Objective. To determine the prevalence of ischemic stroke deaths and their predictive factors in the Emergency Department at Yalgado Ouedraogo University Teaching Hospital (YOUTH). Methodology. This ...was a retrospective study with an analytical and descriptive focus over a period of three years from January 1, 2015, to December 31, 2017. Results. During the study period, 302 acute ischemic stroke patients with a mean age of 62.2±14.26 years were included. Atrial hypertension was the most common vascular risk factor in 52.5%. On admission, 34.8% of patients had loss of consciousness. The mean time to perform brain CT was 1.5 days. The average length of stay was 4 days. Electrocardiogram, echocardiography, and cervical Doppler were not performed during hospitalization in ED. The mortality rate was 39%, respectively, 37.6% in male and 41.6% in female. The mean age of patients who died in ED was 63.6±13.52 years. Hypertension was the most common vascular risk factors in 54.2% of death. After logistic regression, the predictors of death were past history of heart disease, consciousness disorders, hyperthermia, hyperglycemia on admission, poststroke pneumonia, and urinary tract infection. Conclusions. Acute ischemic stroke was frequent in Emergency Department with high mortality rate. The mortality risk factors were the same than those found in literature. This higher mortality can be avoided by early diagnosis and an adequate management.
Background
The community pharmacists educate patients and their families concerning the development of adherence to their therapy, and then improving health-related quality of life for those ...patients. Our study aims to describe the management of epilepsy in pharmaceutical pharmacies in a low income country.
Methods
This was a cross-sectional study carried out in the pharmaceutical pharmacies of the city of Ouagadougou during a period of 2 months, from November 15 to December 15, 2020.
Results
Fifty six pharmacists with a mean age of 41 ± 12.73 years were included in the study. Of them, 7.14% received specific training on epilepsy. Respondents with good knowledge about epilepsy were 48.21%. The level of “good knowledge” was significantly higher among respondents who had received specific training in epilepsy and among those with more than 15 years of experience as a dispensary pharmacist. The experience of more than 15 years was the factor significantly associated with a level of good knowledge about epilepsy. Regarding the seizure first aid management, the majority of pharmacists knew the attitudes of seizure first aid management by citing the lateral security position (83.9%). Phenobarbital was the most widely used antiepileptic drug in 96.43%. In 47.17% (
n
= 53) of pharmacies, demand exceeded supply.
Conclusions
Effort must be put on the supply of antiepileptic drugs and the training of health personnel.
Snake bites remain a major medical problem in West Africa, and hemorrhagic stroke following a snakebite has emerged as a rare secondary condition. The objective of this study was to determine the ...neurological complications following snake bite.
This study included all the cases of hemorrhagic stroke following snake bite admitted in the neurology Department of Yalgado Ouedraogo University Teaching Hospital during the period from January 1st, 2018 to December 31st 2019.
Three cases of hemorrhagic stroke following snake bite were included in the study. The strokes occurred 4-15 days after the snakebite. Traditional treatment was applied in two cases. Complications were significant, including local manifestations and severe anemia in 2 patients who received blood transfusion. Snake anti-venom was applied. At admission, motor deficit, conscience disorders and fever were the most frequent complaints. Patients received repeated dose of snake anti-venom was applied, antitetanus prophylaxis and antibiotherapy during hospitalization. The majority of the patients had completely recovered.
Hemorrhagic stroke following snake bites are rare in Burkina Faso. Clinical outcome of stroke was favorable after treatment by antivenom, anti-tetanus serum and antibiotics.
Les épilepsies de l’enfant restent un motif fréquent de consultation au service de neurologie au CHUR de Ouahigouya. Elles constituent un véritable problème de santé au Burkina Faso.
Nous nous ...proposons de décrire les caractéristiques épidémiologiques, cliniques, paracliniques et syndromiques des épilepsies de l’enfant au CHUR de Ouahigouya au Burkina Faso.
Il s’agit d’une étude transversale, prospective et descriptive de 5 ans du 1er janvier 2016 au 31 décembre 2021, portant sur tous les enfants âgés de 6 mois à 15 ans reçus en consultation et/ou hospitalisés en neurologie ou en pédiatrie pour épilepsies au CHUR de Ouahigouya. Les données ont été collectées sur une fiche de recueil d’information. L’analyse des données faite grâce aux logiciels TATA.
Cent cinq enfants ont été colligés (63 garçons et 42 filles). Cinquante-huit patients présentaient une épilepsie idiopathique. L’âge moyen des patients était de 6,4 ans. Seize patients sont issus d’une consanguinité. Les crises généralisées étaient retrouvées chez 79 patients. L’imagerie cérébrale retrouvait les lésions ischémiques chez 25 patients. Les syndromes épileptiques étaient plus représentés par les épilepsies à paroxysme rolandiques (24 patients).
De cette étude il ressort que les épilepsies de l’enfant sont fréquentes au CHUR de Ouahigouya. Le contexte d’infections périnatales et de souffrances fœtales constitue des facteurs étiologiques les plus fréquents des épilepsies de l’enfant. Cependant les EPCT et les EAE sont des syndromes épileptiques les plus fréquents.
Les épilepsies de l’enfant au CHUR de Ouahigouya impliquent un équipement conséquent du service de neurologique pour leur diagnostic et prise en charge.
La neurocysticercose est une parasitose, cosmopolite. Elle constitue un problème de santé publique. Elle parait peu fréquente à Ouahigouya mais un dépistage plus systématique pourrait augmenter cette ...fréquence.
