Publisher: African Journals Online   (Total: 263 journals)

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Showing 1 - 200 of 263 Journals sorted alphabetically
Abia State University Medical Students' Association J.     Full-text available via subscription   (Followers: 2)
Acta Structilia : J. for the Physical and Development Sciences     Open Access   (Followers: 3)
Acta Theologica     Open Access   (Followers: 12, SJR: 0.282, CiteScore: 0)
Africa Development     Open Access   (Followers: 34, SJR: 0.155, CiteScore: 0)
Africa Sanguine     Full-text available via subscription   (Followers: 1)
African Anthropologist     Open Access   (Followers: 16)
African Crop Science J.     Open Access   (Followers: 4)
African Health Sciences     Open Access   (Followers: 4, SJR: 0.446, CiteScore: 1)
African J. of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 9)
African J. of Biomedical Research     Open Access   (Followers: 1, SJR: 0.145, CiteScore: 0)
African J. of Chemical Education     Open Access   (Followers: 5)
African J. of Clinical and Experimental Microbiology     Open Access   (Followers: 4, SJR: 0.192, CiteScore: 0)
African J. of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 6)
African J. of Drug and Alcohol Studies     Full-text available via subscription   (Followers: 6, SJR: 0.168, CiteScore: 0)
African J. of Economic Policy     Full-text available via subscription   (Followers: 2)
African J. of Educational Studies in Mathematics and Sciences     Full-text available via subscription   (Followers: 9)
African J. of Food, Agriculture, Nutrition and Development     Open Access   (Followers: 26, SJR: 0.115, CiteScore: 0)
African J. of Governance and Development     Full-text available via subscription   (Followers: 6)
African J. of Health Professions Education     Open Access   (Followers: 6)
African J. of Infectious Diseases     Full-text available via subscription   (SJR: 0.243, CiteScore: 0)
African J. of Livestock Extension     Full-text available via subscription   (Followers: 2)
African J. of Neurological Sciences     Open Access  
African J. of Physiotherapy and Rehabilitation Sciences     Open Access   (Followers: 10)
African J. of Reproductive Health     Open Access   (Followers: 8, SJR: 0.381, CiteScore: 1)
African J. of Rheumatology     Full-text available via subscription   (Followers: 1)
African J. of Social Work     Open Access   (Followers: 1)
African J. of Sustainable Development     Full-text available via subscription   (Followers: 9)
African J. of Traditional, Complementary and Alternative Medicines     Open Access   (Followers: 6)
African J. on Conflict Resolution     Open Access   (Followers: 27)
African Research Review     Open Access   (Followers: 9)
African Review of Economics and Finance     Open Access   (Followers: 9)
African Sociological Review : Revue Africaine de Sociologie     Open Access   (Followers: 3)
Afrika Statistika     Open Access   (Followers: 1)
Afrimedic J.     Open Access   (Followers: 2)
Afrique Science : Revue Intl.e des Sciences et Technologie     Open Access   (Followers: 2)
AFRREV IJAH : An Intl. J. of Arts and Humanities     Open Access   (Followers: 6)
AFRREV LALIGENS : An Intl. J. of Language, Literature and Gender Studies     Open Access   (Followers: 6)
AFRREV STECH : An Intl. J. of Science and Technology     Open Access   (Followers: 3)
Agro-Science     Full-text available via subscription   (Followers: 2)
Agronomie Africaine     Full-text available via subscription  
Agrosearch     Open Access   (Followers: 2)
Animal Research Intl.     Full-text available via subscription   (Followers: 8)
Annales des Sciences Agronomiques     Full-text available via subscription  
Annals of African Surgery     Open Access  
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 4)
Annals of Humanities and Development Studies     Open Access   (Followers: 7)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Modern Education     Full-text available via subscription   (Followers: 6)
Arab J. of Nephrology and Transplantation     Open Access   (Followers: 1)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
ATBU J. of Environmental Technology     Open Access   (Followers: 5)
Bayero J. of Pure and Applied Sciences     Open Access   (Followers: 3)
Bio-Research     Full-text available via subscription   (Followers: 5)
Biokemistri     Open Access  
Botswana J. of Economics     Open Access   (Followers: 1)
Botswana J. of Technology     Full-text available via subscription   (Followers: 1)
Bulletin of Animal Health and Production in Africa     Full-text available via subscription   (Followers: 3)
Bulletin of the Chemical Society of Ethiopia     Open Access   (Followers: 1, SJR: 0.24, CiteScore: 1)
Cameroon J. of Experimental Biology     Open Access  
Central African J. of Medicine     Full-text available via subscription  
Communicate : J. of Library and Information Science     Full-text available via subscription   (Followers: 67)
Contemporary J. of African Studies     Full-text available via subscription   (Followers: 4)
