Prise en charge de l’hypertension artérielle à la phase aiguë de l’accident vasculaire cérébral à l’hôpital Laquintinie de Douala-Cameroun

Tegueu, Callixte Kuate; Tajeuna, J.J. Dongmo; Djomou, Armel; Jacques, Denis; Noubissi, D.G.; Djientcheu, V. De Paul

doi:10.1016/j.neurol.2013.01.205

Cited by 2 publications

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“…Several African studies have reported a predominance of stroke in women: 55.3% [20]; 56.2% [30]; 56% [32]. However, other studies have reported a predominance of stroke in men relative to women: 53% vs. 47%, respectively [24] [36]. The male predominance in stroke patients has also been found in other African studies by Ngoufo [37] and Ouédraogo [14].…”

Section: Gendermentioning

confidence: 67%

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Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&ocirc;te D’Ivoire

Bâ,

Atayi,

Assi

2023

JBM

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Background: Recent literature reported a recurrent increase in hemorrhagic stroke (HS) rates in low-and middle-income countries. However, the causes and mechanisms of the rising HS rates are unknown. To address these issues, the present epidemiological study was carried out in the neurovascular unit of the neurology department at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan (Africa). Methods: The study included 60 patients hospitalized from January 1 to December 31, 2016, who underwent brain CT (computerized tomography) scans. We examined the medical records and survey forms in these patients with acute stroke (within 7 days) admitted to the Neurovascular Unit receiving only stroke patients. In these patients, we explored stroke distribution according to socio-demographic variables: age, gender and socio-professional categories. In addition, common risk factors were assessed. Results: In Côte d'Ivoire, our studies showed an ischemic stroke (IS) rate of 66.67% and a hemorrhagic stroke (HS) rate of 33.33%. Our studies indicated that stroke particularly affects the 40 -60 age group. Then, stroke frequency has fallen in the 30 -40 and 60 -70 age groups, becoming rare in relatively young (<20 years) and elderly (>70 years) subjects. In the sample analyzed, stroke occurred in women (56.67%) compared with men (43.33%). However, there was no gender-specific predilection for stroke. In addition, 90% of strokes occur in the working population and 10% in the non-working population. Arterial hypertension was the highest medical risk factor among patients (66.13%), compared with the other risk factors i.e. alcohol (17.42%), smoking (12.90%), previous stroke (9.67%), diabetes (6.65%), heart disease (6.65%) and dyslipidemia (3.23%). Specifically, hypertension was the main risk factor causing HS (45%) and IS (21.66%) in patients. Conclusion: Stroke particularly affected socio-economically active subjects

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Section: Gendermentioning

confidence: 67%

“…Studies carried out in several African countries have shown that stroke affects the same range of age groups: 40 -59 years [20]; 40 -49 years [21]; 40 -59 years [22]; 50 -60 years [23]. However, vulnerability in older age groups (50 -70 years) and (60 -75 years) has been reported [24] [25].…”

Section: Agementioning

confidence: 99%

Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&ocirc;te D’Ivoire

Bâ,

Atayi,

Assi

2023

JBM

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“…Dans les études de Balogou et al [10] et Assogba et al [11] le déficit moteur prédominait également et représentait 51 % et 96% des signes cliniques. Le déficit moteur est le principal motif de d'hospitalisation des AVC rapporté dans la littérature [12,13].…”

Section: Données Cliniquesunclassified

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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Prise en charge de l’hypertension artérielle à la phase aiguë de l’accident vasculaire cérébral à l’hôpital Laquintinie de Douala-Cameroun

Cited by 2 publications

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Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&ocirc;te D’Ivoire

Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&ocirc;te D’Ivoire

Facteurs pronostiques de l’hématome cérébral spontané à la tomodensitométrie

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Prise en charge de l’hypertension artérielle à la phase aiguë de l’accident vasculaire cérébral à l’hôpital Laquintinie de Douala-Cameroun

Cited by 2 publications

References 0 publications

Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&amp;ocirc;te D’Ivoire

Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, C&amp;ocirc;te D’Ivoire

Facteurs pronostiques de l’hématome cérébral spontané à la tomodensitométrie

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Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, Côte D’Ivoire

Stroke Epidemiological Study at the Centre Hospitalier Universitaire (CHU) de Cocody in Abidjan, Côte D’Ivoire