Original Research Article
Year: 2021 | Month: April | Volume: 11 | Issue: 4 | Pages: 34-39
DOI: https://doi.org/10.52403/ijhsr.20210404
Stroke in the Brain Scanner at Kinshasa University Clinics and Marie Biamba Mutombo Hospital: A Case Series Study
Mbaki Bula Samuel1, Nkodila Natuhoyila Aliocha2, Lelo Tshikwela Michel1, Longo Mbenza Benjamin2,3
1Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
2Faculty of Public Health, Lomo University Research, Kinshasa, Democratic Republic of Congo
3Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo
Corresponding Author: Aliocha Nkodila Natuhoyila
ABSTRACT
Background and objective: Strokes represent a significant cause of morbidity and mortality throughout the world. But data relating to this in sub-Saharan Africa is scarce. The objective of this study is to identify traumatic pathologies with CT scan in patients followed in hospitals in Kinshasa, Democratic Republic of Congo.
Methods: descriptive cross-sectional study of data from the medical records of patients having performed a cerebral CT scan covering a period of 24 months at the University Clinics of Kinshasa and at the Biamba Marie Mutombo Hospital. The study parameters are of three kinds, those relating to socio-demographic data (age, sex, date of the CT scan); those relating to the clinical data and the indications for the examination and the CT data.
Results: Among the 717 cases of stroke diagnosed by CT scan, 529 were of the ischemic type while 188 were of the hemorrhagic type (Figure 1). The ischemic stroke / hemorrhagic stroke ratio was 3/1. The demographic transition was very characteristic for all strokes increasing with advancing age 18.4% in the age 0-19 years, 14% in the age group 20-49 years, 27.8%, and 56.6% in age ≥ 60 years. Comparisons of the proportions of ischemic and hemorrhagic strokes by sex and age groups. There was no statistically significant difference in the sex of patients between the types of stroke (P> 0.05) when there was a statistically significant difference in the proportions of hemorrhagic and ischemic strokes between age groups. There was therefore an exponential type curve of the proportions of ischemic-type strokes according to age advancement: the highest frequency at age ≥ 60 years.
Conclusion: strokes are frequent in Kinshasa; they are characterized by a high frequency of ischemic stroke and increase with age.
Key words: Stroke, CT scan, Epidemiological transition hospitals in Kinshasa.