Counsellor (The)     Full-text available via subscription   (Followers: 3)
Creative Artist : A J. of Theatre and Media Studies     Open Access   (Followers: 11)
Critical Studies in Teaching and Learning (CriSTaL)     Open Access   (Followers: 17)
Dar Es Salaam Medical Students' J.     Open Access  
East African J. of Public Health     Full-text available via subscription   (Followers: 4)
East African Medical J.     Full-text available via subscription   (Followers: 2, SJR: 0.122, CiteScore: 0)
East African Orthopaedic J.     Full-text available via subscription   (Followers: 1)
East and Central African J. of Pharmaceutical Sciences     Open Access   (Followers: 3)
East and Central African J. of Surgery     Open Access  
Eastern Africa Social Science Research Review     Full-text available via subscription   (Followers: 7)
Ebonyi Medical J.     Full-text available via subscription  
Egyptian J. of Biochemistry and Molecular Biology     Full-text available via subscription  
Egyptian J. of Biology     Open Access  
Egyptian J. of Natural History     Open Access   (Followers: 1)
Egyptian J. of Pediatric Allergy and Immunology     Open Access   (Followers: 2)
ESARBICA J. : J. of the Eastern and Southern Africa Regional Branch of the Intl. Council on Archives     Full-text available via subscription   (Followers: 6)
Ethiopian J. of Agricultural Sciences     Open Access  
Ethiopian J. of Biological Sciences     Open Access   (Followers: 4)
Ethiopian J. of Business and Economics     Full-text available via subscription   (Followers: 1)
Ethiopian J. of Economics     Full-text available via subscription   (Followers: 4)
Ethiopian J. of Education and Sciences     Open Access   (Followers: 6)
Ethiopian J. of Environmental Studies and Management     Open Access   (Followers: 3)
Ethiopian J. of Health Development     Open Access   (Followers: 7, SJR: 0.131, CiteScore: 0)
Ethiopian J. of Health Sciences     Open Access   (Followers: 8, SJR: 0.418, CiteScore: 1)
Ethiopian J. of Science and Technology     Open Access  
Ethiopian J. of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8, SJR: 0.101, CiteScore: 0)
Ethiopian Pharmaceutical J.     Full-text available via subscription   (Followers: 2)
Ethiopian Veterinary J.     Open Access   (Followers: 4)
Filosofia Theoretica : J. of African Philosophy, Culture and Religions     Open Access   (Followers: 1, SJR: 0.123, CiteScore: 0)
FUTY J. of the Environment     Full-text available via subscription   (Followers: 1)
Ghana J. of Agricultural Science     Full-text available via subscription   (Followers: 2)
Ghana J. of Development Studies     Full-text available via subscription   (Followers: 8)
Ghana J. of Forestry     Full-text available via subscription   (Followers: 3)
Ghana J. of Geography     Open Access   (Followers: 10)
Ghana J. of Linguistics     Open Access   (Followers: 1)
Ghana Library J.     Full-text available via subscription   (Followers: 15)
Ghana Medical J.     Open Access   (Followers: 1, SJR: 0.301, CiteScore: 1)
Ghana Mining J.     Full-text available via subscription   (Followers: 3)
Global Approaches to Extension Practice : A J. of Agricultural Extension     Full-text available via subscription   (Followers: 1)
Global J. of Agricultural Sciences     Full-text available via subscription  
Global J. of Educational Research     Full-text available via subscription   (Followers: 2)
Global J. of Engineering Research     Full-text available via subscription   (SJR: 0.109, CiteScore: 0)
Global J. of Environmental Sciences     Full-text available via subscription  
Global J. of Geological Sciences     Full-text available via subscription   (Followers: 1)
Global J. of Mathematical Sciences     Full-text available via subscription  
Global J. of Pure and Applied Sciences     Full-text available via subscription  
Global J. of Social Sciences     Full-text available via subscription   (Followers: 3)
Haramaya Law Review     Open Access   (Followers: 1)
Highland Medical Research J.     Full-text available via subscription  
Huria : J. of the Open University of Tanzania     Full-text available via subscription   (Followers: 2)
Ibadan J. of Humanistic Studies     Full-text available via subscription  
IMTU Medical J.     Full-text available via subscription  
Information Manager (The)     Open Access   (Followers: 30)
Information Technologist (The)     Full-text available via subscription   (Followers: 19)
Inkanyiso : J. of Humanities and Social Sciences     Open Access   (Followers: 1)
Internet J. of Medical Update     Open Access   (Followers: 1)
Intl. J. of Applied Agriculture and Apiculture Research     Open Access   (Followers: 3)
Intl. J. of Basic, Applied and Innovative Research     Open Access  
Intl. J. of Community Research     Open Access   (Followers: 2)
Intl. J. of Engineering, Science and Technology     Open Access  
Intl. J. of Health Research     Open Access   (Followers: 4, SJR: 0.101, CiteScore: 0)
Intl. J. of Herbs and Pharmacological Research     Open Access   (Followers: 1)
