Le tuberculome intra medullaire : une cause rare de paraparesie

Le tuberculome intra-médullaire (TIM) est une localisation de la tuberculose du système nerveux central. Nous rapportons un cas de TIM, chez un patient de 48 ans, sans antécédents particuliers, qui a consultépour un déficit moteur des 2 membres inférieurs d’installation progressive. L’examen clinque a permis d’objectiver un syndrome de compression médullaire thoracique. La découverte d’une masse intra médullaire, après les explorations neuroradiologiques (myéloscanner et IRM), nous a fait poser l’indication d’une exérèse micro-chirurgicale. Le diagnostique de TIM a été affirmé par l’examen anatomo-pathologique de la pièce opératoire. L’association d’une chimiothérapie anti-tuberculeuse au delà de 6 mois après l’exérèse chirurgicale, à permis une guérison complète après un recul de 18 mois

Biostratigraphic evidence of early cretaceous (Aptian – Albian) in Cote D'ivoire Sedimenatry Basin based on planktic foraminiferal data

Aptian – Albian planktonic foraminifera were studied from seven boreholes MK 1, MK 2, MK 3, MK 4, MK 5, MK 6 and MK 7 drilled in Cote d’Ivoire sedimentary basin. The latest Aptian was identified in holes by very small size planktonic assemblages represented by Hedbergella maslakovae, Hedbergella similis Globigerinelloides duboisi and Globigerinelloides clavatus. Albian planktonic assemblage was characterized by Ticinella primula, Ticinella roberti, Ticinella raynaudi, Ticinella madecassiana, Biticinella breggiensis, Hedbergella rischi, Hedbergella gorbachikae, Hedbergella angolae, Costellagerina lybica, Praeglobotruncana delrioensis. The presence of latest Aptian planktonic assemblages suggest that marine conditions were already established during Late Aptian - Early Albian within Côte d'Ivoire sedimentary basin during this period.Keywords: Aptian, Albian, Cote d’Ivoire, Planktonic, Foraminifer

Depressive symptoms among survivors of Ebola virus disease in Conakry (Guinea) : preliminary results of the PostEboGui cohort

Background: The 2013-2016 West African Ebola outbreak infected 28,616 people and caused 11,310 deaths by 11 May 2016, across six countries. The outbreak has also resulted in the largest number of EVD survivors in history-over 17,000. Guinea was declared Ebola-free on 1 June 2016. Reports from the outbreak documented 3814 cases resulting in 2544 deaths and 1270 survivors. EVD survivors face various neuropsychological and psycho-affective alterations that have not been fully identified yet. This study aims to document the depressive symptoms among adult survivors in Guinea. Methods: Depressive symptoms were investigated using the French version of the Center for Epidemiologic Studies-Depression Scale (CES-D) administered to all adult survivors (>= 20 years) participating in the PostEboGui study and receiving care in Conakry. The study was combined with a clinical consultation by a psychiatrist at the Donka National Hospital in Conakry that ensured adapted care was provided when needed. Results: Overall, 256 adult participants receiving care in Conakry participated in this study: 55% were women, median age 31 years [IQR: 26-40]. The median time since the Ebola Treatment Center (ETC) discharge was 8. 1 months [IQR: 4.1-11.7]. 15% had a score above the threshold values indicating psychological suffering (15% for men and 14% for women). 33 people (16 women and 17 men) met with the psychiatrist, which resulted in the diagnosis of 3 cases of post-traumatic stress disorder (PTSD), 3 cases of mild depression, 13 cases of moderate depression, and 11 cases of severe depression, including 1 with kinesthetic hallucinations and another with visual hallucinations, and 1 with suicidal ideation and 3 with attempted suicide. Severe depression was diagnosed between 1 and 19 months after ETC discharge. The various identified forms of depression responded favorably to conventional drug therapies and cognitive behavioral therapy. Conclusion: Long-term follow-up for EVD survivors will be necessary to understand the evolution of these pathologies. In the current post-epidemic context, these cases underscore the need to strengthen mental health diagnostic systems and treatment on a national scale

Tibial pilon fractures: management and evaluation of the outcome in mean and long term about 51 cases

Background: the management of tibial pilon fractures is a real challenge in our regions. Methods: This was a mixed study: dynamic from January 1 to December 31, 2013 involving 19 patients; retrospective from January 1, 2014 to December 31, 2018, covering 32 patients, received, treated and followed up for tibial pilon fracture in the Orthopedics-Traumatology department of the Donka university hospital center, Conakry Republic of Guinea. The clinical diagnosis was guided by the pain, functional impotence, a context of high trauma energy and confirmed by the X-ray of the ankle in antero-posterior and lateral views. The AO (association for Osteosynthesis) classification was used in our department. Results: The average age was 36.21 years old with male predominance, the sex ratio was 5.4. The road accidents were the mostly found (86.27%). The motorbicycles were the mostly involved; the osseous lesions the mostly found were the type C according to AO classification (56.86%), followed by type B (33.33%). The orthopaedical treatment (27.45%), and surgical (72.55%). The ankle arthrosis was the most complication found (27.45%). Conclusions: Tibial pilon fractures are rare but serious however the treatment depends on the anatomopathological type. The prognosis of these lesions remains always reverved in our context of lack of equipment in our hospitals