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  1497      Downloads  106
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.
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 © 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.
Adoukonou TA, Vallat JM, Joubert J. et al. Prise en charge des accidents vasculairescérébraux en AfriqueSubsaharienne. Revue neurol2010; 16: 882-93.
AZANKPAN E. R. Prévalence des facteurs de risque des AVC en population générale à Cotonou (Bénin). Thèse de doctorat en médecine: UCAD 2010. N° 58.
BALOGOU A. A. K., GRUNITZKY E. K., ASSOGBA K. et al. Strokes among youth (15 to 45 years old) in the neurological department of the medical teaching hospital, campus Lomé. AJNS 2008; 27: 1-2.
Bellalem A, Amroune AA, Amiri L et al. Epidémiologie des accidents vasculaires cérébraux ischémiques et classification des sous types selon les critères TOAST à Sétif en Algérie. Revue neurol2007; 18: 9-11.
CAEN LYON O. Accident vasculaire cérébral. Neurologie, Médecine sciences, Flammarion France 2009; 37: 84-196.
Chraa M, Louhab N, Kissani N. Stroke in youngadults: about 128 cases. Pan Africanmedical journal 2014; 17: 1-7.
DE Sylva. R, Ranjani Gamage, Wewelwala C et al. Young strokes in Sri Lanka: An unsolvedproblem. J Stroke CerebrovascDis. 2009; 18: 304–308.
DIAGNE N. S. Etiologies des AVC du sujetjeune (à propos de 40 cas). Thèsemédecine: UCAD 2010. N°66.
FERRO M. F., MASSARO A. R., Mas J. L. et al. Aetiological diagnosis of ischaemic stroke in youngadults. Neurology 2010; 9: 1085-1096.
Bhat Viveca M., John W. Cole, John D. Sorkin and al. Dose – Response relationship between cigarette smoking and risk of ischemic stroke in young women. Stroke 2008; 39: 2439-2443.
GRIFFITHS. D., STURM J et al. Epidemiology and Etiology of Young Stroke. Stroke Research and Treatment 2011, Article ID 209370, 9 pages.
Horde P. Accident vasculairecérébral- statistiques (France). Santé medecine.net 2014; tous droits réservés: 1-3.
Jayantee K., Gourav G., Kumar P. and al. Intracerebral hemorrhage in young from in tertiary neurology center in North India. Journal of neurological sciences 2014; 336: 42-47.
KHAN M., WASAY M., MENON B. et al. Pregnancy and puerperium- related stroke in Asian women. Journal of Stroke and CerebrovascularDiseases2013; 22: 1393-1398.
LEYS D., DEFEBVRE L. Pathologie vasculaire cérébrale. Neurologie, Ellipses France 2004; 14: 141-148.
Love B. B., Biller J. Stroke in children and young adults: overview, risk factor, and prognosis. National Vital Statistics Reports Hyattsville, MD 2008; 56: 1-14.
MARQUIS I. Les femmes et les AVC: Risques spécifiques, pronostics défavorables. Fondation des maladies du cœur du Québec.
MASSARDIER E. G. Accidents ischémiques cérébraux (AIC) du sujet jeune, généralités. Stoke 2009; 40: 1195-1203.
Onwuchekwa A. C, Onwuchekwa R. C, Asekomeh E. G et al. Stroke in young Nigerian adults. Journal of vascular nursing, 2009; 27: 98- 102.
OVBIAGELE B., NGUYEN-HUYNH. Stroke Epidemiology: Advancing Our Understanding of Disease Mechanism and Therapy. Neurotherapeutics2011; 8: 319–329.
Pessinaba S, Mbaye A, Yabeta GA, Kane A, Ndao CT, NdiayeMBet al. Prévalence et déterminants de l’hypertension artérielle et les facteurs de risque associés: des données à partir d’une enquête transversale basée sur la population de Saint Louis, Sénégal. Cardiovascular Journal Afrique 2013; 24: 180-3.
SINGHAL B. A., BILLER J., ELKIND M. S. et al. Recognition and management of stroke in young adults and adolescents. Neurology2013; 81: 1089–1097.
STROUSE J. J., LORI C., LANZKRON S. et al. The Excess Burden of Stroke in Hospitalized Adults with Sickle Cell Disease. Am J Hematol, 2009; 84: 548–552.
Sturm JW, Mackay MT, Thrift AG. Stoke among women, ethnic groups, young adults, and children. Handbook of Clinical Neurology 2009; 92: 337-53.
SZTAJZEL R. et DEVRUJST G. Sujet Neurologie. Revue médicale suisse; 2390: 1-4.
WOIMANT F. Particularité de l’accident vasculaire cérébral de la femme. Réalitéscardiologiques2012; 290: 30-34.
WOIMANT F; plus d’AVC chez le jeune. Medscape France 2012; 1: 1-5.
Donald Lloyd-Jones, MD, ScM, FAHA; Robert J. Adams, MD, FAHA; Todd M. Brown, MD; and al. Heart Disease and Stroke Statistics—2010 Update. Circulation AHA 2010. E46-260.
Emelia J. Benjamin, Michael J. Blaha, Stephanie E. Chiuve, Mary Cushman, Sandeep R. Das, heart disease and stroke statistics—2017 update: a report from the American heart association. Circulation AHA 2017; 135:e146-e603.
Browse journals by subject