Facteurs prédictifs de mortalité des hématomes cérébraux aux CHU de Lomé

Agba, Léhleng; Guinhouya, Kokou Mensah; Anayo, Nyinevi; Codjia, V.A.; Belo, Mofou; Balogou, Agnon Ayélola Koffi

doi:10.1016/j.neurol.2016.01.395

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“…Factors associated with death: a low Glasgow score, a hematoma volume greater than 30 ml. These dif-ferent factors are recognized as a source of poor prognosis [10] [25].…”

Section: Discussionmentioning

confidence: 99%

Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)

Hugues Brieux,

Léocia Exaucée,

Josué Euberma

et al. 2024

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Spontaneous intracerebral haemorrhage (sICH) is characterised by bleeding within the brain parenchyma, without any accompanying vascular malformation, parenchymal abnormality or coagulation disorder. The study aimed to depict the management of sICH at the University Hospital of Brazzaville (UHB). It was an observational, descriptive, and cross-sectional analysis. Data collection was conducted retrospectively, covering the period from January 1, 2020 to August 31, 2022, spanning two years and eight months. The study examined socio-demographic, diagnostic, therapeutic, and evolutionary variables. We included 274 cases. We observed 160 men (58.4%) and 114 women (41.6%), resulting in a sex ratio of 1.4. The mean age was 55.3 ± 11.4 years, with ages ranging from 31 to 93 years. The detection of sICH was typically a result of experiencing motor deficits (59.5%) or disorders of consciousness (37.2%). The weightiness of one half of the body was the most common reason for seeking medical advice. Hematoma was capsulo-lenticular in 159 cases (58%) and capsulo-thalamic in 63 cases (23%). Hematomas were <30 ml in 162 cases (59.1%) and >30 ml in 112 cases (40.9%), and associated with hydrocephalus in 11.7% of cases. Conservative medical treatment was administered in 257 cases (94.2%) while surgical treatment was performed in 16 cases (5.8%). The surgical techniques used were external ventricular drainage (EVD) in 2 cases, ventriculo-peritoneal shunt in 5 cases, and hematoma evacuation in 10 cases. Death occurred before the 7th day of hospitalisation in 73 cases (57.8%) and after in 46 cases (42.2%). The median time to death was four days (Q1 = 2 days; Q3 = 7 days

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“…Factors associated with death: a low Glasgow score, a hematoma volume greater than 30 ml. These dif-ferent factors are recognized as a source of poor prognosis [10] [25].…”

Section: Discussionmentioning

confidence: 99%

Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)

Hugues Brieux,

Léocia Exaucée,

Josué Euberma

et al. 2024

View full text Add to dashboard Cite

show abstract

Facteurs prédictifs de mortalité des hématomes cérébraux aux CHU de Lomé

Cited by 1 publication

References 0 publications

Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)

Management of Spontaneous Intracerebral Haemorrhage (sICH) at the University Hospital of Brazzaville (CONGO)

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