Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors
To determine the prevalence, clinical profile, causes, and mortality risk factors of spontaneous arachnoid haemorrhage at Yalgado Ouedraogo University teaching Hospital, we conducted a 5-year retrospective study of 1803 stroke patients admitted to Neurology Department during the period from January...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Neurology Research International |
| Online Access: | http://dx.doi.org/10.1155/2019/8492376 |
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| author | Alfred Anselme Dabilgou Alassane Drave Julie Marie Adeline Kyelem Lanseni Naon Christian Napon Jean Kabore |
| author_facet | Alfred Anselme Dabilgou Alassane Drave Julie Marie Adeline Kyelem Lanseni Naon Christian Napon Jean Kabore |
| author_sort | Alfred Anselme Dabilgou |
| collection | DOAJ |
| description | To determine the prevalence, clinical profile, causes, and mortality risk factors of spontaneous arachnoid haemorrhage at Yalgado Ouedraogo University teaching Hospital, we conducted a 5-year retrospective study of 1803 stroke patients admitted to Neurology Department during the period from January 2012 to December 2016. During the study period, spontaneous subarachnoid haemorrhage accounted for 3.2 % of all stroke. The mean age of patients was 60 years (range 20-93 years). There was a female predominance in 55.9%. The common vascular risk factors were hypertension (79.7%) and chronic alcohol consumption (16.9%). The main symptoms were headache (76.2%), motor weakness (74.5%), and consciousness disorders (62.7%). Neurological examination revealed limb weakness in 76.2% and meningeal irritation in 47.4%. The best admission Glasgow Coma Scale score of 15 was found only in 37.3 % of patients. About 50.8% of patients were admitted to Hunt and Hess moderate grade (III) resulting in a mortality of 24.80%. The main cause of spontaneous subarachnoid haemorrhage was hypertension (77.9%). Cause could not be determined in 8.5 % of cases. The mortality rate was 37.3%. There was high mortality in patients with intraventricular haemorrhage and in patients with disturbances of consciousness. In conclusion, our study showed a poor frequency of spontaneous subarachnoid haemorrhage with high mortality. Hypertension was the most common cause of spontaneous subarachnoid haemorrhage. |
| format | Article |
| id | doaj-art-bb41bdc6702b4b258080c5a4402fb18f |
| institution | DOAJ |
| issn | 2090-1852 2090-1860 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
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| series | Neurology Research International |
| spelling | doaj-art-bb41bdc6702b4b258080c5a4402fb18f2025-08-20T03:23:07ZengWileyNeurology Research International2090-18522090-18602019-01-01201910.1155/2019/84923768492376Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk FactorsAlfred Anselme Dabilgou0Alassane Drave1Julie Marie Adeline Kyelem2Lanseni Naon3Christian Napon4Jean Kabore5Neurology Department, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina FasoDepartment of Medicine, Regional University Teaching Hospital, Ouahigouya, Burkina FasoNeurology Department, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina FasoNeurology Department, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina FasoNeurology Department, Bogodogo University Teaching Hospital, Ouagadougou, Burkina FasoNeurology Department, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina FasoTo determine the prevalence, clinical profile, causes, and mortality risk factors of spontaneous arachnoid haemorrhage at Yalgado Ouedraogo University teaching Hospital, we conducted a 5-year retrospective study of 1803 stroke patients admitted to Neurology Department during the period from January 2012 to December 2016. During the study period, spontaneous subarachnoid haemorrhage accounted for 3.2 % of all stroke. The mean age of patients was 60 years (range 20-93 years). There was a female predominance in 55.9%. The common vascular risk factors were hypertension (79.7%) and chronic alcohol consumption (16.9%). The main symptoms were headache (76.2%), motor weakness (74.5%), and consciousness disorders (62.7%). Neurological examination revealed limb weakness in 76.2% and meningeal irritation in 47.4%. The best admission Glasgow Coma Scale score of 15 was found only in 37.3 % of patients. About 50.8% of patients were admitted to Hunt and Hess moderate grade (III) resulting in a mortality of 24.80%. The main cause of spontaneous subarachnoid haemorrhage was hypertension (77.9%). Cause could not be determined in 8.5 % of cases. The mortality rate was 37.3%. There was high mortality in patients with intraventricular haemorrhage and in patients with disturbances of consciousness. In conclusion, our study showed a poor frequency of spontaneous subarachnoid haemorrhage with high mortality. Hypertension was the most common cause of spontaneous subarachnoid haemorrhage.http://dx.doi.org/10.1155/2019/8492376 |
| spellingShingle | Alfred Anselme Dabilgou Alassane Drave Julie Marie Adeline Kyelem Lanseni Naon Christian Napon Jean Kabore Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors Neurology Research International |
| title | Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors |
| title_full | Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors |
| title_fullStr | Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors |
| title_full_unstemmed | Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors |
| title_short | Spontaneous Subarachnoid Haemorrhage in Neurological Setting in Burkina Faso: Clinical Profile, Causes, and Mortality Risk Factors |
| title_sort | spontaneous subarachnoid haemorrhage in neurological setting in burkina faso clinical profile causes and mortality risk factors |
| url | http://dx.doi.org/10.1155/2019/8492376 |
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