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Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication

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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[2] Langhorne P, Stott DJ, Robertson L, MacDonald J, Jones L, McAlpine C, et al. (2000) Medical complications after stroke: a multicenter study. Stroke; 31 (6): 12239.
[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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  • 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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Author Information
  • Neurological Clinic Ibrahima P. Ndiaye, Fann Hospital University – Cheikh Anta Diop University of Dakar (UCAD), Dakar, Senegal

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

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

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

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

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

  • CURY, Emergency Center of Yaounde, ?Yaoundé?, Cameroon

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

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

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