41 results on '"Kossivi Apetse"'
Search Results
2. Headache and MTHFRT677T Genotype in a Young Woman - Clinical Case
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Guy Armand Rouleau, Damelan Kombate, Koffi Aa Balogou, Sirui Zhou, Komi Assogba, Seylom Kossi Biosse, Kossivi Apetse, and Agbémélé K M Soedje
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Economics and Econometrics ,Pediatrics ,medicine.medical_specialty ,business.industry ,Genotype ,Materials Chemistry ,Media Technology ,Medicine ,Forestry ,Clinical case ,business - Published
- 2021
3. Morbidité et mortalité des accidents vasculaires cérébraux au Togo
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Vinyo Kumako, Kossivi Apetse, Léhleng Agba, Kombate Damelan, Mofou Belo, and Agnon Ayelola Koffi Balogou
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Neurology ,Neurology (clinical) - Published
- 2023
4. Biometrics of the Cervical Spinal Canal and Cord by Computer Tomography in Togo
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Kossivi Apetse, Lantam Sonhaye, Gani Watara, Kahabilou Atsa Agbangba, Komlan Amoussou, Abdoulatif Amadou, Mazamaesso Tchaou, Komlavi Adjenou, and Bidamin N’Timon
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030222 orthopedics ,Cord ,business.industry ,Mean age ,Normal values ,Anatomy ,Cervical spinal canal ,Spinal cord ,Teaching hospital ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,medicine ,business ,030217 neurology & neurosurgery ,Rachis - Abstract
Studies on the canal dimensions of the cervical spinal are rare in Africa. The aim of this study is to provide normal values of the cervical spinal canal and spinal cord dimensions of adult people in Togo. It was about a twelve-year prospective study conducted in the main Hospitals of Campus Teaching Hospital. This study involved people of more than 18 years who neither presented any clinical sign nor rachis defect. The distances measured were antero-posterior 1 (APD1) and inter-pedicular (IPD) of the cervical spinal canal, the antero-posterior 2 (APD2) and the transverse (TD) diameters of the cervical spinal cord, followed with APD2/APD1 (R1) and TD/IPD (R2) research reports. The mean age was 38 +/- 9.34 years old. The average of APD1 of the cervical spinal canal stood at 15.41 ± 0.55 mm, with a minimum of 10.48 ± 0.57 mm and a maximum of 25.00 ± 2.60 mm. The IPD average stood at 23.27 ± 1.67 mm with a minimal average of 13.68 ± 1.46 mm and a maximal average of 33.68 ± 1.46 mm. The average of DAP2 was 11.66 ± 0.66 mm, with a minimum of 10.7 ± 0.66 mm and a maximum of 12.77 ± 0.66 mm. The DT average stood at 15.55 ± 1.54 mm, with a minimal average of 14.03 ± 2.43 mm and a maximal average of 17.63 ± 1.82 mm. The ratio R1 (APD2/APD1) average was 0.80 ± 0.04, with a minimum of 0.76 ± 0.06 and a maximum of 0.85 ± 0.07. The ratio R2 (TD/IPD) average stood at 0.69 ± 0.14, with a minimum of 0.5 ± 0.12 and a maximum of 0.84 ± 0.08. The cervical spinal canal and the cervical spinal cord diameters in Togo are not significantly different from those described above.
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- 2017
5. Machado Joseph's Disease in a Togolese Family: A Case Report
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Vinyo Kodzo Kumako, Kokouvi Panabalo Waklatsi, Kossivi Apetse, Komi Igneza Agbotsou, Komi Assogba, and Agnon Ayelola Koffi Balogou
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Ecology ,Insect Science ,Ecology, Evolution, Behavior and Systematics - Published
- 2021
6. Evaluation of the Oral Status of Persons Living with Epilepsia in a Rural Community in Togo
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Vinyo Kodzo Kumako, Damelan Kombate, Kossivi Apetse, Agba Lehleng, Georges Todin Dovi Djagba, Mofou Belo, and Agnon Ayelola Koffi Balogou
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Ecology ,Insect Science ,Ecology, Evolution, Behavior and Systematics - Published
- 2021
7. Accident vasculaire cérébral du sujet jeune : quelle approche diagnostique en Afrique
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Agnon Ayelola Koffi Balogou, Kossivi Apetse, Assogba Komi, and Belo Mofou
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Neurology ,Neurology (clinical) - Abstract
Introduction L’accident vasculaire cerebral (AVC) qui survient entre 15 et 45 ans d’âge est l’AVC du sujet jeune. Sa frequence est faible : entre 10 et 15 % des AVC. Son impact socio economique est tres important et le risque de mortalite eleve Objectifs Decrire l’approche diagnostique de l’AVC du sujet jeune en Afrique. Patients et methodes Nous avons fait une revue exhaustive sur les bases de donnees de publications internationales. Resultats Les signes cliniques sont les memes que ceux des sujets âges sauf qu’on y pense peu a cause du jeune âge. La prevalence des facteurs de risque modifiables comme l’hypertension arterielle, la dyslipidemie, le tabac, le diabete est plus elevee dans cette tranche d’âge. Si le diagnostic du type d’AVC est facile dans certaines grandes villes d’Afrique avec l’imagerie medicale, la recherche etiologique est souvent deroutante a cause de la faiblesse du plateau technique. Discussion La presence chez le sujet jeune d’un grand nombre d’AVC d’origine cryptogenique, cardio-embolique, veineuse dans la litterature fait de l’evaluation diagnostique, un defit dans cette tranche d’âge. Conclusion La prevention primaire des AVC devraient etre une forte recommandation chez le sujet jeune en Afrique. Informations complementaires Le resume a ete demande par la Ligue franco Africaine Contre les AVC et cette communication se fera a la reunion de cette societe.
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- 2020
8. Soins palliatifs en suite de soins chez les patients victimes d’AVC
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Komi Assogba, Vinyo Kodzo Kumako, Mofou Belo, Léhleng Agba, Komla Nyinèvi Anayo, Kokou Mensah Guinhouya, and Kossivi Apetse
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Neurology ,Neurology (clinical) - Abstract
Les AVC constituent un reel probleme de sante publique et defient la plupart des systemes de sante. Au Togo, nous avons enregistre 6400 cas d’AVC en 2018 avec un taux de mortalite hospitaliere de 24 %. L’âge moyen de survenue est de 57,8 ans. Une etude hospitaliere realisee chez les survivants d’AVC, il y a une dizaine d’annees a montre que le taux de mortalite hospitaliere des victimes d’ AVC a ete de 26,36 %. Durant les 3 premiers mois de suivi post-hospitalier, le taux de mortalite a ete de 24,69 %. Au bout de 12 mois de suivi, le taux global de mortalite a ete de 45,45 %. Ces deces surviennent pour la plupart a domicile, le pays ne disposant pas de structure de suite de soins. La presente communication propose la mise en place d’un systeme de soins a domicile utilisant les strategies de soins palliatifs pour alleger les souffrances des victimes d’AVC ainsi de celles des familles et des aidants. Au regard du pronostic vital et de l’etat clinique du patient ces soins devraient etre proposes aux familles en un moment cle de l’hospitalisation. Des lors, une visite a domicile devrait s’operer avec des objectifs precis en tenant compte des besoins cles comme le lit, le matelas anti-escarres, une sonde a demeure, un protocole d’alimentation, les ressources humaines y compris les aidants spirituels. L’equipe mobile hospitaliere des soins palliatifs devrait mettre en oeuvre des soins standardises avec un protocole de suivi evaluation sous la direction d’un medecin dont le leadership permettra de gerer l’aspect multidisciplinaire, l’ethique et la confidentialite.
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- 2020
9. Profils épidémiologiques, cliniques et évolutifs des syndromes de Guillain Barre selon le type électroneuromyographique au Togo
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Belo Mofou, Vinyo Kodzo Kumako, Kombate Damelan, Joel Dongmo Jean, Kossivi Apetse, and A. Koffi Balogou Agnon
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Neurology ,Neurology (clinical) - Abstract
Introduction La presentation clinique, l’evolution et la reponse au traitement immunomodulateur du syndrome de Guillain Barre (SGB) different selon les sous-types electroneuromyographiques Objectifs Rapporter les profils epidemiologiques, cliniques et evolutifs des SGB selon le type electroneuromyographique au Togo, pays ouest-africain. Patients et methodes Il s’est agi d’une etude prospective de cohorte menee du1er mai 2015 au 31 juillet 2019, avec une evaluation clinique initiale, a 6 mois et a un an d’evolution a l’aide du MRC SS. Ont ete inclus les dossiers des patients chez qui la clinique et l’ENMG etaient sans equivoque. Les tests de Chi2 et de Pearson ont ete utilises pour les comparaisons. Le seuil de significativite a ete fixe a P Resultats L’âge de survenue et l’evolution clinique a un mois sont les principaux parametres du SGB qui different selon les sous types electromyographiques. Discussion Le syndrome de Guillain-Barre, d’une prevalence hospitaliere faible, reste mal connu. La prise en charge tardive en neurologie, d’une part en rapport avec le retard a la consultation et d’autre l’indisponibilite de traitement specifique dans notre contexte, greve le pronostic vital et fonctionnel. Conclusion L’âge de survenue et l’evolution clinique a un mois sont les principaux parametres du SGB qui different selon les sous types electromyographiques.
