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Cissé C, Cissé L, Samassékou O, Ba HO, Coulibaly T, Diallo SH, Diallo S, Taméga A, Diarra S, Maïga AB, Kané F, Yalcouyé A, Bocoum A, Dembélé ME, Traoré O, Simaga A, Traoré SF, Keita M, Fischbeck K, Traoré M, Guinto CO, Landouré G. Clinical, paraclinical and genetic aspects of autosomal recessive cerebellar ataxias (ARCA) in Mali. Mali Med 2022; 37:61-65. [PMID: 36919030 PMCID: PMC10009943] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
Introduction Autosomal recessive cerebellar ataxias (ARCA) are a group of rare and heterogynous neurodegenerative diseases mainly characterized by unbalance and walking difficulty and movement incoordination. Objectives To clinically and paraclinically characterize ARCA in the department of Neurology at the Teaching Hospital of Point G and identify the underlying genetic defect. Patients and method We have conducted a longitudinal and prospective study from January 2018 to December 2020. Patients with ARCA phenotype seen in the Department of Neurology at the Teaching Hospital of Point "G" were enrolled. Results We have enrolled 7 families totaling 13 patients after giving an informed verbal and written consent. The sex ratio was 2.2 in favor of males, Kayes region and Fulani ethnic group were respectively the most represented region and ethnic group.Walking difficulty represented the major symptom followed by loss of vibration and joint sense, nystagmus, dysarthria and skeletal deformities. Alpha-foetoprotein level was high in one patient. Genetic testing confirmed Friedreich ataxia in one family and was not conclusive in 4 families. Conclusion This study showed that ARCA are not uncommon in Mali and genetic testing is crucial to confirm the diagnosis.
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Affiliation(s)
- Cak Cissé
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - L Cissé
- Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - O Samassékou
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - H O Ba
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Service de Cardiologie, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - T Coulibaly
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - S H Diallo
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Service de Neurologie, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - S Diallo
- Service de Neurologie, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - A Taméga
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - S Diarra
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD, H3Africa consortium
| | - A B Maïga
- Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - F Kané
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - A Yalcouyé
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - A Bocoum
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - M E Dembélé
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - O Traoré
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - A Simaga
- Institut Ophtalmologique Tropical de l'Afrique, IOTA
| | - S F Traoré
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
| | - M Keita
- Service d'ORL, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - K Fischbeck
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD, H3Africa consortium
| | - M Traoré
- Service de Cytogénétique et de Biologie Reproductive, INSP, Bamako, Mali
| | - C O Guinto
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - G Landouré
- Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali
- Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD, H3Africa consortium
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Dembélé ME, Cissé L, Diarra S, Yalcouyé A, Taméga A, Bocoum A, Maïga AB, Diallo SH, Coulibaly T, Diallo S, Simaga A, Grunseich C, Kéita M, Coulibaly MB, Fischbeck KH, Maiga Y, Guinto CO, Landouré G. [Progressive myoclonic epilepsy in the department of neurology of the University Teaching hospital Point "G"]. Mali Med 2022; 37:17-21. [PMID: 36945313 PMCID: PMC10026847] [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: 03/23/2023]
Abstract
Background Progressive Myoclonic Epilepsy (PME) is a heterogeneous group of pathologies associating epileptic seizures and other neurological and non-neurological disorders. Objectives We aim to characterize patients with symptoms of PME and identify the underlying genetic disorder. Methods After informed consent, the patients seen in the protocol for hereditary neurological diseases and presenting signs of epilepsy without a secondary cause were clinically evaluated over a three-year period in the Department of Neurology of the CHU Point "G". EEG, brain imaging and laboratory tests were performed to consolidate our diagnosis. DNA was extracted for genetic analysis. Results 141 families including five families with PME totaling eight cases were enrolled. The predominant symptoms in our patients were myoclonus in 87.5% (N = 8), followed by GTCS and cognitive impairment in 50%, each. A notion of parental consanguinity was found in 60% and autosomal recessive transmission evoked in 80% (N = 5). The EEG was pathological in 62.5% and imaging showed ponto-cerebellar atrophy in 25% (N = 8). The combination of sodium valproate and clonazepam was the main treatment. One case of death was recorded. Conclusion We report cases of PME in Mali with a possibility of discovering new genes.