Intl. J. of Medicine and Biomedical Research     Open Access   (Followers: 1, SJR: 0.104, CiteScore: 0)
Intl. J. of Modern Anthropology     Open Access   (Followers: 2)
Intl. J. of Pedagogy, Policy and ICT in Education     Full-text available via subscription   (Followers: 3)
Italian Studies in Southern Africa : Studi d’Italianistica nell’Africa Australe     Full-text available via subscription   (Followers: 2)
J. de la Recherche Scientifique de l'Universite de Lome     Full-text available via subscription   (Followers: 2)
J. for the Study of Religion     Full-text available via subscription   (Followers: 23)
J. of Agricultural Extension     Open Access   (Followers: 2, SJR: 0.188, CiteScore: 0)
J. of Agricultural Research and Development     Full-text available via subscription  
J. of Agriculture and Food Sciences     Full-text available via subscription   (Followers: 2)
J. of Agriculture and Social Research (JASR)     Open Access   (Followers: 5)
J. of Agriculture, Forestry and the Social Sciences     Full-text available via subscription   (Followers: 5)
J. of Applied Biosciences     Open Access   (Followers: 1)
J. of Applied Science and Technology     Full-text available via subscription   (Followers: 1)
J. of Applied Sciences and Environmental Management     Open Access   (Followers: 2)
J. of Aquatic Sciences     Full-text available via subscription   (Followers: 3)
J. of Community Medicine and Primary Health Care     Open Access   (Followers: 5)
J. of Computer Science and Its Application     Full-text available via subscription   (Followers: 2)
J. of Development and Communication Studies     Open Access   (Followers: 5)
J. of Endocrinology, Metabolism and Diabetes of South Africa     Open Access   (Followers: 8, SJR: 0.174, CiteScore: 0)
J. of Environmental Extension     Full-text available via subscription  
J. of Family Ecology and Consumer Sciences :Tydskrif vir Gesinsekologie en Verbruikerswetenskappe     Open Access  
J. of Health and Visual Sciences     Full-text available via subscription   (Followers: 1)
J. of History and Diplomatic Studies     Full-text available via subscription   (Followers: 8)
J. of Language, Technology & Entrepreneurship in Africa     Open Access   (Followers: 2)
J. of Medical and Biomedical Sciences     Open Access   (Followers: 2, SJR: 0.162, CiteScore: 0)
J. of Medicine and Biomedical Research     Open Access   (Followers: 1)
J. of Meteorology and Climate Science     Full-text available via subscription   (Followers: 13)
J. of Pharmaceutical and Allied Sciences     Full-text available via subscription   (Followers: 1)
J. of Pharmacy & Bioresources     Full-text available via subscription   (Followers: 4, SJR: 0.405, CiteScore: 1)
J. of Religion and Human Relations     Open Access   (Followers: 3)
J. of Research in Forestry, Wildlife and Environment     Open Access   (Followers: 6)
J. of Research in National Development     Full-text available via subscription  
J. of Science and Sustainable Development     Full-text available via subscription  
J. of Science and Technology (Ghana)     Open Access   (Followers: 3)
J. of Social Development in Africa     Full-text available via subscription   (Followers: 8)
J. of the Ghana Science Association     Full-text available via subscription   (Followers: 3)
J. of the South African Society of Archivists     Full-text available via subscription   (Followers: 8)
J. of Tropical Microbiology and Biotechnology     Full-text available via subscription  
Jos J. of Medicine     Open Access  
KCA J. of Business Management     Open Access  
Kenya Veterinarian     Full-text available via subscription   (Followers: 2)
Kioo cha Lugha     Full-text available via subscription  
Lagos Historical Review     Full-text available via subscription  
Lagos Notes and Records     Full-text available via subscription  
Law, Democracy & Development     Open Access   (Followers: 6)
Legon J. of the Humanities     Full-text available via subscription  
Lwati : A J. of Contemporary Research     Full-text available via subscription   (Followers: 2)
Madagascar Conservation & Development     Open Access   (Followers: 3)
Makerere J. of Higher Education     Full-text available via subscription   (Followers: 2)
Malawi J. of Science and Technology     Open Access   (Followers: 6)
Marang : J. of Language and Literature     Full-text available via subscription  
Medical J. of Zambia     Open Access  
Mizan Law Review     Open Access   (Followers: 1)
Momona Ethiopian J. of Science     Open Access   (Followers: 4)
New Agenda : South African J. of Social and Economic Policy     Full-text available via subscription  
New Egyptian J. of Microbiology     Full-text available via subscription  
Nigeria Agricultural J.     Full-text available via subscription   (Followers: 2)
Nigerian Dental J.     Full-text available via subscription   (Followers: 2)
Nigerian Endocrine Practice     Full-text available via subscription  
Nigerian Food J.     Full-text available via subscription   (Followers: 2)
Nigerian Health J.     Open Access   (Followers: 1)
