Publications by authors named "Abdoul Kadir Ibrahim Mamadou"

3 Publications

  • Page 1 of 1

Clinical and etiological profile of epilepsy at the regional hospital center of Tahoua (Niger): A 4-year retrospective study.

Brain Behav 2021 Jul 21. Epub 2021 Jul 21.

Department of Medicine and Medical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger.

Objective: We aimed to evaluate epilepsy management at the regional hospital center (RHC) of Tahoua (Niger) to determine the intrahospital deficiencies to optimize to improve the management of people with epilepsy.

Methods: A descriptive retrospective study was carried out at the Psychiatric Unit of the RHC of Tahoua between January 1, 2016 and December 31, 2019. We collected from the registers of consultation all patients followed by nurse technicians in mental health for epilepsy whose diagnosis was made by nonspecialist physicians or internists. The study included patients with epilepsy who had a medical follow-up at least 6 months.

Results: Of the 2022 patients seen during the period of the study, 246 patients were consulted for epilepsy with a hospital frequency of 12.2%. The mean age was 22.38 years, with a slight predominance of men (57.7%). Only generalized tonic-clonic seizures (95.1%) and focal-aware seizures (4.9%) were reported. The main etiologies were cerebral malaria (18.7%), bacterial meningitis (8.1%), and head trauma (4.9%). In 60.2% of cases, the etiology was undetermined, but the etiological diagnosis investigation was incomplete (CT scan not done). Only the first-generation antiepileptic drugs were used. Only 2.8% of the patients had drug-resistant epilepsy, and 97.2% of the patients had controlled seizures.

Conclusion: The study shows a predominance of infectious causes, particularly cerebral malaria. We found a high proportion of epilepsies with unknown etiologies with incomplete workup. The RHC of Tahoua should facilitate access to the CT scan for people with epilepsy to improve etiological diagnosis investigation.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1002/brb3.2301DOI Listing
July 2021

Subhepatic appendix: an ectopic topography not to be disregarded: a case report.

J Med Case Rep 2021 May 31;15(1):288. Epub 2021 May 31.

Department of Surgery, Regional Hospital Center of Maradi, Faculty of Health Sciences of the University of Maradi, Maradi, Niger.

Introduction: Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis.

Case Presentation: We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation.

Conclusion: Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-021-02883-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166013PMC
May 2021

Teachers' Knowledge About Epilepsy and Their Attitudes Toward Students with Epilepsy: A Cross-Sectional Survey in the City of Tahoua (Niger).

Neuropsychiatr Dis Treat 2020 8;16:2327-2333. Epub 2020 Oct 8.

Department of Medicine and Medical Specialties, Regional Hospital Center of Tahoua, Tahoua, Niger.

Purpose: In this survey, first, we aimed to investigate the views held about epilepsy of primary and secondary school teachers in the city of Tahoua (Niger, a Sub-Saharan African country), and secondarily, how their experience and knowledge about epilepsy influence their attitudes towards school children with epilepsy.

Materials And Methods: A cross-sectional survey was carried out between November and December 2019. We used a self-administered questionnaire survey in French-language comprising sociodemographic part, and knowledge and attitudes about epilepsy part. Composite scores of knowledge and attitudes were calculated, and statistical analyses were performed to assess their association with sociodemographic characteristics.

Results: Two hundred eighty-four (284) school teachers had agreed to answer the questionnaire survey, among which 25% had already witnessed an epileptic seizure in the classroom or the schoolyard. Epilepsy is considered as a chronic brain disease and psychiatric illness in 31% and 32.4% of cases, respectively. In 41.9% of cases, epilepsy is considered as a contagious disease. Significantly, we found that the composite score of knowledge and attitudes was lower in younger school teachers (p = 0.007) and those with fewer years of teaching experience (p = 0.048). High school teachers had better score composite than those of primary school and college (p = 0.072). Regarding the composite score of attitudes, we did not find an association with sociodemographic characteristics.

Conclusion: Teachers' attitudes were not associated with their level of school taught, years of teaching experience, and their religion. It is necessary to integrate educational training courses about epilepsy into the curriculum of teachers' training.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.2147/NDT.S276691DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550210PMC
October 2020
-->