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- 2020
10. Hemorrhagic Breakdown of the Cerebral Bridge: A Report of 5 Observations at Lomé Teaching Hospital, Togo
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Damelan Kombate, Veronique Afiwa Agbobli, Michel Faustin Tassa-Kayem, Koffi Agnon Balogou, Komi Igneza Agbotsou, Abdullah Blakime, Josué Euberma Diatewa, jean joel Tajeuna Dongmo, Kossivi Apetse, Komi Assogba, and Kolou Simliwa Dassa
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Intracerebral hemorrhage ,Pediatrics ,medicine.medical_specialty ,business.industry ,Neuropsychology ,General Medicine ,Semiology ,Corpus callosum ,medicine.disease ,Apraxia ,Hematoma ,Aphasia ,Epidemiology ,medicine ,medicine.symptom ,business - Abstract
Introduction: Intracerebral hemorrhage is a major public health problem in Africa. The care is well codified in developed nations but the medical outcome and the technical platform remains a thorny challenge in African countries. It is responsible for a heavy handicap and a high mortality. The corpus callosum is an anatomical structure that connects the two cerebral hemispheres and control neuropsychological behavior. The objective was to determine the epidemiological and clinical characteristics of hematomas located in the corpus callosum. Clinical presentation: The stuy was carried out in the neurlogical department of the big tertiary hospital of the country. The study had reported five cases of hematoma of the corpus callosum. That has represented 0.3% of hemorrhagic strokes in the service. The average age was 33.4 years old with four females. Clinical symptoms in the acute phase were dominated by speech disorders, intracranial hypertension and meningeal signs. In the subacute phase, all patients had neuropsychological symptoms. These disorders included aphasia, left tactile anomia, ideomotor and diagonostic apraxia, and mood and behavior disorders in two-third of cases. The brain scan was performed with an average delay of 6 days. In the cerebral scan, the posterior part of the corpus callosum was the initial seat of the hematomas observed in all cases. Cerebrovascular risk factors were high blood pressure in all cases and alcoholism in two cases. The factor of poor prognosis was the association with meningeal contamination. The evolution was favorable in all five cases. Conclusion: This work brings out that hematoma of the corpus callosum is rare but still a serious disease with a misleading semiology dominated by neuropsychological disorders. The early management is the best practice to preserve functional autonomy.
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- 2020
11. A Pork Butcher Threatened by Pork Disease: Experience of Lomé Teaching Hospital
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Komi Assogba, Vinyo A Codjia, Majeste Ihou-Wateba, Abdoullah Blakime, Komi Igneza Agbotsou, Edem Komi Mossi, Koffi Aa Balogou, Kossivi Apetse, Mounerou Salou, Hamza Doles Sama, and Damelan Kombate
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Geography ,Threatened species ,Bacterial meningitis ,General Medicine ,Socioeconomics ,Meningeal syndrome ,Butcher ,Teaching hospital - Published
- 2018
12. Neuromyelitis optica in Sub-Saharan Africa: the first case report from Togo
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Komi Assogba, J.J. Dongmo Tajeuna, Koffi Aa Balogou, F.M. Tassa Kayem, Josué Euberma Diatewa, N. Maneh, Kossivi Apetse, and Damelan Kombate
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Adult ,medicine.medical_specialty ,Pediatrics ,Neuromyelitis optica ,Sub saharan ,medicine.diagnostic_test ,Respiratory distress ,business.industry ,Neuromyelitis Optica ,Public Health, Environmental and Occupational Health ,Magnetic resonance imaging ,Disease ,medicine.disease ,Lesion ,Infectious Diseases ,Fatal Outcome ,Togo ,Epidemiology ,medicine ,Humans ,Female ,medicine.symptom ,business ,Tetraplegia ,Africa South of the Sahara - Abstract
Neuromyelitis optica (NMO) appears to affect blacks disproportionately in mixed populations. We report the first case of documented NMO in Togo (West Africa). A 26-year-old Togolese woman was admitted for progressive tetraplegia, acute urine retention, and dyspnea. Magnetic resonance imaging of the cervical spinal cord demonstrated an extensive longitudinal lesion, and an ophthalmologic examination found bilateral optic neuritis. Antibody testing for AQP4-IgG was positive. The patient died of severe respiratory distress despite high doses of intravenous corticosteroids. Epidemiological data about NMO in sub-Saharan Africa would improve our understanding of the role of genetic and environmental risk factors in this disease.
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- 2018
13. Un syndrome de l’area postrema révélant une affection du spectre de la neuromyélite optique associée à une tuberculose du système nerveux central au Togo
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Agnon Ayelola Koffi Balogou, Panabalo Waklatsi, Kossivi Apetse, Damelan Kombate, Vinyo Kodzo Kumako, Michel Tassa, and Komi Assogba
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Neurology ,Neurology (clinical) - Abstract
Introduction En Afrique noire, aucun cas de syndrome de l’area postrema (SAP) lie a la neuromyelite optique (NMO) n’est rapporte bien que celle-ci toucherait plus les Noirs avec plus d’atteinte encephalique. Observation Une togolaise de 28 ans, travaillant en milieu carceral, a presente des troubles sensitifs avec ataxie hemicorporels gauches precedes de vomissements, douleurs abdominales et hoquet ayant persiste pendant environ un mois. L’interrogatoire retrouvait l’existence de fievre vesperale, d’amaigrissement et d’une amenorrhee non gravidique. On objectivait un nystagmus dans le regard vers la gauche, une ataxie, une hyperreflexie osteotendineuse et une hypoesthesie remontant a la base du cou hemicorporels gauches. L’imagerie par resonance magnetique (IRM) montrait une lesion en hypersignal FLAIR, bulbaire plus lateralise a gauche sans prise de contraste. On notait la presence d’ARN de mycobacterium tuberculosis (GeneXpert) sur le liquide cerebrospinale et une vitesse de sedimentation a 120 mm a la 1ere heure. La recherche des anticorps anti AQP-4 etait positive. Un traitement antituberculeux avec des corticoides a permis une bonne evolution apres des episodes d’arret cardiaque reversibles. Un mois plus tard, sont apparus un signe de Lhermitte et des contractures des mains et pieds, avec a l’IRM, une lesion intramedullaire a hauteur de C2 en hypersignal T2, sans prise de contraste. L’evolution sous corticoide a ete favorable. Discussion Le role de la tuberculose dans le declenchement de la NMO n’est pas clarifie. Cependant, Feng et al ont rapporte l’efficacite du traitement antituberculeux dans les NMO refractaires aux corticoides. Notre observation conforte l’hypothese que la tuberculose neuromeningee pourrait constituer une cause majeure de NMO. Conclusion La reconnaissance du SAP est un defi supplementaire pour le diagnostic des ASNMO en Afrique noire ou la frequence elevee de la tuberculose contraste avec la rarete d’ASNMO rapportee.
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- 2019
14. Aspects épidémiologiques et cliniques des hématomes du corps calleux au CHU Campus de Lomé (Togo)
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Komi Assogba, Panabalo Waklatsi, Agnon Ayelola Koffi Balogou, Vinyo Kodzo Kumako, Michel Tassa, Kossivi Apetse, and Damelan Kombate
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Neurology ,Neurology (clinical) - Abstract
Introduction En Afrique subsaharienne, la morbi-mortalite liee aux accidents vasculaires cerebraux (AVC) notamment hemorragiques est importante. Le corps calleux qui unit les deux hemispheres cerebraux est rarement le siege des hematomes. Objectifs Rapporter les caracteristiques epidemiologiques et cliniques des hematomes du corps calleux (HCC). Patients et methodes Le service de neurologie CHU Campus de Lome ou environ 800 cas d’AVC par an sont admis, a servi de cadre d’etude. Il s’agit d’une etude prospective sur trois ans (2015–2018) ayant inclus les patients hospitalises avec diagnostic confirme par le scanner d’HCC recent et suivis sur au moins 6 mois. Les parametres etudies etaient : âge, sexe, antecedents, facteurs de risque cardiovasculaire, presentation clinique et evolution. Resultats Nous avons note cinq cas d’HCC (0,3 % des AVC hemorragiques). Le sex-ratio etait de 0/5 et l’âge moyen etait de 33,4 ans. Chez les 5 patientes, la phase aigue etait marquee par des troubles du langage, des signes d’hypertension intracrânienne et des signes meninges et la phase subaigue par des troubles neuropsychologiques. L’hypertension arterielle (HTA) etait retrouvee chez les cinq patientes. Le score modifie de Rankin etait a 0 a 6 mois. Discussion Cette etude confirme la rarete de la localisation des hematomes au corps calleux. L’etiologie de ces hematomes n’a pas ete precisee dans cette etude. Cependant, l’existence de l’HTA chez toutes les patientes laisse supposer que l’HTA pourrait en etre une cause. Conclusion La localisation au corps calleux des hematomes est rare. La semiologie est dominee par les troubles neuropsychologiques et le pronostic vital dans les HCC est relativement favorable.
