Prise en charge médico-chirurgicale des abcès du cerveau à l’ère du scanner en Afrique sub-saharienne : à propos de 112 cas

Kabré, A; Zabsonre, S.; Diallo, O.; Cissé, Rabiou

doi:10.1016/j.neuchi.2014.06.011

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Clinically, fever is inconstant [2,9], present in 92% of our series ranging from 39 to 40°C. Intracranial hypertension varies from 69 to 100% of cases [7], 46% in our series. It is thought to be related to underlying cerebral edema and upper sagittal sinus thrombophlebitis [16].…”

Section: Discussionmentioning

confidence: 47%

“…The frequency of abscesses varies with the level of health and economic development of the regions [7].…”

Section: Discussionmentioning

confidence: 99%

“…In the developing countries of the South, particularly in Black Africa, brain abscesses remain an ongoing problem [7,8]. In terms of diagnosis, modern imaging techniques are still not available, and in terms of prognosis, the diffi culties of treatment and the combination of complications inherent to a delay in diagnosis explain the seriousness of these suppurations [9].…”

Section: Introductionmentioning

confidence: 99%

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Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center

Fatoumata¹,

Sory²,

Ghislain³

et al. 2021

J Biomed Res Environ Sci

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Introduction: Brain abscesses are serious conditions that can be life-threatening if left untreated. The objective of our study was to determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary characteristics of cerebral abscesses of otorhinolaryngological origin in our department. Methods and Materials: This was a retrospective study of 80 cerebral abscess files of otorhinolaryngological origin collected over a period of 5 years (January 2014-December 2018) at the neurosurgery department of Conakry University Hospital Center. Results: Abscesses of otorhinolaryngological origin represented 72% of all abscesses. The mean age was 14.7 years with a sex ratio of 4. The clinical picture was dominated by fever (92%), focal signs (55%) and intracranial hypertension (46%). The entrance door was 84% sinus. The frontal site was predominant, 44 cases. Eighty-two percent of patients underwent surgery and 18% were treated with antibiotic therapy alone. The evolution was favorable in 75% of the cases with a mortality rate of 15%. Conclusion: Brain abscesses are a medical-surgical emergency. The forms of otorhinolaryngologic origin are dominated by sinusitis. Despite the therapeutic difficulties, the prognosis remains acceptable in our study, 15% of deaths.

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Section: Discussionmentioning

confidence: 47%

“…The frequency of abscesses varies with the level of health and economic development of the regions [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center

Fatoumata¹,

Sory²,

Ghislain³

et al. 2021

J Biomed Res Environ Sci

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“…For Boumediane [9], Sichiziya [10], Idowu [11], Nathoo [12], it is mainly otitis. Traumatic causes were found only in 4.9% of cases, unlike Sichiziya [10] and Kabré [5] who found them in first position with respectively However, Anwary [14] finds, in his study, a significant proportion of infratentorial sites equal to those of the intracranial parietal regions.…”

Section: Therapeutic and Evolutionary Datamentioning

confidence: 83%

“…Indeed, the action on the sources of these infections, largely represented by ORL infections, will reduce these ICS. Despite our medical practice in the area of certain diseases such as malaria, we must know how to evoke these ICS in some patients as noted Kabré [5]. Early management of these conditions will limit the treatment to the medical component essentially.…”

Section: Therapeutic and Evolutionary Datamentioning

confidence: 99%

Intracranial Suppuration at the Brazzaville Academic Hospital

Boukassa¹,

Mbaki²,

Ngackosso³

et al. 2020

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Background: Intracranial suppurations (ICS) due to banal germs are medical-surgical emergencies, despite their little removed frequency. Represented by abscesses and empyemas, their management has been improved by the combined contributions of new diagnostic and therapeutic methods. Objective: Appreciate the management of intracranial suppurations banal germ in our service. Material and methods: A retrospective study of 41 cases of intra-cranial suppurations was conducted at Brazzaville University Hospital, from January 2007 to June 2019. Diagnostic, therapeutic and evolution aspects have been studied. Results: They are divided into 24 empyemas, 8 abscesses and 9 associations abscess-empyema. The average age was 20.2 years old in general. The male predominance is noted in all groups. The sex ratio is 3.1 for all of these intracranial suppurations (ICS). They frequently complicated Oto-Rhino-Laryngology (ORL) infections (41.4%). The clinic was mostly represented by the Bergman's triad 51.2%, followed by headache 14.6% and seizures 12.2%. The lesions were predominant in supratentorial 97.5%. Frontal location was found in 67.4%. Germs were isolated in 29.4% of samples. There were 5 Streptococci, 3 Staphylococci and 2 Gram-negative Bacilli. The medico-surgical treatment indicated in 80.5% combined often probabilistic tri-antibiotherapy with the evacuation of the pus by the trepano-puncture. Evolution under this treatment was marked by healing in 90.2%. The lethality was 9.7%. Conclusion: The pursuit of the improvement of these infections requires the adequate treatment of their gateways, most of them loco-regional.

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