Research
Recurring Ischemic Infarcts Showing Biermer’s Disease Associeted with Protein S Deficiency
Mrs ASS….AKOU, 36 married and right handed household was at her second episode of stroke in six months. Concerning her history; six months ago, during her first episode of stroke she was discovered and known to have a high blood pressure in the left anterior cerebral artery, responsible of an after effects right crural hemiparesis at 4/5. She was not using hormonal contraception and there was not a sign of alcoholic or tobacco intoxication. Since six months she has been under second prevention with acetylsalicylic under 100 mg per day and sartan 150 mg per day. The current episode was marked by a brutal installation of a left hemi body deficit predominant to inferior member in the morning of 26th December 2014 at her home. When she was admitted the exam allowed to note a blood pressure of 160/80 Hg in the left hand and 160/90 mmHg in the right, a beat of 78 pulsations per minute, a temperature at 37°4C talking of a neurology she was conscious without trouble of superior functions.
Strokes in Black Africa
The study of strokes in Africa bears at the same time an epidemiological, etiological, semiological and therapeutical interest. The studies made on the black continent [11] these early thirty years show the necessity in this sector which remains unexplored, to evaluate the incidence and the prevalence of stroke in order to elaborate programmes and research protocols adapted to our realities. However, it is difficult to have a coherent interpretation of the results of these studies because of the high variability of epidemiological clues. In black Aflica, in Nigeria [1], the prevalence of strokes was 60,67/100.000 persons. These rates of prevalence observed in Africa go against the rate reported in industrialised countries 145/100.000 persons [2] and could suggest the existence of some particularities that are special to Africa continent.
Epilespy and Enuresis of Teenagers and Young Adults: Attitudes, Practices and Knowledge in Togo
Introduction: Enuresis is a public health issue, especially in the tropical areas and sometimes leads to dehumanizing and humiliating practices. Various etiologies can explain the occurrence of enuresis of teenagers and adults, especially epilepsy. Materials and Methods: We have carried out a prospective study on enuresis and epilepsy in Togo. After the phase of recruiting enuresis and epilepsy patients at CHU- SO, an investigation phase followed in three main cultural areas in Togo and focused on three groups of people: the custodians of collective knowledge, the general population (120) and the medical staff (225). Open-ended questions were about the knowledge and the behaviors in case of enuresis as the only symptom of epilepsy. Results: Enuresis is not considered like a manifestation of epilepsy in most subjects interviewed. This poor knowledge epilepsy seems to explain the relative tolerance in patients with enuresis within the society. But some attitudes and practices in the case of enuresis reveal risks of "social death" just like in non-treated epileptic subjects. On the other hand, adult subjects with enuresis revealed attitudes and practices that are conducive to care for the patients with enuresis and epilepsy.
