Fatimata Hassane Djibo^1,2*, Daou Maman^3,5, IBRAHIM Moussa Daouda¹, Moudassir Mahamat AHMAT², Adamou Hassane Aboubacar², Moussa Toudou Daouda², Soumaila Boubacar², Haoua Ousseini SIDIBE¹, Djibrilla Ben ADJ¹, Zakaria Mamadou MAIGA^1,4, Amadou AbdouBacharou⁴, Abdourahamane NAHANTCHI⁴, Mahadi Moussa KONATE⁴, Issa DJIBo⁴, Souleymane Brah⁵, ERIC Adehossi Omar⁵

¹Neurology Service of the National Hospital of Niamey(Niger)
²Service of Neurology of the National Hospital Amirou Boubacar Diallo, (Niger)
³Service of Internal Medicine of the National Hospital of Niamey, (Niger)
⁴Hospital General de Reference de Niamey(Niger)
⁵Faculty of Health Sciences of UAM Niamey(Niger)

*Corresponding Author: Fatimata Hassane Djibo, Neurology Service of the National Hospital of Niamey(Niger).

Received: May 17, 2024; Published: July 11, 2024

Abstract

Introduction: Cerebrovascular accidents (CVAs) are a real public health problem throughout the world. They are the most common neurological condition in industrialized countries where they represent: the first cause of acquired disability in adults; the second cause of vascular dementia; the third cause of death, i.e. 9% of deaths. Strokes are more and more frequent in young people with various etiologies.

Objective: To determine the clinical etiological and therapeutic aspects of stroke in Young people.

Results: This is a prospective descriptive study on 119 cases at the NHN and the CNRD during the period from 06 June 2018 to 01 October 2019, i.e. a period of 17 months.

A predominance of women is 51.2%. Average age: 30.59 years ± 16,45. The patients had consulted a general practitioner before admission, i.e. 64.7%. The largest number of patients was hypertensive, 49,6%. 35,3% of patients had 2 risk factors (migraine and sedentary lifestyle). There is a predominance of left hemiplegia, 20,2%. The majority of patients (58,8%) received less than 24 hours of admission. The majority of patients had a Glasgow score between 11 and 15 (66,4%). We found a rate of anemia and hyperleukocytosis of 3,4% each and 1,7% of polycythemia Most of the strokes were of sickle cell origin or 26%. The most common abnormality on CT scan was hypodensity with 51,3% of cases. The Sylvian territory was the most affected with 45,4%. 53,8% of patients had taken antihypertensive drugs, 41,2% had taken platelet aggregation inhibitors, 99,2% had received physiotherapy and 7,6% had received anti-edematous therapy. The average length of hospital stay was 7-14 days or 50,4%. The majority of patients had an NIHSS score between 5-15 or 83,2%.

Conclusion: The stroke does not spare the young subject, long considered a disease of the third age. The strokes of the young subject are different from those of the elderly by their multiple etiologies, hence the relentless search for the etiology.

 Keywords: Aspects; Clinical; Stroke; Therapeutic; Niamey; Niger

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Citation

Citation: Fatimata Hassane Djibo., et al. “Epidemiological, Clinical, Etiological and Therapeutic Aspects of Stroke in Young People Under 50 Years”.Acta Scientific Medical Sciences 8.8 (2024): 79-87.

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Copyright: © 2024 Fatimata Hassane Djibo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.