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Abstract

RÉSUMÉ
Introduction. L’hémorragie méningée ou hémorragie sous-arachnoïdienne (HSA) se définit par une issue de sang dans les espaces sous arachnoïdiens]. Elle est une sous classe d’accident vasculaire cérébral avec représentativité de 5 à 10%, la cause principale est la rupture d’anévrisme intracrânien. La mortalité globale est estimée entre 40 - 50%. Nous avons mené ce travail afin de décrire les aspects épidémio-cliniques et évolutifs des HSA dans le service de neurologie du CHU du point G. Méthodes. Il s’agissait d’une étude prospective descriptive des cas d’HSA colligés du 1er janvier 2016 au 31 septembre 2018. Ont été inclus les patients des 2 sexes hospitalisés pour HSA confirmées. Résultats. Vingt et un patients ont été recensés sur un total de 1492 hospitalisations soit une fréquence de 1,4%. L’âge moyen des patients de notre série était de 49,7 ans avec des extrêmes de 28 et 90 ans. Nous avons trouvé un sex-ratio de 1,1. Les céphalées étaient présentes chez 71,4%. Des antécédents d’hypertension artérielle et de tabagisme étaient retrouvés respectivement chez 57,1% et 14,3% des cas. La ponction lombaire a été effectuée chez 2 patients (9,5%). La durée moyenne d’hospitalisation était de 14,5 jours. La mortalité était de 14,3%. Conclusion. L’hémorragie sous arachnoïdienne est une pathologie rare mais grave dont la prise en charge ne doit souffrir d’aucun retard. Un plateau technique adéquat et une approche multidisciplinaire (urgentistes, radiologues, neurologues et neuro chirurgiens) peut réduire la mortalité et le handicap.


ABSTRACT
Background. Subarachnoid hemorrhage (SAH) is defined as an issue of blood in the subarachnoid spaces [1]. It is a subclass of cerebrovascular accident (stroke) with representativeness of 5 to 10%, the main cause is the rupture of intracranial aneurysm. The overall mortality is estimated between 40 - 50% [2]. We carried out this work in order to describe the epidemiological and clinical and evolutionary aspects of HSAs in the neurology department of the G-spot CHU. Methods. This was a prospective descriptive study of ASH cases collected from January 1, 2016 to September 31, 2018. Patients of both sexes hospitalized for confirmed ASH were included. Results. Twenty-one patients were identified out of a total of 1492 hospitalizations, ie a frequency of 1.4%. The mean age of the patients in our series was 49.7 years with ranges of 28 and 90 years. We found a sex ratio = 1.1. Headache was present in 71.4%. A history of hypertension and smoking were found respectively 57.1% and 14.3%. Lumbar puncture performed in 2 patients 9.5%. The average length of hospital stay was 14.5 days. Mortality was 14.3%. Conclusion. Subarachnoid hemorrhage is a rare but serious pathology, the management of which should not be delayed. An adequate technical platform and a multidisciplinary approach (emergency physicians, radiologists, neurologists and neurosurgeons) can reduce mortality and disability.

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How to Cite
AS, S. ., TH, C., D, S. ., T, C. ., G, L. ., SH, D. ., EED, C. ., M, S. ., D, T. ., S, H. ., M, D. ., M, Z. ., YM, M. ., O, D. ., & CO, G. . (2021). Aspects Épidémiocliniques et Évolutifs des Hémorragies Méningées Non Traumatiques au CHU du Point G à Bamako. HEALTH SCIENCES AND DISEASE, 22(11). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/2996

