13 research outputs found
An unusual mode of revelation of Wernicke's encephalopathy: Bilateral blindness with bilateral hypoacousia
No full textCéphalées épileptiques isolées : revue de la littérature. Isolated epileptic headache : review
No full textLes céphalées épileptiques isolées sont des céphalalgies migraineuses associées à des décharges épileptiques électroencéphalographiques per-critiques sans d’autres phénomènes épileptiques associés notamment somatosensitifs, somatomoteurs ou autonomiques. Sur le plan physiopathologique, les céphalées épileptiques isolées correspondent aux manifestations cliniques des décharges épileptiques focales subcliniques des neurones corticaux qui engendrent une dépression corticale propagée ou ‘’cortical spreading depression’’. Cette dernière active le système trigéminovasculaire qui déclenche les céphalalgies migraineuses sans qu’il ait d’autres signes ou symptômes épileptiques associés. Le diagnostic des céphalées épileptiques isolées se fait devant un tableau des céphalalgies migraineuses, qui durent quelques secondes à quelques minutes voire des heures ou jours, associées à des décharges épileptiques électroencéphalographiques per-critiques homolatérales ou controlatérales et qui se résolvent immédiatement après injection intraveineuse des antiépileptiques. Dans cet article de mise au point, nous exposons l’état des connaissances actuelles sur les céphalées épileptiques isolées afin d’attirer l’attention des praticiens à ne pas méconnaitre cette entité clinique et de permettre une meilleure prise en charge des patients qui en souffrent
Hurler–Scheie syndrome in Niger: a case series
No full textAbstract Background Hurler–Scheie syndrome is an intermediate form of mucopolysaccharidosis type I which is a rare lysosomal storage disorder caused by the deficiency or complete absence of enzyme alpha-L-iduronidase activity. We report the first documented cases of Hurler–Scheie syndrome observed in Niger in a Touareg family. Case presentation We studied the case of two 12-year-old twin Touareg boys and their 10-year-old Touareg sister whose parents are first-degree cousins, and there was no history of similar cases in their previous generations. The diagnosis of Hurler–Scheie syndrome was considered in these patients on the basis of clinical and radiological arguments, with the highlighting of a deficiency of enzyme alpha-L-iduronidase in serum and leukocytes. The twins had presented the first symptoms at the age of 24 months and the diagnosis of Hurler–Scheie syndrome was made at the age of 12 years. In their younger sister, the first symptoms were observed at the age of 3 years and the diagnosis was made at the age of 10 years. The three probands were born after a normal full-term pregnancy and a spontaneous vaginal delivery according to their parents. Their birth weight, height, and head circumference were within normal limits according to their parents. The three probands were brought in for consultation for stunted growth, joint stiffness with gait disorders, deformities of the thoracolumbar spine, recurrent otitis media, decreased hearing, increased abdominal volume, snoring during sleep, and facial dysmorphism. Conclusions Even in countries with limited access to diagnostic means, a good knowledge of the clinical manifestations of the disease can help to guide the diagnosis of mucopolysaccharidosis type I
Clinical and Etiological Characteristics of Epilepsy in the Elderly: A Hospital-Based Study from a Tertiary Care Referral Center of Niamey, Niger
No full textKnowledge, attitudes, and practices with respect to epilepsy among primary and secondary school teachers in the city of Niamey, Niger
No full textEpilepsie et grossesse : Revue de la litterature
No full textLa grossesse a longtemps été déconseillée chez les femmes épileptiques en raison du taux élevé des malformations foetales. Si l’épilepsie en elle-même n’a pas d’influence sur le bon déroulement de la grossesse, les medicaments antiépileptiques sont responsables des complications foeto-maternelles. Le taux de complications foeto-maternelles semble être plus important en cas de polythérapie. Cet article est une revue récente de la littérature qui répond à des preoccupations du praticien concernant les liens entre l’épilepsie et la grossesse
Knowledge, Attitudes, and Practices with Respect to Epilepsy among Nurses in the City of Niamey, Niger
No full textPrevalence and characteristics of chronic pain: Experience of Niger
No full textAbstract
Introduction
Chronic pain is a major health problem, considered as a disease in its own right. The prevalence of chronic pain is estimated to be between 2% and 40% in adult populations. In Niger, there are no data on chronic pain.
Aims
This study was designed to provide the demographic, clinical and etiological profile of chronic pain in patients from Niger in order to create a database on chronic pain in Niger.
Patients and methods
Our study is prospectively conducted at the department of external consultation of the Hôpital National de Niamey over a period of 10 months from 31 May 2016 to 30 January 2017 collecting all cases of chronic pain. The demographic, clinical and etiological characteristics of all patients were collected and analyzed.
Results
During the period of the study, 1927 patients consulted at the department of external consultation of the Hôpital National de Niamey, among which 411 patients had chronic pain (21.33% [95% CI: 19.53% and 23.13%]). The average age was 48.28 years (±12.84) with 51.6% of patients aged over 50 years. The male sex was predominant (61.8%). The most common sites of chronic pain were legs (25.5%), back (14.4%), neck (13.6%), knees (13.4%) and feet (13.1%). Osteoarthritis was the most common cause of chronic pain (35.5%), followed by herniated disc (22.2%), spondylodiscitis (14.6%) and migraine (4.1%). Significantly patients aged 50-59 years suffered from neck and legs pain (p value < 0.001). Significantly chronic headaches and rheumatoid arthritis were more common in women while osteoarthritis, herniated disc and spondylodiscite were more common in men (p value = 0.001). Significantly osteoarthritis and herniated disc were more common in patients older than 40 years (p value < 0.001).
Conclusion
Our study provides demographic, clinical and etiological data of chronic pain in patients from Niger, and shows that chronic pain is a common reason for consultation in Niger concerning 1 in 5 patients with a high prevalence among men and patients aged over 40 years.
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Obstacles à l’intégration de la prise en charge de l’épilepsie dans le paquet minimum d’activités (PMA) des centres de santé intégrés (CSI) au Niger
No full textIntroduction: Integration barriers of epilepsy care in to integrated health centre package activities were the aim of this study. Method: Integrated Health Centre was selected based on criteria set by the size of the research budget. The research was conducted according to Mercenier model. Results: The results presented have involved on 15 months of project implementation. They indicate health system and health workers behavioral barriers witch contribute to strengthened inverse care law in epileptology.Introduction : Les obstacles à l’intégration de la prise en charge (PEC) de l’épilepsie dans le paquet minimum (PMA) des CSI ont été l’objet de cette étude. Méthode : Il s’agit d’une recherche action conduite selon le modèle de Mercenier. Les CSI (sites de l’étude) ont été sélectionnés sur la base de critères imposés par la taille du budget alloué à la recherche. Résultats : Les résultats présentés ont concernés 15 mois d’exécution du projet. Ils indiquent des obstacles liés au système de santé et aux comportements des agents qui contribuent à renforcer la loi du soin inversé en épileptologie