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- 2019
15. Accident vasculaire cérébral hémorragique par envenimation à propos de deux cas au centre hospitalier universitaire de Kara en zone semi rurale au Togo
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Agnon Ayelola Koffi Balogou, Mofou Belo, Vinyo Kodzo Kumako, Kossivi Apetse, and Damelan Kombate
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Neurology ,Neurology (clinical) - Abstract
Introduction Les envenimations constituent un probleme de sante publique dans les pays en voie de developpement. Les complications neurovasculaires ne sont pas exceptionnelles. Observation Nous rapportons deux cas d’accident vasculaire cerebral hemorragique compliquant une envenimation pris en charge tardivement. Il s’agissait d’une patiente de 27 ans et d’un patient de 31 ans tous deux mordus par un viperide et pris en charge deux semaines apres la morsure. Les patients ont beneficie d’un traitement par serum antivenimeux polyvalent et d’un traitement symptomatique avec reeducation. L’evolution a ete globalement favorable pour les deux. Discussion La morbi-mortalite liee aux envenimations par morsure de serpent reste elevee dans nos milieux. Les complications neurovasculaires de ces morsures sont souvent dramatiques. La prevention par une sensibilisation des populations cibles et une meilleure organisation de nos systemes de sante permettront de reduire l’incidence et les complications de ces envenimations. Conclusion Les AVC par envenimation restent une realite dans nos milieux d’ou la necessite de se premunir contre le phenomene par des mesures de prevention primaires efficaces.
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- 2019
16. Problématiques diagnostique et thérapeutique des hémorragies sous arachnoïdiennes dans les pays à ressources limitées : cas du Togo
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Mofou Belo, Kokou Mensah Guinhouya, Lelheng Agba, Agnon Ayelola Koffi Balogou, Komi Assogba, Abla Vinyo Akpédjé Codjia, and Kossivi Apetse
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Neurology ,Neurology (clinical) - Abstract
Introduction Au Togo, pays ouest africain ou l’arteriographie et la chirurgie des anevrysmes cerebraux ne sont pas disponibles, la prise en charge des hemorragies sous-arachnoidiennes (HSA) n’est pas optimale. Objectifs Rapporter l’experience du Togo, dans la prise en charge des HSA dans un contexte de plateau technique limite. Patients et methodes Les CHU de Lome, la capitale (service de neurologie ou sont admis initialement les patients) et les services de reanimation et de neurochirurgie ou sont transferes au besoin les patients ont constitue le cadre d’etude. Les moyens d’imageriecerebrale etaient le scanner et rarement l’imagerie par resonance magnetique. Il s’est agi d’une etude transversale descriptive menee sur 24 mois (2016–2018) chez les patients âges de plus de 15 ans hospitalises pour une HSA confirmee. Resultats Au total, 72 patients ont presente une HSA (sexe-ratio = 2,27 ; âge moyen = 51,73 ± 15,09 ans). Les patients de grades 2 (33,33 %) et 3 (34,72 %) du score de WFNS predominaient. L’angioscanner realise chez 34,72 % des patients a revele 11,11 % de cas d’anevrysme cerebral. Au total, 19/21 patients ont eu derivation ventriculaire externe pour hydrocephalie aigue. Un seul patient a beneficie du traitement chirurgical de l’anevrysme au Mali, pays ouest africain. Nous avons enregistre 23 deces (31,94 %). Discussion Nous avons note une faible proportion d’anevrismes cerebraux (11 % contre 85 % dans la litterature). Ceci indique l’insuffisance de l’angioscanner dans la mise en evidence de ces anevrysmes. A la phase aigue, nous avons note un fort taux de deces. Ce taux observe dans cette phase confortent la recommandation et la necessite d’un traitement chirurgical precoce du sac anevrysmal. Conclusion L’absence d’arteriographie limite la mise en evidence des anevrismes cerebraux dans les HSA dont le taux de deces est augmente a la phase aigue par l’absence de traitement chirurgical precoce.
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- 2019
17. Rendement de l’Electroencephalogramme dans un pays à ressources limitées : expérience du Togo à propos de 1100 enregistrements
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Komi Assogba, Abdullah Blakime, Panabalo Waklatsi, Kossivi Apetse, Damelan Kombate, Agnon Ayelola Koffi Balogou, and Vinyo Kodzo Kumako
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Neurology ,Neurology (clinical) - Abstract
Introduction Le rendement de l’electroencephalogramme (EEG), examen de reference pour analyser les processus electrophysiologiques sous-tendant l’epilepsie et d’autres dysfonctionnements du systeme nerveux central, depend entre autres du motif de prescription. Objectifs analyser les prescriptions des EEG en fonction du profil du prescripteur, des motifs de prescription et des resultats retrouves. Patients et methodes Il s’agi d’une etude retrospective transversale descriptive portant sur 1100 dossiers colliges a l’unite d’EEG du CHU Campus de Lome. Les examens sont de type standard realises sur un appareil EEG fixe sans video, sur rendez-vous. Ils sont interpretes par l’un des quatre neurologues de l’Unite. Les dossiers complets comportant au minimum, l’âge du patient, le motif de prescription, la fonction du prescripteur et/ou le resultat, ont ete inclus. Resultats Sur 980 motifs de prescription, les epilepsies representaient 59 %, le bilan d’aptitude 32 %, les troubles du comportement 10 %, les cephalees 6 %, la syncope 2 %, le retard psychomoteur 4 % et les troubles cognitifs 2 %. Sur 840 resultats, 83 % etaient normaux dont 66 % des prescriptions des neurologues. Le taux de positivite de l’EEG etait de 30 % dans les epilepsies, 25 % dans l’evaluation de retard psychomoteur et nul dans les autres situations. Discussion Le resultat de l’EEG est dans la majorite des cas normal dans cette etude. Le faible taux de rendement ne differe pas selon la qualification du prescripteur mais differe selon le motif de prescription. Les contours de la pratique de l’EEG doivent faire l’objet de formation a l’endroit des prescripteurs de cet examen qui reste capital dans certaines indications. Conclusion Il est important d’explorer les facteurs potentiellement responsables du faible rendement de l’EEG observe : qualite de l’enregistrement, delai evenement-examen, pertinence de l’indication, fiabilite des lecteurs des examens.
- Published
- 2019
18. Les affections du spectre de la neuromyelite optique sont-elles vraiment rares en Afrique noire ? À propos de deux cas documentes au TOGO
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Komi Assogba, Mofou Belo, Kossivi Apetse, Agnon Ayelola Koffi Balogou, and Vinyo Kodzo Kumako
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Neurology ,Neurology (clinical) - Abstract
Introduction Les affections du spectre de la neuromyelite optique sont rarement rapportees. Nous en rapportons deux cas documentes chez des togolaises ayant toujours vecu au Togo. Observation La premiere patiente, âgee de 26 ans a ete admise en juin 2016 pour une tetraplegie avec detresse respiratoire, retention aigue d’urines et baisse de l’acuite visuelle. L’examen ophtalmologique retenait une nevrite optique bilaterale. L’IRM montrait une lesion en hypersignal FLAIR, cervicale etendue et la recherche des anticorps anti AQP-4 etait positive. La patiente decedera par detresse respiratoire malgre une corticotherapie massive. La deuxieme patiente âgee de 28 ans a ete admise en juillet 2017 pour une ataxie et des troubles sensitifs hemicorporels gauches dans les suites de vomissements, hoquet et douleurs abdominales persistants pendant un mois. L’IRM encephalique a montre une lesion en hypersignal FLAIR localisee a l’aera postrema gauche. Les anti AQP etaient positifs et il a ete detecte dans le LCR, la presence de mycobacterium tuberculosis. Malgre une nouvelle poussee medullaire cervicale a 6 mois du premier episode, l’evolution a ete favorable avec une recuperation quasi complete a 8 mois. Discussion La recherche systematique des ASNMO devrait permettre de retrouver d’avantage de cas en Afrique noire. Conclusion L’hypothese de la rarete des ASNMO en Afrique noire reste a verifier a travers des etudes d’incidence.