Nigerian Hospital Practice     Full-text available via subscription  
Nigerian J. of Animal Science     Full-text available via subscription   (Followers: 1)
Nigerian J. of Biotechnology     Open Access  
Nigerian J. of Chemical Research     Full-text available via subscription   (Followers: 2)
Nigerian J. of Clinical Medicine     Full-text available via subscription  
Nigerian J. of Family Practice     Full-text available via subscription   (Followers: 1)
Nigerian J. of Gastroenterology and Hepatology     Full-text available via subscription  
Nigerian J. of Guidance and Counselling     Full-text available via subscription   (Followers: 3)
Nigerian J. of Medicine     Full-text available via subscription  
Nigerian J. of Natural Products and Medicine     Full-text available via subscription  
Nigerian J. of Nutritional Sciences     Full-text available via subscription  
Nigerian J. of Paediatrics     Open Access   (Followers: 1)
Nigerian J. of Parasitology     Full-text available via subscription   (Followers: 1)
Nigerian J. of Physiological Sciences     Open Access   (SJR: 0.128, CiteScore: 0)
Nigerian J. of Psychiatry     Full-text available via subscription   (Followers: 3)

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African Journal of Neurological Sciences
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ISSN (Print) 1992-2647
Published by African Journals Online Homepage  [263 journals]
  • Depression chez l’hemiplegique vasculaire a Brazzaville

    • Authors: Paul Macaire Ossou-Nguiet, Alain Maxime Mouanga, Amour Ngouma, Ghislain Armel Mpandzou, Eliot Prince Sounga Bandzouzi, Dinah Happhia Motoula Latou, Bebene Bandzouzi-Ndamba, Richard Bileckot
      Abstract: Cette étude avait pour objectif d’améliorer la prise en charge globale des patients atteints d’accident vasculaire cérébral (AVC) en décrivant les aspects épidémiologiques, cliniques et thérapeutiques de la dépression post-AVC qui est une complication sous-estimée malgré ses conséquences sur l’état fonctionnel et la qualité de vie des patients. Une cohorte de 70 patients atteints d’hémiplégie vasculaire a été constituée et suivie pendant six mois. La dépression a été évaluée par le questionnaire de Beck ; l’autonomie fonctionnelle et la qualité de vie, respectivement par l’index de Barthel et le Stroke Impact Scale. Un cahier d’observation a été utilisé pour obtenir des données socio-démographiques, cliniques et thérapeutiques.Tous les patients étaient déprimés. L’âge moyen des patients était de 55,5 ± 11,1 ans, le sex-ratio de 1,1. L’hémisphère gauche était le plus souvent atteint (57,5 %). Aucun patient n’a bénéficié d’une prise en charge médicamenteuse, psychologique ou sociale pendant la phase de récupération. L’évolution à 6 mois n’a pas été favorable chez 65,7 % des patients. L’âge élevé était associé à la persistance de la dépression (OR : 12,4 [1,2 - 127,9] p= 0,0]. Plus les patients était autonomes moins ils étaient déprimés (r= -0,59 ; p< 0,001) et avaient une meilleure qualité de vie (r= -0,57 ; p<0,001).Précoce et constante après une hémiplégie vasculaire, la dépression post-AVC est associé à un âge élevé. Sa prise en charge permettrait assurément d’améliorer la qualité de vie des patients, elle-même dépendante d’une gestion précoce et efficiente des AVC limitant le handicap.Mots clés: Dépression, Hémiplégie, AVCEnglish AbstractThe objective of this study was to improve the overall management of patients with stroke by describing the epidemiological, clinical and therapeutic aspects of post-stroke depression. A complication that is still unrecognized and / or underestimated despite its impact on the functional status and quality of life of patients. A cohort of 70 patients with vascular hemiplegia was established and followed for six months. Depression was assessed by Beck’s depression Inventory, Functional autonomy and quality of life, respectively by the Barthel index and the Stroke Impact Scale. An observation booklet was used to obtain socio-demographic, clinical and therapeutic data.All patients were depressed. The mean age was 55.5 ± 11.1 years, with a sex ratio of 1.1. The left hemisphere was the most affected (57.5%). No patients received medication, psychological or social support during the recovery phase. The change at 6 months was not favorable in 65.7% of the patients. The high age was associated with the persistence of depression (OR: 12.4 [1.2 - 127.9] p = 0.04). However depression was less frequent in patient with better autonomy (R = -0.59, p <0.001). These patients had a better quality of life (r = -0.57, p <0.001).Early and consistent after vascular hemiplegia, the persistence of post-stroke depression is associated with high  age. The management of post-stroke depression certainly improves the quality of life of patients, which is itself dependent on the early and efficient management of stroke, which makes it possible to limit the handicap.Keywords: Depression, Hemiplegia, Stroke