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Affiliation(s)
- M E Dembélé
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
| | - L Cissé
- Service de Neurologie, CHU du Point "G", Bamako, Mali
| | - S Diarra
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD
| | - A Yalcouyé
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
| | - A Taméga
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
| | - A Bocoum
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
| | - A B Maïga
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
| | - S H Diallo
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service de Neurologie, CHU de Gabriel Touré, Bamako, Mali
| | - T Coulibaly
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service de Neurologie, CHU du Point "G", Bamako, Mali
| | - S Diallo
- Service de Neurologie, CHU de Gabriel Touré, Bamako, Mali
| | - A Simaga
- Institut d'Ophtalmologie Tropicale de l'Afrique, Bamako, Mali
| | - C Grunseich
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD
| | - M Kéita
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service d'ORL, CHU de Gabriel Touré, Bamako, Mali
| | - M B Coulibaly
- Malaria Research and Training Center, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | | | - Y Maiga
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service de Neurologie, CHU de Gabriel Touré, Bamako, Mali
| | - C O Guinto
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service de Neurologie, CHU du Point "G", Bamako, Mali
| | - G Landouré
- Faculte de médecine et d'odontostomatologie, Université des sciences, des techniques et des technologies de Bamako, Mali
- Service de Neurologie, CHU du Point "G", Bamako, Mali
- Neurogenetics Branch, NINDS, NIH, Bethesda, MD
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Diakité F, Diawara F, Coulibaly D, Koite N, Coulibaly OC, Diarra S, Traoré NL, Ag Iknane A. [Supporting factors of diarrhoea diseases in the children under 5 years in Commune II of the district of Bamako- Mali]. Mali Med 2019; 34:36-42. [PMID: 35897205] [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: 06/15/2023]
Abstract
UNLABELLED Diarrhea remains a real public health problem as it is the second leading cause of under-five mortality. In tropical environments, studies show several factors contributing to the frequency and severity of diarrhea. It is in this context that the present study of the factors favoring diarrheal diseases in children from 0 to 5 years old has been carried out. MATERIALS AND METHODS Cross-sectional cluster survey involving 200 mothers of 0-5 year-old children from November 2015 to October 2016. The Pearson Chi2 test was used with a 95% confidence level. RESULTS Married women accounted for 85.5% of our sample, 47% of whom had no education. Of the mothers surveyed, 17% of their children had had at least one episode of diarrhea in the two weeks before the survey. Almost all mothers (94%) washed their hands before feeding their children and 13% did not do so after cleaning the children. Regarding the cleanliness of the concession, it was bad in 23.5%. The majority of mothers (51%) did not know the significance of diarrhea, 43% reported the means of transmission, and 28% had inadequate practice in managing diarrhea. Some factors favor the occurrence of diarrhea such as: mixed breastfeeding that was statistically significant (p = 0.014), as well as poor hand hygiene practices (p = 0.027) and concessions (p = 0.000), as well as than the bad knowledge of the subject (p = 0.000). CONCLUSION Our study shows that diarrhea was a disease of the hands rooms, hence the interest of strengthening the awareness of mothers for best practices for behavior change.
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Affiliation(s)
- Flf Diakité
- Maitre-assistant en pédiatrie, FMOS, USTTB, Bamako, (Mali)
| | - F Diawara
- Maitre-assistant en épidémiologie, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - D Coulibaly
- Maitre-assistant en nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - N Koite
- Maitre-assistant en nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - O C Coulibaly
- Département de Pédiatrie du CHU Gabriel Touré, Bamako, (Mali)
| | | | - N L Traoré
- Département de Pédiatrie du CHU Gabriel Touré, Bamako, (Mali)
| | - A Ag Iknane
- Professeur en santé publique-nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
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Álvarez I, Pérez-Pardal L, Traoré A, Koudandé DO, Fernández I, Soudré A, Diarra S, Sanou M, Boussini H, Goyache F. Differences in genetic structure assessed using Y-chromosome and mitochondrial DNA markers do not shape the contributions to diversity in African sires. J Anim Breed Genet 2017; 134:393-404. [PMID: 28464302 DOI: 10.1111/jbg.12278] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 03/25/2017] [Indexed: 11/30/2022]
Abstract
Up to 173 African sires belonging to 11 different subpopulations representative of four cattle groups were analysed for six Y-specific microsatellite loci and a mitochondrial DNA fragment. Differences in Y-chromosome and mtDNA haplotype structuring were assessed. In addition, the effect of such structuring on contributions to total genetic diversity was assessed. Thirty-five Y-chromosome and 71 mtDNA haplotypes were identified. Most Y-chromosomes analysed (73.4%) were of zebu origin (11 haplotypes). Twenty-two Y-haplotypes (44 samples) belonged to the African taurine subfamily Y2a. All mtDNA haplotypes belonged to the "African" taurine T1 haplogroup with 16 samples and nine haplotypes belonging to a recently identified subhaplogroup (T1e). Median-joining networks showed that Y-chromosome phylogenies were highly reticulated with clear separation between zebu and taurine clusters. Mitochondrial haplotypes showed a clear star-like shape with small number of mutations separating haplotypes. Mitochondrial-based FST -statistics computed between cattle groups tended to be statistically non-significant (p > .05). Most FST values computed among groups and subpopulations using Y-chromosome markers were statistically significant. AMOVA confirmed that divergence between cattle groups was only significant for Y-chromosome markers (ΦCT = 0.209). At the mitochondrial level, African sires resembled an undifferentiated population with individuals explaining 94.3% of the total variance. Whatever the markers considered, the highest contributions to total Nei's gene diversity and allelic richness were found in West African cattle. Genetic structuring had no effect on patterns of contributions to diversity.
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Affiliation(s)
- I Álvarez
- Área de Genética y Reproducción Animal, SERIDA, Camino de Rioseco, Gijón, Spain
| | - L Pérez-Pardal
- Área de Genética y Reproducción Animal, SERIDA, Camino de Rioseco, Gijón, Spain.,CIBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus Agrário de Vairão, Vairão, Portugal
| | - A Traoré
- INERA, Ouagadougou, Burkina Faso
| | | | - I Fernández
- Área de Genética y Reproducción Animal, SERIDA, Camino de Rioseco, Gijón, Spain
| | - A Soudré
- Université de Koudougou, Koudougou, Burkina Faso
| | - S Diarra
- IPR-IFRA Bamako (Mali), Koulikoro, Bamako
| | - M Sanou
- INERA, Ouagadougou, Burkina Faso
| | - H Boussini
- African Union Interafrican Bureau for Animal Resources, Nairobi, Kenya
| | - F Goyache
- Área de Genética y Reproducción Animal, SERIDA, Camino de Rioseco, Gijón, Spain
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Diarra S. [A cutting obstacle to the harmonious development of the country. The migratory phenomenon in Mali]. Pop Sahel 1991:9-12. [PMID: 12343346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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Angaté Y, Boucher J, Ouedraogo H, Diarra S, Beugre K. [Intrauterine pregnancy prolapse in umbilical hernia]. Rev Fr Gynecol Obstet 1967; 62:503-5. [PMID: 5618610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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