- Published
- 2019
19. Hyperhomocystéinémie : intérêt de la supplémentation vitaminique en prévention primaire et secondaire des AVC ?
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Agnon Ayelola Koffi Balogou, Komi Assogba, Mofou Belo, and Kossivi Apetse
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Neurology ,Neurology (clinical) - Abstract
Introduction L’homocysteine dont la concentration normale est de 5 a 15 μmol/L, est un acide amine soufre fabrique par toutes les cellules de l’organisme. Son metabolisme necessite les vitamines B6, B9, et B12. L’hyperhomocysteinemie augmente le risque de maladies coronariennes, cerebro-vasculaires et vasculaires peripheriques. Objectifs Determiner l’interet de la supplementation vitaminique B6, B9 et B12, sur la prevention primaire et secondaire des accidents vasculaires cerebraux (AVC). Methodologie Les recherches ont ete faites dans Cochrane Central Register of Controlled Trials, Medline, Embase, Lilacs, Web of science et avec toutes les references citees. Resultats En 2017, 10 etudes controlees randomisees considerees comme sans biais, ayant inclus 44 224 participants, trouvaient que comparee au placebo, la diminution de l’homocysteine etait associee a la reduction de la survenue d’un AVC (homocysteine-lowering = 4,3 % versus comparator = 5,1 %, RR 0,90, 95 % IC 0,82–0,99, I2 = 8 %, trials, N = 44 224 ; high-quality evidence). Une meta-analyse de 65 etudes sur la combinaison de l’acide folique et d’un anti-hypertenseur chez 7887 patients hypertendus avec une hyperhomocysteinemie avait trouve une reduction significative de la pression systolique et diastolique, par rapport aux patients sous antihypertenseur seul (weighted mean difference = − 7,85 contre − 6,77). En plus la supplementation en acide folique avait reduit les risques cerebro et cardio-vasculaires de 12,9 % compare au groupe controle. Des travaux sont en cours pour evaluer l’utilite de la supplementation vitaminique B6, B9 et B12 dans la prevention secondaire des AVC. Conclusion Si la supplementation en vitamine B6, B9 et B12 dans l’hyperhomocysteinemie presente un interet reel dans la prevention primaire des AVC, elle n’est pas encore bien etablie dans la prevention secondaire.
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- 2019
20. Mortality and Morbities of Severe Stroke in Limited Ressources Neurological Service
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Panabalo Waklatsi, Komi Assogba, Watouo Marlène Djobosse, Nynèvi Anayo, Kossivi Apetse, Abdoulah Blakime, Koffi Agnon Ayélola Balogou, Victor Kokou Adjenou, and Lantam Sonhaye
- Subjects
medicine.medical_specialty ,business.industry ,Mortality rate ,Glasgow Coma Scale ,General Medicine ,medicine.disease ,Blood pressure ,Hematoma ,Internal medicine ,Epidemiology ,Cardiology ,medicine ,Etiology ,cardiovascular diseases ,Risk factor ,business ,Stroke - Abstract
Introduction: Severe strokes have poor prognosis by their heavy motor and cognitive consequences. Objective: To describe the epidemiological, clinical and therapeutic aspects of these strokes. Material and Method: A retrospective and analytical study was conducted from January 2015 to December 2016 in the neurology department of our University Hospital. The diagnosis of severe stroke was based on clinical criteria (NIHSS score greater than 17, Glasgow score less than 9, and a WFNS stage greater than or equal to IV); and CT scan criteria (stroke location in the posterior fossa, carotid and Sylvian malignant infarction, cerebral hemorrhage with ventricular flood and mass effect). Results: We recorded 1964 strokes and 163 patients had severe stroke with a frequency of 8.3%. Of the 163 severe strokes, ischemic were observed in 38.7% and hemorrhagic for 61.3%. The average age was 55.8 ± 12.8. The motor deficit (76.1%) and disturbances of consciousness (62.6%) were the most admission signs. High blood pressure was the main risk factor (64.8%) and the etiology of hemorrhage in 83.5%. Atherosclerosis was the main etiology (86.4%) of ischemia. The hemorrhagic lesions location was diencephalic (67.7%) and brainstem (21.7%). Overall mortality was 44.8%, including 72.6% of early mortality due to haemorrhage. Predictive factors of mortality were the high NIHSS score, low Glasgow score, presence of ventricular flood, and high volume of hematoma. Conclusion: The high incidence of severe stroke and its early mortality rate demonstrate that many challenges remain to be done to improve the management of patients and avoid disabling sequelae.
- Published
- 2019
21. Neurological Complications of Myeloproliferative Syndromes with Negative Philadelphia Chromosome (MPS Ph-) in Lome Tertiary Hospital
- Author
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Komi Assogba, Agnon Ayelola Koffi Balogou, Essohana Justin Padaro, Kossivi Apetse, Komi Igneza Agbotsou, Abdoullaye Idrissou, Abdullah Blakime, Kodzo Vinyo Kumako, Nyenèvi Komla Anayo, and Abago Balaka
- Subjects
medicine.medical_specialty ,Neurology ,Essential thrombocythemia ,business.industry ,Philadelphia Chromosome Negative ,General Medicine ,medicine.disease ,Venous thrombosis ,Polycythemia vera ,Peripheral neuropathy ,Internal medicine ,medicine ,Headaches ,medicine.symptom ,Myelofibrosis ,business - Abstract
Introduction: Myeloproliferative syndromes with philadelphia (MPS Ph) chromosome negative are diseases little known in our environment and cause grave neurological sequels. The study aimed to describe the neurological complications of these syndromes. Patients and method: It was a retrospective cross-sectional study carried out on the files of patients follow up or hospitalized in hematology or neurology departments of our tertiary hospital from January, 2008 to December, 2017. The variables analyzed were composed of epidemiological data, clinical signs, treatments used, neurological complications, and evolution. Results: Among 39 patients with MPS Ph negative, 30 (76.9%) had neurological complications at the time of diagnostic. Headaches, dizziness and splenomegaly were the most reported clinical signs in 95.2%, 73.6% and 66.7% respectively. Different types of MPS Ph negative were observed with 21 cases of polycythemia vera, 8 cases of essential thrombocythemia and one case of primary myelofibrosis. The research of Jack2V617F mutation was made in 25 patients (83.3%) and was positive in 15. The neurological complications were marked by peripheral neuropathy (20 cases), cerebral venous thrombosis (15 cases) and ischemic stroke in 11 cases. The average length of stay in hospital was 23.6 days. Concerning the treatment, 96.7% had received antiplatelet therapy and cytoreductive treatment was added in 66.7%. The outcome was marked by the remission of symptoms in 11.1% of cases, 46.7% with sequels and 20% of death. Conclusion: The MPS Ph negative patients are often discovered in late stage of the disease progression with neurological complications. Measures need to be taken to improve the early diagnosis and management of MPS Ph chromosome negative.
- Published
- 2019
22. Contents Vol. 69, 2013
- Author
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Hideki Sugihara, Masaharu Ichikawa, Jin Woo Choi, Wei Chen, Hahn Young Kim, Tanvir Chowdhury Turin, Fumie Konoeda, Laura Mechtouff, Ja-Hae Kim, Kossivi Apetse, Yoshikuni Kita, Yohsuke Yagi, Toshiki Mizuno, Yutaka Morita, Myeong-Kyu Kim, Jean Philippe Neau, Byeong-Chae Kim, Hong Gee Roh, Roger Gil, Pille Taba, R.H.B. Benedict, Ozkan Akhan, Pierre Ingrand, Tae-Hee Cho, Young Jin Kim, D.W. Langdon, Takuya Yagi, Gulbun Yuksel, Francis Turjman, S.F. Xue, Hidehiro Mizusawa, K. Beckmann, Yasuyuki Nakamura, Man-Seok Park, Hyun-Ji Cho, S. Fredrikson, Satz Mengensatzproduktion, Naoyuki Takashima, Takanori Yokota, Hirotsugu Ueshima, Joon-Tae Kim, Figen Varlibas, Nobuo Sanjo, J.P. Jia, Kunihiko Hirose, Jin-Hua Zhang, Seong-Min Choi, Nahid Rumana, Andrew J. Lees, Norihiro Suzuki, Xing-Yue Hu, Ikuko Mizuta, Kang-Ho Choi, Gerald Stern, Mireille Beauchamps, Eva Maria Arroyo-Anlló, Ki-Hyun Cho, Seung-Han Lee, Druck Reinhardt Druck Basel, X. Ma, Laurent Derex, Li-San Zhang, E.M. Wicklein, Lin-Yan Yao, Li-Li Wei, Young Il Chun, Murat Can, Q.F. Ma, Katsuyuki Miura, Yu Geng, Joon Hwa Lee, Berrak Guven, Norbert Nighoghossian, and Akira Okayama
- Subjects
Neurology ,Neurology (clinical) - Published
- 2013
23. Zika virus detection in cerebrospinal fluid from two patients with encephalopathy, Martinique, February 2016
- Author
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Benoît Rozé, Sarah Gourgoudou, André Cabié, Kossivi Apetse, Yannick Brouste, Patrick Hochedez, Aissatou Signate, Fatiha Najioullah, Sylvie Abel, Raymond Césaire, and Laurence Fagour
- Subjects
Male ,0301 basic medicine ,Epidemiology ,viruses ,Encephalopathy ,Zika virus ,Young Adult ,03 medical and health sciences ,Cerebrospinal fluid ,Virology ,medicine ,Humans ,Martinique ,In patient ,Encephalitis, Viral ,Aged ,Cerebrospinal Fluid ,biology ,Zika Virus Infection ,Arthropod-borne Virus ,Public Health, Environmental and Occupational Health ,Outbreak ,Zika Virus ,medicine.disease ,biology.organism_classification ,Flavivirus ,030104 developmental biology ,Population Surveillance ,Immunology ,Female - Abstract
We report two cases of encephalopathy (one with seizures, one with electroencephalogram changes) in patients with Zika virus infection. The cases occurred on Martinique in February 2016, during the Zika virus outbreak. Awareness of the various neurological complications of Zika virus infection is needed for patients living in areas affected by Zika virus infections or for travellers to these areas.
