Abstract

Touré K.1, 3*, Sarr M.1, SoumahD.3,SowA.3, Basse/Faye A.3, Diagne N.S.3, Ndao A.K.3, Diop/Sene M.3, Seck L.B.3, Ndiaye M.3, Diop A.G.3, Tal Dia A.2, Ndiaye M.M.

Brainstem haemorrhage is a low butlethal health conditionandfew studies have beenconductedaboutit in Africa. The objective of this study was to assess the epidemiology of brainstem haemorrhageamong patientshospitalized inthe Department of Neurology, Fann University, Dakar-Senegal.During a cohort study, patients hospitalized from February to July 2009 for brainstem haemorrhage were followed at days1, 3, 7, 15 and 90. Sociodemographiccharacteristics of the patient, medical history, clinical, biological, radiological and prognosticdata were collected. In a population of 711patients, 288cases of stroke were reported,of which 91 were haemorrhagic. The number of brainstem haemorrhagecases was 10 representing a frequency of 10.98% of the total casesof haemorrhagic stroke and 1.49%of the total population. The patientshad a mean age of 54.6years. They were mostlymale (6 cases), admitted for coma (4 cases). Hypertension was the main past medical history (5 cases). The mean timeof admission was 26.9 hours. Thehaemorrhage was mainly located at the pons and peduncle (4 cases) and all the brainstem(3 cases). Lethality rate was70% with10% onday 3, 33.3% at day 7, 16.7%at day 15 and 60% at day 90.It is necessary to sensitizethe community about the primary prevention ofstroke