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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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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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