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Knowledge,attitudes and practices concerning epilepsy among nurses and midwives working in primary health care settings in Ouagadougou of Burkina Faso

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Acta Epileptologica 2023年第2期6卷 90-99页

作者： Alfred Anselme Dabilgou Alassane Dravé Julie Marie Adeline Wendlamita Kyelem Fatimata Kinda christian napon Athanase Millogo Jean Kaboré Department of Neurology University Hospital Yalgado OuedraogoBox 7022Ouagadougou 03Burkina Faso Department of Neurology Regional University Hospital of Ouahigouya03 BP 7009 Ouagadougou 03Burkina Faso Department of Neurology University Hospital of Bogodogo14 Box 371Ouagadougou 14Burkina Faso Department of Neurology Souro Sanou University Teaching Hospital01Box 676Bobo DioulassoBurkina Faso

Background In developing countries,there is a lack of epilepsy knowledge among health *** objective of this study was to assess the knowledge,attitude and practice concerning epilepsy among nurses and midwives working in primary health care settings in *** We carried out a cross-sectional study in the health districts of Ouagadougou from August 1st to September 15th,*** nurses and midwives working in three health districts were included in this *** A total of 213 participants with a mean age of 39.5 years were included in the survey;79.81%of them had a general certification in secondary education and 62%had a professional experience of more than 10 *** 99%of the participants had not received training on epilepsy-related care during the last six *** addition,74.5%of the participants had a good knowledge on epilepsy and 65%had a good practice toward *** level of knowledge was associated with the workplace,years of training,and the professional *** level of knowledge about epilepsy was also associated with the level of education,while there was a significant link between professional status and nurses’level of practice in the management of *** Efforts must be made to provide continuing education for nurses in order to improve their knowledge on epilepsy.

关键词： Epilepsy Knowledge Attitude Practice Paramedics Ouagadougou Burkina

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Knowledge and attitudes of driver license applicants and instructors about driving of patients with epilepsy in Burkina Faso

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Acta Epileptologica 2022年第1期5卷 29-35页

作者： Dabilgou Alfred Anselme Drave Alassane Kyelem Julie Marie Adeline Eklou Lorrainda Emerance napon christian Millogo Athanase Karfo Kapouni Kabore Jean Department of Neurology University Hospital Yalgado OuedraogoOuagadougouBurkina Faso Department of Neurology Regional University Hospital of OuahigouyaOuahigouyaBurkina Faso Department of Neurology University Hospital of BogodogoOuagadougouBurkina Faso Department of Neurology University Hospital of Sourou SanoBobo DioulassoBurkina Faso Department of Psychiatry University Hospital of BogodogoOuagadougouBurkina Faso

Background:Epilepsy is the most common neurological disease in the *** objective of the study was to determine the knowledge,attitude and practice of driver's license applicants and instructors in driving schools on epilepsy in Burkina ***:This cross-sectional study was carried out from January 7th to March 7th 2020 in 21 driving schools approved by the National Driver License Authority in the city of *** driver applicants and one instructor were selected in each driving school,resulting in a total of 315 driver applicants and 21 instructors in the ***:The mean age of participants was 29.91±7.63 *** of the driver applicants included in the study was once experienced a seizure *** respondents had heard of *** main source of epilepsy information was from family(42.5%).Two hundred and twenty-six respondents(673%)had witnessed an epileptic seizure.A majority of participants(55.9%)believed that persons with epilepsy be not permitted to drive a motor *** 44.0% of participants thought that people with epilepsy should be permitted to drive under certain *** hundred and four(30.9%)participants suggested that people with epilepsy be permitted to drive a light *** hundred and forty-one(42.0%)suggest to withdraw the driving license for lifetime if a driver had an epileptic seizure attack;while twenty-three(6.8%)participants recommended suspension of driver license for 12 ***:Efforts should be made to improve awareness and education among license applicants and instructors on the driving by people with epilepsy.

