الكلمات المفتاحية
Infections ORL
Post-partum
Mauritanie
كيفية الاقتباس
الملخص
Introduction: Cerebral venous thrombosis (TVC) is a vascular neurologic emergency. It is characterized by the extreme diversity of its clinical presentation and etiologies. Multiple predisposing factors have been identified and should be investigated during the etiological review. Objective : The purpose of our work was mainly to define the epidemiological profile and to study the clinical, etiological and evolutionary particuliarities of TVC in the Mauritanian population. Patients and Methods : This is a cross-sectional descriptive study including 59 patients at the neurology department of the specialties hospital, for a period of 2 years from January 2014 to December 2015. Results : The age of our patients ranged from 16 to 82 years old with an average age of 37. The female was dominant with a sex ratio of 2.9. The clinical picture was subacute in 47.5% of the cases. The symptomatology was varied and nonspecific, made of headache 55.9%, focal signs 54.2%, seizures 28.8%, infectious syndrome 27,1%, disorders of consciousness 13.6%. The topography of the cerebral venous thrombosis was dominated by location at the superior sagittal sinus 37.4%, 17.4% straight sinus, lateral sinus 15.1%, and the deep veins 10.2%. The etiologies were polymorphic and often combined. Gynecologic-obstetric and infectious causes were predominant with a respective prevalence of 37.3 and 32.2%. In the majority of cases (55.4%), evolution was good with a heparin relayed by anti-vitamin K treatment coupled with physiotherapy. Conclusion : The characteristics of CTV in our study differ from the data in the literature by a high frequency of the postpartum CTV and infectious causes.
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