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Facteurs predictifs de mortalite des hematomes cerebraux aux CHU de lome

    • Authors: Komla Nyinevi Anayo, Lelheng Agba, Kokou Mensah Guinhouya, Vinyo Codjia, Damelan Kombate, Josue Diatewa, Vinyo Kumako, Komi Assogba, Mofou Belo, Agnon Ayelola Koffi Balogou
      Abstract: Introduction: L’hémorragie intracérébrale est un problème majeur de santé publique. Elle est responsable d’une forte létalité. Au Togo, aucune étude 3proprement dite n’a été faite concernant les facteurs de mortalité.Objectif général: Evaluer les facteurs prédictifs de mortalité des hématomes cérébraux en per hospitalisation au deux CHU de Lomé.Méthodologie: Il s’est agi d’une étude prospective analytique sur une période de six mois portant sur des patients victimes d’hémorragie intracérébrale confirmée au scanner cérébral.Résultats: Cent trente et un patients ont été inclus. L’âge moyen était de 52,46 ans avec des extrêmes de 27 ans et de 83 ans dont 51,91% de femmes. Le taux de létalité était de 19,85%. Le taxi était le moyen de transport utilisé à 80,50%. Le délai moyen de réalisation du scanner cérébral était de 3,5 jours.L’HTA était le principal facteur de létalité. L’infection nosocomiale a été la principale complication de décubitus liée à la létalité dans 53% des cas. Les autres facteurs de létalité ont été l’âge, le coma initial, l’inondation ventriculaire, les volumes de l’hématome, les difficultés financières et le retard de prise en charge spécialisée.Conclusion: La prévention et la prise en charge spécialisée rapide et efficiente surtout, des facteurs pronostiques modifiables permettront de réduire de façon significative la mortalité.Mots clés: facteurs de mortalité, hémorragie intracérébrale, Lomé, TogoEnglish Title: Predictors factors of mortality in cerebral hematoma at teaching hospital of LomeEnglish AbstractIntroduction: The haemorrhagic stroke is a major public health problem. It is responsable of a high lethality. In Togo, no proper studies have been done regarding mortality factors.General objectives: Evaluate the predictors of mortality of cerebral haematoma in the two per hospitalization CHU of Lome.Methodology: It concerns an analytical prospective study over a period of six months on patients victims of intra cerebral haemorrhage confirmed by brain scan.Results: One hundred thirty-one patients were enrolled. The average age was 52,46 years with extreme of 27 and 83 years of which of which 51,91% women. The mortality rate was 19,85%. Taxi was the means of transport used to 80,50%. The average completion time of brain scan was 3,5 days. High blood pressure was the main lethality factor. Nosocomial infection was the main decubitus complication related to lethality in 53% of cases. Other lethal factors were age, initial coma, ventricular flooding, the volume of the hematoma, financial difficulties and the late specialized management.Conclusion: Prevention and quick and efficient specialized support especially modifiable prognostic factors allow to reduce mortality significantly.Keywords: factors of mortality, intracerebral hemorrhage, Lome, Togo
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Prevalence hospitaliere et facteurs de risque de la thrombose veineuse
           cerebrale au Togo

    • Authors: Damelan Kombate, Komi Assogba, Vinyo Kumako, Josue Diatewa, Kossivi Apetse, Kokou Mensah Guinhouya, Komi Agbotsou, Panabalo Waklatsi, Mofou Belo, Agnon Ayelola Koffi Balogou
      Abstract: Introduction: Les thromboses veineuses cérébrales (TVC) sont des cas spécifiques d’accidents vasculaires cérébraux. Elles présentent une sémiologie variable selon la topographie veineuse. Les situations à risque sont nombreuses, dominées dans notre contexte par les causes infectieuses, hématologiques, post-opératoires et le péripartum.Objectif: Déterminer la prévalence hospitalière des TVC, les facteurs de risque et les variantes topographiques à l’imagerie.Méthodes d’étude: Il s’agissait d’une étude transversale rétrospective entre le 12 juin 2015 et 11 juin 2016. Nous avons inclus dans cette étude les patients admis dans le service de neurologie et pour lesquels le scanner cérébral avait montré un infarctus ne correspondant pas à un territoire artériel, proche d’un sinus veineux, lorsqu’il avait une composante hémorragique, ou une hémorragie intra-parenchymateuse atypique pour une origine hypertensive. Le diagnostic de TVC était confirmé par l’IRM. Nous avons exclu les patients dont le scanner cérébral montrait des lésions hypodenses avec une prise de contraste annulaire ou qui ne respectaient pas de territoire veineux ou situées à distance de sinus veineux.Résultats: Durant la période d’étude, 1070 patients avaient été hospitalisés pour un accident vasculaire cérébral. Cinq cas de TVC avaient été diagnostiqués soit une prévalence hospitalière de 0, 46 %. L’âge moyen était de 40 ans (sex-ratio 0,6) avec une prédominance féminine. Les facteurs de risque étaient l’alcoolisme chronique, le VIH /SIDA. Les territoires veineux atteints étaient principalement le sinus sagittal