Marien Ngouabi University
Brazzaville, Brazzaville | Congo
Main Specialties: Neurological Surgery
Additional Specialties: Head and Spine surgery
Born in april, 12th, 1982 at Brazzaville, i'm scientific bachelor (Mathemathics) since 1999, and i got my medical doctor graduation in the Health Science Faculty of Marien Ngouabi University in december 2007. I'm laureate of my promotion in medicine.
I accessed at the Rabat Reference Center for the training of African Young Neurosurgeons in July 2008, in Mohammed V University (Kingdom of Morocco).
I got a diploma in neurosurgery and brain stereotaxy in November 2013.
I'm lecturer at the Health Science Faculty of Marien Ngouabi University since September 2014, and i'm Professor Assistant since july 2018. I practice neurosurgery in the surgical department of universitary hospital of Brazzaville where i'm head of emergency surgical unity.
Primary Affiliation: Marien Ngouabi University - Brazzaville, Brazzaville , Congo
Af J Neurol Sci 2016, 34(1): 47-54
African Journal of Neurological Sciences
To present and discuss the neurosurgical practice at the university hospital of Brazzaville.
Patients and Method
We conducted a retrospective study from January 2014 to September 2015 (21 months), for all patients who have been hospitalized for neurosurgical diseases. CT-Scan and MRI were performed for management of patients. The studied parameters were epidemiological, diagnostic, surgical and dynamically evolving.
403 patients were hospitalized during our study. The average age were 46 years and the sex ratio 2.03 and the mortality, 17.23%. Neurotraumatology and degenerative spine diseases were frequently observed - respectively 54.35% and 11.9%- in the serie of surgical cases. Post-surgical evolution was favorable in 70.56%. 7.53% of the patients had post-surgical infections and the mortality 8.9%.
Access to CT-scan and MRI have facilitated the neurosurgical practice. Our results are encouraging. The treatment’s conditions need an improvement of our technical environment, a ward dedicated to neurosurgery and a multidisciplinary cooperation.
Neuroscience & Medicine, 2016, 7, 157-162
Neuroscience & Medicine
The aim of this study was to evaluate the medical management of traumatic brain injury. We performed a retrospective and descriptive study during the period from 1st January 2014 to 31st December 2015 (24 months), into the surgical department of the University Hospital of Brazzaville. 167 cases of non-operated traumatized brain have been identified. The average age was 29.84 years. The sex ratio was 8.82. Acci- dents on public roads were responsible for injury in 88.2% of the cases. 46.71% of pa- tients had a moderate traumatic brain injury while 10.18% had a severe traumatic brain injury. Radiological evaluation was highlighted for the brain contusion in 52.09% of the cases. Tracheal intubation and ventilation were completed only in 6 out of the 17 cases of severe traumatic brain injury. Prevention of post-traumatic seizure was performed with the use of phenobarbital or sodium valproate. Mannitol was used for its osmotic properties. The outcome was favorable in 55.68% of the cas- es. The most common complications were pulmonary infections, persistent neuro- logical disorders, urinary infection and hyponatremia. Mortality was recorded at 13.77%. Nonsurgical management of traumatic brain injury involves an expansion of the ventilatory assistance indication at all severe traumatic brain inju- ries, the fight against infectious complications and ionic monitoring.
Annales de l’Université Marien NGOUABI, 2016 ; 16 (1) : 19-26
Annales de l’Université Marien NGOUABI
Objective : To evaluate the management of chronic subdural hematoma.Patients and methods : A prospective study was conducted during the period of march 2014 to august 2015. The variables studied were mainly epidemiology, diagnostic and evolution.Results : 25 patients were included in our study. The average age of the patients was 65 years, and the sex ratio was 2.12. The most common clinical signs for chronic subdural hematoma were increased intracranial pressure (88%), loss of consciousness (88%), neurologic weakness (84%). Most of patients were in 2 and 3 Markwalder scale (64%). CT-scan were performed to 84% of cases. Postoperative data were favorable for 64% of patients. We recorded four deaths.Conclusion : The incidence of chronic subdural hematoma will increase with hope for life. The CT-scan is the main exploration for diagnosis. The gold standard treatment is surgery, and evolution depending of initial clinical graduation.