References

  1. OMS. Rapport sur la situation mondiale des maladies non transmissibles 2010. 2011. Available from: URL: https://www.who.int/nmh/publications/ncd_report-summary_fr.pdf?ua=1. Accessed 10 December 2020.
  2. OMS. Cancer. 2021. Available from: URL: https://www.who.int/fr/news-room/fact-sheets/detail/cancer. Accessed 20 March 2021.
  3. Ly A, Khayat D, Dausset J. Le cancer en Afrique : de l’épidémiologie aux applications et perspectives de la recherche biomédicale. Paris : Institut national de la santé ; 2006.
  4. Echimane AK, Ahnoux AA, Adoubi I, Hien S, M'Bra K, et al. Cancer incidence in Abidjan, Ivory Coast. First results from the cancer registry, 1995-1997. Cancer 2000;89: 653-63.
  5. Parkin DM, Sitas F, Chirenge M, Stein L, Abratt R, et al. Part I: cancer in indigenous African – burden, distribution and trends. Lancet Oncol 2008;9(7): 683-92.
  6. Bang GA, Savom EP, Oumarou BN, Ngamy CKM, Moto GB, et al. Clinical epidemiology and mortality risk factors of gastric cancer in a sub-Saharan African setting: a retrospective analysis of 120 cases in Yaoundé (Cameroon). Pan Afr Med J 2020;37: 104.
  7. Nguefack CT, Biwole ME, Massom A, Kamgaing JT, Njamen TN, et al. Epidemiology and surgical management of breast cancer in gynecological department of Douala General Hospital. Pan Afr Med J 2012;13: 35.
  8. Gombé Mbalawa C, Diouf D, Nkoua Mbon JB, Minga B, Makouanzi Nsimba S, et al. Arrivée des malades cancéreux aux stades avancés : tentative d’identification de responsabilité. Bull Cancer 2013;100(2): 167-72.
  9. OMS. Cameroun. 2014. Available from: URL: https://www.who.int/cancer/country-profiles/cmr_fr.pdf?ua=1. Accessed 10 February 2021.
  10. OMS. Cancer tomorrow. 2020. Available from: URL: https://gco.iarc.fr/tomorrow/en/dataviz/isotype. Accessed 21 January 2020.
  11. Bray F, Jemal A, Grey N, Ferlay J, Forman D. Global cancer transitions according to the Human Development Index (2008–2030): a population-based study. Lancet Oncol 2012;13(8): 790–801.
  12. Global Burden of Disease Cancer Collaboration. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol 2019;5(12): 1749–68.
  13. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, et al. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010;127(12): 2893-917.
  14. Kuipers EJ, Grady WM, Lieberman D, Seufferlein T, Sung JJ, et al. Colorectal cancer. Nat Rev Dis Primers 2015;1: 15065.
  15. Djeumi TW, Guifo ML, Bang A, Ngo Nonga B, Essomba A, et al. Statistical View of Malignant and Suspected Malignant Tumors in the Surgical Ward of the Yaounde University Teaching Hospital. J Carcinog Mutagen 2019;10: 339.
  16. Garba SM, Zaki HM, Arfaoui A, Hami H, Soulaymani A, et al. Épidémiologie des cancers au Niger, 1992 à 2009. Bull Cancer 2013;100(2): 127-33.
  17. Ndahindwa V, Ngendahayo L, Vyankandondera J. Aspects épidémiologiques et anatomopathologiques des cancers dans les centres hospitaliers universitaires (chu) du Rwanda. Rwanda Med J 2012;69(1): 40-9.
  18. Kadende P, Engels D, Ndoricimpa J, Ndabaneze E, Habonimana D, et al. Les cancers digestifs au burundi : Premiers résultats d’une enquête menée à Bujumbura. Med Afr Noire 1990;37(10): 552-61.
  19. Chbani L, Hafid I, Berraho M, Nejjari C, Amarti A. Digestive cancers in Morocco: Fez-Boulemane region. Pan Afr Med J 2012;13: 46.
  20. Lepage C, Remontet L, Launoy G, Trétarre B, Grosclaude P, et al. Trends in incidence of digestive cancers in France. Eur J Cancer Prev 2008;17(1): 13-7
  21. Miles ACJ, Smith RA, Wardle J. A perspective from countries using organized screening programmes. Cancer. 2004;101(5 suppl):1201–13.
  22. Eichholzer M, Richard A, Rohrmann S, Schmid SM, Leo C, et al. Breast cancer screening attendance in two Swiss regions dominated by opportunistic or organized screening. BMC Health Serv Res 2016;16(1): 519.
  23. Rajaraman P, Anderson BO, Basu P, Belinson JL, Cruz AD, et al. Recommendations for screening and early detection of common cancers in India. Lancet Oncol 2015;16:e352–61.
  24. Antilla A, Lönnberg S, Ponti A, Suonio E, Villain P, et al. Towards better implementation of cancer screening in Europe through improved monitoring and evaluation and greater engagement of cancer registries. Eur J Cancer 2015;51: 1080–81.
  25. Oshima A. A critical review of cancer screening programs in Japan. Int J Technol Assess Health Care 1994;10: 346–58.
  26. Ishikawa O, Ohigashi H, Imaoka S, Nakaizumi A, Uehara H, et al. Minute carcinoma of the pancreas measuring 1 cm or less in diameter--collective review of Japanese case reports. Hepatogastroenterology 1999;46(25): 8-15.
  27. Furukawa H, Okada S, Saisho H, Ariyama J, Karasawa E, et al. Clinicopathologic features of small pancreatic adenocarcinoma. A collective study. Cancer 1996;78(5): 986-90.

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