Journal Officiel de la Société de Radiologie d’ Afrique Noire Francophone / Official Journal of the Radiological Society of Francophone Africa


M Lelo Tshikwela, B Longo-Mbenza


But : Analyser les images tomodensitométriques (TDM) de l’hématome intracérébral (HIC) spontané chez le Noir Africain.

Patients et Méthode : 185 patients noirs africains de Kinshasa atteints d’accident vasculaire cérébral (AVC) ont été inclus dans notre étude

Résultats :L’hématome intracérébral de l’africain  était supratentorial dans 96% des cas, et  volontiers dans l’hémisphère gauche du cerveau(72%). Il était de localisation profonde (90%) et souventsitué dans le putamen (57%). La taille moyenne de l’hématome  était de 37 millilitres. L’inondation ventriculaire était rtrouvée dans un tiers des cas. La ligne médiane était déviée en moyenne de 7mm et la mortalité s’élèvait à 35% dans les 30 jours suivant l’ictus. Il était d’origine hypertensive dans 91,5 % des cas.

Conclusion :Les caractéristiques de l’HIC du sujet noir africain diffèrent peu de ceux des autres parties du monde quant à l’origine, la localisation, l’inondation ventriculaire et la mortalité.


AVC- HIC- TDM- Afrique

Texte intégral :



Giroud M, Gras P, Chadab N, Beuriat P, Milan C, Arveux P, Dumas R. Cerebral hemorrhage in a French prospective population study.J NeurolNeurosurg Psychiatry. 1991; 54: 595–598

Capon A, Demeurisse G, Zheng L.Seasonal Variation of Cerebral Hemorrhage in 236 Consecutive Cases in BrusselsStroke 1992, 23:24-27.

Nilsson OG, Lindgren A, Stahl N, Brandt L, Saveland H. Incidence of intracerebral and subarachnoid hemorrhage in southern Sweden. J NeurolNeurosurg Psychiatry. 2000; 69: 601–607

Castellanos M, Leira R, Tejada J, Gil-Peralta A, Dávalos A, Castillo J. For the Stroke Project, Cerebrovascular Diseases Group of the Spanish Neurological Society Predictors of good outcome in medium to large spontaneous supratentorial intracerebral haemorrhages.J NeurolNeurosurg Psychiatry 2005;76:691-695

Ariesen MJ, Algra A, Van der Worp HB, Rinkel G J E.Applicability and relevance of modelsthat predict short term outcome after intracerebral haemorrhage. J NeurolNeurosurg Psychiatry2005; 76:839-844.

Weimar C, Benemann J, Diener H-C. For the German Stroke Study Collaboration Development and validation of the Essen Intracerebral HaemorrhageScore. J Neurol Neurosurg Psychiatry 2006;77:601-605

CordonnierC,BraininM.Intracerebral hemorrhage: Better scoring for better care? J Neurol Neurosurg Psychiatry 2006;77:571.

The European stroke initiativewriting committee and the writing committee forthe EUSI executive committee. Recommendations for the Management of Intracranial Haemorrhage – Part I: Spontaneous IntracerebralHaemorrhageCerebrovasc Dis 2006; 22:294–316

Bos MJ, Koudstaal PJ, Hofman A, Breteler MMB.Decreased Glomerular Filtration Rate Is a Risk Factor for Hemorrhagic But Not for Ischemic Stroke. The Rotterdam StudyStroke. 2007;38:000-000

Broderick J, Brott T, Tomsick T, Huster G, MillerRThe risk of subarachnoid and intracerebralhemorrhages in blacks as compared with whites. N Engl J med: 1992; 12. 326(11): 733-6.

Flaherty ML, Wood D, Haverbusch BSNetall;Racial variation in location and risk of intracerebral hemorrhage. Stroke 2005: 36(5); 934-7.

Alter M.Black-white differences in stroke frequency: challenges for research. Neuroepidemiology, 1994; 13(6): 301-7

HemphillJ. C, BonovichDC., BesmertisL, ManleyG T., Johnston SC. The ICH Score A Simple, Reliable Grading Scale for Intracerebral Hemorrhage. Stroke. 2001;32:891-6.

Kothari RU, Brott T, Broderick JP, and all.The ABCs of measuring intracerebral hemorrhage volume. Stroke1996; 27: 1304-5.

Oureshi AI, Gilles WH, Croft JB Racial difference in the incidence of intracerebral hemorrhage, effect of blood pressure and education. Neurology, 1999, 12; 52(8): 1617-21.

Kissela B, Scheider A, Kleindorfer D and all.Stroke in a biracial population, the excess of burden of strokes among blacks.Stroke 2004:35(2), 246-51.

Soares CM , Carvalho ACP.Spontaneous cerebral intraparenchymatous hematoma: computed tomography findings.Radiol Bras, Jan./Feb. 2005, vol.38, no.1, p.7-10.

