Subarachnoid Hemorrragia in the Neurology Department at the Gabriel Toure Hospital-University Centre: A Five-year Retrospective Study
Zoumana Traoré1*, Modibo Sangaré2, Kankou Traoré3, Seybou Hassane Diallo3, Adama Seydou Sissoko4, Thomas Coulibaly4, Salimata Diallo3, Guida Landouré4, Massaman Camara5, Youssouf Sogoba3, Cheick Oumar Guinto4 and Youssoufa Maiga3
1Medical Department, Mali Hospital, Bamako, Mali
2Faculty of Medicine and Odonto-Stomatology, University of Bamako, Mali
3Neurology Department, Gabriel Touré Hospital and University Center, Bamako, Mali
4Neurology Department, Point G Hospital and University Center, Bamako, Mali
5Department of Medicine, Kati Hospital and University Center, Koulikoro, Mali
*Corresponding Author: Zoumana Traoré, Medical Department, Mali Hospital, Bamako, Mali.
April 10, 2021; Published: June 04, 2021
Subarachnoid hemorrhage (SAH) is a form of stroke less represented in terms of incidence, however, the first in terms of morbidity and mortality. Our goal is to study the epidemiological, clinical, therapeutic and prognostic aspects of subarachnoid hemorrhage (SAH).
Methodology: This study was conducted in the Department of Neurology at Gabriel Touré University Hospital in Bamako. This is a retrospective study of inpatient records for SAH in Neurology between January 2011 and December 2016. All cases of spontaneous SAH, confirmed by a brain scan, were included. Cases of traumatic SAH, cases of systemic hemorrhagic stroke with ventricular break-in were not included. Fisher scale was used to categorize patients.
Results: We collected 41 patients including 20 men and 21 women. Patients aged 40-59 years were the most represented (n = 24). Nineteen patients (46.34%) had no known risk factors. The main cause of admission was 51.22% isolated headache (n = 21). On examination, the meningeal syndrome was present and complete in 70.73% (n = 29). Six patients did not receive Nimodipine and four of these patients experienced vasospasm during their hospital stay. There was a mortality of 21.95% (n = 9).
Conclusion: Our study confirms the data of African literature. The frequency of SAH is underestimated due to a lack of appropriate diagnostic means.
Keywords: Bamako; Department of Neurology at Gabriel Touré; Subarachnoid Haemorrhage
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