Strokes among youth ( 15 to 45 years old) in the neurological department of the medical teaching hospital, campus-lome

Balogou, K; Grunitzky, E. K.; Assogba, Komi; Apetse, K; Kombaté, Damelan; Amouzouvi, D

doi:10.4314/ajns.v27i2.55090

Cited by 4 publications

(12 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study done in urban population in Saint-Louis of Senegal [21], 13% of hypertension is found between 15 and 24 years; 23% of HTA between 25 and 34 years; 33% HTA between 35 and 44 years and 58% for those aged 45 to 54 years. This very high rate of hypertension at 80.4% is in agreement with the studies of Balogou [3] in Togo and Kalita [13] in India, which found respectively an HTA rate of 79.9% and 79%. In the Black American study by Love B.…”

Section: Etiologies Of Hemorrhagic Strokesupporting

confidence: 92%

“…The average age in our series was 39.95 years old. This is relatively close to that of Balogou which was 38.5 years old [3]. In another study, the average age was smaller: 33 years for the study of Mohamed Chraa [6].…”

Section: Epidemiological Datasupporting

confidence: 71%

“…In our study the rate of sickle cell disease SS 3.2%, is close to that of Onwuchekwa [63]: 3.7%. Balogou [3] found a lower rate of 1.4%. Studies have shown that the incidence of stroke in sickle cell SS increases with age: 310/100000 people per year for under 18 years, 360/100000 people per year between 18 and 34 years, 1160/100000 people per year between the ages of 34 and 65, and 4700/100000 people per year for those over 65 [23].…”

Section: Etiologies Of Ischemic Strokesmentioning

confidence: 88%

“…In Mauritania, studies found 48% of hemorrhagic stroke vs. 52% of ischemic stroke [1]. Balogou et al found in Lomé in young subjects 37.6% of hemorrhagic stroke vs 62.4% ischemic stroke [3].…”

Section: Different Types Of Strokementioning

confidence: 96%

See 3 more Smart Citations

Stroke in Senegalese Young Women: About 109 Cases

Gaye¹

2018

SJCM

View full text Add to dashboard Cite

Considered for a long time as pathology of the elderly, stroke is more and more frequent in the young subject, 12 to 15% of the stroke occurs in the people under 50 years old. The situation is alarming because the consequences are tragic on the economic and social levels. We will be interested in the stroke of the young women. This is a cross-sectional descriptive study over 22 month in neurology department in Fann teaching hospital, period from August 2012 to June 2014. This allowed to the compilation of 109 patients with stroke according to the WHO definition and aged between 16 and 50 years. This study focuses on 109 women aged between 17 and 50 years with an average age of 39.95 years. The most representative age range is between 36 and 45 years. Only 3.7% of patients had a level of education higher than baccalaureate, 59.6% were not in school.57.8% had an ischemic stroke and 42.2% had a hemorrhagic stroke, with an average age of 39 years for ischemic stroke and 40 years for hemorrhagic stroke. The most important cardiovascular risk factors for ischemic stroke were dyslipidemia (73%), high blood pressure (42.9%), sedentary lifestyle (38.1%), and estrogen-progestin contraception intake were found in 23.8 % of cases. According to the TOAST classification, the etiology is embolic heart disease (25.4%), macroangiopathy (17.5%), microangiopathy (7.9%), others (15.9%), and in 41.2% of the patients the etiology is not found. The main cardiovascular risk factors in hemorrhagic stroke were hypertension (80.4%), dyslipidemia (58.7%), sedentarily (59.1%), migraine (23.9%) an oestroprogestative contraception intake (6.5%).The etiologies of hemorrhagic stroke are arterial hypertension (80.4%), left middle cerebral artery aneurysm (6.5%), arteriovenous malformation (4.3%), infectious arteritis (4.3%), hemostasis disorder (2.2%), and undetermined origin (2.2%). Bad eating habits, sedentary lifestyle lead an increase cardiovascular risk factors and, at the same time, the stroke rate in young women. Prevention must go through a good awareness-raising policy.

show abstract

Section: Etiologies Of Hemorrhagic Strokesupporting

confidence: 92%

Section: Epidemiological Datasupporting

confidence: 71%

Section: Etiologies Of Ischemic Strokesmentioning

confidence: 88%

Section: Different Types Of Strokementioning

confidence: 96%

See 2 more Smart Citations

Stroke in Senegalese Young Women: About 109 Cases

Gaye¹

2018

SJCM

View full text Add to dashboard Cite

show abstract

“…[1] The thalamus is a diencephalic structure whose nuclei represent a gateway for input and output to and from the cerebral cortex. The thalamus is supplied by four arterial branches, (thalamoperforating, thalamogeniculate, thalamotuberal and posterior choroidal arteries).…”

