Research Article
Extensive Multilevel Spinal and Extraspinal Involvement in a Case of Calvarial Tuberculosis: A Rare Disseminated Presentation
Issue:
Volume 9, Issue 3, September 2025
Pages:
40-44
Received:
19 May 2025
Accepted:
7 June 2025
Published:
26 August 2025
Abstract: Calvarial tuberculosis (TB) is an uncommon manifestation of skeletal TB, and its progression to disseminated involvement of multiple systems is exceedingly rare. We report a unique case of a patient initially diagnosed with calvarial TB, who subsequently developed widespread involvement of the cervical and lumbar spine, bilateral paraspinal soft tissues, the right psoas muscle, and pulmonary parenchyma. Imaging studies demonstrated intraosseous abscesses, soft tissue masses, and compressive epidural components, consistent with disseminated TB. This case emphasizes the importance of early clinical suspicion, prompt imaging, and microbiological confirmation-particularly GeneXpert and drug susceptibility testing (DST)-which facilitated timely diagnosis of MDR-TB and improved prognosis. These steps represent a key aspect of diagnostic strategy in pediatric extrapulmonary TB.
Abstract: Calvarial tuberculosis (TB) is an uncommon manifestation of skeletal TB, and its progression to disseminated involvement of multiple systems is exceedingly rare. We report a unique case of a patient initially diagnosed with calvarial TB, who subsequently developed widespread involvement of the cervical and lumbar spine, bilateral paraspinal soft ti...
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Research Article
Prevalence of Psychosocial Triggers in the Seven Days Preceding a Stroke in Lomé (Togo, West Africa) in 2024
Issue:
Volume 9, Issue 3, September 2025
Pages:
45-51
Received:
17 September 2025
Accepted:
5 October 2025
Published:
22 October 2025
DOI:
10.11648/j.cnn.20250903.12
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Abstract: Introduction: In Togo, a West African country, curative treatment for strokes, which constitute a public health problem, is limited. Prevention remains the most effective strategy for combating strokes. This study aims to describe the potential psychosocial triggers of strokes to better guide stroke prevention strategies. Method: This was a cross-sectional study conducted from August to October 2024 in the neurology departments of the Lomé University Hospital Campus and the Kara University Hospital, which receive approximately 1,200 hospitalized stroke patients per year. Patients hospitalized for a clinical stroke diagnosed by brain imaging and/or their caregivers were interviewed. Psychosocial factors present in the seven days preceding the stroke were considered. Life events were explored using the Holmes and Raha Stress Scale and the Interview for Recent Life Events. Results: One hundred and forty-two patients were included: 61.3% cerebral infarctions and 38.7% hemorrhagic strokes; the mean age was 55 +/- 12.6 years, and the sex ratio (M/F) = 1.1. Traders accounted for 31.0% of patients. Psychosocial triggers were found in 75.4% of patients in the seven days preceding the stroke. In 78.5% of patients, these were negative emotions related to difficulties at work (25.4%) and financial difficulties (21.1%). Conclusion: In our context, negative emotions are common in the days preceding strokes. They must therefore be taken into account in stroke prevention strategies. In practice, each awareness-raising session on cardiovascular risk factors should also be an opportunity to address these psychosocial factors.
Abstract: Introduction: In Togo, a West African country, curative treatment for strokes, which constitute a public health problem, is limited. Prevention remains the most effective strategy for combating strokes. This study aims to describe the potential psychosocial triggers of strokes to better guide stroke prevention strategies. Method: This was a cross-s...
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,
Preeti Singh