- Published
- 2016
24. Zika virus detection in urine from patients with Guillain-Barré syndrome on Martinique, January 2016
- Author
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Fatiha Najioullah, Jean-Louis Fergé, Benoît Rozé, Ruddy Valentino, Patrick Hochedez, Raymond Césaire, Kossivi Apetse, Yannick Brouste, Cédric Fagour, Laurence Fagour, André Cabié, Séverine Jeannin, Julien Joux, Hossein Mehdaoui, and Aissatou Signate
- Subjects
0301 basic medicine ,Male ,Pediatrics ,medicine.medical_specialty ,Epidemiology ,Neurological complication ,030231 tropical medicine ,Enzyme-Linked Immunosorbent Assay ,Urine ,Guillain-Barre Syndrome ,Zika virus ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Virology ,Medicine ,Humans ,Martinique ,Symptom onset ,Guillain-Barre syndrome ,biology ,business.industry ,Reverse Transcriptase Polymerase Chain Reaction ,Zika Virus Infection ,Public Health, Environmental and Occupational Health ,virus diseases ,Outbreak ,Zika Virus ,Middle Aged ,medicine.disease ,biology.organism_classification ,030104 developmental biology ,Concomitant ,RNA, Viral ,Female ,business - Abstract
We report two cases of Guillain–Barré syndrome who had concomitant Zika virus viruria. This viruria persisted for longer than 15 days after symptom onset. The cases occurred on Martinique in January 2016, at the beginning of the Zika virus outbreak. Awareness of this possible neurological complication of ZikV infection is needed.
- Published
- 2016
25. Profils électroneuromyographiques des syndromes de Guillain Barré au cours de l’épidémie de ZIKV en Martinique
- Author
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Kossivi Apetse
- Subjects
Neurology ,Neurology (clinical) - Abstract
Introduction En Martinique, environ 30 cas de syndrome de Guillain Barre (SGB) ont ete notes lors de l’epidemie a ZIKV 2015–2016 alors que l’incidence avant l’epidemie etait de huit cas/an. Objectifs Rapporter les donnees d’examens electroneuromyographiques (ENMG) consecutifs des patients hospitalises pour un SGB au cours de l’epidemie (1er ENMG avant S4 des symptomes neurologiques et seconds au-dela de S6). Patients et methodes Ont ete inclus les patients dont sont disponibles les resultats de la recherche de ZIKV et au moins un des deux ENMG. Sur le premier ENMG, le ‘sural spared pattern’ a ete recherche et les criteres conventionnels ont ete utilises pour classer en demyelinisant, axonal, indetermine ou inexcitable. Sur le second examen, ont ete recherches : deremyelinisation ; ‘reversible conduction failure’ (RCF, regression des troubles de conduction moteurs sans dispersion). Resultats Vingt-trois patients dont 19 (82 %) avec preuve biologique d’une infection a ZIKV recente ont ete inclus (âge moyen 61 ans ; sexe ratio = 0,52). Sur les 18 ENMG avant S4, 17 patients (94 %) avaient un SSP, 16 (89 %) etaient classes ‘demyelinisant’. Sur les 20 ENMG apres S6, 18 (90 %) patients avaient des signes de deremyelinisation. Une patiente ZIKV + a eu initialement un pattern demyelinisant avec SSP puis un pattern de RCF. Discussion Les premiers cas d’association infection ZIKV-SGB ont ete rapportes en Polynesie francaise mais les mecanismes d’action restent inconnus. Contrairement aux donnees de ces premieres observations, nos resultats montrent que le sous type primitivement demyelinisant de SGB est celui qui predomine. Nos resultats sont comparables a ceux rapportes en Colombie. Conclusion Au cours de l’epidemie de ZIKV en Martinique, l’incidence du SGB a augmente et le sous type demyelinisant de SGB est le pattern de loin le plus rencontre.
- Published
- 2017
26. Forestier’s Disease in a Young Student: A Genetic Origin?
- Author
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Kossivi Apetse, Inoussa Oniankitan, Komi Assogba, Damelan Kombate, and Koffi A.A. Balogou
- Subjects
Disease ,Psychology ,Developmental psychology - Abstract
Forestier’s disease or ankylosing hyperostosis is a non inflammatory esthesopathy that ossifying the anterolateral spine face and sparing the disc and joint space. It is often occurred in elderly men over 50 years old. We aimed to report an early onset Forestier’s Disease in a 20- year –old student. He was admitted for walking trouble, decline hearing and speech disturbance that began progressively four years ago. The neurological examination let appear walking ataxia, slight amyotrophy of both legs and deep sensibility impairment. Somatic exam has revealed the outgrowth bones areas. Ophthalmic examination has noted decreased visual acuity less than 4/10th in both eyes. The audiogram has showed bilateral decline in hearing. X-ray showed an anterior weaving hyperostosis in spine, multiple new bones formation in joints of skull, mandible, scapula, humerus and knees.
- Published
- 2014
27. Perception de l'épilepsie de l'enfant et de l'adulte par la population et le personnel soignant au Togo
- Author
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Kokou Mensah Guinhouya, Komi Assogba, Damelan Kombate, Kokou Kevi, Vinyo Kumako, Kossivi Apetse, Koffi A.A. Balogou, EK Grunitzky, and Mofou Belo
- Subjects
Neurology ,Neurology (clinical) - Abstract
L'epilepsie est particulierement frequente dans les pays en developpement (PED) ou le hiatus therapeutique (treatment gap) reste eleve malgre la disponibilite des medicaments antiepileptiques (MAE) efficaces et peu couteux tels que le phenobarbital. Les considerations socioculturelles expliquent cette situation de rejet et de prejuges.ObjectifEtudier les donnees anthropologiques, culturelles et psychosociales de l'epilepsie au Togo et apprecier leur evolution.Materiel et methodeNous avons realise une etude retrospective portant sur l'epilepsie depuis 25 ans au Togo. Les differentes enquetes realisees dans trois grandes aires culturelles du Togo ont concerne trois groupes de personnes : les depositaires du savoir collectif, la population generale (1 668 dont 50 % etaient scolarises) et le personnel soignant (180). Les questions ouvertes concernaient les connaissances et les comportements face a l'epilepsie.ResultatsL'epilepsie est consideree comme surnaturelle, contagieuse et incurable par les trois groupes etudies. Cette mauvaise connaissance de l'epilepsie semble expliquer les attitudes de stigmatisation de l'epileptique. Cependant, certains aspects rationnels de l'affection sont connus des depositaires du savoir collectif et surtout des patients les plus instruits. En parallele, ces derniers ont signale des attitudes et des pratiques favorables a la prise en charge de l'epileptique.ConclusionLe Togo n'echappe pas aux croyances populaires erronees concernant l'epilepsie. Les attitudes et les comportements qui en decoulent sont parfois plus nefastes a la personne epileptique que la maladie elle-meme. Une evolution positive parait possible en fonction d'une amelioration du niveau d'instruction et de la mise en place d'un programme d'education sanitaire et de soins primaires.
