Ghana medical journal最新文献

{"title":"A cross-sectional analysis of patient-based records on mortality among patients with diabetic ketoacidosis in a tertiary hospital in Ghana.","authors":"Yacoba Atiase, Josephine Akpalu, Ernest Yorke, Margaret Reynolds, Ofoliquaye Allotey Annan, Robert Aryee, Alfred Yawson","doi":"10.4314/gmj.v59i2.1","DOIUrl":"10.4314/gmj.v59i2.1","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the mortality of patients admitted and managed for Diabetic ketoacidosis (DKA) at a teaching hospital.</p><p><strong>Design: </strong>A cross-sectional study of the medical records of all 70 patients 18 years and older, managed for DKA in the adult emergency room of Korle-Bu Teaching Hospital in Ghana from March to July 2019.</p><p><strong>Setting: </strong>The study was conducted among adult patients managed for diabetic ketoacidosis in the adult emergency room and adult medical wards of Korle-Bu Teaching Hospital.</p><p><strong>Participants: </strong>The participants were patients aged 18 years or older who were admitted with diabetic ketoacidosis.</p><p><strong>Interventions: </strong>Patients managed for diabetic ketoacidosis in the adult emergency room of Korle-Bu Teaching Hospital in Ghana had their outcomes assessed.</p><p><strong>Main outcome measures: </strong>Outcomes of DKA management, including mortality, discharge, duration to either of these outcomes and associations were measured.</p><p><strong>Results: </strong>The mortality rate from DKA in this study was 15.7%. Mean age, duration of diabetes, and blood glucose at admission were 44.06(±16.23) years, 7.19(±6.04) years, and 26.37(±6.70) mmol/L, respectively. Female gender and pulse rate >100 or <60 beats/minute were independently associated with mortality. Only 2 out of 70 (2.85%) patients were managed in the Intensive Care Unit (ICU).</p><p><strong>Conclusion: </strong>The Mortality of DKA management in this hospital was high (15.7%). Most of these patients (97.15%) were not managed in the ICU or HDU; to improve this high mortality, there is a need to use the guidelines in the diagnosis, categorisation and management of DKA and to make the ICU and HDU available, accessible and affordable in our centre and elsewhere in Ghana.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterising spontaneous bacterial peritonitis in liver cirrhosis and hepatocellular carcinoma in southwestern Nigeria.","authors":"Abosede G Adeyeye, Adeyemi T Adeyemo, Victor O Adeyeye, Temitope O Ojo, Olusegun Adekanle, Anthony C Anuforo, Aaron O Aboderin, Dennis A Ndububa","doi":"10.4314/gmj.v59i2.2","DOIUrl":"10.4314/gmj.v59i2.2","url":null,"abstract":"<p><strong>Objectives: </strong>This study determined the profile of spontaneous bacterial peritonitis (SBP) and its variants in patients with decompensated liver cirrhosis and hepatocellular carcinoma (HCC).</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Setting: </strong>The study was conducted in a tertiary hospital.</p><p><strong>Participants: </strong>Patients with decompensated liver cirrhosis and HCC above 18 years.</p><p><strong>Interventions: </strong>Ascitic fluid (AF) samples were taken for cell count and culture using a BACTEC culture bottle. Sensitivity patterns and ascitic fluid total protein and albumin levels were also assessed.</p><p><strong>Main outcome measures: </strong>Clinical profile of SBP, organisms isolated from the ascitic fluid and sensitivity of isolated organisms to antibiotics.</p><p><strong>Results: </strong>One hundred and six (106) participants were recruited. Seventy (66%) had liver cirrhosis, and 36 (34%) had HCC. The mean age was 50.08±12.66 years. Eighty-nine (84%) were males and 17(16%) were females. The overall prevalence of SBP was 29.2% (n = 31). Classical SBP was 5(4.7%), CNNA 20(18.9%) and monobacterial ascites 6(5.7%). The Gram-positive isolates were <i>Staphylococcus aureus</i> 5(45.5%) - [2(18.2%) MRSA, 3(27.3%) MSSA] while the Gram-negative organisms were <i>E. coli</i> 3(27.3%), <i>Acinectobacter</i> 2(18.2%) and <i>Bulkholderia cepacia</i> 1 (9.1%). Gram-negative bacteria showed absolute resistance to cephalosporins but were all susceptible to meropenem. Gram-positive bacteria showed 100% susceptibility to linezolid, vancomycin and daptomycin. Gram-positive bacteria also showed low resistance to fluoroquinolones (20%). Multi-drug resistance pattern was reported for MRSA, <i>Acinetobacter baumannii</i> and <i>Bulkholderia cepacia</i>.