Neuromyelitis Optica Spectrum Disorders in Black African: Experience of Togo (2015-2020).

 Neuromyelitis optica spectrum disorders (NMOSD) would disproportionately affect blacks within mixed populations. However, they are rarely reported in black African. The objective of this work was to report the experience of Togo, a West African country in terms of NMOSD.

Epilepsy surgery in Africa: state of the art and challenges.

Objective: Epilepsy is an important public health problem representing 0.6% of the global burden of disease that particularly impacts people living in the lowest income countries where epilepsy incidence may be 10 fold more than in the developed world. The battery of treatments designed to counteract the clinical manifestations of this disease are various and range from a wide spectrum of antiseizure medicationand specific diets, to surgical techniques for resection of the epileptogenic focus.

[Medication-overuse and chronic headaches in Brazzaville: patients' profile and therapeutic approach].

Introduction: Medication-overuse headaches (MOHs) are the least studied of all headaches in Africa.

Methods: We conducted a longitudinal study in order to describe our experience with patients placed in Neurology Outpatient observation in Brazzaville over a period of 4 years, from September 2010 to August 2014. All patients with chronic primary headaches, according to the International Classification of Headache Disorders (ICHD) (2nd edition), were included in the study.

Case report: an area postrema syndrome revealing a neuromyelitis optica spectrum disorder associated with central nervous system tuberculosis in a young Togolese (black African) woman.

Background: Area postrema syndrome (APS) is considered to be one of the most specific clinical presentations of neuromyelitis optica spectrum disorders (NMOSDs). In sub-Saharan Africa, NMOSDs and even more so those revealed by an APS, are rarely reported. However, studies among mixed populations have shown that NMOSDs disproportionately affect black people with relatively more frequent encephalic involvement.

Rasmussen's Epileptogenic Encephalitis in a Tropical Country.

Background: Encephalitis of Rasmussen is an inflammatory hemiencephalopathy of unknown etiology. It is a cause of drug-resistant epilepsy.

Aim: To report two cases of Rasmussen's encephalitis (RE) in a low-income setting.

[Treatment of patients with extremity traumas occurred during peacekeeping missions in Northern Mali].

In February 2016, the camp of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA), in Kidal, was attacked and many people were wounded and killed. This study aims to determine the nature of extremity traumas and to describe their treatment. We conducted a descriptive cross-sectional study of extremity traumas in the victims of the attack on the camp of MINIUSMA in Kidal.

Bilateral Divergent Shoulder's Fracture Dislocation Case in an Ischemic Stroke Patient.

Introduction: The literature review revealed that nowadays only about 15 cases of bilateral shoulder dislocation associated with the fracture of the upper end of the humerus have been published. The triad of lesional mechanism designated by the triple syndrome E composed of epilepsy, electrocution, and external trauma was the circumstances noted in which these fractures dislocations occur with migration of the two humeral heads either forward or backward.

Case Report: An architect of 36-year-old, right-handed, was admitted in emergency department for loss of knowledge of progressive installation.

Human meningitis due to Streptococcus suis in Lomé, Togo: a case report.

Background: Streptococcus suis is a zoonotic pathogen which represents the leading cause of meningitis in Southeast Asia and an emerging pathogen in the Western world, the main risk factor for infection being contact with pigs. In Africa, the prevalence of S. suis infections in swine and humans is largely unrecognized, with only one recent report of a limited case series.

Neuromeningeal cryptococcosis in sub-Saharan Africa: Killer disease with sparse data.

Introduction: The extent of neuromeningeal cryptococcosis (NMC) has increased since the advent of HIV/AIDS. It has non-specific clinical signs but marked by high mortality.

Objective: To analyze the characteristics of the NMC in sub-Saharan Africa.

Febrile seizures in one-five aged infants in tropical practice: Frequency, etiology and outcome of hospitalization.

Background: Convulsive seizures are the common neurological emergencies in developing regions.

Objectives: The aim was to determine the prevalence, causes and outcome of seizures in childhood.

Patients And Methods: Participants were children aged 1-5 years old, admitted consecutively with a history of febrile convulsions or were presented seizures with fever during hospitalization, in two pediatric university hospitals.

[Sociodemographic and clinical characteristics of the populations admitted in the emergency service of the Campus University Hospital (Lome)].

Aims: The objectives were to determine the prevalence of psychiatric emergencies and establish the sociodemographic and clinical characteristics of these patients.

Methodology: Our work was set in the Clinic of Psychiatry and Medical Psychology and Medical Emergency Service of the University Hospital S. Olympio.

Neurological distress in Togolese newborn: Prevalence, causes and clinical features.

Background: The transition from fetal to neonatal life during birth is difficult for all babies. We aim to analyze the demography, clinical presentation, causes, and outcome of neurologically distressed newborns.

Materials And Methods: We reviewed a total of 615 newborns files admitted with life threatening condition.

Heterogeneous seizure manifestations in Hypomelanosis of Ito: report of four new cases and review of the literature.

Hypomelanosis of Ito (HI) is a rare neuroectodermal disorder often associated with mental retardation and epilepsy. We report on four new HI patients presenting with heterogeneous seizure manifestations and we review the literature concerning epileptic seizures in HI. At one extreme, there are patients with generalized seizures well controlled by drug treatment, whereas at the opposite there are patients with severe, often pharmacoresistant, focal seizures.

[Evolution of the epilepsy treatment gap in 6 peripheral care units in Togo].

Aim: To reduce, less than, 50 % the therapeutic gap of the epilepsy in six peripheral care units (PCU).

Methods: A prospective study was carried out from May 2006, to July 2007 in 1 PCU selected in each of the 6 sanitary regions of Togo. The strategy we used went through the staff training, sensitization of communities and availability of antiepileptic drugs.