- Published
- 2010
28. Déficits de traitement et épilepsie dans six unités de soins périphériques du Togo de 2007 à 2009
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Adodo Aboki, Kossivi Apetse, Kodjo Eric Grunitzky, Vinyo Kumako, Kokou Mensah Guinhouya, Damelan Kombate, Agnon Ayelola Koffi Balogou, and Mofou Belo
- Subjects
medicine.medical_specialty ,Social stigma ,Public health ,media_common.quotation_subject ,Public Health, Environmental and Occupational Health ,Developing country ,Disease ,Art ,medicine.disease ,Mental health ,Epilepsy ,Family medicine ,Community health ,medicine ,Ethnology ,Psychosocial ,media_common - Abstract
Epilepsy, the most common serious neurological condition, is one of the most widespread non-transmissible diseases in the world. In developing countries, about 90% of those with epilepsy do not receive appropriate treatment; this treatment gap, very high compared with other chronic diseases, helps to explain the marginalisation and poor living conditions of these people. Reducing this treatment gap and the burden that epilepsy represents is a difficult task and the obstacles are numerous. The cultural attitudes, the absence of priority for this disease, the weak health infrastructure and the insufficient supply of anti-epileptics are just some of the factors that prevent adequate treatment. The extent of this problem led WHO and the International League against Epilepsy to launch an international campaign in June 1997 to bring epilepsy "out from the shadows". We sought to evaluate a strategy of community-based care for epilepsy in the six pilot districts. This strategy consisted in reducing the treatment gap in six local primary care units (PCUs) and then spreading the programme to surrounding PCUs, the entire district and then the entire region. This prospective evaluation study, which took place from May 2008 to July 2009, applied many strategies. WHO/AFRO made available funding of USD 3500 a year. A training meeting was held for PCU staff and community health agents, and numerous meetings from May 2007 through March 2008 aimed to increase awareness and motivation. The National Program for Mental Health (NPMH) ensured the availability of a permanent supply of anti-epileptics. Monitoring with supervision of activities and evaluation were conducted during and at the end of the process by the members of the Lome Hospital neurology team and the management team of every district. Community-based management of 816 people with epilepsy over a period of 15 months was assessed internally. The planned strategies were conducted. The sex ratio (M/W) was 1.10. Treatment adhesion ranged from 96% to 99%. Mortality was 9%. The treatment gap in the PCUs, which varied from 98% to 94% in May 2008 fell by July 2009, ranging from only 40% to 25%. The "good practice" of accepting and treating patients with epilepsy in these areas where traditional culture excludes them from the community demanded the local acceptance of responsibility -- both medical and psychosocial. The reduction in epilepsy attacks and the integration of 2 or 3 patients in a community sufficed to bring other people with epilepsy out from the shadows. These successes show that in developing countries, it is possible to improve the health of different populations when these projects are integrated into primary health care. Positive results, and specifically a treatment gap below 50%, were obtained in all six PCUs. These results, acquired after months of activity, contributed to decrease the stigmatisation of epilepsy. Maintaining this reduction in the treatment gap requires continuation of the struggle against epilepsy and permanent improvement of primary health care. The often unplanned moves of staff and the reluctance of district and regional health managers to allocate resources to the project to perpetuate the programme constitute major difficulties. It appears urgent to adopt an active policy for providing care of patients with epilepsy in Africa in order to increase their lifespan.
- Published
- 2010
29. Place de l'épilepsie chez les enfants et les adolescents souffrant de retard mental dans les centres «Envol» de Lomé, Togo
- Author
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Komi Assogba, B Bakonde, Mofou Belo, Diparidè A. Agbèrè, V Vignon Kumako, Kossivi Apetse, AA Koffi Balogou, A Olga Agbodjan-Djossou, Kossi Assimadi, E Kodjo Grunitzky, Damelan Kombate, and Mawugnon Akakpo
- Subjects
Neurology ,Neurology (clinical) - Abstract
ObjectifsEvaluer la frequence et les particularites de l’epilepsie au sein d’une population d’enfants et d’adolescents ayant un retard mental, a l’institut medico-psycho-pedagogique (IMPP) « Envol » de Lome au Togo.MethodologieIl s’agissait d’une etude retrospective effectuee du 1 er au 28 mars 2004 dans les centres de l’IMPP « Envol » de Lome. Cette etude a inclus 92 des 120 eleves presents dans les centres et examines au cours de la periode d’etude, soit une proportion de 76,67 %.ResultatsL’âge moyen etait de 13 ans avec des extremes de 4 a 25 ans. On notait une predominance masculine (69,6 %) avec un sex-ratio de 2,3. La frequence de l’epilepsie etait de 28,26 %. Une cesarienne, un travail long et penible, et un accouchement par forceps ou ventouse influencent fortement la survenue d’epilepsie. On notait 69,4 % de dysmorphies avec une predominance de facies trisomiques.ConclusionL’epilepsie est une comorbidite souvent retrouvee dans un contexte de retard mental. Les dystocies et les differentes methodes d’accouchement sont a l’origine de l’epilepsie sur un terrain de deficit cognitif observe chez les jeunes enfants de ce centre.
- Published
- 2009
30. Infections opportunistes du VIH/sida chez les adultes en milieu hospitalier au Togo
- Author
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E. Grunitzky, Komi Assogba, Kossivi Apetse, A. A. K. Balogou, K. Kevi, and P. Pitche
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medicine.medical_specialty ,Pediatrics ,education.field_of_study ,business.industry ,Mortality rate ,Population ,medicine.disease ,Pathology and Forensic Medicine ,Acquired immunodeficiency syndrome (AIDS) ,Pulmonary tuberculosis ,Epidemiology ,Tropical medicine ,Cryptococcosis ,Medicine ,business ,education ,Vih sida - Abstract
1,764 were tested, giving a screening rate of 23.7%. We registered 714 HIV-infected patients (HIVIP), 40.5% of the patients tested. The most common OI encountered were buccal candidiasis (49.7% of HIVIP), genital candidiasis (9.1%), meningeal cryptococcosis (2.9%), bacterial infections (48.2%), cerebral toxoplasmosis (11.2%) and pulmonary tuberculosis (11.3%). OI strongly linked to a high death rate were meningeal cryptococcosis (61.9%) and cerebral toxoplasmosis (46.3%). OI constitute a major reason of hospitalization for HIVIP in Togo. This study allows a better orientation of strategies for screening and taking care of HIVIP in Togo. To cite this journal: Bull. Soc. Pathol. Exot. 104 (2011).
- Published
- 2011
31. Transient Headache and Neurological Deficits with Cerebrospinal Fluid Lymphocytosis Associated with IgM Antibodies to the Epstein-Barr Virus Viral Capsid Antigen
- Author
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Chloe Butaud, Kossivi Apetse, Victor Chan, Ludovic Breynaert, Loic Ribouillard, Albert Beschet, and Karine Blanc-Lasserre
- Subjects
Epstein–Barr virus viral-capsid antigen ,business.industry ,Igm antibody ,Immunology ,Cerebrospinal fluid lymphocytosis ,Medicine ,Case Report ,General Agricultural and Biological Sciences ,business ,lcsh:Neurology. Diseases of the nervous system ,lcsh:RC346-429 - Abstract
Some authors have suggested that the syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) results from an immunological response directed against a viral agent. Here we report a case of HaNDL in an immunocompetent 19-year-old male that could support this hypothesis.
- Published
- 2013
32. Subacute encephalopathy with seizures in alcoholics (SESA) : description clinique, électroencéphalographique et radiologique de six cas observés au CHU de Fort-de-France
- Author
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Mireille Edimonana, Philippe Cabre, Boris Nazarov, Kossivi Apetse, Séverine Jeannin, and Aissatou Signate
- Subjects
Gynecology ,medicine.medical_specialty ,Neurology ,business.industry ,Encephalopathy ,medicine ,Neurology (clinical) ,medicine.disease ,business - Abstract
Introduction Le SESA syndrome est une encephalopathie subaigue convulsivante survenant chez les alcooliques chroniques. Sa premiere description par Niedermeyer remonte a 25 ans. En 2014, des criteres diagnostiques ont ete proposes. Objectifs Nous rapportons les cas de patients martiniquais ayant presente un SESA syndrome afin de mieux preciser les caracteristiques cliniques, paracliniques et evolutives de ce syndrome epileptique. Patients et methodes Nous decrivons retrospectivement a partir des dossiers medicaux les cas de six patients hospitalises au centre hospitalo-universitaire de Fort-de-France entre 2009 et 2013 pour un tableau compatible avec un SESA syndrome. Les patients ont tous ete examines par un neurologue. Une exploration electroencephalographique ainsi que par scanner et/ou par imagerie par resonance magnetique encephaliques a ete effectuee chez les patients. Resultats Les patients presenterent des crises generalisees tonicocloniques, souvent associees a des crises partielles motrices. En intercritique une confusion, une hemiplegie et/ou une aphasie furent constatees. Les electroencephalogrammes retrouverent des foyers epileptiques. Le scanner revela un œdeme hemispherique unilateral et l’imagerie par resonance magnetique encephalique des images d’etat de mal epileptique partiel. Quatre patients eurent plusieurs episodes de SESA. Quatre patients garderent des sequelles neurologiques. Discussion La physiopathologie du SESA syndrome reste discutee. Des lesions vasculaires cerebrales chroniques associees a un facteur declenchant chez l’alcoolique chronique favoriseraient cette encephalopathie convulsivante focale. Une atrophie cerebrale frequente peut devenir asymetrique au decours du SESA. Une atteinte bi-hemispherique recidivante rapportee chez un de nos patients represente une forme particulierement agressive de cette affection. Conclusion Le SESA syndrome represente une complication de l’alcoolisme chronique a part entiere. Ces nouveaux cas illustrent son caractere souvent recidivant pouvant aboutir a des deficits neurologiques permanents.
