[Lipid and glucose profile in patients with ischemic cerebrovascular accidents in Dakar].
Cerebrovascular accident (CVA) is defined as the rapid development of localized or global clinical signs of neurological dysfunction with no apparent cause other than that of vascular origin. A variety of risk factors have been identified and associated with the occurrence of Ischemic CVA, including glucose and lipid metabolism disturbances. We conducted a retrospective study at the Clinic of Neurology, Fann. Our study focused on medical records of patients with ICVA confirmed by imaging, hospitalized from January 1 to December 31 2010. All patients underwent complete lipid profile (total cholesterol, triglycerides, HDL; LDL level was calculated using Friedwald formula), kidney function tests and fasting blood sugar test were performed within 48 hours of admission. Data were analysed using univariate technique and then using bivariate technique tanks to SPSS 16.0 software. We collected 235 files. We here report a case series of patients between ages 10-99 years, with an average age of 67,06 years. Males were 42,55%, sex-ratio was 0,74 in favour of women. 26% of cases had impaired fasting glucose levels during the acute phase of ICVA. The lipid profile showed an increase in total cholesterol level in 52.34% of patients. Low levels of HDL cholesterol were found in 34.47% of patients. Hypertriglyceridemia was only observed in 3% of patients. LDL levels were high in 12,76% of patients. Atherogenicity index was high in 25,53% of patients. Disturbances of blood glucose and lipid profile are often associated with ICVA and should be taken into account to ensure better secondary prevention.
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Cisse
C
Ousmane
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal; Centre Neuropsychiatrique de Nouakchott, Mauritanie.
Dadah Samy Mohamed
DS
Lemine
Laboratoire de Physiologie UGB de Saint Louis, Sénégal.
Ba
B
Fatoumata
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Ba El Hadji
BE
Makhtar
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Diop Marieme
DM
Soda
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Diagne Ngor
DN
Side
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Sow Adjaratou
SA
Dieynaba
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Basse Anna
BA
Modji
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal; Service de Médecine Préventive et de Santé Publique de la FMPO de Dakar, Sénégal.
Touré
T
Kamadore
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Ndiaye
N
Moustapha
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Diop Amadou
DA
Gallo
Clinique Neurologique du Centre Hospitalier Universitaire de Fann-Dakar, Sénégal.
Ndiaye Mouhamadou
NM
Mansour
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D002545:Brain Ischemia / Q000097:blood* / Q000209:etiology; D002648:Child; D002784:Cholesterol / Q000097:blood; D005260:Female; D006801:Humans; D050356:Lipid Metabolism / Q000502:physiology; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D012675:Senegal; D020521:Stroke / Q000097:blood* / Q000209:etiology; D055815:Young Adult
D001786:Blood Glucose; D008055:Lipids; D002784:Cholesterol
Ischemic cerebrovascular accident; Senegal; blood glucose; lipidic profile