diagn. Imaging

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Introduction: Radiological exploration of the spine and spinal cord is now well codified. Nevertheless, technical evolutions, in particular magnetic resonance imaging (MRI), allow new diagnostic avenues to be opened up and it is interesting to know what their place in clinical practice might be today. With the recent installation of the 1.5 Tesla MRI at the CNHU-HKM and with the aim of a preliminary evaluation of the activities, this work was carried out with the objective of studying the contribution of MRI in the exploration of cervical spinal pathologies at the CNHU-HKM of Cotonou. Materials and Methods:A prospective cross-sectional study with descriptive and analytical aims was carried out in the medical imaging department of the CNHU-HKM from June 1, 2021 to November 30, 2021 (6 months). All subjects referred to the MRI unit for cervical spine MRI were included. The parameters studied were the frequency of request for MRI, age, sex, clinical indication and MRI results. Results: 57 patients were collected. The frequency of requesting cervical MRI was 20.62% of all MRI examinations. The average age of the patients was 46.88 years, with extremes of 08 and 77 years. There was a male predominance with a sex ratio of 2.16. Cervicobrachial neuralgia (CBN) was the most frequent reason for requesting cervical MRI (38.6%). The abnormalities detected on MRI were degenerative in 84.2% of cases and traumatic in 8.8% of cases. Degenerative pathology was dominated by disc herniation (68.4%) and cervicarthrosis (61.5%). Spinal cord contusion (7%) was the most frequent traumatic injury. There was a statistically significant agreement between cervicobrachial neuralgia, cervical trauma and MRI result. Conclusion: MRI remains the examination of choice and is of considerable value in the exploration of cervical spinal pathologies. In most cases, it allows the lesion responsible to be identified and appropriate therapeutic decisions to be taken. However, access to the entire population remains limited.

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Section: Mri Datasupporting

confidence: 92%

Section: Mri Datasupporting

confidence: 91%

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Contribution of MRI to the exploration of spinal pathologies in the medical imaging department of the CNHU/HKM in 2021

Thierry,

Dwmm

et al. 2022

Int. J. Radiol. Diagn. Imaging

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“…Dans les pays développés, les étiologies malignes l'emportent sur les bénignes [4,5]. Il semble y avoir des particularités africaines avec une prédominance de l'étiologie tuberculeuse, même si certaines séries africaines ont noté une prévalence plus élevée de l'étiologie métastatique rachidienne [2,6]. Le mal de Pott continue de sévir dans notre contexte noir africain beaucoup plus qu'au Maghreb, notamment en Côte d'Ivoire où la fréquence était non négligeable [6].…”

Section: Introductionunclassified

“…Il semble y avoir des particularités africaines avec une prédominance de l'étiologie tuberculeuse, même si certaines séries africaines ont noté une prévalence plus élevée de l'étiologie métastatique rachidienne [2,6]. Le mal de Pott continue de sévir dans notre contexte noir africain beaucoup plus qu'au Maghreb, notamment en Côte d'Ivoire où la fréquence était non négligeable [6]. Au Togo, l'étude de Kassegne I et al [7] en 2013 avait trouvé un taux de 0,6% de cas de CML pris en charge.…”

Section: Introductionunclassified

Apport de l’IRM dans le diagnostic étiologique de la compression médullaire lente à Lomé : à propos de 72 cas