Section: Introductionmentioning

confidence: 99%

Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo

Assogba¹,

Sonhaye²,

Akakpo³

et al. 2015

AJPN

View full text Add to dashboard Cite

Background and purpose: The thalamic infarct is frequent among ischemic stroke. We aim to determine the frequency of the thalamic infarct and analyze the different arterial territories affected in patients with thalamic syndrome. Patients and Methods: It was a prospective study. It focused on patients hospitalized in the neurology department of our university hospital, and covered the period from January to December, 2012. Only inpatients respondents to clinical and radiological criteria for diagnosis of thalamic ischemic stroke were included. All were evaluated with detailed clinical and neuropsychological evaluation, computer tomography scan (CT scan), routine blood studies, electrocardiogram, and transthoracic echocardiography. All standard risk factors were recorded in these patients. Results: A total of 768 files were analyzed of which 219 cases of cerebral infarction were selected. Among them, 12 patients had lesions involved only thalamic nuclei, which giving the frequency of 5.48%. The mean age was 59.33 years old with a ratio sex of 1.7. The clinical signs most observed were motor deficits (8/12), speech disturbances and anterograde memory impairment (7/12), and. sensory loss (5 cases). The high blood pressure was the main risk factor in all patients. The left thalamic ischemia was most frequent with 7/12 cases. The arterial territories affected were formed by the thalamotuberal arteries in 5/12, thalamoperforating arteries, (4/12), thalamogeniculate arteries, (3/12) and posterior choroidal arteries in 2/12, giving fourteen lesions. Conclusion: Thalamic infarct solely is not so rare and all its arterial branches may be affected. The sensory deficits and abnormal involuntary movement remain the embarrassing and difficult symptom to manage.

show abstract

Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Kamdem,

Maka Kamdem,

Kenmegne

et al. 2023

Journal for Vascular Ultrasound

View full text Add to dashboard Cite

Introduction: The advent of Doppler ultrasound has revolutionized the diagnosis of even subclinical atherosclerosis of the neck vessels. The aim of this study was to evaluate the contribution of Doppler ultrasound of the supra-aortic trunks in the etiological evaluation of ischemic stroke. Methods: Our cross-sectional and analytical study with retrospective and prospective data collection more than 8 years from January 1, 2010, to December 31, 2017, involved patients aged at least 21 years who were hospitalized for ischemic stroke. Doppler ultrasound of the supra-aortic trunks allowed us to group carotid atherosclerotic plaques into 5 grades according to the Gray-Weal classification modified by Geroulakos. Similarly, we assessed the degree of carotid stenosis in these patients. Factors associated with atherosclerotic plaques and stenosis were determined using multivariate logistic regression. Associations with a P < 0.1 in univariate regression were included in the multivariate model. Differences were considered significant for P < .05. Results: We recruited 271 patients with a mean age of 60 ± 12 years. Hypertension, increased low-density lipoprotein, diabetes, smoking, and obesity were present in 76.8%, 74.7%, 36.5%, 9.6%, and 80.1%, respectively. Atherosclerotic carotid plaques were found in 76.0% of the patients. For the left carotid artery, Grade I, II, and III plaques were present in 32.4%, 30.5%, and 21.4% of these patients, respectively, and the results were similar in the right carotid artery. Age ≥60 years, female gender, and increased low-density lipoprotein were significantly associated with carotid atherosclerosis (odds ratio = 12.6, P = .003; odds ratio = 3.23, P = .001; and odds ratio = 4, P = .002, respectively). Carotid stenosis ≥50% was found in 5.9% of patients with plaque, and age >70 years was significantly associated with these stenoses (odds ratio = 4.74, P = .045). Conclusion: Our study showed a high prevalence of atherosclerotic carotid plaques (76.0%) and stenosis (5.9%) among patients with ischemic strokes who had Doppler ultrasound of the neck vessels. Age is a powerful risk factor associated with carotid atherosclerosis and stenosis. Female gender and dyslipidemia are also significantly associated with carotid atherosclerotic plaques.

show abstract

Strokes among youth ( 15 to 45 years old) in the neurological department of the medical teaching hospital, campus-lome

Cited by 4 publications

References 4 publications

Stroke in Senegalese Young Women: About 109 Cases

Stroke in Senegalese Young Women: About 109 Cases

Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo

Contribution of Doppler Ultrasound of the Supra-Aortic Trunks in the Etiological Evaluation of Ischemic Strokes at the Douala General Hospital

Contact Info

Product

Resources

About