@article{10.11648/j.cnn.20200401.13,
  author = {Komi Assogba and Michel Faustin Tassa-Kayem and Kossivi Martin Apetse and Damelan Kombate and Jean Joel Tajeuna Dongmo and Josué Euberma Diatewa and Komi Agbotsou and Abdullah Blakime and Veronique Afiwa Agbobli and Kolou Dassa and Koffi Agnon Ayélola Balogou},
  title = {Hemorrhagic Breakdown of the Cerebral Bridge: A Report of 5 Observations at Lomé Teaching Hospital, Togo},
  journal = {Clinical Neurology and Neuroscience},
  volume = {4},
  number = {1},
  pages = {11-17},
  doi = {10.11648/j.cnn.20200401.13},
  url = {https://doi.org/10.11648/j.cnn.20200401.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20200401.13},
  abstract = {Introduction: Intracerebral hemorrhage is a major public health problem in Africa. The care is well codified in developed nations but the medical outcome and the technical platform remains a thorny challenge in African countries. It is responsible for a heavy handicap and a high mortality. The corpus callosum is an anatomical structure that connects the two cerebral hemispheres and control neuropsychological behavior. The objective was to determine the epidemiological and clinical characteristics of hematomas located in the corpus callosum. Clinical presentation: The stuy was carried out in the neurlogical department of the big tertiary hospital of the country. The study had reported five cases of hematoma of the corpus callosum. That has represented 0.3% of hemorrhagic strokes in the service. The average age was 33.4 years old with four females. Clinical symptoms in the acute phase were dominated by speech disorders, intracranial hypertension and meningeal signs. In the subacute phase, all patients had neuropsychological symptoms. These disorders included aphasia, left tactile anomia, ideomotor and diagonostic apraxia, and mood and behavior disorders in two-third of cases. The brain scan was performed with an average delay of 6 days. In the cerebral scan, the posterior part of the corpus callosum was the initial seat of the hematomas observed in all cases. Cerebrovascular risk factors were high blood pressure in all cases and alcoholism in two cases. The factor of poor prognosis was the association with meningeal contamination. The evolution was favorable in all five cases. Conclusion: This work brings out that hematoma of the corpus callosum is rare but still a serious disease with a misleading semiology dominated by neuropsychological disorders. The early management is the best practice to preserve functional autonomy.},
 year = {2020}
}

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TY  - JOUR
T1  - Hemorrhagic Breakdown of the Cerebral Bridge: A Report of 5 Observations at Lomé Teaching Hospital, Togo
AU  - Komi Assogba
AU  - Michel Faustin Tassa-Kayem
AU  - Kossivi Martin Apetse
AU  - Damelan Kombate
AU  - Jean Joel Tajeuna Dongmo
AU  - Josué Euberma Diatewa
AU  - Komi Agbotsou
AU  - Abdullah Blakime
AU  - Veronique Afiwa Agbobli
AU  - Kolou Dassa
AU  - Koffi Agnon Ayélola Balogou
Y1  - 2020/02/10
PY  - 2020
N1  - https://doi.org/10.11648/j.cnn.20200401.13
DO  - 10.11648/j.cnn.20200401.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 11
EP  - 17
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20200401.13
AB  - Introduction: Intracerebral hemorrhage is a major public health problem in Africa. The care is well codified in developed nations but the medical outcome and the technical platform remains a thorny challenge in African countries. It is responsible for a heavy handicap and a high mortality. The corpus callosum is an anatomical structure that connects the two cerebral hemispheres and control neuropsychological behavior. The objective was to determine the epidemiological and clinical characteristics of hematomas located in the corpus callosum. Clinical presentation: The stuy was carried out in the neurlogical department of the big tertiary hospital of the country. The study had reported five cases of hematoma of the corpus callosum. That has represented 0.3% of hemorrhagic strokes in the service. The average age was 33.4 years old with four females. Clinical symptoms in the acute phase were dominated by speech disorders, intracranial hypertension and meningeal signs. In the subacute phase, all patients had neuropsychological symptoms. These disorders included aphasia, left tactile anomia, ideomotor and diagonostic apraxia, and mood and behavior disorders in two-third of cases. The brain scan was performed with an average delay of 6 days. In the cerebral scan, the posterior part of the corpus callosum was the initial seat of the hematomas observed in all cases. Cerebrovascular risk factors were high blood pressure in all cases and alcoholism in two cases. The factor of poor prognosis was the association with meningeal contamination. The evolution was favorable in all five cases. Conclusion: This work brings out that hematoma of the corpus callosum is rare but still a serious disease with a misleading semiology dominated by neuropsychological disorders. The early management is the best practice to preserve functional autonomy.
VL  - 4
IS  - 1
ER  - 

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