Volume 7, Issue 1, January 2018, Page: 1-8
Stroke in Senegalese Young Women: About 109 Cases
Arame Gaye, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Ousmane Cissé, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Salaheddine Mourabit, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Marième Soda Diop Sène, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Ngor Side Diagne, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Moustapha Ndiaye, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Amadou Gallo Diop, Neurology Department of Fann National Teaching Hospital, University of Dakar, Dakar, Senegal
Received: Dec. 15, 2017;       Accepted: Jan. 25, 2018;       Published: Mar. 5, 2018
DOI: 10.11648/j.sjcm.20180701.11      View  894      Downloads  50
Abstract
Considered for a long time as pathology of the elderly, stroke is more and more frequent in the young subject, 12 to 15% of the stroke occurs in the people under 50 years old. The situation is alarming because the consequences are tragic on the economic and social levels. We will be interested in the stroke of the young women. This is a cross-sectional descriptive study over 22 month in neurology department in Fann teaching hospital, period from August 2012 to June 2014. This allowed to the compilation of 109 patients with stroke according to the WHO definition and aged between 16 and 50 years. This study focuses on 109 women aged between 17 and 50 years with an average age of 39.95 years. The most representative age range is between 36 and 45 years. Only 3.7% of patients had a level of education higher than baccalaureate, 59.6% were not in school.57.8% had an ischemic stroke and 42.2% had a hemorrhagic stroke, with an average age of 39 years for ischemic stroke and 40 years for hemorrhagic stroke. The most important cardiovascular risk factors for ischemic stroke were dyslipidemia (73%), high blood pressure (42.9%), sedentary lifestyle (38.1%), and estrogen-progestin contraception intake were found in 23.8 % of cases. According to the TOAST classification, the etiology is embolic heart disease (25.4%), macroangiopathy (17.5%), microangiopathy (7.9%), others (15.9%), and in 41.2% of the patients the etiology is not found. The main cardiovascular risk factors in hemorrhagic stroke were hypertension (80.4%), dyslipidemia (58.7%), sedentarily (59.1%), migraine (23.9%) an oestroprogestative contraception intake (6.5%).The etiologies of hemorrhagic stroke are arterial hypertension (80.4%), left middle cerebral artery aneurysm (6.5%), arteriovenous malformation (4.3%), infectious arteritis (4.3%), hemostasis disorder (2.2%), and undetermined origin (2.2%). Bad eating habits, sedentary lifestyle lead an increase cardiovascular risk factors and, at the same time, the stroke rate in young women. Prevention must go through a good awareness-raising policy.
Keywords
Cardiovascular Risk Factors, Stroke, Young Women
To cite this article
Arame Gaye, Ousmane Cissé, Salaheddine Mourabit, Marième Soda Diop Sène, Ngor Side Diagne, Moustapha Ndiaye, Amadou Gallo Diop, Stroke in Senegalese Young Women: About 109 Cases, Science Journal of Clinical Medicine. Vol. 7, No. 1, 2018, pp. 1-8. doi: 10.11648/j.sjcm.20180701.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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