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Left Hemispherical Subdural Hematoma on the Same Side as the Motor Deficit (k.rnohan)

Open Journal of Modern Neurosurgery 2024年第3期14卷 212-217页

作者： Mohamed Cherif Ibrahima Berete Souare I. S. Junior Alpha Boubacar Bah Seylan Diawara Boubacar A. Dramé Aboubacar M. Camara Elisabeth Traore Mohamed L. Sylla Oumar Sow luc k. beavogui Ibrahima S. Souare Department of Neurosurgery Sino Guinean Friendship Hospital Conakry Guinea Department of Neurosurgery Donka Hospital Conakry Guinea Department Anesthesia-Resuscitation Friendship Hospital Conakry Guinea

Chronic subdural hematoma represents 25% of traumatic subdural collections;common in elderly subjects with a clear male predominance. It occurs over the age of 50 in more than 90% of cases and 50% of patients have no history of head trauma even if the latter remains the main risk.factor with others such as coagulopathy, anticoagulant treatment, chronic alcoholic poisoning. Its discovery is rarely fortuitous and has an important clinical polymorphism including an intracranial hypertension syndrome (complete or incomplete). We report a clinical case of a left hemispheric subacute subdural hematoma with post-traumatic falcorial involvement in a 70-year-old patient admitted with a picture of impaired consciousness and weak.ess of the left hemibody. The objective of this work.is to draw the attention of neurosurgeons and neurologists to the paradoxical existence of the neurological deficit on the same side as the causal brain lesion.

关键词： Subdural Hematoma k.rnohan

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Management of Idiopathic Chronic Hydrocephalus of the Adult in Guinea: A Prospective Study in 16 Patients

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Open Journal of Modern Neurosurgery 2021年第4期11卷 272-280页

作者： Alpha Boubacar Bah Ibrahima Sory Souare Ibrahima Berete Seylan Diawara Hugues Ghislain Atatla Aboubacar M’mah Camara Mamadou k.aira Bah luc k.zely beavogui Service de Neurochirurgie H&#244 pital National Donk. Conakry Guinea Service de Neurochirurgie H&#244 pital de l’Amitié Sino-Guinéenne de k.pé Conakry Guinea

Object: Incidence of Idiopathic chronic hydrocephalus of the adult (ICHA) is increasing in Guinea due to the aging of the population. The goal of this study was to describe its epidemiology, clinical presentation, and surgical outcome in a low-resource medical environment. Method: Sixteen patients operated for a probable ICHA were prospectively studied according to a uniform protocol from June 2019 to December 2020. On computerized tomography, all operated patients had a clinical triad of gait disturbance, incontinence, dementia associated with ventriculomegaly, and transependymal edema. In addition, all patients underwent a single lumbar tap, improved clinically, and were subsequently offered a shunt consisting of a simple catheter in 37.5% and a non-adjustable high-pressure valve in 62.5%. Result: The mean age was 68.31 ± 10.4 (range 49 - 89). The sex ratio H/F was 1.67/1. Clinically, the most frequent comorbidity was a combination of hypertension and diabetes in 56.5% of cases. The mean time to diagnosis was 8.31 ± 2.75 months (range 3 - 14). The immediate postoperative mortality was 12.5% from a status epilepticus and pulmonary sepsis. In addition, we observed 2 cases of chronic subdural hematoma (12.5%) and 2 cas

关键词： Idiopathic Normal Pressure Hydrocephalus Comorbidities Ventriculoperitoneal Shunt Lumbar Puncture

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