</p><p><strong>Conclusion: </strong>SBP is a common complication in patients with decompensated CLD. Guided antibiotic treatment should be encouraged, particularly in light of the emergence of multidrug resistance patterns.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of complicated giant prostate hyperplasia.","authors":"Mathew Y Kyei, Ernest K Agyapong-Tandoh, Esinam A Amedewonu, James E Mensah, Josephine M Kyei, Seth Oti-Mensah","doi":"10.4314/gmj.v59i2.7","DOIUrl":"10.4314/gmj.v59i2.7","url":null,"abstract":"<p><p>Giant prostate hyperplasia is defined as prostate hyperplasia with a weight greater than 500 grams. This condition is rare. We present the management of a case of giant prostate hyperplasia (541 grams on CT scan) with a surgical enucleated volume of 800 grams in a patient who presented with haematuria. An abdominal-pelvic CT scan was required to differentiate it from a suspected bladder tumour. This case was successfully managed with a favourable outcome following open transvesical prostatectomy, ensuring minimal blood loss. This case report and review provide an update on the management of giant prostate hyperplasia, with emphasis on the prevention and management of haemorrhage.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, pattern and predictors of elder abuse in rural communities of Edo State, Nigeria.","authors":"Fatelyn I Okakah, Simeon N Awunor, Oluwaseun E Daramola, Danny A Asogun, Charles O Aluede, Ejiroghene C Ucho","doi":"10.4314/gmj.v59i2.4","DOIUrl":"10.4314/gmj.v59i2.4","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the prevalence, pattern, and predictors of elder abuse in two rural communities in Edo State, Nigeria.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>Individuals residing in rural communities in Edo state were studied.</p><p><strong>Participants: </strong>Two hundred and thirty-two participants aged ≥ 60 years.</p><p><strong>Main outcome measures: </strong>The prevalence and pattern of elder abuse, and predictors of abuse.</p><p><strong>Results: </strong>The mean age of participants was 73.2±9.1 years, and the prevalence of elder abuse was 79.3%. The pattern of abuse observed was neglect (73.4%), financial abuse (64.1%) and emotional abuse (53.8%), with many of the perpetrators being children of the victims. Risk factors associated with abuse in this study included sex (p = 0.009), marital status (p = 0.028), employment status (p = 0.002), educational qualification (p = 0.001), living arrangement (p = 0.001), financial status (p = 0.017), and dependency level (p = 0.015). The top barriers to help-seeking by the elderly were stigmatisation (24.4%), fear of retaliatory assault (19.3%) and abandonment (19.4%) respectively.</p><p><strong>Conclusion: </strong>Elder abuse is prevalent in the study area, with neglect being the most typical form of abuse and children of the victims are the major perpetrators. Consequently, concerted efforts to respect and care for the elderly should be directed by all stakeholders at the International, Federal, State, and Local Levels (including the community and family).</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"68-75"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective single-centre study on the histological profile of brain and spine tumours at a tertiary hospital in Ghana.","authors":"Mabel Banson, Felix Siaw-Debrah, Kwadwo Darko, Mawuli K Ametefe, Patrick Bankah","doi":"10.4314/gmj.v59i1.4","DOIUrl":"10.4314/gmj.v59i1.4","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to describe the patient demographics, clinical presentation and histological subtypes of central nervous system (CNS) tumours in a tertiary facility.</p><p><strong>Design: </strong>Retrospective review of all the histopathological and medical records available for patients with tumours of the CNS operated on.</p><p><strong>Setting: </strong>Neurosurgical Unit, Department of Surgery, Korle-Bu Teaching Hospital.</p><p><strong>Participants: </strong>All adult and paediatric patients with histopathologically diagnosed CNS tumours.</p><p><strong>Main outcome measures: </strong>Frequency of histopathological subtypes of CNS tumours.