Administrateur- JAIM,

DAGBE Massaga,

N’TIMON Bidamin

et al. 2023

J Afr Imag Méd

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Goal: to determine the contribution of the MRI in the diagnosis of slow medullary compressions of adults at the International Polyclinic Saint Joseph of Lomé.Methodology: a retrospective and descriptive study which related to 72 adult patients who profited from a medullary MRI from June 2011 to March 2018 in the service of radiology and medical imagery of the International Polyclinic Saint Joseph of Lomé.Results: During the period of the study, 1675 MRI exams was achieved with 72 which was concluded about medullar compression injuries, that is 4.29%. The medium old of the patients was 42 years and the extremely old was 22 and 80. The most common age group was between 52 and 61 old, that’s 31.94% (n=23). The male subjects represented 58,33% (n=42) and the sex ratio was 1,4. The MRI exams was achieved 5 days after prescription (44.44; n=32) and within 3 to 5 days (29.17%; n=21). The cervical spine was common explored (65,28%; n=47). The extra durales injuries were majority in 91.64% of the cases.Degenerative pathologies accounted for 75% of the cases compared with 13.88% for the infectious ones. The herniated disc was the common degenerative injury (50%). Conclusion: the etiologies of non-traumatic slow medullary compression are dominated by degenerative pathologies especially herniated disc and infectious one concerning the extra dural compartment. RESUME Objectifs : déterminer l’apport de l’IRM dans le diagnostic étiologique des compressions médullaires lentes (CML) de l’adulte à la Polyclinique Internationale Saint Joseph de Lomé (PISJL). Méthodologie : étude rétrospective et descriptive qui portait sur 72 patients adultes ayant bénéficié d’une IRM médullaire de juin 2011 à mars 2018 pour compression médullaire lente dans le service de radiologie et imagerie médicale de la PISJL. Résultats : Sur la période d’étude, 1675 examens d’IRM avaient été réalisés dont 72 avaient conclu à des lésions de compression médullaire soit 4,29%. L’âge moyen des patients était de 42 ans avec des extrêmes de 22 et 80 ans. La tranche d’âge la plus fréquente était comprise entre 52 et 61 ans dans 31,94% des cas (n=23). Les sujets de sexe masculin représentaient 58,33% (n=42) avec une sex-ratio de 1,4. L’IRM était réalisée 5 jours après la demande dans 44,44% (n=32) des cas et 29,17% (n=21) des cas dans un délai de 3 à 5 jours. La région cervicale était la plus explorée avec plus de 65,28% (n=47). Les lésions extradurales étaient majoritaires dans 91,64% des cas. Les pathologies dégénératives représentaient 75% des cas versus 13,88% des cas de lésions infectieuses. La hernie discale était la plus fréquente des pathologies dégénératives (50%). Conclusion :les étiologies de la compression médullaire lente non traumatique sont dominées par la pathologie dégénérative en particulier la hernie discale et la pathologie infectieuse intéressant surtout le compartiment extra dural.

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Contribution of Stress Testing to the Management of Ischemic Heart Disease in Mali

Camara,

Ba,

Sangaré

et al. 2024

WJCD

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Introduction: Exercise stress testing (on a treadmill or ergometer bicycle) is an important test in cardiology for diagnosing myocardial ischemia. This test in Mali is still in its beginning compared to other countries in the sub-region. The lack of data in Mali prompted this study, which aimed to evaluate the indications of this activity and its diagnostic contribution to cardiology in Mali. Materials and Methods: This was a retrospective, descriptive study. The study was conducted at the "TOUCAM" medical clinic in Kati based on the analysis of stress test reports between January 2016 and August 2022. Result: During the study period, we documented 73 patients who underwent exercise testing on a bicycle ergometer for suspected coronary heart disease. The mean age of our patients was 47.5 ± 13.8 years (14 and 79 years). Males accounted for the majority (78.1%). The sex ratio is 3.5. More than half of our patients were overweight or obese (77.1%). Hypertension and diabetes affected 52.1% and 25.8% of patients, respectively. 20.8% of patients had coronary artery disease. renin-angiotensin-aldosterone system blockers (56.8%) and beta-blockers (51.3%). The main indications were chest pain (63.0%) and ischemia detection (15.1%). A modified STEEP protocol was used. The majority of our patients (71.2%) achieved at least 85% of their maximum theoretical heart rate. The main reason for the termination of the study was fatigue (57.3%). The average duration was 11.3 ± 4.2 minutes. 24.7% thought the stress tests were positive and 17.8% thought they were controversial. Conclusion: This study demonstrates the importance of stress testing in the diagnosis and treatment of ischemic heart disease, especially in settings where we have very limited access to coronary angiography.

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Apport de l’IRM dans la prise en charge des compressions médullaires lentes non traumatiques

Cited by 4 publications

References 13 publications

Contribution of MRI to the exploration of spinal pathologies in the medical imaging department of the CNHU/HKM in 2021

Contribution of MRI to the exploration of spinal pathologies in the medical imaging department of the CNHU/HKM in 2021

Apport de l’IRM dans le diagnostic étiologique de la compression médullaire lente à Lomé : à propos de 72 cas

Contribution of Stress Testing to the Management of Ischemic Heart Disease in Mali

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