supérieur, le sinus droit, les sinus latéraux. La TVC était hémorragique dans 60% des cas. La mortalité était élevée (60%). La durée moyenne d’évolution des symptômes avant l’admission en neurologie était de 1 mois.Conclusion: La TVC est mal connue dans nos structures sanitaires et le diagnostic est souvent fait tardivement.Mots clés: Thrombose veineuse cérébrale, prévalence, facteurs de risqueEnglish Title: Hospital prevalence of cerebral venous thrombosis and risk factors in TogoEnglish AbstractObjective: To determine the hospital prevalence of CTVs, risk factors and topographic variants in imaging.Methods: This was a retrospective cross-sectional study between June 12, 2015 and June 11, 2016. The study included patients admitted in the neurology department.with a brain scan displaying an infarct not of an arterial origin, close to a venous sinus, sometimes with a haemorrhagic component, or an atypical intraparenchymal hemorrhage not for a hypertensive origin. The diagnosis of CVT was confirmed by MRI. We excluded patients with hypodense lesions with annular contrast, or without respecting venous topography or located far from the venous sinus.Results: During the study period, 1070 patients were admitted for stroke. Five cases of CVT were diagnosed. The CVT hospital prevalence was of 0.46%. The mean age was 40 years (sex ratio 0.6) with a female predominance. Risk factors were chronic alcoholism, HIV/AIDS infection. The affected venous territories were mainly the upper sagittal sinus, the straight sinus, the lateral sinuses. CVT was hemorrhagic in 60% of cases. Mortality was high (60%). The mean duration between the symptoms onset to the hospital admission was of 1 month.Conclusion: CVT is poorly described in our health facilities and the diagnosis is often delayed.Keywords: Cerebral venous thrombosis, prevalence, risk factors
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Les formes psychiatriques des hematomes sous-duraux chroniques

    • Authors: Abdoulaye Hima-Maiga, Essossinam Stephane Kpelao, Mamadou Habib Thiam, Anthony Katanga Beketi, Abd-El Kader Moumouni, Saliou Salifou, Mohamed Maniboliot Soumah, Victorino Mendes, Magatte Gaye, Youssoupha Sakho, Mamadou Lamine Sow
      Abstract: Introduction: L’hématome sous-dural chronique est une pathologie fréquente du sujet âgé et fait partie du groupe des démences curables. Les formes à révélation neuropsychiatrique sont moins connues et posent des problèmes médico-légaux. L’objectif de cette étude était de relever les particularités de ces formes à travers 26 observations prises en charge au Sénégal.Matériels et méthodes: Il s’agissait d’une étude rétrospective de 26 cas d’hématome sous-dural chronique (HSDC) révélés uniquement par des troubles psychiatriques admis en neurologie, neurochirurgie et en psychiatrie de l’Hôpital Général de Grand Yoff et du CHU de Fann de Dakar entre 2001 à 2009. Un recul d’au moins 6 mois était nécessaire.Résultats: L’âge moyen des patients était de 80,6 ans. Aucun patient ne présentait d’antécédent psychiatrique et 11 (42,3%) étaient éthyliques. Le délire (53,8%), la désinhibition (38,5%) et les hallucinations (34,6%) étaient les principaux signes. Nous avons eu 3 personnes victimes de coups et blessure volontaire sans plainte judiciaire. Les signes ayant motivé la réalisation d’une imagerie étaient : antécédent récent de traumatisme crânien (11,5%), suspicion d’une démence (15,4%), détérioration neurologique secondaire (23,1%), inefficacité du traitement médical (26,9%), recherche d’une hydrocéphalie chronique de l’adulte (23,1%). L’imagerie avait retrouvée dans 69,2% un HSDC bilatéral dont 7 cas en bifrontal. Au recul, on notait chez tous les patients une disparition de la symptomatologie initiale.Conclusion: Les formes neuropsychiatriques des hématomes sous duraux chroniques doivent sont favorisées par l’âge élevé, l’éthylisme chronique et la topographie frontale de l’hématome et posent des problèmes médicolégaux.Mots clés: Démence - Hématome sous-dural chronique - Formes psychiatriques - SénégalEnglish Title: Psychiatric features of chronic subdural hematomasEnglish AbstractBackground: Chronic subdural hematoma is a common disease in the elderly and is part of treatable dementia. The neuropsychiatric features are less rare. The objective of this study was to identify the characteristics of these clinical presentation acrossMethods: This was a retrospective study of 26 cases of chronic subdural hematoma with psychiatric disorders admitted in neurology, neurosurgery and psychiatry of Hôpital Général de Grand Yoff and Fann’s CHU of Dakar (Senegal) between 2001 in 2009.Results: The mean age of patients was 80.6 years. No patient had a psychiatric history and 11 (42.3%) were alcoholic. Delirium (53.8%), disinhibition (38.5%) and hallucinations (34.6%) were the main signs. We had 3 persons victim of inflicted injury without judicial complaint. The signs that led to the realization of imagery were: recent history of brain injury (11.5%), suspected dementia (15.4%), neurological secondary deterioration (23.1%), ineffective medical treatment (26.9%), research of chronic hydrocephalus of adults (23.1%). CT scan and the MRI showed bilateral chronic subdural hematoma (69.2%) including 7 bifrontal location cases. In the follow up, we noticed in all patients the disparition of the initial symptoms.Conclusion: Neuropsychiatric features of chronic subdural hematomas must be suspected in dementia and poses a legal problem.Keywords: Chronic subdural hematoma - Dementia - Psychiatric features —Senegal
