Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.122009
J. Diatewa, G. Mpandzou, Patrice Bruno Mokoko, Dinah Happhia Boubayi Motoula-Latou, Eliot Prince Galiéni Sounga-Banzouzi, P. Ossou-Nguiet
{"title":"Cost of Stroke Care at Public Hospitals in Brazzaville and Implication of Third Parties in Stroke Care Expenditure","authors":"J. Diatewa, G. Mpandzou, Patrice Bruno Mokoko, Dinah Happhia Boubayi Motoula-Latou, Eliot Prince Galiéni Sounga-Banzouzi, P. Ossou-Nguiet","doi":"10.4236/wjns.2022.122009","DOIUrl":"https://doi.org/10.4236/wjns.2022.122009","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76387640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.122006
Kevin Patrick Barman
{"title":"Biochemical Changes in the Brain and Metabolism as Risk Factors of Neurological Disorders","authors":"Kevin Patrick Barman","doi":"10.4236/wjns.2022.122006","DOIUrl":"https://doi.org/10.4236/wjns.2022.122006","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83227461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.122010
Haiwen Qi
{"title":"Post-Movement Beta Rebound Is Related to Movement Connection","authors":"Haiwen Qi","doi":"10.4236/wjns.2022.122010","DOIUrl":"https://doi.org/10.4236/wjns.2022.122010","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72877535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.123012
M. Dama, O. Diallo, O. Coulibaly, D. Sissoko, T. M. Coulibaly, A. Maiga, Y. Sogoba
Chronic subdural hematoma (CSDH) is one of the most common entities seen in neurosurgery. We report a case of infracallosal aneurysm revealed by CSDH in a 52 years old woman. She presented 3 days alteration of consciousness in 2019 and repeated in September 2020 a severe headache and dizziness. There was no history of others symptoms, nor head trauma. Routine blood examination and coagulation profile were normal. Emergency computed tomography (TC) showed a left temporoparietal-occipital CSDH. Cerebral Angio CT found a bilobated of A 2 aneurysm. The precallosal interhemispheric approach was made and clipping the aneurysm after evacuation of CSDH without complication. CSDH is one of the revealed features of intracerebral aneurysm rupture.
{"title":"Infracallosal Aneurysm Rupture Revealed by Chronic Subdural Hematoma: A Case Report","authors":"M. Dama, O. Diallo, O. Coulibaly, D. Sissoko, T. M. Coulibaly, A. Maiga, Y. Sogoba","doi":"10.4236/wjns.2022.123012","DOIUrl":"https://doi.org/10.4236/wjns.2022.123012","url":null,"abstract":"Chronic subdural hematoma (CSDH) is one of the most common entities seen in neurosurgery. We report a case of infracallosal aneurysm revealed by CSDH in a 52 years old woman. She presented 3 days alteration of consciousness in 2019 and repeated in September 2020 a severe headache and dizziness. There was no history of others symptoms, nor head trauma. Routine blood examination and coagulation profile were normal. Emergency computed tomography (TC) showed a left temporoparietal-occipital CSDH. Cerebral Angio CT found a bilobated of A 2 aneurysm. The precallosal interhemispheric approach was made and clipping the aneurysm after evacuation of CSDH without complication. CSDH is one of the revealed features of intracerebral aneurysm rupture.","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80148217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.121001
Prince Eliot Galieni Sounga Bandzouzi, G. Mpandzou, J. Diatewa, Dina Happia Motoula-Latou, Charles Godefroy Koubemba, P. Ossou-Nguiet, D. Moukassa
Objective: To determine the role of CD4+ and CD8+ T lymphocytes in the onset of stroke in people living with HIV. Methodology: This was a descriptive, cross-sectional study from January to July 2019, in the neurology department of loandjili general hospital, including any patient hospitalized for a first episode of stroke confirmed by brain scan. The study variables were: age, sex, CRP value, serum T cell CD4+, CD8+. The statistical analysis was carried out using the EPI info 7 software. Results: Twenty stroke patients were in-cluded. The relative frequency of HIV was 20%. The risk factors were potentiated by immunosuppression of CD4+ T cells. Sixty percent (60%) of the patients had a CD4+ count < 200/mm 3 and the mean CD4+ count was ±191/mm 3 . Stroke was the predominant mechanism of injury with a frequency of 70%, the only injury mechanism of stroke in patients with CD8+ T cell count > 800/mm 3 (p = 0.04). Conclusion: Risk factors are potentiated by TCD4+ lymphocyte immunosupression, also CD8+ lymphocytes of immune system activation marker are a cardiovascular risk factor for living people with HIV.
