Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication

Sow Adjaratou Dieynabou; Ewodo Touna Hilaire Dominique; Coudjou Ghislain De Chacus; Saphou-Damon Michel-Arnaud; Ekanmian Brandon Gael; Basse Anna Modji; Atsa Kouda Daniel; Frank Ladys Banzouzi; Amadou Gallo Diop

doi:doi:10.11648/j.cnn.20200402.13

Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication

Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, Basse Anna Modji, Atsa Kouda Daniel, Frank Ladys Banzouzi, Amadou Gallo Diop

Published in Clinical Neurology and Neuroscience (Volume 4, Issue 2)

Received: 20 May 2020 Accepted: 1 June 2020 Published: 16 June 2020

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Abstract

Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.

Published in	Clinical Neurology and Neuroscience (Volume 4, Issue 2)
DOI	10.11648/j.cnn.20200402.13
Page(s)	33-37
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Morbimortality, Stroke, Atelectasis, Senegal

References

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[3]	Kumar S, Selim MH, Caplan LR. (2010) Medical complications after stroke. Lancet Neurol. Janv; 9 (1): 10518.
[4]	Gowrinath K, Reddy GV. (2017) Acute total lung collapse in a woman with Acute Stroke and Atrial Fibrillation. J Clin Diagn Res JCDR - Fev; 11 (2): OJ078.
[5]	Adoukonou TA, Vallat J-M, Joubert J, Macian F, Kabore R, Magy L, et al. (2010) Prise en charge des accidents vasculaires cérébraux en Afrique subsaharienne. Rev Neurol (Paris) - Nov; 166 (11): 88293.
[6]	Sène Diouf F, Mapoure Y, Ndiaye M, Mbatchou Ngahane BH, Touré K, Thiam A, et al. (2008) Survie des accidents vasculaires cérébraux comateux à Dakar (Sénégal). Rev Neurol - Mai; 164: 4528.
[7]	Zhao J, Liu Y, Li H. (2015) Aspiration-related acute respiratory distress syndrome in acute stroke patient. PloS One; 10 (3): e0118682.
[8]	Rincon F, Maltenfort M, Dey S, Ghosh S, Vibbert M, Urtecho J, et al. (2014) The prevalence and impact of mortality of the acute respiratory distress syndrome on admissions of patients with ischemic stroke in the United States. J Intensive Care Med. Dec; 29 (6): 35764.
[9]	Rochester CL, Mohsenin V. (2002) Respiratory complications of stroke. Semin Respir Crit Care Med. Juin; 23 (3): 24860.
[10]	Blondon M, Le Gal G, Righini M. (2010) Stratégie diagnostique et intérêt comparatif des scores cliniques pour le diagnostic d’embolie pulmonaire. Rev Médecine Interne Nov; 31 (11): 7429.
[11]	Eswaradass PV, Dey S, Singh D, Hill MD (2018). Pulmonary embolism in ischemic stroke. Can J Neurol Sci.; 45 (3): 3435.
[12]	Wagner C, Marchina S, Deveau JA, Frayne C, Sulmonte K, Kumar S. (2016) Risk of stroke-associated pneumonia and oral hygiene. Cerebrovasc Dis Basel Switz.; 41 (12): 359.
[13]	Pongmoragot J, Rabinstein AA, Nilanont Y, Swartz RH, Zhou L, Saposnik G, et al. (2013) Pulmonary embolism in ischemic stroke: clinical presentation, risk factors, and outcome. J Am Heart Assoc. Nov; 2 (6): e000372.
[14]	Martina Reiten Bovim, Torunn Askim, Stian Lydersen, Hild Fjærtoft, Bent Indredavik. (2016) Complications in the first week after stroke: a 10-year comparison. BMC Neurol.; 16: 133. Published online 2016 Aug 11. doi: 10.1186/s12883-016-0654-8.
[15]	Di Carlo A, Lamassa M, Franceschini M, Bovis F, Cecconi L, Pournajaf S, et al. (2018) Impact of acute-phase complications and interventions on 6-month survival after stroke. A prospective observational study. PloS One.; 13 (3): e0194786.
[16]	Tarun Madappa. (2018) Atelectasis: background, pathophysiology, etiology. Disponible sur: https://emedicine.medscape.com/article/296468-overview Dec 06, [cité 2 juin 2019].