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Clinico-pathological evaluation of two patients presenting with the
           neuromyelitis optica syndrome

    • Authors: Ahmed Iqbal Bhigjee, Pratistadevi Kumari Ramdial, Izanne Roos
      Abstract: The discovery of the Aquaporin 4 (AQP4) antibody in patients with neuromyelitis optica (NMO) has expanded clinical spectrum of disorders associated with this antibody. It has also become clear that NMO can be a paraneoplastic manifestation of an underlying malignancy. We report on the pathological changes in the spinal cord in an NMO patient who underwent a biopsy for a suspected spinal tumour. We also present the findings in the testicular tumour of a patient who initially presented with NMO. In the first patient we demonstrate the loss of AQP4 staining and in the latter case we demonstrate the expression of AQP4 by tumour cells.Keywords: Aquaporin 4 antibodies, NMO, paraneoplastic disorder
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Double osteolipome et dysplasie corticale epileptogenes: a propos
           d’un cas

    • Authors: Badreeddine Alami, Franck Mvumbi, Meryem Boubbou, Said Boujraf, Jean-Pierre Guichard, Mustapha Maaroufi, Lamrani Moulay Youssef Alaoui
      Abstract: Introduction: Les auteurs rapportent une cause exceptionnelle d’épilepsie à déclaration tardive, liée à un double ostéolipome intracrânien cortical. L’aspect en imagerie ne souffre de difficultés diagnostiques, et la recherche des malformations associées est capitale en imagerie. La prise en charge est essentiellement médicale, le recours à la chirurgie est rarement indiqué.Observation: Il s’agit d’un jeune adulte de 19 ans sans antécédents médico-chirurgicaux particuliers, admis pour bilan de crises convulsives, chez qui l’imagerie en coupe a confirmé le diagnostic d’un ostéolipome cortical bifocal. La prise en charge s’est résumée à un traitement médical anticonvulsivant avec une évolution favorable.Conclusion: En conclusion, il s’agit de la première observation de la littérature médicale rapportant un ostéolipome cortical bifocal associé à une dysplasie corticale. A travers ce cas les auteurs mettent l’accent sur les lipomes intra-craniens avec quelques éléments de diagnostic positif et différentiel. Dans les formes épileptogènes, la gestion médicale des ostéolipomes est associée à un bon contrôle de la maladie épileptique. La chirurgie est indiquée dans les formes associées à des compressions des nerfs crâniens ou associées à une hydrocéphalie obstructive.Mots clés: dysplasie corticale, épilepsie, IRM, ostéolipomeEnglish Title: Bifocal epileptogenic osteolipoma associated with cortical dysplasia: a case report
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Grossesse et hypophysite: une nouvelle observation

    • Authors: Saadia Makni, Lilia Affes, Slim Charfi, Fatma Kolsi, Rim Kallel, Brahim Kammoun, Fatma Mnif, Tahya Sellami Boudawara
      Abstract: Introduction: L’hypophysite est une lésion hypophysaire rare qui pose des difficultés diagnostiques et thérapeutiques. Ses manifestations cliniques et radiologiques sont difficiles à distinguer des tumeurs hypophysaires.Observation: Nous rapportons, l’observation d’une femme âgée de 40 ans qui s’est présenté pour des céphalées, troubles visuels et vomissements au cours de son troisième trimestre de grossesse. L’imagerie par résonnance magnétique a montré une masse sellaire et supra sellaire de 21 mm et qui adhérait au chiasma optique. L’examen anatomopathologique réalisé après une chirurgie d’exérèse trans-sphénoïdale a montré un tissu fibreux associé à des lymphocytes et à des plasmocytes. Une nette amélioration clinique était obtenue après le traitement chirurgical, une corticothérapie et un traitement hormonal thyroïdien substitutif.Conclusion: L’hypophysite est une maladie rare et doit être considérée dans le diagnostic différentiel des désordres hypophysaires durant la grossesse.Mots clés: pseudotumeur inflammatoire, hypophysite, grossesse, IgG4English Title: Pregnancy and hypohpysitis: a case reportEnglish AbstractIntroducion: Hypophysitis is an uncommon sellar condition in which diagnosis and management pose a significant problem, as its clinical manifestation and radiological features are difficult to distinguish from that of pituitary tumors.Case report: We report, in this study, a case of 40 year-old woman presenting with headaches, vision disturbances and vomiting, during her third trimester. Magnetic resonance imaging (MRI) showed a 21 mm mass at the sellar and supra sellar regions, this mass adhered to the optic chiasm. Pathologic examination, after transsphenoïdal surgery revealed fibrous stroma with dense infiltrates of small lymphocytes and plasma cells. Resolution of the symptoms occured after surgery and replacement treatment by steroïds and physiological thyroxine.Conclusion: Hypophysitis is a rare diasease that should be considered in the differential diagnosis of pituitary disorders during pregnancy.Keywords: inflammatory pseudotumor ; hypophysitis ; pregnancy ; IgG4
