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Mapoure, N.Y., Sène Diouf, F., Ndiaye, M., Mbatchou Ngahane, H.B., Doumbe, J., Toure, K., Mboup, B., Thiam, A., Diop, A.G. and Ndiaye, M.M. (2009) Etude longitudinale prospective des comas en milieu neurologique africain: Expérience de Dakar, Sénégal. Revue Médicale de Bruxelles, 30, 163-169.

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• TITLE: The Practice of Cerebral CT at Abidjan: Advocacy for the Implementation of Guidelines

  AUTHORS: N’goran Kouamé, Sorel Fotso Manewa, Anne Marie N’goan-Domoua, Roger Daniel N’gbesso

  KEYWORDS: Cranio-Encephalic CT Scan, Activity Assessment, Scanning Practice, Africa

  JOURNAL NAME: Open Access Library Journal, Vol.4 No.5, May 3, 2017

  ABSTRACT: Objectives: The aim of this study was to assess scanning activities at Yopougon University Hospital through its most common application that is the cranio-encephalic CT in order to make proposals for the improvement of its use. Patients and Methods: This was a three-year-cross-sectional study based on cranio-encephalic CT scans performed at Yopougon University Hospital from January 2011 to December 2013. All CT scans were performed on a TOSHIBA 64-bar scanner with or without injection of iodinated contrast agent. The variables studied were the epidemiological-clinical elements (age, gender and indications), the exploration technique, the overall results and the various pathologies discovered. Results: The mean age of our patients was 35.4 years with a predominance of children (age group of 0 and 14 years). The sex ratio was 1.38. Motor deficits (19.3%) and head trauma (17.5%) was the main indication of cranio-encephalic scanners. We performed 221 examinations without injection of iodinated contrast agent (36.8%) and 379 examinations with injection of iodinated contrast agent (63.2%). We recorded 298 normal findings and 302 pathological findings that are 49.7% and 50.3% respectively. Strokes were the predominant pathology found on the cranio-encephalic scanners (43.7%) followed by traumatic pathology (20.9%). Conclusion: The rate of normal findings for cranio-encephalic scanners was very high (49.7%). Pathological findings were dominated by strokes (43.7%) and traumatic pathology (20.9%). Infectious pathology was paradoxically rare (3%). A more rigorous prescription of cranio-encephalic scanners based on a well-conducted clinical examination and the guides of good use of imaging examinations (guidelines) could help to reduce the rate of normal scanner at Yopougon University Hospital.