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Lare BP, Jost J, Apetse K, Salle L, Preux PM, Balogou A, Magne J. Normal values of sudomotor function assessed by electrochemical skin conductance in African population. Rev Neurol (Paris) 2024; 180:163-170. [PMID: 37813768 DOI: 10.1016/j.neurol.2023.07.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 06/28/2023] [Accepted: 07/05/2023] [Indexed: 10/11/2023]
Abstract
BACKGROUND Dysfunction of small nerve fibers remains a major public health concern. Subjects suspected of having small nerve fiber damage need to undergo reliable tests to confirm the diagnosis. Sudomotor function test is a reliable noninvasive exploration for detecting peripheral neuropathies. Nevertheless, the normal reference values derived from the sudomotor function test are not known in the African population. The objective of this study was therefore to describe the normal values of Electrochemical Skin Conductance (ESC) measured by the sudomotor function test in healthy African subjects. MATERIALS AND METHODS Between December 1st, 2021 and May 31st, 2022, ESC was measured in 475 healthy subjects (median age: 42 [31-53] years, 46% men) using a sudomotor function test, in the hands and feet. Investigators proposed the examination and received participants' consent; demographic, anthropometric, biological, and clinical data were obtained before the test. Data on 475 healthy study participants who underwent sudomotor function testing was collected and analyzed. The sociodemographic (age, sex), anthropometric (weight, height, waist circumference, body mass index), diastolic blood pressure, systolic blood pressure, heart rate, and electrochemical skin conductances of the hands and feet were assessed. RESULTS ESC values were statistically higher in men compared to women (right hand ESC: 70 [60-78] versus 63 [53-72], left hand ESC: 72 [61-80] versus 68 [57-75], right foot ESC: 77 [82-99] versus 72 [64-79], ESC left foot: 76 [68-82] versus 72 [62-78] respectively). ESC values were significantly inversely correlated with age (right hand ESC: r=-0.12, P=0.006; left hand ESC: r=-0.11, P=0.01; right foot ESC: r=-0.37, P<0.0001; ESC left foot: r=-0.38, P<0.0001). ESC values measured in feet were significantly inversely correlated with body mass index (right foot r=-0.22, P<0.0001; left foot r=-0.21, P<0.0001). CONCLUSION This study reports normal reference values for ESCs according to age and gender in the healthy African population. Progressive decrease in ESC with aging is confirmed by our data. The value of ESC seems lower in the African population than in other reported ethnicities. This finding needs to be further explored in additional studies.
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Affiliation(s)
- B P Lare
- INSERM, Université de Limoges, CHU de Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France
| | - J Jost
- INSERM, Université de Limoges, CHU de Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Department of Pharmacy, CHU de Limoges, 87000 Limoges, France
| | - K Apetse
- Nervous System University Research Team (NEURO), University of Lomé, Neurology department, CHU Campus of Lomé, Lomé, Togo
| | - L Salle
- INSERM, Université de Limoges, CHU de Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Department of Endocrinology, CHU de Limoges, 87000 Limoges, France
| | - P M Preux
- INSERM, Université de Limoges, CHU de Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France
| | - A Balogou
- Nervous System University Research Team (NEURO), University of Lomé, Neurology department, CHU Campus of Lomé, Lomé, Togo
| | - J Magne
- INSERM, Université de Limoges, CHU de Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Center of Clinical and Research Data, CHU de Limoges, 87000 Limoges, France.
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Apetse K, Dongmo Tajeuna J, Kumako V, Waklatsi K, Kombate D, Assogba K, Balogou A. [Guillain-Barré syndrome in hospitals in Togo]. Med Trop Sante Int 2021; 1:mtsibulletin.2021.124. [PMID: 35686169 PMCID: PMC9128467 DOI: 10.48327/mtsibulletin.2021.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 08/19/2021] [Indexed: 11/18/2022]
Abstract
Introduction In sub-Saharan Africa characterized by limited resources especially in health facilities and a relatively higher frequency of infectious diseases, studies on Guillain-Barré syndrome (GBS) are rare. Objectives The objectives of this work are to describe the characteristics of GBS in Togo through a cohort of patients followed in the neurology unit of the Campus University Hospital of Lomé. Methodology The study took place from May 2015 to July 2019. Patients with GBS of levels 1 to 3 of the Brighton criteria for diagnostic certainty were included consecutively and assessed at admission, at 6 months and at 1 year with the GBS disability score and the MRC sum score. Qualitative and quantitative variables were expressed, respectively, in frequency and median (interquartile range). Results Out of 7012 hospitalized patients, 28 (0.39%) including 20 women (71%) with a median age of 40 (27-53) years, presented GBS. The clinical presentation mainly consisted of bilateral sensory-motor disorders predominantly in the lower limbs associated with facial diplegia and preceded by an infectious event. On admission, 39% of patients (n=11) were able to walk (GBS score 0 to 3) and the median MRC sum score was 28 (12-38). Cytoalbuminologic dissociation was present in 654% of patients (13 of 20 patients who underwent lumbar puncture). The demyelinating and axonal subtypes each accounted for 47% (9 of 19 patients who underwent an electroneuromyography examination). Immunoglobulins and intravenous corticosteroid therapy were administered in 18% (n=5) and 50% (n=14) of patients, respectively. Lethality rate during hospitalization was 11% (n=3). The median MRC sum score at 6 and 12 month-outcome were 40 (38-49) and 51 (46-58), respectively. After one year of evolution, case fatality rate was 18% (n=5), and 78% of survivors (n=14) could walk without assistance, of which 17% (n=3) were asymptomatic. Conclusion In Togo, GBS, with a low hospital prevalence, remains a serious condition due to its high morbidity and lethality related to non-optimal treatment and delayed management.
