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Epidemiology of Acute Polyradiculoneuritis at Fann Department of Neurology Dakar, Senegal

The acute polyradiculoneuritis (APRN) Guillain Barre Syndrome (GBS) is the most typical case and best documented. In sub Saharan Africa, very few studies are conducted are peripheral neuropathies in general and the APR in particular. The goal of our was to determine the epidemiological profile of the patients hospitalized in our service and in the diagnosis of APRN was held. We had a retrospective study of descriptive type in Neurology department at the Fann National Teaching hospital in Dakar (Senegal). The software Epi Info6 has been used for the analysis and interpretation of data. A total 2694 patients hospitalized during the period of investigation, 39 patients (27 women and 12 men) were admitted for a GBS and which the diagnosis was retained as such depending on our criteria for inclusion. Thus, the hospital prevalence was 1.44%. The average age was 33.9 years with extremes of 11 and 74. The risk factors were dominated by the context of post-partum (63.6%) and type gastroenteritis infections (29.41%) and flu syndrome (23.5%). Albumino-cytological dissociation in the Cerebrospinal liquid (CSL) was objectified in 10 patients (45.4%) and the electroneuromyogram concluded in a demyelinating form in 48.4%, axonal form for 24% and a mixed form (27.7%). A corticosteroid therapy was administered at 53.4% of the patients. All patients had received a symptomatic and functional rehabilitation. Evolution in two months was marked by motor sequelae at 79.9%. Furthermore, 8 patients (20.5%) were transferred to unit and intensive care including mortality of (10.2%) had been recorded. Acute polyradiculoneuritis or Guillain Barre Syndrome have a professional impact. Primary prevention for reduction of morbidity and mortality attributable to this pathology.

Auteur(s) : Anna Modji Basse, Soumaila Boubacar, Adjaratou Dieynabou Sow, Ngor Side Diagne, Marième Soda Diop, Ndiaga Matar Gaye, Maouly Fall, Ibrahima Mariam Dia
Pages : 76-79
Année de publication : 2017
Revue : Clinical Neurology and Neuroscience
N° de volume : 1(4)
Type : Article
Mise en ligne par : BASSE Anna Modji