Computed Tomography Aspects of Hemorrhagic Strokes in the Northen Region of Burkina Faso-Reference-Cited by-同舟云学术

Computed Tomography Aspects of Hemorrhagic Strokes in the Northen Region of Burkina Faso

Published:2024-04-02 Issue:1 Volume:12 Page:11-15
ISSN:2330-832X
Container-title:International Journal of Medical Imaging
language:en
Short-container-title:IJMI

Author:

Marouruana Some¹,Ali Ouedraogo¹,Ida Tankoano²,Bassirou Kindo¹,Moussa Zanga³,Nina-Astrid Ouedraogo⁴,Léonie Lougue³,Rabiou Cisse⁵

Affiliation:

1. Medical Imaging Department of the Ouahigouya Regional University Hospital, University of Ouahigouya, Ouahigouya, Burkina Faso

2. Medical Imaging Department, Nazi Boni University, Souro Sanou University Hospital, Bobo Dioulasso, Burkina Faso

3. Medical Imaging Department, Joseph Ki Zerbo University, Charles de Gaulle University Paediatric Hospital, Ouagadougou, Burkina Faso

4. Medical Imaging Department, Joseph Ki Zerbo University, Bogodogo University Hospital, Ouagadougou, Burkina Faso

5. Medical Imaging Department, Joseph Ki Zerbo University, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso

Abstract

Stroke is a major public health problem worldwide, the third leading cause of death, and the leading cause of acquired physical disability in adults. Compared with cerebral infarctions, hemorrhagic strokes tend to occur earlier in life and have a poorer prognosis. We aim to study the computed tomography aspects of hemorrhagic strokes in the CHUR-OHG imaging department. This was a descriptive cross-sectional study with retrospective data collection, from 29 September 2022 to 31 August 2023. It concerning patients with hemorrhagic stroke confirmed by brain scan. The mean age of 58 included patients was 59 ± 15 years and the sex ratio was 1.23. Acquisition without injection of contrast medium was performed in 98.28% of cases. Intracerebral hemorrhage was the most frequent lesion (98.28%). It was isolated or associated with ventricular flooding (36.21%) or meningeal hemorrhage (12.07%). It was divided into capsular hematomas in 84.21% of cases with mainly lenticular and thalamic extensions in 49.12% and 36.84% of cases respectively. A mass effect was found in 43.10% of cases on the ventricles and 44.83% on the midline, which was deviated by an average of 6.75 ± 3.1 mm. Cerebral involvement and edema were present in 34.48% and 6.90% of cases respectively. Hemorrhagic strokes is a serious and fatal disease. Primary prevention focusing on risk factors, early diagnosis using Computed tomography or, at best, magnetic resonance imaging, and appropriate management are essential to improve the prognosis.

Publisher

Science Publishing Group

Link

https://article.sciencepublishinggroup.com/pdf/j.ijmi.20241201.13

Reference23 articles.

1. Raveloson NE, Zodaly N, Rakotoarivony ST, Mbolamena RL, Randriamiarana JM. Aspects épidémiocliniques, évolutifs et tomodensitométriques des accidents vasculaires cérébraux hémorragiques (34 cas). [Epidemiological, evolutionary, and computed tomography aspects of haemorrhagic stroke (34 cases)]. Revue d’anesthésie-réanimation et de médecine d’urgence 2011; 3(1): 15–9.

2. Lecmlerc X, Khalil C, Silvera S, Gauvrit Y, Bracard S, Meder F, Pruvo P. Imagerie des hématomes intracérébraux non traumatiques. [Imaging of non-traumatic intracerebral haematomas]. Journal of Neuroradiologie 2016. https://doi.org/JNR-12-2003-30-5-0150-9861-101019-ART07

3. Broderick JP, Adams HP, Barsan W, Feinberg W, Feldmann E, Grotta J, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.. Stroke 1999; 30(4): 905-15. https://doi.org/10.1161/01.str.30.4.905

4. Amarenco P. Attaque cérébrale: qu’est-ce qu’une hémorragie cérébrale, une hémorragie méningée? [Stroke: what is a cerebral hemorrhage, a meningeal hemorrhage?] Corresondances en neurologie vasculaire 2003; 3: 11-15.

5. Sonhaye L, Tchaou M, Adjenou K, Agoda-Koussema LK, N’Timon B, N’Dakena, K. Aspects scanographiques des accidents vasculaires cérébraux au Chu Campus de Lome, Togo (à propos de 314 cas). [Scanographical aspects of cerebral vascular accidents at the Chu campus of Lome, Togo (About 314 cases)]. J Rech Sci Univ Lomé (Togo), 2011: 31–6.