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Affiliation(s)
- K. Apetse
- Faculté des sciences de la santé, Université de Lomé, Lomé, Togo,Service de neurologie, CHU CAMPUS de Lomé, Lomé, Togo,*
| | | | - V.K. Kumako
- Faculté des sciences de la santé, Université de Kara, Kara, Togo,Service de neurologie, CHU Kara, Kara, Togo
| | - K.P. Waklatsi
- Service de neurologie, CHU CAMPUS de Lomé, Lomé, Togo
| | - D. Kombate
- Faculté des sciences de la santé, Université de Lomé, Lomé, Togo,Service de neurologie, CHU CAMPUS de Lomé, Lomé, Togo
| | - K. Assogba
- Faculté des sciences de la santé, Université de Lomé, Lomé, Togo,Service de neurologie, CHU CAMPUS de Lomé, Lomé, Togo
| | - A.K. Balogou
- Faculté des sciences de la santé, Université de Lomé, Lomé, Togo,Service de neurologie, CHU CAMPUS de Lomé, Lomé, Togo
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Apetse K, Waklatsi KP, Foma W, Diallo SH, Kombate D, Assogba K, Balogou A. [Brown Sequard syndrome revealing a cervical pott's disease associated with a retropharyngeal abscess]. Mali Med 2021; 36:63-65. [PMID: 37973592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
A 37-year-old patient was admitted for a left progressive left-hand hemiparesis associated with left C4-C5 neuralgia preceded by inflammatory neck pain for 04 months and dysphagia for 02 weeks. Magnetic resonance imaging showed C3-C5 spondylodiscitis lesions with epidural abscess and predominantly left lateralized compression of the spinal cord and retropharyngeal abscess. The patient was operated for incision and drainage of the retropharyngeal abscess through the oral cavity and Koch bacillus was demonstrated from the aspirate by molecular technique GeneXpert. The patient was treated anti-tuberculosis drug therapy and we noted a fully neurological and extraneurological recovery.
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Affiliation(s)
- K Apetse
- Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo
- Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo
| | - K P Waklatsi
- Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo
| | - W Foma
- Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo
- Service d'ORL, Centre Hospitalier Universitaire Sylvanus Olympio de Lomé, BP 57, Lomé-Togo
| | - S H Diallo
- Service de Neurologie du CHU Gabriel Touré, Université des Sciences Techniques et Technologiques de Bamako Tél : 0022378526241 Bamako-Mali
| | - D Kombate
- Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo
- Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo
| | - K Assogba
- Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo
- Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo
| | - Aak Balogou
- Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo
- Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo
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Rozé B, Najioullah F, Ferge J, Apetse K, Brouste Y, Cesaire R, Leparc-Goffart I, Valentino R, Signate A, Cabié A. Syndromes de Guillain-Barré associés au virus Zika, une étude prospective dans la Caraïbe. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Brah S, Assogba K, Adehossi E, Kevi S, Apetse K, Kombate D, Barque B, Ballougou AK, Grunitzky EK. [Amyotrophic Lateral Sclerosis (ALS) in the 10 last years in CHU Campus of Lomé (TOGO)]. Mali Med 2014; 29:33-37. [PMID: 30049125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
UNLABELLED Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that causes damage of upper motor neuron and lower motor neuron. Our objective was to describe the incidence and demographic characteristics of ALS and to analyze its diagnosis and management in Togo. MATERIALS AND METHODS A retrospective and descriptive study of patient's observations was conducted in the department of neurology of the teaching hospital in Lomé during a 10 years period (2000 to 2009). The diagnosis of ALS was made according to the clinical classification of El Escorial. RESULTS 5 cases of ALS were diagnosed, representing 0.049% of the hospitalizations in the department of neurology. The average age of patients was 49 years [range: 24 - 67 years] and the average evolution of the disease was 17.6 months [range: 6 - 36 months]. All the patients were men. The treatment was symptomatic in every case. Treatment with Riluzole was not delivered. During the follow-up, one patient died from respiratory complications. CONCLUSION The El Escorial criteria should be made more accessible for a larger audience, as the availability and classification of care management relies heavily on diagnosed cases, namely early diagnosis.
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Affiliation(s)
- S Brah
- Service de neurologie du CHU Campus de Lomé (Togo)
| | - K Assogba
- Service de neurologie du CHU Campus de Lomé (Togo)
| | - E Adehossi
- Service de médecine Interne de l'Hôpital National de Niamey, BP 238 - Niger
| | - S Kevi
- Service de neurologie du CHU Campus de Lomé (Togo)
| | - K Apetse
- Service de neurologie du CHU Campus de Lomé (Togo)
| | - D Kombate
- Service de neurologie du CHU Campus de Lomé (Togo)
| | - B Barque
- Service de neurologie du CHU Campus de Lomé (Togo)
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Balogou K, Grunitzky E, Assogba K, Apetse K, Kombate D, Amouzouvi D. Strokes among youth ( 15 to 45 years old) in the neurological department of the medical teaching hospital, campus-lome. African Journal of Neurological Sciences 2010. [DOI: 10.4314/ajns.v27i2.55090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Balogou AAK, Volley KA, Belo M, Amouzou MK, Apetse K, Kombate D, Grunitzky EG. Mortalité Des Patients Vih Positifs Dans Le Service De Neurologie Du Chu Campus De Lomé-Togo. African Journal of Neurological Sciences 2008. [DOI: 10.4314/ajns.v26i1.7591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Balogou AAK, Volley KA, Belo M, Amouzou MK, Apetse K, Kombate D, Grunitzky EG. Mortalité Des Patients Vih Positifs Dans Le Service De Neurologie Du Chu Campus De Lomé-Togo. African Journal of Neurological Sciences 2008. [DOI: 10.4314/ajns.v26i2.7603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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