Epidemiological, clinical, etiological and evolutionary aspects of hemorrhagic stroke hospitalized at the hospital of specialties in Mauritania : Study of 60 cases.

Abstract

Introduction: Hemorrhagic strokes account for 10 to 15% of all strokes, or 10 to 20 cases per 100,000 population. Their causes, although often suspected, have never been the subject of a study in Mauritania, hence the interest of this work. Objective : Determine the epidemiological, clinical, etiological, and evolutive Aspects of Hemorrhagic strokes in Neurology Patients in Nouakchott. Materials and methods : This was a prospective descriptive study that included 60 patients hospitalized in the Department of Neurology of the Hospital Center of Specialties from November 1, 2016 to April 30, 2017. Included patients of both sexes and all ages labeled with hemorrhagic strokes and having imaging con irming the diagnosis. Were not included those with hemorrhagic changes of ischemic strokes. A data collection sheet, the hospital registry and the SPSS20 software were used. Results : The age of our patients ranged from 18 years to 90 years with an average age of 56.92 years.The male gender predominated .The symptoms were dominated by the motor de icit (83.3%), followed by headaches (30%), disorders of consciousness (23.3%) and convulsive crises (2%). The location of the hematoma was deep in 47% and at the lobar level in 48%and 5% at the meningeal level. At the etiological level: HTA was found in 46% (40% in the over 50s) and vascular malformations in 12% of our patients. On the other hand, in those under 50, hypertension was more common than vascular malformations. In 33% of our patients there was a complete regression. Conclusion : The characteristics of the hemorrhagic strokes in our study are distinguished from the data of the literature, etiologically especially, by a higher frequency in the subjects of less than 50 years of the Arterial Hypertension than the vascular malformations