{"title":"Role of CD4+ and CD8+ T Lymphocyte in the Onset of Stroke in People Living with HIV in Pointe-Noire","authors":"Prince Eliot Galieni Sounga Bandzouzi, G. Mpandzou, J. Diatewa, Dina Happia Motoula-Latou, Charles Godefroy Koubemba, P. Ossou-Nguiet, D. Moukassa","doi":"10.4236/wjns.2022.121001","DOIUrl":"https://doi.org/10.4236/wjns.2022.121001","url":null,"abstract":"Objective: To determine the role of CD4+ and CD8+ T lymphocytes in the onset of stroke in people living with HIV. Methodology: This was a descriptive, cross-sectional study from January to July 2019, in the neurology department of loandjili general hospital, including any patient hospitalized for a first episode of stroke confirmed by brain scan. The study variables were: age, sex, CRP value, serum T cell CD4+, CD8+. The statistical analysis was carried out using the EPI info 7 software. Results: Twenty stroke patients were in-cluded. The relative frequency of HIV was 20%. The risk factors were potentiated by immunosuppression of CD4+ T cells. Sixty percent (60%) of the patients had a CD4+ count < 200/mm 3 and the mean CD4+ count was ±191/mm 3 . Stroke was the predominant mechanism of injury with a frequency of 70%, the only injury mechanism of stroke in patients with CD8+ T cell count > 800/mm 3 (p = 0.04). Conclusion: Risk factors are potentiated by TCD4+ lymphocyte immunosupression, also CD8+ lymphocytes of immune system activation marker are a cardiovascular risk factor for living people with HIV.","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89546378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.123013
Gangsan Yang
{"title":"Research Progresses in Effects of Analgesics and Sedatives on Intracranial Pressure of Neurointensive Care Patients","authors":"Gangsan Yang","doi":"10.4236/wjns.2022.123013","DOIUrl":"https://doi.org/10.4236/wjns.2022.123013","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88671318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.124018
J. Diatewa, Cécilia Océane Kwama-Matiti, G. Mpandzou, Dinah Happhia Boubayi Motoula-Latou, Eliot Prince Galiéni Sounga-Banzouzi, P. Ossou-Nguiet
{"title":"Knowledge about Stroke among Workers in Public and Private Enterprises in Brazzaville and Their Attitudes towards Stroke Victims","authors":"J. Diatewa, Cécilia Océane Kwama-Matiti, G. Mpandzou, Dinah Happhia Boubayi Motoula-Latou, Eliot Prince Galiéni Sounga-Banzouzi, P. Ossou-Nguiet","doi":"10.4236/wjns.2022.124018","DOIUrl":"https://doi.org/10.4236/wjns.2022.124018","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88433066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.124019
Gang Yang, Shaojun Yang, Yaojie Cai
{"title":"Analysis on Endovascular Therapy for Acute Ischemic Stroke with Large Vessel Occlusion and Large-Scaled Core Infarct Volume in the Time Window","authors":"Gang Yang, Shaojun Yang, Yaojie Cai","doi":"10.4236/wjns.2022.124019","DOIUrl":"https://doi.org/10.4236/wjns.2022.124019","url":null,"abstract":"","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81172721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4236/wjns.2022.122004
M. Khinikadze, Vladimer Tsikarishvili, Koka Gogichashvili, Lana Bokuchava
Introduction: Ruptured intracranial aneurysm is an urgent diagnostic and therapeutic condition. Occlusion with coils is the first line treatment for ruptured aneurysms and also should be used to prevent re-rupture, potentially causing severe brain damage. Most aneurysms are subject to this type of treatment. The risk of intraoperative thromboembolic and haemorrhagic complications during treatment with coils is very low. Endovascular treatment with coils is therefore a safe and effective method that can prevent short and long-term haemorrhage. Short and long-term haemorrhage is achieved by early recanalization of cases with neuro-visualisation. Methods: In this article we present a retrospective analysis of the results of endovascular embolization of 137 patients, from 2017 to the present time, in three hospitals of Georgia country (Evex hospitals, New hospitals, New-vision University Hos-pital) with a diagnosis of acute subarachnoid haemorrhage. Results: In our study, overall postoperative mortality was reported to be 29.9% (41/137 pa-tients). In 45 patients presenting with Hunt-Hess IV-V, the mortality rate was 51.1% main technique of endovascular treatment is occlusion by coils with or without remodeling balloon assistance. Generally, in acute periods, only aneurysms with coils are associated with relatively high rates of recanalization, so further observation and possible surgical treatment are recommended.
{"title":"Impact of Introducing Endovascular Treatment on Acute Phase of Subarachnoid Haemorrhage Outcome","authors":"M. Khinikadze, Vladimer Tsikarishvili, Koka Gogichashvili, Lana Bokuchava","doi":"10.4236/wjns.2022.122004","DOIUrl":"https://doi.org/10.4236/wjns.2022.122004","url":null,"abstract":"Introduction: Ruptured intracranial aneurysm is an urgent diagnostic and therapeutic condition. Occlusion with coils is the first line treatment for ruptured aneurysms and also should be used to prevent re-rupture, potentially causing severe brain damage. Most aneurysms are subject to this type of treatment. The risk of intraoperative thromboembolic and haemorrhagic complications during treatment with coils is very low. Endovascular treatment with coils is therefore a safe and effective method that can prevent short and long-term haemorrhage. Short and long-term haemorrhage is achieved by early recanalization of cases with neuro-visualisation. Methods: In this article we present a retrospective analysis of the results of endovascular embolization of 137 patients, from 2017 to the present time, in three hospitals of Georgia country (Evex hospitals, New hospitals, New-vision University Hos-pital) with a diagnosis of acute subarachnoid haemorrhage. Results: In our study, overall postoperative mortality was reported to be 29.9% (41/137 pa-tients). In 45 patients presenting with Hunt-Hess IV-V, the mortality rate was 51.1% main technique of endovascular treatment is occlusion by coils with or without remodeling balloon assistance. Generally, in acute periods, only aneurysms with coils are associated with relatively high rates of recanalization, so further observation and possible surgical treatment are recommended.","PeriodicalId":23878,"journal":{"name":"World Journal of Neuroscience","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80502389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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