Case Report
Neurovascular complication of Hematologic Disorders: Case of Deficits in S and C Proteins about an Observation in Abidjan Ivory Coast
Zakaria Mamadou1*, Soumaila Boubacar2, Constance Yapo Ehounoud1, Eric Bila2 and Aka Anghui Diarra Evelyne1
1Neurology Service of Teaching Hospital of Cocody Abidjan PO Box V 13, Ivory Coast, Senegal
2Neurology service of Fann Teaching Hospital of Dakar PO Box 5035, Senegal
- *Corresponding Author:
- Zakaria Mamadou
Neurology Service of Teaching Hospital of Cocody
Abidjan Po Box V 13, Ivory Coast, Senegal
Tel: 971556864636
E-mail: mamadouzakaria1@hotmail.fr
Received date: April 16 2016; Accepted date: May 17, 2016; Published date: May 24, 2016
Citation: Mamadou Z, Boubacar S, Ehounoud CY, Bila E, Diarra Evelyne AA (2016) Neurovascular complication of Hematologic Disorders: Case of Deficits in S and C Proteins about an Observation in Abidjan Ivory Coast. Adv Mol Diag 1:106. doi:10.4172/amd.1000106
Copyright: © 2016 Mamadou Z, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction H2O in any medium, provided the original author and source are credited.
Abstract
The frequency of cerebral infarcts associated to a hematologic infection remains difficult to be known and imprecise. The deficit of S and C protein is rarely responsible for cerebral infarcts. We thus bring a young Ivorian patient hospitalized in our neurologic service. She consulted for a left hemi corporal motor deficit of a brutal installation without a particular context. The clinical examinations found a left proportional hemiparesis at 2/5 in superior and inferior members according to the Medical Research Council scale (MRC) and a left painful hemi hypoesthesia. The rest of the examination was without particular. The Neurovascular imagery has objective various cerebral infarcts. Cardiovascular etiologies and hematologic checkups were strictly normal apart from the reduction of the prothrombin percentage (TP=32%). The C protein had reduced (C protein=47% NV>70) and the S protein had equally reduced (S protein=27% NV脙聝芒聙鹿脙聜脝聮60). Other factors of dependent Vitamin K coagulation, (factors II VII IX and X) was also reduce. In front of these results and the absence of other causes which can explain its pathology, the diagnoses of multiple cerebral infarcts due to a deficit in S and C protein had be retained. The patient benefitted a treatment of acetylsalicylic acid 100 mg/day and of vitamin K oral route; a symptomatic treatment and a physical reeducation. The evolution was marked six weeks after by a takeover of walk. A motor recuperation at the level of the left side of the body from 2/5-4/5 and a disappearance of a sensitive disorder of the same side. The rarity of deficits in S and C proteins is difficult to put in evidence their implication in the up come of a cerebral infarcts which can cause or lead to an interest to think in front of all vascular event of a young subject