</p><p><strong>Results: </strong>This study of 338 patients with CNS tumours showed a slight female predominance (183 females, 155 males). The mean age was 38.1 years. Brain tumours were more common (290 cases) than spinal tumours (48 cases), with symptoms like headaches (44.44%) and visual disturbance (24.31%) prevalent in brain cases, and paraparesis (35.42%) and low back pain (16.67%) in spinal cases. Certain symptoms were strongly indicative of specific tumour types, such as seizures (OR: 3.3, CI: 1.6 - 6.9, p = 0.005) with meningiomas and visual disturbances with sellar tumours (OR: 6.7, CI: 3.6 - 12.9, p<0.001). Most tumours were low-grade (78.69%). Meningiomas were the most common (33.14%), particularly meningothelial (38.39%). Gliomas, glioneuronal, and neuronal tumours were next in prevalence (28.40%), followed by sellar tumours (18.93%). Astrocytomas (60.42%) were the predominant glioma subtype.</p><p><strong>Conclusion: </strong>Low-grade tumours predominate in our setting. It is prudent that we channel efforts towards prompt diagnosis and treatment of such cases.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correspondence: Risk perception of COVID-19 and vaccine uptake among patients with chronic illnesses at a tertiary health facility in Nigeria.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.4314/gmj.v59i1.8","DOIUrl":"10.4314/gmj.v59i1.8","url":null,"abstract":"","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"43-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal outcome of pregnant mothers with active rubella infection in a tertiary hospital in Nigeria.","authors":"Beatrice O Owolabi, Kikelolmo T Adesina, Omotayo O Adesiyun, Abayomi Fadeyi, Adebunmi O Olarinoye, Sherifat T Suleiman, James O Owolabi, Dele O Amadu","doi":"10.4314/gmj.v59i1.3","DOIUrl":"10.4314/gmj.v59i1.3","url":null,"abstract":"<p><strong>Objective: </strong>To determine the seroprevalence of the rubella virus among pregnant women and the perinatal outcome of neonates of mothers with active rubella virus.</p><p><strong>Design: </strong>A cross-sectional and longitudinal study.</p><p><strong>Setting: </strong>The study was conducted in the Obstetrics and Gynaecology Department of a teaching hospital in Nigeria.</p><p><strong>Participants: </strong>Pregnant women at the gestational age of 18-20 weeks.</p><p><strong>Intervention: </strong>Screening pregnant mothers for immunoglobulin (IgG, IgM) for the rubella virus. Neonates of pregnant mothers with active rubella infection (IgM positive) were screened at birth for rubella IgM to assess for congenital rubella infections and congenital rubella syndrome.</p><p><strong>Main outcome measure: </strong>Prevalence of rubella immunoglobulin G and active rubella infection IgM, congenital rubella infection, and congenital rubella syndrome.</p><p><strong>Results: </strong>Of the 327 participants, 68.8% were rubella IgG seropositive, while 7.6% were Rubella IgM seropositive. Fifty-six (56) per cent of neonates of women with active rubella infection were Rubella IgM seropositive at birth, and 14.3% of the neonates of Rubella IgM seropositive pregnant women with active rubella infection had occipitofrontal circumference of less than 10^th percentile for gestational age.</p><p><strong>Conclusion: </strong>Rubella virus is present in our environment with the risk of pregnant mother and neonate of being infected.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of motorcycle accidents and associated factors among road traffic accident victims in Accra, Ghana.","authors":"Victoria A F Luther, Delia Ab Bandoh, Adolphina A Addo-Lartey","doi":"10.4314/gmj.v59i1.1","DOIUrl":"10.4314/gmj.v59i1.1","url":null,"abstract":"<p><strong>Objectives: </strong>This study determined the prevalence of motorcycle accidents and associated risk factors in Accra, Ghana.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Legon, Pentecost, Madina, and Kekele hospitals, Motor Transport and Traffic Unit offices in Accra, and Kaneshie District Court. Data were collected using structured questionnaires.</p><p><strong>Participants: </strong>Road traffic accident victims (387), aged 15 years and above, were randomly selected from health facilities' registers and interviewed.</p><p><strong>Main outcome measure: </strong>Number of road traffic accidents involving motorcycles.