The authors report a case of deficient sensory neuropathy secondary to vitamin B12 deficiency, diagnosed in the neurology department of the Sino-Central African Friendship University Hospital in Bangui. The diagnosis ...The authors report a case of deficient sensory neuropathy secondary to vitamin B12 deficiency, diagnosed in the neurology department of the Sino-Central African Friendship University Hospital in Bangui. The diagnosis was made possible by electroneuromyography which showed subclinical neurological damage associated with hematological damage (anemia). Through this observation, we recall the diagnostic criteria of the disease in a context of difficult medical practice. .展开更多
Introduction: The stroke is a real public health problem due to its frequency, its severity, its residual physical and cognitive handicap and its financial cost for society. Goal of the Study: To contribute to the kno...Introduction: The stroke is a real public health problem due to its frequency, its severity, its residual physical and cognitive handicap and its financial cost for society. Goal of the Study: To contribute to the knowledge of these conditions in neurological practice in the Central African Republic. Methodology: Analytical cross-sectional study which took place over a period of 4 months from June 1 to September 30, 2020, in subjects aged 55 and over hospitalized in the Neurology department of the Friendship Sino University Hospital. Central African woman for a stroke with a complete file. Results: During the study, 118 patients were hospitalized in the department, including 24 cases of stroke, for a hospital frequency of 20.33%. The average age was 67.1 years old and the male/female sex ratio was 1.6. Motor deficit and language disorder were the main reasons for consultation (100%). Hypertension was the main risk factor (91.7%). Stroke was the most predominant type of stroke (54.8%). Most of our patients (58.3%) were admitted to healthcare facilities before 6 a.m. The lethality was 25%. There was a statistically significant association between the severity of hypertension and the type of stroke as well as the patient’s condition at discharge. The NIHSS score and the KARNOFSKY score were significantly related to the patient’s condition at discharge. All the discharged patients presented with sequelae such as hemiparesis (75%) and dysarthria (45.8%). Conclusion: Stroke is a serious, disabling pathology that is increasingly common with the aging of the population. The creation of a neurovascular unit and a rehabilitation unit could improve the prognosis and course of stroke in our elderly patients. .展开更多
文摘The authors report a case of deficient sensory neuropathy secondary to vitamin B12 deficiency, diagnosed in the neurology department of the Sino-Central African Friendship University Hospital in Bangui. The diagnosis was made possible by electroneuromyography which showed subclinical neurological damage associated with hematological damage (anemia). Through this observation, we recall the diagnostic criteria of the disease in a context of difficult medical practice. .
文摘Introduction: The stroke is a real public health problem due to its frequency, its severity, its residual physical and cognitive handicap and its financial cost for society. Goal of the Study: To contribute to the knowledge of these conditions in neurological practice in the Central African Republic. Methodology: Analytical cross-sectional study which took place over a period of 4 months from June 1 to September 30, 2020, in subjects aged 55 and over hospitalized in the Neurology department of the Friendship Sino University Hospital. Central African woman for a stroke with a complete file. Results: During the study, 118 patients were hospitalized in the department, including 24 cases of stroke, for a hospital frequency of 20.33%. The average age was 67.1 years old and the male/female sex ratio was 1.6. Motor deficit and language disorder were the main reasons for consultation (100%). Hypertension was the main risk factor (91.7%). Stroke was the most predominant type of stroke (54.8%). Most of our patients (58.3%) were admitted to healthcare facilities before 6 a.m. The lethality was 25%. There was a statistically significant association between the severity of hypertension and the type of stroke as well as the patient’s condition at discharge. The NIHSS score and the KARNOFSKY score were significantly related to the patient’s condition at discharge. All the discharged patients presented with sequelae such as hemiparesis (75%) and dysarthria (45.8%). Conclusion: Stroke is a serious, disabling pathology that is increasingly common with the aging of the population. The creation of a neurovascular unit and a rehabilitation unit could improve the prognosis and course of stroke in our elderly patients. .