- Published
- 2016
33. Mechanical thrombectomy with the solitaire stent at Lyon, France
- Author
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Francis Turjman, Kossivi Apetse, Tae-Hee Cho, Laura Mechtouff, Norbert Nighoghossian, and Laurent Derex
- Subjects
Male ,medicine.medical_specialty ,Intracranial thrombectomy ,Arterial Occlusive Diseases ,medicine ,Humans ,Solitaire stent ,Acute stroke ,Aged ,Thrombectomy ,Aged, 80 and over ,Cerebral Revascularization ,business.industry ,Middle Aged ,equipment and supplies ,Surgery ,Cerebral Angiography ,Mechanical thrombectomy ,Stroke ,Neurology ,Self-expanding stent ,Female ,Stents ,Neurology (clinical) ,Radiology ,France ,business ,Large vessel occlusion - Abstract
Background/Aims: The Solitaire stent has been suggested as a promising device to perform intracranial thrombectomy in large vessels. We report our experience. Methods: Consecutive patients in whom a thrombectomy with Solitaire stent had been performed for acute ischemic stroke in the Lyon Stroke Unit, France, from November 2009 to November 2010 were enrolled. Results: There were 12 patients with a mean age of 66 years and a mean baseline National Institutes of Health Stroke Scale score of 17.5. There were 10 cases of anterior cerebral artery and 2 cases of basilar artery occlusion. The mean time from onset of symptoms to recanalization was 306 min. Partial or total recanalization was obtained in 91.6% of patients. One case of periprocedural asymptomatic arterial dissection and 1 case of symptomatic cerebral hemorrhage occurred. At 90 days, 4 patients (33.3%) were dead and 5 patients (41.6%) had a modified Rankin Scale ≤2. Conclusions: In this case series, thrombectomy using Solitaire stent in stroke related to large vessel occlusion appears to be feasible, safe and potentially effective. Randomized controlled trials are needed to demonstrate the superiority of thrombectomy alone or in combination with intravenous tPA over intravenous tPA alone in ischemic stroke patients with large intracranial arterial occlusion.
- Published
- 2012
34. Morbidité et mortalité des AVC chez le diabétique au CHU de Lomé (Togo)
- Author
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Kokou Mensah Guinhouya, K Damelan, EK Grunitzky, Aak Balogou, AE Kalao, B Mofou, Kossivi Apetse, S Kevi, and Komi Assogba
- Subjects
Gynecology ,education.field_of_study ,medicine.medical_specialty ,Stroke patient ,Emergency unit ,business.industry ,Mortality rate ,Population ,Public problem ,medicine.disease ,Diabetes type ii ,Diabetes mellitus ,medicine ,AVC, diabète, mortalité, Togo ,Ethnology ,Diabetic patient ,education ,business - Abstract
L’AVC est un veritable probleme de sante publique. Il represente la premiere cause de mortalite hospitaliere et la premiere cause du handicap permanent dans le monde. Objectifs : etudier la mortalite hospitaliere a la phase aigue de l’AVC chez le diabetique Methodes : Il s’agissait d’une etude prospective, portant sur une cohorte de 42 patients AVC avec une hyperglycemie (>= 1,5 g/l) a l’admission de 1er janvier a 31 decembre 2005, au CHU de Lome. Resultats : Nous avons collige 402 patients AVC dont 42 avaient une hyperglycemie a l’admission. L’âge moyen a ete de 52,5 ans. Les AVC ischemiques representaient 85,7%. Le principal motif d’admission etait le syndrome focal deficitaire. Le diabete de type II dans 75% et l’HTA dans 78,6% ont ete les facteurs de risque majeurs. Le handicap physique post AVC a ete plus lourd chez le diabetique. Le taux de mortalite etait de 21,4% contre 17,5% chez les non diabetiques a la periode d’etude. Conclusion : La mise en place de mesures durables de prevention primaire des AVC par le depistage des facteurs de risque au sein de la population serait un gage pour la reduction de la morbidite et de la mortalite dues aux AVC. Mots cles : AVC, diabete, mortalite, Togo Stroke is a real health public problem. It represents a first cause of hospital death and the first permanent acquired handicap cause in the world. Objective: to study the acute stroke hospital morbidity and mortality in diabetic patient. Method: It was a transversal study in 42 patients with high blood sugar (glycemia >= 1,5g/) among 402 stroke patients hospitalized from January 1st to December 31st, 2005, in Lome, Togo. Results: forty two patients were check up in neurological emergency unit with high blood sugar. Their average age was 52,5 years. Occlusive stroke were predominant with 85,7%. Focal deficit was the main reason of admission. Diabetes type II was found in 75% and high blood pressure in 78,6% as the principal stroke risk factor. The mortality rate was 21,4% against 17,5% in non diabetic. The after stroke handicap was higher in diabetic than non diabetic patients. Conclusion: The stroke primary prevention by large and active screening risk factor such as diabetes can help to diminish the handicap and death among population. Keys words: Stroke, diabetes, mortality, Togo.
- Published
- 2010
35. Particularites des accidents vasculaires cerebraux au Togo et en Afrique noire
- Author
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Vinyo Kodzo Kumako, Aak Balogou, Damelan Kombate, S Kinvi, Mohaman Awalou Djibril, Kossivi Apetse, KE Grunitzky, M Belo, Kokou Mensah Guinhouya, N Sognigbe, and E. Goeh-Akue
- Abstract
Nous avons mene une revue de la litterature portant sur les AVC au Togo a partir des theses, des publications, des memoires, disponibles a la Bibliotheque Universitaire et sur les bases de donnees internationales; en Afrique sub-saharienne a partir des publications disponibles sur les bases de donnees internationales. Treize theses ont repondu a nos criteres d’inclusion au Togo. En Afrique sub-saharienne, des publications concernant douze pays ont ete retenues. L’incidence des AVC au Togo est de 62,36 pour 100.000 habitants. La prevalence varie entre 1,7 et 2,44 pour 1000 habitants. L’âge moyen de survenue est de 57,47 ans. En Afrique sub-saharienne, l’incidence se situe entre 26 et 30 pour 100.000 habitants. La prevalence est de l’ordre de 58 a 243 pour 100.000 habitants. L’âge moyen se situe entre 44,5 et 60,4 ans. Les AVCI predominent mais le taux des AVCH est tres eleve. Il se situe entre 28 et 60%. L’HTA represente le facteur de risque majeur : 68-85%, suivie des cardiopathies et du diabete. Les AVC demeurent une pathologie couteuse et responsable d’une morbi-mortalite importante. Les publications sur cette pathologie en Afrique sub-saharienne sont rares. Les rares etudes epidemiologiques estiment que sa prevalence et son incidence restent faibles par rapport aux donnees des pays du nord ou la repartition des types d’AVC est differente de celle decrite avec une frequence elevee des hemorragies cerebrales de l’ordre de 28 a 60%. Cette difference ne semble pas etre due seulement a des biais methodologiques mais il existerait probablement des facteurs genetiques, environnementaux ou socioculturels. Normal 0 false false false MicrosoftInternetExplorer4 st1\:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}
- Published
- 2010
36. Epidemiology and Clinical Description of Amyotrophic Lateral Sclerosis in Low Income Setting: A Syndrome with Short Survival
- Author
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Komi Assogba, Kossivi Apetse, Damelan Kombate, Rabi Barry-Barque, Souleymane Brah, Mofou Belo, and Koffi A.A. Balogou
- Subjects
medicine.medical_specialty ,Pediatrics ,Rehabilitation ,Ecology ,business.industry ,medicine.medical_treatment ,Retrospective cohort study ,Disease ,medicine.disease ,Riluzole ,Surgery ,Atrophy ,Insect Science ,Epidemiology ,Medicine ,Medical history ,Amyotrophic lateral sclerosis ,business ,Ecology, Evolution, Behavior and Systematics ,medicine.drug - Abstract
Background: Amyotrophic lateral sclerosis (ALS) is a degenerative motor neuron disease. It evolves to loss of autonomy and death. Objective: To describe the cases of ALS clinically definite observed in hospital field. Patients and methods: The retrospective study has covered a period of 10 years (2003-2012) and a total of 10,128 patient’s files were analyzed. The neurology department of our level 3 hospital has located the current study. Six patients with no particular medical history have been reported. The inclusion patients are cases where the diagnosis of ALS was clinically definite according to the modified El Escorial classification. About 978 of likely, possible and probable cases of ALS were not included. Results: The mean age was 49 years (24 and 67), all males, with a frequency of 0.59 ‰ and an incidence rate of 0.6 cases per year. The clinical signs were marked by the pyramidal syndrome and peripheral neuropathic motor syndrome. MRI or CT scan signs were marked by the bulbar light atrophy. EMG had shown spontaneous activities with reinnervation signs. The histology exam has found neurogenic fascicular atrophy. The average duration of progression of the disease from the diagnostic to death was 17.6 months (6 to 36). The median of survival all cases combined was 42 weeks. Symptomatic treatment was associated to rehabilitation. Riluzole has been established despite its high cost, but without success. Conclusion: This observation highlighted the major difficulties encountered in the management of ALS and its increasing frequency in south Saharan Africa.