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Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, et al. (2020). Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clinical Neurology and Neuroscience, 4(2), 33-37. https://doi.org/10.11648/j.cnn.20200402.13

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Sow Adjaratou Dieynabou; Ewodo Touna Hilaire Dominique; Coudjou Ghislain De Chacus; Saphou-Damon Michel-Arnaud; Ekanmian Brandon Gael, et al. Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clin. Neurol. Neurosci. 2020, 4(2), 33-37. doi: 10.11648/j.cnn.20200402.13

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AMA Style

Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, et al. Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clin Neurol Neurosci. 2020;4(2):33-37. doi: 10.11648/j.cnn.20200402.13

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@article{10.11648/j.cnn.20200402.13,
  author = {Sow Adjaratou Dieynabou and Ewodo Touna Hilaire Dominique and Coudjou Ghislain De Chacus and Saphou-Damon Michel-Arnaud and Ekanmian Brandon Gael and Basse Anna Modji and Atsa Kouda Daniel and Frank Ladys Banzouzi and Amadou Gallo Diop},
  title = {Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {2},
  pages = {33-37},
  doi = {10.11648/j.cnn.20200402.13},
  url = {https://doi.org/10.11648/j.cnn.20200402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200402.13},
  abstract = {Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.},
 year = {2020}
}

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TY  - JOUR
T1  - Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication
AU  - Sow Adjaratou Dieynabou
AU  - Ewodo Touna Hilaire Dominique
AU  - Coudjou Ghislain De Chacus
AU  - Saphou-Damon Michel-Arnaud
AU  - Ekanmian Brandon Gael
AU  - Basse Anna Modji
AU  - Atsa Kouda Daniel
AU  - Frank Ladys Banzouzi
AU  - Amadou Gallo Diop
Y1  - 2020/06/16
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200402.13
DO  - 10.11648/j.cnn.20200402.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 33
EP  - 37
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200402.13
AB  - Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.
VL  - 4
IS  - 2
ER  -

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Author Information

Sow Adjaratou Dieynabou

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Ewodo Touna Hilaire Dominique

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Coudjou Ghislain De Chacus

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Saphou-Damon Michel-Arnaud

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Ekanmian Brandon Gael

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Basse Anna Modji

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Atsa Kouda Daniel

CURY, Emergency Center of Yaounde, ?Yaoundé?, Cameroon
Frank Ladys Banzouzi

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal
Amadou Gallo Diop

Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

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APA Style

Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, et al. (2020). Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clinical Neurology and Neuroscience, 4(2), 33-37. https://doi.org/10.11648/j.cnn.20200402.13

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ACS Style

Sow Adjaratou Dieynabou; Ewodo Touna Hilaire Dominique; Coudjou Ghislain De Chacus; Saphou-Damon Michel-Arnaud; Ekanmian Brandon Gael, et al. Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clin. Neurol. Neurosci. 2020, 4(2), 33-37. doi: 10.11648/j.cnn.20200402.13

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AMA Style

Sow Adjaratou Dieynabou, Ewodo Touna Hilaire Dominique, Coudjou Ghislain De Chacus, Saphou-Damon Michel-Arnaud, Ekanmian Brandon Gael, et al. Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication. Clin Neurol Neurosci. 2020;4(2):33-37. doi: 10.11648/j.cnn.20200402.13

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@article{10.11648/j.cnn.20200402.13,
  author = {Sow Adjaratou Dieynabou and Ewodo Touna Hilaire Dominique and Coudjou Ghislain De Chacus and Saphou-Damon Michel-Arnaud and Ekanmian Brandon Gael and Basse Anna Modji and Atsa Kouda Daniel and Frank Ladys Banzouzi and Amadou Gallo Diop},
  title = {Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {2},
  pages = {33-37},
  doi = {10.11648/j.cnn.20200402.13},
  url = {https://doi.org/10.11648/j.cnn.20200402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200402.13},
  abstract = {Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.},
 year = {2020}
}

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TY  - JOUR
T1  - Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication
AU  - Sow Adjaratou Dieynabou
AU  - Ewodo Touna Hilaire Dominique
AU  - Coudjou Ghislain De Chacus
AU  - Saphou-Damon Michel-Arnaud
AU  - Ekanmian Brandon Gael
AU  - Basse Anna Modji
AU  - Atsa Kouda Daniel
AU  - Frank Ladys Banzouzi
AU  - Amadou Gallo Diop
Y1  - 2020/06/16
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200402.13
DO  - 10.11648/j.cnn.20200402.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 33
EP  - 37
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200402.13
AB  - Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.
VL  - 4
IS  - 2
ER  -

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