Minelli C, Lee Fu Fen, Denise P.

Stroke Incidence, Prognosis, 30-Day, and 1-Year Case Fatality Rates in Mata˜o, Brazil. A Population-Based Prospective Study Stroke, 2007, 38

Godoy DA, Boccio A, Hemphill JC III, Bonovich DC, Johnston SC, Manley GT, Gregson BA, Mendelow AD, Fernandes HM. ICH score in a rural village in the republic of Argentina.Stroke. 2003; 34:e150–151.

Funahashi J, Ohkubo T, Fukunaga H, and all.The economic impact of introduction of home blood pressure mesurement for diagnosis and treatment of hypertensionBlood press Monit 2006; 11(5): 257-67.

Inagawa T, Ohbayashi N, Takechi A, Shibukawa M, Yahara K. Primary intracerebralhemorrhage in Izumo City, Japan: incidence rates and outcome in relation to the site of hemorrhage. Neurosurgery. 2003; 53: 1283–98

Miyamatsu N, Kadowaki T, Okamura T, and all.Different effects of blood pressure on mortality from stroke subtypes depending of BMI levels. J Hum Hypertens 2005; 19(4): 285-91.

Miyazawa N, Mitsuka S, Asahara T, Uchida M, Fukamachi MI, Fukasawa I, Sasaki H, Nukui H.Clinical features of relative focal hyperfusion in patients with intracerebral hemorrhage detected by contrast-enhanced xenon CT.Am J of Neuroradiol 1998; 19(9): 1741-6.

Mori S, Sadoshima S, SetsuroIbayashi, Fujishima M, Lino K.Impact of Thalamic Hematoma on Six-Month Mortality and Motor and Cognitive Functional Outcome Stroke. 1995; 26:620-626.)

Takahashi O., Cook E.F., Nakamura T., Saito J., Ikawa F., Fukui T. Risk stratification for in-hospital mortality in spontaneous intracerebral haemorrhage: A Classification and Regression Tree Analysis QJM 2006 99(11):743-750

Ueshima H, Choudhury SR, Okayama A, and all.Cigarette smoking and risk factor for stroke in Japan. Stroke 2004; 35(8): 1836-41.

Woo E, Chan YW, Yu YL, Huang CY.Admission glucose level in relation to mortality and morbidity outcome in 252 stroke patients.Stroke 1988; 19: 185-91.

YasuoTerayama, NorioTanahashi, YasuoFukuuchi,FumioGotoh.Prognostic value of admission blood pressure in patients with intracerebral hemorrhage. Keio Cooperative Stroke Study.Stroke 1997; 28: 1185-8.

YukihikoFujii, Shigekazu Takeuchi, Osamu Sasaki, Takashi Minakawa, Ryuichi Tanaka. Multivariate analysis of predictors of haematoma enlargement in spontaneous intracerebral hemorrhage.Stroke 1998; 29: 1160-6.


Factors associated with in-hospital mortality following intracerebral hemorrhage: a three-year study in Tehran, IranBMC Neurol. 2004; 4: 9

Lelo Tshikwela, MalengaMp., Ndoma K., Kabeya K., Longo Mbenza.Evaluation tomodensitométrique des accidents vasculairescérébraux à Kinshasa, Zaïre. Panorama Médical, 1993; 4:166-168.

Longo Mbenza, PanzuMbete, Lelo Tshikwela et coll.Hematocrit and Stroke in black Africans under tropical climateand meteorological influence.Annal.Med. Interne 1999, 150, 3, p 171-17

Longo Mbenza, Tonduangu K, Lelo Tshikwela et coll.Predictors of Stroke associated mortality in AfricansRev.Epidem. Santé publique, 2000, 48, 31-39

Longo-Mbenza, Lelo Tshikwela M., MbuiluPukuta JRates and predictors of stroke-associated case fatality in black Central African patients.

Cardiovascular Journal of Africa Vol 19, No. 2, March/April 2008, 77

Kazui S, Minematsu K. Yamamoto H, Sawada T, Yamaguchi T.

Predisposing Factors to Enlargement of Spontaneous Intracerebral HematomaStroke 1997;28:2370-2375

The Brain Trauma Foundation. The American Association of Neurological Surgeons. The Joint Section on Neurotrauma and Critical Care. Computed tomography scan features.Review.J Neurotrauma. 2000 Jun-Jul;17(6-7):597-627

Obajimi MO, Nyame PK, Jumah KB, Wiredu EK

Spontaneous intracranial haemorrhage: computed tomographic patterns inAccra.

West Afr J Med.2002, 21(1):60-2

Nilsson OG, Lindgren A, Brandt L, Säveland H Prediction of death in patients with primary intracerebral hemorrhage: a prospective study of a defined populationJ Neurosurg.2002 Sep; 97(3):531-6.


  • Il n'y a présentement aucun renvoi.