- Published
- 2015
37. Epidemiology, Risk Factors, Type and Outcome of Stroke in Health Care Facilities of Lomé, Togo: A Prospective Study
- Author
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Komi Assogba, Ekué A. Folly, Kossivi Apetse, Koffi A.A. Balogou, EK Grunitzky, Mofou Belo, Damelan Kombate, and Koumavi D. Ekouévi
- Subjects
Pediatrics ,medicine.medical_specialty ,education.field_of_study ,Subarachnoid hemorrhage ,business.industry ,Organic Chemistry ,Population ,medicine.disease ,Biochemistry ,Modified Rankin Scale ,Diabetes mellitus ,Epidemiology ,Health care ,medicine ,Prospective cohort study ,business ,education ,Stroke - Abstract
Background: Stroke is the leading cause of permanent disability acquired in the world. Aim: To study the epidemiological indices, risk factors and outcome of stroke. Subjects and Methods: It was a prospective study to collect epidemiological data, clinical presentation and outcome of stroke patients in 28 public and private health facilities in our largest health region. It had covered the period from January to December 2013. Results: A total of 43,558 inpatients were enrolled. Among them, 986 patients had a stroke which frequency was 2.26 %. The incidence rate has been estimated to 79.58/ 100,000 inhabitants/year. Male subjects were observed in 50.8% and 49.2% of females. The mean age was 59 ± 13.2 years. Concerning the stroke subtype, ischemic stroke was found with 54.9% and 45.1% of hemorrhagic including 10.8 % of subarachnoid hemorrhage. The traditional main risk factors were hypertension (87.3 %) and diabetes (17.5 %). The mean time of admission was 55 ± 20.75 hours. The average time before beginning first care was 56 ± 20.74 hours. Only 44% of patients had received first aids within 24 hours. The average length of stay was 17 ± 8.5 days. The mean modified Rankin scale score at the exit time was 2.3 ± 0.8. At discharge, 58.9% of patient had partial motor deficits and 27.5% of them died. Conclusion: A good knowledge of risk factors and early signs of stroke by the population will reduce stroke mortality and its functional sequel. All these lacks of assessment increase the delay in the management of patient and lead to permanent deficits.
- Published
- 2015
38. Neonatal Seizures: Frequency, Clinical Forms, Aetiology and Outcome in Tropical Practice
- Author
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Kossivi Apetse, Damelan Kombate, Fidato A. Touglo, Bahoura Balaka, Marie C. Ayassou-Madji, and Komi Assogba
- Subjects
Hyperthermia ,Pediatrics ,medicine.medical_specialty ,Ecology ,Respiratory tract infections ,business.industry ,Mortality rate ,Context (language use) ,Status epilepticus ,medicine.disease ,Perinatal asphyxia ,Epilepsy ,Insect Science ,medicine ,Risk factor ,medicine.symptom ,business ,Ecology, Evolution, Behavior and Systematics - Abstract
Background: Seizures are common cause of paediatric admissions in poor resource countries and a risk factor for neurodevelopmental impairment. This study aimed to determine the frequency, clinical forms, aetiology and outcome of seizures in relation to rectal temperature in newborn. Patients and Methods: The study was located in paediatric department of our University Hospital. This prospective research had assessed consecutive admitted newborns aged 0-28 days with incident seizure during a period from January to December, 2013. Newborns with epilepsy and non-incident admission seizure were excluded. Results: Seizures were observed in 344/4836 (7.1%). The sample included 192 males and 152 females. The seizures frequency in newborn 0-21 days was 95.9% and was 52.6% in neonates < 1day. The focal seizures were reported in 68% follow by generalized tonic-clonic in 24.4%. Status epilepticus was observed in 7.6%. Seizures had occurred in a context of hypothermia in 77.9%, normal temperature, 14.2% and hyperthermia in 7.8%. The hypothermia and normal temperature seizures were more common in newborn < one week and hyperthermia was noted in older. The associated pathologies in the context of hyperthermia were neonatal infections (17.4%) and falciparum malaria (22.7%) respectively in one week newborn and older. Perinatal ischaemic/hypoxic (35.5%), falciparum malaria (13.6%) and respiratory tract infections and gastroenteritis (11.8%) were the main diseases associated with seizures in the context of hypothermia and normal temperature. The aetiologies were marked by neonatal brain injuries and perinatal asphyxia. Sixteen neonates with seizures were died giving a direct mortality rate of 4.7%. Eight (2.3%) surviving newborns had heavy neurodevelopmental deficits at discharge. Conclusion: The neonate seizures are an indicative of infection with or without fever. The causes of newborn convulsions must be prevented through a wide available public health programs.
- Published
- 2015
39. Arterial Territories Affected in the Thalamic Stroke: A Prospective Study Among Inpatients in Lome University Hospital, Togo
- Author
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Mofou Belo, Damelan Kombate, Celikplim Akakpo, Kossivi Apetse, Lantam Sonhaye, Koffi A.A. Balogou, and Komi Assogba
- Subjects
medicine.medical_specialty ,Ecology ,business.industry ,Cerebral infarction ,Ischemia ,Neuropsychology ,Sensory loss ,medicine.disease ,Abnormal involuntary movement ,Surgery ,Blood pressure ,Insect Science ,Internal medicine ,Cardiology ,Medicine ,Risk factor ,business ,Prospective cohort study ,Ecology, Evolution, Behavior and Systematics - Abstract
Background and purpose: The thalamic infarct is frequent among ischemic stroke. We aim to determine the frequency of the thalamic infarct and analyze the different arterial territories affected in patients with thalamic syndrome. Patients and Methods: It was a prospective study. It focused on patients hospitalized in the neurology department of our university hospital, and covered the period from January to December, 2012. Only inpatients respondents to clinical and radiological criteria for diagnosis of thalamic ischemic stroke were included. All were evaluated with detailed clinical and neuropsychological evaluation, computer tomography scan (CT scan), routine blood studies, electrocardiogram, and transthoracic echocardiography. All standard risk factors were recorded in these patients. Results: A total of 768 files were analyzed of which 219 cases of cerebral infarction were selected. Among them, 12 patients had lesions involved only thalamic nuclei, which giving the frequency of 5.48%. The mean age was 59.33 years old with a ratio sex of 1.7. The clinical signs most observed were motor deficits (8/12), speech disturbances and anterograde memory impairment (7/12), and. sensory loss (5 cases). The high blood pressure was the main risk factor in all patients. The left thalamic ischemia was most frequent with 7/12 cases. The arterial territories affected were formed by the thalamotuberal arteries in 5/12, thalamoperforating arteries, (4/12), thalamogeniculate arteries, (3/12) and posterior choroidal arteries in 2/12, giving fourteen lesions. Conclusion: Thalamic infarct solely is not so rare and all its arterial branches may be affected. The sensory deficits and abnormal involuntary movement remain the embarrassing and difficult symptom to manage.
- Published
- 2015
40. Transient headache and neurological deficits with cerebrospinal fluid lymphocytosis associated with IgM antibodies to the Epstein–/INS;Barr virus viral capsid antigen
- Author
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Kossivi Apetse, V. Chan, C. Butaud, L. Breynaert, L. Ribouillard, A. Beschet, and K. Blanc-Lasserre
- Subjects
Neurology ,Igm antibody ,business.industry ,Cerebrospinal fluid lymphocytosis ,Immunology ,Medicine ,Viral capsid antigen ,Barr virus ,Neurology (clinical) ,business ,Virology - Published
- 2013
41. Eric Kodjo Grunitzky, neurologist and the father of neurology in Togo
- Author
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S Kevi, Kossivi Apetse, Damelan Kombate, M Belo, Agnon Ayelola Koffi Balogou, V. Kumako, and Komi Assogba
- Subjects
medicine.medical_specialty ,Neurology ,business.industry ,medicine ,Neurology (clinical) ,Psychiatry ,business - Published
- 2013
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