Stroke is defined by the World Health Organization as "the rapid development of localized or global clinical signs of cerebral dysfunction with symptoms lasting more than twenty-four hours which can lead to death, for no other apparent cause than a vascular origin We conducted a retroscptive, descriptive and analytical study. This study took place during the period from January 2018 to December 2020, in. a period of 24 months On 352 patients hospitalized in neurological resuscitation unit 94 cases of patients presenting a cerebrovascular accident whatever the type or a frequency of 26.70%. The average age was 69.16 with a standard deviation of 18.93. The male sex was predominant at 59.57%. The main reason for hospitalization was characterized by an alteration of consciousness, in 35.10%. The first risk factor remains arterial hypertension in our series, in 57.44%. For the 59.57% evolution towards death, the diagnosis of ischemical stroke was the most represented, in 30%. The neuro-resuscitation unit has a capacity of eight patients, six of whom are in intensive care and two in the transition phase reserved for patients on the way to recovery. Each of the beds is equipped with vital functions monitoring equipment. Mixed neurologists and paramedics take care of patients 24 hours a day. It is a sub-regional university hospital structure, unique in terms of their reception capacity and bringing together many sub-specialties. Research and teaching have a big place there. The predominance of hypertension was also noted by Elisha thera in Mali. High blood pressure plays a major role in the predisposition to stroke by aggravating atherosclerosis of the arch of the aorta and arteries at encephalic destiny and by causing atherosclerosis and lipohyaline degeneration of the small terminal cerebral perforating arteries. Hypertension can cause embologenic heart disease, which can lead to ischemic stroke as well as hemorrhagic stroke by rupture of small vessels intended for thalamo streak or lobar hematoma by rupture of a vascular malformation. Main reason for hospitalization was predominantly altered consciousness, in 35.10%. This can be explained by the fact that an alteration of consciousness is among the criteria for hospitalization in intensive care. The lesion aspect was represented by ischemic stroke, in 47.84% versus 31.87% hemorrhagic stroke. The course was marked by death in 59.57%. The high mortality rate was higher than Diarra souley. This high mortality observed in our study could be explained by the severity of stroke and also by a lack of adequate technical platform to allow a better approach to this pathology

With Regards,
Sara Giselle
Associate Managing Editor
 Journal of Stroke Research & Therapy