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• W3000696857 abstract "RESUME Introduction. Les accidents vasculaires cerebraux constituent un probleme de sante publique a travers le monde. L’objectif de notre etude etait de decrire les accidents vasculaires cerebraux au service de medecine de l’Hopital Somine Dolo de Mopti. Methodes. Nous avons effectue une etude transversale descriptive retrospective couvrant la periode de janvier a decembre 2016. Ont ete inclus dans l’etude tous les patients hospitalises durant cette periode pour accident vasculaire cerebral. Resultats. Au total, nous avons collige 134 patients sur 468 patients, soit une prevalence hospitaliere de 28,63 %. Il y avait 56,72 % d’hommes et 70,15% des patients avaient plus de 60 ans. Les facteurs de risque les plus frequents etaient  l’hypertension arterielle (42,54 %), le diabete (13,43 %) et l’hypercholesterolemie (8,95%). L’hemiplegie a ete le deficit neurologique le plus frequent (34,33%). Les accidents vasculaires cerebraux ischemiques ont represente 55,22% des cas. Parmi ces patients, 67,16% ont ete mis sous anti hypertenseurs. L’evolution a ete satisfaisante chez 83% des patients. Le taux de letalite globale a ete de 17%. Conclusion. La presentation des AVC dans notre service suit les schemas habituels. La prevention des accidents vasculaires cerebraux constitue la mesure la plus efficace dans notre milieu a travers une meilleure prise en charge des facteurs de risque cardiovasculaires, la mise en place d’une unite neurovasculaire. ABSTRACT Introduction. The objective of the study was to describe the clinical profile of patients with stroke admitted in a sub-Saharan African setting. Methods. This was a cross sectional descriptive retrospective study that covered the period from January 2016 to December 2016. All the patients hospitalized for stroke during that period in the department of internal medicine of Somine Dolo hospital of Mopti were recruited. The diagnosis of stroke was based of clinical presentation and CT findings. Our data of interest were sociodemographic data, clinical presentation, type of stroke and outcome. Results. We recruited 134 patients out of 468 patients, giving a hospital prevalence of 28.63%. Male patients represented 56.72% of the series. Patients aged 60 years or more  represented 70.15% of the series. The most frequent risk factors were high blood pressure (42.54%), diabetes (13.43%) and hypercholesterolemia (8.95%). Hemiplegia was the most frequent neurological deficiency (34.33%). Ischemic stroke represented 55.22% of the cases. 67.16% of patients were ordered blood pressure medications The evolution was satisfactory for 83% of the patients. The lethality rate was 17%. Conclusion. Clinical presentation of stroke in our department follows the common pattern. The prevention of cerebrovascular accidents is the most effective step in our area through a better treatment of cardiovascular risk factors, the establishment of a neurovascular unit." @default.
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• W3000696857 date "2020-01-11" @default.
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• W3000696857 title "Accidents Vasculaires Cérébraux dans le Service de Médecine de l’Hôpital Somine Dolo de Mopti, Mali" @default.
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