</p><p><strong>Results: </strong>The prevalence of motorcycle accidents among road traffic accidents was 37% [95% CI: 32.0-42.0]. Motorcycle accidents predominantly occurred among people aged 15-25 and 26-35 years. The prevalence among men was 38% while women reported 24% [95% CI: 85.0-91.0]. Motorcycle accident occurrence was higher (63% vs 10%) among those earning < GH₵349 ($22.37) a month compared to those earning above GH₵3000 ($192.31). After adjusting for all the factors that showed association at the univariate level and potential confounders like sex, followed by post-estimation analysis and a Hosmer-Lemeshow goodness of fit test, factors that were significantly associated with motorcycle accidents included ownership [AOR:2.32, p=0.018 95%CI: 1.16-4.65], education level [AOR=1.48, p=0.020 95%CI: 1.06-2.05], motor license [AOR=132.74, p<0.001 95%CI: 17.56-1003.62], and income level [AOR=0.65, p=0.002 95%CI: 0.50-0.85].</p><p><strong>Conclusion: </strong>Motorcycle accidents remain prevalent and significantly related to income level, ownership level, education level, and having a motor license. To reduce motorcycle accidents, governments must implement policies that address these factors and support safer road practices.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incessant ventricular tachycardia complicating heart failure in pregnancy.","authors":"Dzifa Ahadzi, Hawa Malechi, Anita Avonsige, Issifu Amoaba, Shamrock Dokurugu Abdul-Latif, Abdul-Subulr Yakubu","doi":"10.4314/gmj.v59i1.5","DOIUrl":"10.4314/gmj.v59i1.5","url":null,"abstract":"<p><p>Cardiovascular diseases in pregnancy increase the risk of adverse maternal and foetal outcomes. Diagnosis and management of cardiovascular diseases, such as arrhythmias and heart failure in pregnancy, in resource-limited settings, is, however, challenging. We present a 31-year-old multiparous woman whose index presentation was for worsening symptoms of acute heart failure at 33 weeks of gestation. She had, however, had a prior history of breathlessness in a previous pregnancy for which she was diagnosed with peripartum cardiomyopathy. During this index clinical presentation, she was found to have dilated cardiac chambers with severe left ventricular systolic dysfunction and monomorphic ventricular tachycardia. Multidisciplinary team management resulted in successful cardioversion and satisfactory maternal and foetal outcomes.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes and clinical presentation of stroke in children in Cameroon.","authors":"Daniel A Kago-Tague, Fabricia N Guimeya, Joseph Kamtchum-Tatuene, Dominique Enyama, Euranie J Kouam, Hubert D Mbassi, Seraphin Nguefack","doi":"10.4314/gmj.v59i1.2","DOIUrl":"10.4314/gmj.v59i1.2","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to determine the aetiological factors and clinical and paraclinical aspects of stroke in children in Cameroon.</p><p><strong>Design: </strong>retrospective study of the records.</p><p><strong>Setting: </strong>At two university hospitals in the city of Yaoundé (Yaoundé Gynaeco-Obstetric and Paediatric Hospital and the Chantal Biya Foundation Mother and Child Centre).</p><p><strong>Participants: </strong>47 children with stroke for seven and half years.</p><p><strong>Interventions: </strong>Data were collected from medical records. The variables studied included clinical and paraclinical data.</p><p><strong>Main outcome measures: </strong>Key variables were summarised in the form of mean ± standard deviation, frequencies and percentages.</p><p><strong>Results: </strong>The mean age was 6.5±2.8 years. The Male Female sex ratio was 1.8:1. The average consultation time was 31.8 hours. Hemiplegia/hemiparesis (95.7%) was the main clinical manifestation, associated with signs such as convulsions (27.7%), fever (46.8%) and pallor (27.7%). Ischaemic and haemorrhagic stroke accounted for 41 cases (87.2%) and 6 cases (12.8%), respectively. The aetiological factors for ischaemic stroke were sickle cell disease (72.3%), sepsis (4.2%), protein S deficiency (2.1%) and dilated cardiomyopathy with mitral insufficiency (2.1%). The aetiology was not found in 3 patients (6.4%) with ischaemic stroke. Apart from sickle cell disease (66.6%), the aetiological factors for haemorrhagic stroke were idiopathic thrombocytopenic purpura (16.7%) and haemophilia B (16.7%). Ischaemia mainly involved the middle cerebral artery (86.1%). Haemorrhagic attacks were mainly supratentorial.</p><p><strong>Conclusion: </strong>In urban Cameroon, strokes frequently occur around the age of 6, with a predominance of ischaemic strokes resulting in motor deficits. Sickle cell disease is the most common cause.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}