title: Post-stroke epilepsy in Burkina Faso (West Africa).
abstract: Post-stroke epilepsy (PSE) is defined as "recurrent seizures following stroke with confirmed diagnosis of epilepsy". Our objective was to describe the epidemiological, clinical and therapeutic PSE aspects at the Yalgado Ouedraogo Teaching Hospital, the main reference centre for neurological conditions in Burkina Faso. We conducted a retrospective study from January 2006 to December 2014. The data on thirty-two (32) cases of PSE was collected from a total of 1616 patients hospitalized for stroke, representing a rate of 1.98%. The patients' ages ranged from 25 to 77years old with a mean age of 58±10.39. There were 21 men and 11 women, with a gender ratio of 1.9. The time of occurrence of PSE ranged between 10 and 3600days (10years). The brain CT scan helped distinguish the different subtypes of stroke. Sixty-four percent (64%) of the cases experienced ischemic stroke and 36% of the cases cerebral hemorrhage. With regard to medical treatment, 23 patients received monotherapy, and 4 patients dual therapy. Exactly 96.87% of seizures were stabilized during the hospitalization period. PSE is a symptomatic type of epilepsy occurring during stroke sequelae. It is important not to lose sight of this before the occurrence of any focal or generalized seizure after a stroke.
authors.affiliation: Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso. Electronic address: cnapon@gmail.com.
authors.forename: Christian
authors.initials: C
authors.lastname: Napon
authors.affiliation: Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso.
authors.forename: Anselme
authors.initials: A
authors.lastname: Dabilgou
authors.affiliation: Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso.
authors.forename: Julie
authors.initials: J
authors.lastname: Kyelem
authors.affiliation: Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso.
authors.forename: Jean
authors.initials: J
authors.lastname: Kaboré
mesh_terms: D000328:Adult; D000368:Aged; D001921:Brain / Q000000981:diagnostic imaging; D002050:Burkina Faso / Q000453:epidemiology; D004827:Epilepsy / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
keywords: Africa; Burkina Faso; Epilepsy; Post-stroke epilepsy; Post-stroke seizure; Stroke