L’objectif de notre étude est de décrire les aspects cliniques, à l’imagerie et évolutifs de la neurocysticercose cérébrale à partir de cas hospitalisés au Centre Hospitalier Universitaire Régional de Ouahigouya.
Il s’agit d’une étude prospective des cas de neurocysticercose dans le service de neurologie du Centre Hospitalier Universitaire Régional de Ouahigouya entre le 1er juin 2017 et le 31 mars 2022.
Au total, 24 cas de neurocysticercose cérébrale ont été colligés au Centre Hospitalier Universitaire Régional de Ouahigouya. La fréquence globale est de 4,8 cas/an. L’âge moyen variait de 42 ans. 18 malades de sexe masculin et 6 féminins. 15 patients présentaient des lésions kystiques. Au total, 12 patients ont bénéficié d’une ponction lombaire. Tous les patients ont été traités avec de l’albendazole.
Il ressort de cette étude que la neurocysticercose paraît fréquente à Ouahigouya. Ce taux semble lié à la consommation de la viande de porc ou de bœuf male cuite et une hygiène alimentaire précaire. Ainsi l’examen d’imagerie cérébrale systématique à tous les patients suivis pour épilepsie s’avère nécessaire.
La neurocysticercose cérébrale parait peu fréquente au Burkina Faso. Les aspects cliniques font ressortir la prédominance des crises convulsives. Les traitements sont accessibles.
Les accidents vasculaires cérébraux constituent un enjeu majeur de santé publique en Afrique particulièrement au Burkina Faso. Ils nécessitent une prise en charge adéquate des patients atteints.
...Décrire les aspects épidémiologiques, cliniques et paracliniques des accidents vasculaires cérébraux au CHRU de Ouahigouya/Burkina Faso.
Nous avons mené une étude prospective et descriptive dans le service de neurologie du centre hospitalier universitaire régional de Ouahigouya au Burkina Faso allant du 1er janvier 2020 au 31 juillet 2021.
La fréquence hospitalière des accidents vasculaires cérébraux était de 12,7 %. L’âge moyen était de 54,5 ans. Nous avons retrouvé 56,2 % hommes et 44,8 % femmes. Nous avons retrouvé comme facteurs de risques l’hypertension artérielle 57,7 %. Les antécédents étaient représentés par les cardiopathies 48 %. Le délai moyen d’admission aux urgences était de 8 jours. Soixante-quinze pour cent patients ont bénéficié de la tomodensitométrie cérébrale. L’évolution était létale dans 8,5 %.
Nous avons constaté que les accidents vasculaires cérébraux ne sont pas que l’apanage des sujets âgés. La méconnaissance des signes cliniques au début et l’éloignement des centres de santé sont source du retard de la prise en charge des patients. Quand la prise en charge est tardive, la létalité reste élevée.
Les accidents vasculaires cérébraux sont des pathologies fréquentes en Afrique Noire nécessitant une prévention et une prise en charge adéquate.
studies on stroke recurrence are rare in sub-Sahara Africa. The aim to this study is to determine the prevalence and risk factors for recurrent stroke in two University Teaching Hospital in Burkina ...Faso.
this prospective cross-sectional study was carried on 266 stroke patients admitted in two hospitals in the city of Ouagadougou from September 1, 2017 to February 28, 2018. Patients with stroke recurrence (ischemic or hemorrhagic) were included.
of 266 acute stroke patients included, 44 (16.4%) had recurrent stroke. The mean age of patients was 66.5 ± 11.49 years with male predominance. Hypertension was the most vascular risk factors (81.8%). Previous stroke was ischemic in 61.4%, hemorrhagic in 22.7% and unknown in 15.9% of cases. Poor compliance (< 60%) was determined in patients taking antiagregant (43.6%) and statins (50%). At admission, the most neurological disorders was motor deficit (100%), aphasia (84.1%), and deglutition disorders (15.9%). CT scan showed ischemic in 82% and hemorrhagic stroke in 18% of cases. With the analysis of second stroke, recurrent stroke after intracerebral hemorrhage was hemorrhagic in 77.8% and ischemic in 22.2%. Recurrent stroke after ischemic stroke was ischemic in 100%.
stroke recurrence is common in our context. Hypertension was the most common vascular risk factor in recurrent stroke. Poor compliance was determined in patients taking antiagregant agents and statins in previous stroke.
Background. Epilepsy is one of the most common pediatric neurological disorders. The knowledge and attitude of teachers toward epileptic students can be crucial. Patients and methods. This ...cross-sectional study was carried on schoolteachers in the city of Ouagadougou during the period from March 02 to July 20, 2020. The schools were chosen randomly among a list of recognized public or private establishments. Results. Two hundred and twenty teachers were included in the study. Among them, 35.45% were post-primary teachers. Most of them had already heard of epilepsy (98.6%). For the majority of school teachers, epilepsy was not a contagious disease (74%). Regarding the causes of epilepsy, the majority of participants had listed brain disease (65%) and genetic disorders (18.20%). The majority of schoolteachers (70.9%) believed that students with epilepsy usually had associated mental retardation. For the majority of teachers (73.20%), epilepsy was a stigmatizing disease, and students with epilepsy should benefit from personalized supervision (65%). The majority of schoolteachers (75.9%) had a good knowledge of epilepsy, and 43.6% had good attitudes toward epilepsy. The factor associated with teachers' knowledge was having witnessed an epileptic seizure (p<0.05). The factors related to schoolteacher practice was gender (p<0.05) and having already witnessed an epileptic seizure (p<0.05) Conclusion. Our study found that teachers had a good knowledge of epilepsy, but attitudes and practices were inadequate. Key words: epilepsy * knowledge * attitudes * practices * epileptic child
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