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Severe hypokalemia mimicking Guillain-Barré Syndrome in 42-years-old
           Ethiopian patient: case report

    • Authors: Biniyam Alemayehu Ayele, Abenet Tafesse Mengesha, Douglas Dulli
      Abstract: Acute neuromuscular paralysis is one of the common neurological emergencies, of which Guillain Barre Syndrome (GBS) remains the most common cause. This syndrome presents with acute ascending muscle weakness and loss of deep tendon reflexes (DTR), often preceded by distal paresthesia and back pain. However, a severe hypokalemia may have a similar presentation and put the treating physician in dilemma.We report a 42-year-old previously healthy man, who presented with acute areflexic ascending quadriparesis associated with impending respiratory failure. This followed a one day history of frequent diarrhea, vomiting and low grade fever. A provisional diagnosis of GBS was given by the treating physician and the patient was intubated for ventilatory support. A few hours later the serum potassium and magnesium were reported to be very low, so the patient was given parenteral potassium chloride (KCl), later supplemented with magnesium. Following KCl infusion, the patient’s neurologic and respiratory conditions improved dramatically and he was extubated .Despite continued KCL infusion; however, the patient suddenly sustained cardiac arrest and expired, which is attributable to multiple electrolyte disturbance especially low potassium and low magnesium, it’s important to bear in mind that in 5% of the cases GBS is associated with autonomic dysfunction.Even though severe hypokalemia related muscle weakness reported rarely, it is a potentially treatable and correctable cause of neuromuscular weakness. Therefore treating physician should have this in mind whenever faced with such acute areflexic ascending weakness associated with hypokalemia, especially in resource limited setup like Ethiopia, where it’s difficult to have comprehensive emergency work up for such patients to differentiate possible causes of acute generalized weakness.Keywords: Cardiac arrest, Guillain-Barre syndrome, Hypokalemia, Hypomagnesemia
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Laparoscopic insertion of lumbar peritoneal shunts for idiopathic
           intracranial hypertension

    • Authors: Dinesh Naidoo, Akos Kiss, Dimitri Manoussakis
      Abstract: Background: The treatment of idiopathic intracranial hypertension varies from simple observation to the mechanical diversion of cerebrospinal fluid.Objective: To describe our technique and initial experience with the laparoscopic insertion of lumbarperitoneal shunts.Conclusion: Lumbarperitoneal shunts should be preferentially inserted into the peritoneum via laparoscopy rather than via the (locally) more prevalent mini-laparotomy.
      PubDate: 2017-12-08
      Issue No: Vol. 36, No. 1 (2017)
       
  • Kyste arachnoïdien complique d’un hematome sous dural chronique chez
           l’enfant : a propos d’un cas et revue de la litterature

    • Authors: Khaled Bounamous, Mourad Bouaziz
      Abstract: Les kystes arachnoïdiens sont des lésions kystiques extraparenchymateuses d’origine malformative. Il n’y a pas de consensus quant à leurs étiologies. Ils sont asymptomatiques le plus souvent, mais peuvent parfois, chez l’enfant, se rompre et entrainer une collection sous durale.Un cas d’hématome sous dural chronique chez un enfant secondaire à la rupture d’un kyste arachnoïdien temporo-sylvien jusque-là asymptomatique est présenté.Cette complication est rare chez l’enfant et dois être prise en charge chirurgicalement.Mots clés: hématome sous dural chronique, kyste arachnoïdien, ruptureEnglish Title: Arachnoid cyst complicated with chronic subdural hematoma in children: a case report and review of the literatureEnglish AbstractArachnoid cysts are extraparenchymal cystic lesions, their origin is malformative. There is no consensus about their etiologies. They are asymptomatic most often, but can sometimes, in the child, break and cause a subdural collection.A case of chronic subdural hematoma in a child secondary to rupture of an asymptomatic temporo-sylvian arachnoid cyst is presented.This complication is rare in children and should be surgically treated.Keywords: chronic subdural hematoma, arachnoid cyst, rupture
      PubDate: 2017-12-07
      Issue No: Vol. 36, No. 1 (2017)
       
 
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