Volume 3, Issue 2, June 2019, Page: 50-57
Mortality and Morbities of Severe Stroke in Limited Ressources Neurological Service
Komi Assogba, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Kossivi Apetse, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Watouo Marlène Djobosse, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Lantam Sonhaye, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Nynèvi Anayo, Radiology and Medical Imagery Services, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Panabalo Waklatsi, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Abdoulah Blakime, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Victor Kokou Adjenou, Radiology and Medical Imagery Services, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Koffi Agnon Ayélola Balogou, Neurology Department, Campus University Teaching Hospital, University of Lomé, Lomé, Togo
Received: Feb. 22, 2019;       Accepted: Apr. 9, 2019;       Published: Jun. 29, 2019
DOI: 10.11648/j.cnn.20190302.15      View  622      Downloads  137
Introduction: Severe strokes have poor prognosis by their heavy motor and cognitive consequences. Objective: To describe the epidemiological, clinical and therapeutic aspects of these strokes. Material and Method: A retrospective and analytical study was conducted from January 2015 to December 2016 in the neurology department of our University Hospital. The diagnosis of severe stroke was based on clinical criteria (NIHSS score greater than 17, Glasgow score less than 9, and a WFNS stage greater than or equal to IV); and CT scan criteria (stroke location in the posterior fossa, carotid and Sylvian malignant infarction, cerebral hemorrhage with ventricular flood and mass effect). Results: We recorded 1964 strokes and 163 patients had severe stroke with a frequency of 8.3%. Of the 163 severe strokes, ischemic were observed in 38.7% and hemorrhagic for 61.3%. The average age was 55.8 ± 12.8. The motor deficit (76.1%) and disturbances of consciousness (62.6%) were the most admission signs. High blood pressure was the main risk factor (64.8%) and the etiology of hemorrhage in 83.5%. Atherosclerosis was the main etiology (86.4%) of ischemia. The hemorrhagic lesions location was diencephalic (67.7%) and brainstem (21.7%). Overall mortality was 44.8%, including 72.6% of early mortality due to haemorrhage. Predictive factors of mortality were the high NIHSS score, low Glasgow score, presence of ventricular flood, and high volume of hematoma. Conclusion: The high incidence of severe stroke and its early mortality rate demonstrate that many challenges remain to be done to improve the management of patients and avoid disabling sequelae.
Epidemiology, Clinical, Severe Stroke, Treatment
To cite this article
Komi Assogba, Kossivi Apetse, Watouo Marlène Djobosse, Lantam Sonhaye, Nynèvi Anayo, Panabalo Waklatsi, Abdoulah Blakime, Victor Kokou Adjenou, Koffi Agnon Ayélola Balogou, Mortality and Morbities of Severe Stroke in Limited Ressources Neurological Service, Clinical Neurology and Neuroscience. Vol. 3, No. 2, 2019, pp. 50-57. doi: 10.11648/j.cnn.20190302.15
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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