关键词： Knowledge Driving by people with epilepsy Driver license applicants Burkina Faso

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Large Basilar Trunk Aneurysm Discovered Incidentally in a Patient with Ischaemic Stroke: Case Report

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World Journal of Cardiovascular Diseases 2023年第11期13卷 811-817页

作者： Wendlassida Martin Nacanabo Yannick Laurent Tchenadoyo Bayala Abdoul Nassir Porgo Emilie Agathe Carama Bademain Jean Fabrice Ido Taryètba André Arthur Seghda Wendlassida Léa Francoise Sawadogo Sidy Mahamoud Guebre Abdoul-Aziz christian napon André K. Samadoulougou Cardiology Department Bogodogo University Hospital Ouagadougou Burkina Faso Rheumatology Department Bogodogo University Hospital Ouagadougou Burkina Faso Neurology Department Bogodogo University Hospital Ouagadougou Burkina Faso

Summary: Many anomalies can be observed in the basilar trunk, such as aneurysms. Basilar trunk aneurysms are rare with a low reported prevalence. In this study, we describe a case of ischaemic stroke revealed by a basilar trunk aneurysm associated with venous thromboembolic disease. The patient was 60 years old and had no specific pathological history. She was seen for a sudden onset of right hemiplegia associated with dysarthria that had been present for 12 hours. The physical examination revealed a pyramidal syndrome and an altered general condition. An emergency cerebral computed tomography (CT) scan showed evidence of a cerebrovascular accident associated with a saccular aneurysm. We adopted the diagnosis of a deep left sylvian stroke associated with a superficial right sylvian stroke in the setting of an incidentally discovered basilar trunk aneurysm. On the 9ème day of hospitalisation, the patient experienced sudden onset of respiratory distress in conjunction with a warm, painful swelling of the right leg. TTE revealed signs of pulmonary embolism, with thrombi in the inferior vena cava and right atrium. Pulmonary embolism was highly probable, with a modified Geneva score of 15. We adopted the diagnosis of DVA complicated by pulmonary embolism in the setting of a basilar trunk aneurysm. The patient was transferred to the cardiology department, where she received oxygen therapy and thrombolysis with streptokinase. The immediate outcome 6 hours later was the sudden death of the patient due to the onset of cardiogenic shock.

关键词： Aneurysm Ischemic Stroke Thrombolysis

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Clinical and Etiological Characteristics of Hemiplegia at the University Regional Hospital Center Ouahigouya

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World Journal of Neuroscience 2020年第1期10卷 22-28页

作者： Alassane Dravé christian napon Anselme A. Dabilgou Salam Ouedraogo Jean B. Kaboré Department of General Medicine of the Ouahigouya Regional University Hospital Center Ouahigouya Burkina Faso Neurology Department of Yalgado OUEDRAOGO Ouagadougou University Hospital Center Ouagadougou Burkina Faso

Objective: To describe the clinical and etiological characteristics of hemiplegia in the northern region of Burkina Faso. Methodology: This was transversal with a descriptive and analytical study of one hundred and ninety-six hemiplegic patients in charge of general medicine at the Ouahigouya Regional University Hospitalfrom November 2015 to November 2017. Results: The majority of patients had a brutal hemiplegia predominant on the right. The sample consisted mainly of male patients with a mean age of 58 years. High blood pressure was the main factor of vascular risk. The cerebrovascular accident (58.7%) was the main pathology diagnosed. Most patients received symptomatic management. Physiotherapy was performed in 29.6% of patients. The clinical outcome at discharge was marked by the persistence of hemiplegia in more than 90.8% of patients. There was an improvement in the average MIF score at the exit. Conclusion: The lack of computed tomography and neuro-resuscitation unit were the main factors limiting the management of hemiplegia in our context.

