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Thrombose veineuse cerebrale au CHU de Fann, Dakar : a propos de 30 cas
| Content Provider | Semantic Scholar |
|---|---|
| Author | Mbourou, Nelly Diouf Nsounda, Annick Banzouzi, Prince Eg Sounga Ndiaye, Moustapha |
| Copyright Year | 2019 |
| Abstract | Introduction: La thrombose veineuse cerebrale represente une pathologie vasculaire veineuse autrefois dite rare. Objectif: L’objectif principal de notre etude etait d’etudier les differents aspects cliniques, paracliniques, etiologiques et evolutifs des thromboses veineuses cerebrales. Methodologie: Il s’agissait d’une etude prospective de 30 cas de thromboses veineuses cerebrales admis au service de neurologie de Fann durant la periode allant de janvier 2013 a juillet 2016. L’imagerie cerebrale etait le critere indispensable pour confirmer le diagnostic. Resultats: Notre enquete comportait 21 femmes et 9 hommes avec un âge moyen de 34,4 ans. L’installation des signes etait subaigue dans la majorite des cas. Le motif d’admission etait polymorphe, domine par les cephalees (86,7%), les vomissements (60,0%), l’hemiplegie (56,7%). L’imagerie cerebrale revelait majoritairement 14 cas de thrombose du sinus lateral (46,7 %) et 10 cas de sinus longitudinal superieur (33,3%). Les causes non infectieuses (50%) notamment gyneco-obstetricales dominaient. L’evolution sous heparinotherapie etait le plus souvent favorable ; seules des cephalees sequellaires demeuraient. Conclusion: La thrombophlebite cerebrale constitue une urgence pronostique et therapeutique. La variabilite du diagnostic pourrait expliquer le retard de la prise en charge. Mots-cles: Dakar, Fann, Thrombose veineuse cerebrale English Title: Cerebral venous thrombosis at University Hospital of Fann, Dakar: about 30 cases English Abstract Introduction: Cerebral venous thrombosis brings forth a vascular vein thrombosis previously said to be rare. Objective: Our main objective was to investigate different clinical, paraclinical, etiological and evolutive aspects of cerebral venous thrombosis. Methodology: This prospective study involved thirty (30) cases of cerebral venous thrombosis admitted at the Fann’s neurology service from January 2013 to July 2016. Brain CT-scan or MRI were used to confirm the diagnostic. Results: Our investigation comprised 21 women and 9 men with mean age 34.4 years. The onset was sub-acute in the majority of cases. Symptoms and signs on admission were predominantly cephalalgia (86.7%), vomitting (60.0%), hemiplegia (56.7%). Brain imaging revealed a majority of 14 cases of thrombosis of the lateral sinus (46.7%), and 10 cases of superior longitudinal sinus (33.3%). Non infectious causes (50%) of gyneco-obstetric origin dominated. Improvement under heparin therapy was most often favorable; only cephalalgia however persisted. Conclusion: Cerebral veinous thrombosis presents a prognostic and therapeutic emergency. The variability of the diagnostics could explain the delay on care. Keywords: Cerebral venous thrombosis, Dakar, Fann, Cerebral venous thrombosis, Dakar, Fann |
| Starting Page | 11 |
| Ending Page | 18 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| DOI | 10.4314/ajns.v38i1 |
| Volume Number | 38 |
| Alternate Webpage(s) | https://www.ajol.info/index.php/ajns/article/download/191146/180323 |
| Alternate Webpage(s) | https://doi.org/10.4314/ajns.v38i1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
