This Article Full Text Full Text (PDF) All Versions of this Article: 36/9/1844    most recent 01.STR.0000177864.08516.47v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Sagui, E. Articles by Debonne, J. M. Search for Related Content PubMed PubMed Citation Articles by Sagui, E. Articles by Debonne, J. M. Related Collections Cerebrovascular disease/stroke Acute Cerebral Hemorrhage Acute Cerebral Infarction

(Stroke. 2005;36:1844.)
© 2005 American Heart Association, Inc.

Original Contributions

Ischemic and Hemorrhagic Strokes in Dakar, Senegal

A Hospital-Based Study

Emmanuel Sagui, MD; Papa Saliou M’Baye, MD; Christophe Dubecq; Khadi Ba Fall, MD; Abdourahmane Niang, MD; Sarah Gning, MD; Jean-Pierre Bellefleur, MD; Mouhamadou Sane, MD Jean Marc Debonne, MD

From the Service de Neurologie (E.S.), Hôpital d’Instruction des Armées A Laveran, Marseille, France; Service de Médecine Interne et Gastro-Entérologie Brévié (P.S.M.B., S.G.), Hôpital Principal Dakar, Senegal; Resident, Ecole du Service de Santé des Armées (C.D.), av de la Marne, Bordeaux Armees, France; Service de Médecine Interne et Pathologies Infectieuses Jamot C (K.B.F.), Hôpital Principal Dakar, Senegal; Service de Médecine Interne Pelletier (A.N.), Hôpital Principal Dakar, Senegal; Service d’Accueil des Urgences (J.P.B.), Hôpital Principal Dakar, Senegal; and Service de d’Hépato-Gastro-Entérologie (J.M.D.), Hôpital d’Instruction des Armées A Laveran, Marseille, France.

Reprint requests to Emmanuel Sagui, MD, Service de Neurologie, Hôpital d’Instruction des Armées A Laveran, BP 50, 13013 Marseille, France. E-mail emmanuel.sagui{at}laposte.net

Background and Purpose— Basic stroke features are hardly known in sub-Saharan countries, and no data are available in Senegal.

Methods— We performed a retrospective hospital-based study in Dakar, Senegal, to assess risk factors and etiology of stroke. Patients were recruited from January 1, 2003, to July 31, 2004, at the Hôpital Principal, Dakar. Strokes had to be ascertained by computed tomography.

Results— A total of 107 patients were studied. Seventy percent of strokes were of ischemic nature. For ischemic strokes, mean age was 64.2 years. Hypertension was the main risk factor, occurring in 68%, and diabetes was encountered in 37.3%. Lacunar strokes and cardioembolism accounted for 20% and 13.3%, respectively. Because of the lack of systematic investigations, two thirds of strokes were of undetermined origin. Mortality within 1 month was 38%. For hemorrhagic strokes, mean age was 51 years and 1 month mortality was 56%.

Conclusion— Hypertension is the main risk factor for both ischemic and hemorrhagic strokes in this hospital-based study.

Key Words: Africa, Western • risk factors • stroke