关键词： Hemiplegia General Medicine Ouahigouya

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Extracranial Carotid Atherosclerosis and Acute Ischemic Stroke in a Tertiary Hospital in Burkina Faso

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World Journal of Neuroscience 2019年第2期9卷 39-51页

作者： Alfred Anselme Dabilgou Alassane Dravé Julie Marie Adeline Kyelem Hassan Koanda christian napon Jean Kaboré Department of Neurology University Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso Department of Neurology Regional University Hospital of Ouahigouya Ouahigouya Burkina Faso Department of Neurology University Hospital of Bogodogo Ouagadougou Burkina Faso

Objective: To determine the prevalence and risk factors of carotid atherosclerosis among ischemic stroke patients in a tertiary hospital in Burkina Faso. Methodology: This was a descriptive and analytical retrospective study of patients admitted at neurology department of Yalgado Ouedraogo University Teaching Hospital with ischemic stroke and cerebral large vessel atherosclerosis in the period from January 1, 2012 to December 31, 2016. Results: The prevalence of extracranial carotid atherosclerosis was 23.9%. The mean age of patients was 63.5 years (Range 31 - 90 years). The study population included 65% of men and 35% of women. Hypertension was the most common vascular risk factor (75.6%). Stroke was mostly located in the anterior circulation in 23.9%. Low HDL-C was present in 52% of patients. The majority of plaque was homogeneous (85.2%). Plaque were located in carotid bulbar artery (38.5%) followed by common carotid artery (28.2%) and extracranial internal carotid artery (18.6%). According to cerebral lesion, plaque was bilateral in 45.5%, ipsilateral in 42.3% and contralateral in 12.1% of cases. Tight stenosis was found in 30.1% of patients. There was a significant link between male gender and tight stenosis (p = 0.004). Aspirin was the most antiplatelet therapy used (95.5%). Statin therapy was used in 91% of patients. The mean duration of hospitalization was 12.5 days with a mortality rate of 7.1%. Conclusions: Our study showed that extra carotid atherosclerosis was the most common cause of ischemic stroke in Burkina Faso. Man gender was most represented than women.

关键词： Ischemic Stroke Extracranial Atherosclerosis Antiplatelet Therapy Burkina Faso

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Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

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World Journal of Neuroscience 2021年第1期11卷 1-7页

作者： Raphael M. Kabore Habib A. K. Ouiminga Labodi Lompo H. Desire Sankara Anselme Dabilgou Alassane Drave Svetlana Barro Cherban christian napon Athanase Millogo Jean Kabore Department of Neurology CHU Tengandogo Ouagadougou Burkina Faso Department of Neurosurgery CHU Tengandogo Ouagadougou Burkina Faso Deparement of Imagery CHU Tengandogo Ouagadougou Burkina Faso Department of Neurology CHU Yalgado OUEDRAOGO Ouagadougou Burkina Faso Department of Neurology CHU Ouahigouya Ouahigouya Burkina Faso Department of Anesthesia-Reanimation CHU Tengandogo Ouagadougou Burkina Faso Department of Neurology CHU Bogodogo Ouagadougou Burkina Faso Department of Neurology CHU-Souro SANOU Bobo-Dioulasso Burkina Faso

Introduction: Cerebral venous thrombosis (CVT) is a rare complication of spinal anesthesia. The diagnosis is difficult when it occurs by isolated headache, following post spinal puncture headache (PSPH). We report a case of cerebral venous thrombosis complicating PSPH, following a spinal anesthesia. Observation: A 23-year-old man was admitted to the emergency room for PSPH appeared 6 hours after a spinal aesthesia for removal of osteosynthesis equipment from the right tibial plateau. The headache was fronto-occipital, relieved by lying down. Six days later, headache became permanent, not relieved by morphine, associated with vomiting. The neurological examination was normal. Brain magnetic resonance Magnetic venography showed superior sagittal sinus and right transverse sinus thrombosis. After administration of low molecular weight heparin at curative dose, and warfarin under INR control, the evolution was marked by a rapid regression of headaches on the same day. After a 1-year setback, the patient was asymptomatic. Conclusion: CVT is a rare complication of spinal anesthesia and potentially severe if diagnosed lately. Urgent brain imaging must be performed for any atypical headache or the onset of neurological disorders so as not to misunderstand cerebral vein thrombosis. Controlling the spine anesthesia would reduce the inadvertent perforation of the dura-mother that would lead to CVT complicating post spinal puncture headaches.

关键词： Spinal Anesthesia Post Spinal Puncture Headache Cerebral Venous Thrombosis

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