Volume 4, Issue 2, June 2020, Page: 33-37
Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication
Sow Adjaratou Dieynabou, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Ewodo Touna Hilaire Dominique, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Coudjou Ghislain De Chacus, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Saphou-Damon Michel-Arnaud, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Ekanmian Brandon Gael, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Basse Anna Modji, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Atsa Kouda Daniel, CURY, Emergency Center of Yaounde, ‎Yaoundé‎, Cameroon
Frank Ladys Banzouzi, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Amadou Gallo Diop, Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Received: May 20, 2020;       Accepted: Jun. 1, 2020;       Published: Jun. 16, 2020
DOI: 10.11648/j.cnn.20200402.13      View  196      Downloads  53
Abstract
Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.
Keywords
Morbimortality, Stroke, Atelectasis, Senegal
To cite this article
Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, Basse Anna Modji, Atsa Kouda Daniel, Frank Ladys Banzouzi, Amadou Gallo Diop, Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication, Clinical Neurology and Neuroscience. Vol. 4, No. 2, 2020, pp. 33-37. doi: 10.11648/j.cnn.20200402.13
Copyright
Copyright © 2020 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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