Probable Vascular Dementia in the Tropics: A Study of Twenty-Six (26) Observations at Conakry University Hospital
Barry Souleymane Djigué, Diallo Mohamed Tafsir, Touré Mohamed Lamine, Diallo Souleymane Mbara, Carlos Othon Guelngar, Diallo Bademba, Camara Namory, Sakadi Foksouna, Diallo Mariama Boubacar, Koné Adama, Hinami Madandi, Lamah Eugen, Barry Abdoul Karim Telico, Cissé Fodé Abass and Cissé Amara
Introduction: In tropical environments, the diagnostic certainty of vascular dementia is difficult to
establish due to under-medicalization, delays in consultation and above all the inadequacy of exploration
methods.
Material and methods: We analyzed the records of 153 patients hospitalized for dementia syndrome
over a period from January 1, 2016 to December 21, 2021 in the Neurology Department of the Centre
Hospitalo-. Universitaire de Conakry. Dementia status was assessed according to the Clinical Evaluation
Scale (ECD), Confirmed by Mini Mental State Examination (MMSE<24) cognitive tests or Neuro,
behavioral Cognitive Status Examination (NCSE) score.
Results: 26 (twenty-six) patients fulfilled the DSM-IV criteria for vascular dementia, based on the
association of dementia and cerebrovascular disease certified by the presence of focal neurological signs
of vascular origin and imaging data.
Conclusion: this study shows a non-stereotyped clinical and etiological profile of the spectrum of
vascular dementias in the tropics, in a context of under-medicalization. These results are useful for
diagnostic and prognostic discussion.
