scholarly journals Ntenga Syndrome: About an Observation

2020 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Valproic Acid ◽  
Differential Diagnosis ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Epileptic Seizures ◽  
Endocrine Disorders ◽  
Current Clinical Practice ◽  
Endocrine Disorder ◽  
Therapeutic Protocol ◽  
Set Up

Ntenga syndrome, is one of the highly epileptogenic, non-metabolic craniopathy whose aetiology is not yet known. This syndrome makes a differential diagnosis with that of Morgagni-Stewart-Morel which is rare and / or rarely mentioned in current clinical practice (entity made of frontal hyperostosis, neuropsychiatric and endocrine disorders). We report here a 58 years old female patient from Lubumbashi/ Democratic republic of Congo, followed for several years for multiform seizures, in whom the explorations of a status epilepticus, made possible to set up a new syndromic entity, called Ntenga syndrome made of a symptomatic triad (persistent multiform epileptic seizures, absence of endocrine disorder, hyperostosis frontalis interna). To date, a therapeutic protocol made of valproic acid and levetiracetam has significantly reduced to one seizure per month or even every 2 months. I think it is not without interest to report a very rare and / or new entity in the clinic.

The Symptoms of Depression in Endocrine Disorders

CNS Spectrums ◽  
1999 ◽  
Vol 4 (4) ◽  
pp. 51-61 ◽  
Author(s):  
Burton Hutto
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Depressive Disorders ◽  
Depressive Illness ◽  
Endocrine Disorders ◽  
Endocrine Disorder ◽  
Presenting Symptoms ◽  
Symptoms Of Depression

AbstractMany endocrine disorders present with symptoms of depression, thus differentiating primary depressive disorders from such endocrine conditions can be challenging. Awareness of the typical clinical picture of endocrine disorders is of primary importance. This article discusses a variety of common and uncommon endocrine disorders and the symptomatology that might suggest a depressive illness, and reviews literature on how endocrinopathies can mimic depression. Emphasis is also placed on the role that stress can play in the pathogenesis of endocrine disorders. Psychiatrists should be familiar with the range of presenting symptoms for endocrine disorders, and they should not rely on the presence or absence of stressors to guide their differential diagnosis between depression and endocrine disorder.

scholarly journals A survey of bonobos and other large mammals in the Salonga National Park, Democratic Republic of Congo

Oryx ◽  
2000 ◽  
Vol 34 (3) ◽  
pp. 180-187 ◽  
Author(s):  
Ellen Van Krunkelsven ◽  
Inogwabini Bila lsia ◽  
Dirk Draulans
Keyword(s):  
National Park ◽  
Democratic Republic ◽  
Pan Paniscus ◽  
Democratic Republic Of Congo ◽  
Large Mammals ◽  
Forest Reserve ◽  
Republic Of Congo ◽  
The Status ◽  
Line Transects ◽  
Set Up

AbstractIn December 1997 and January 1998 we travelled to the northern section of the Salonga National Park in the Democratic Republic of Congo. The park is the largest African rain forest reserve, and was created in 1970 to protect endemic species such as the bonobo Pan paniscus and the Congo peacock Afropavo congensis. However, hardly any data exist on the status of animals in the park. In order to collect basic information, we set up camp at four sites along two rivers, where we followed long trails deep into the forest. A total of 7.5 km line transects were cut from three sites, along which all evidence of large mammals was recorded. Our data indicate that key forest species, including bonobo, bongo Tragelaphus euryceros, black mangabey Lophocebus alterimus and leopard Panthera pardus, are present in reasonable numbers in the part of the park we explored. Bonobo density was calculated at 1.15 animals per sq km, based on nest counts. Some elephants Loxodonta africana survive, despite the enormous hunting pressure. Conservation measures to protect the animals need to be taken urgently.

War, Peace and Democracy in the Democratic Republic of Congo

2006 ◽  
Vol 2 (3) ◽  
Author(s):  
Georges Nzongola-Ntalaja
Keyword(s):  
Civil War ◽  
Armed Conflict ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo ◽  
International Media ◽  
Rebel Groups ◽  
Set Up

What is the nature of the armed conflict in the Democratic Republic of Congo? Is it a civil war, as constantly reported by the international media, or is it a war resulting from foreign aggression, as indicated by the authorities in Kinshasa? Irrespective of what one may think of the regime set up by Laurent-Désiré Kabila in the DRC, the legitimacy of his position needs to be recognised, especially considering that rebel groups only became active after the country was invaded by Rwanda and Uganda on 2 August 1998. Why did the war break out in the DRC? How is it that a country the size of an entire continent was invaded, occupied and exploited by much smaller states such as Rwanda, Uganda and Burundi? This article attempts to answer these questions.

scholarly journals Epidemiology of Epilepsy in Lubumbashi, Democratic Republic of Congo

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Olivier Mukuku ◽  
Pascal Nawej ◽  
Marcellin Bugeme ◽  
Frank Nduu ◽  
Paul Makan Mawaw ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Epileptic Seizures ◽  
Epidemiological Studies ◽  
Republic Of Congo ◽  
Generalized Seizures ◽  
Starting Point ◽  
Clonic Seizures ◽  
The Mean ◽  
Sub Saharan

Background. Epilepsy is one of the most common neurological conditions, but the majority of epilepsy patients in sub-Saharan countries do not receive appropriate treatment. In the Democratic Republic of Congo (DRC), particularly in Lubumbashi, very few epidemiological studies on epilepsy have emerged. This study aims to analyze demographic characteristics, semiology of epileptic seizures, and their etiologies in patients followed in hospital. Methods. This is a prospective descriptive study that enrolled 177 epileptic patients who performed a neurological consultation at the Centre Médical du Centre Ville (CMDC) in Lubumbashi (DRC) from January 1, 2016, to December 31, 2017. Results. The mean age of the patients was 20.0 years (range: 5 months and 86 years). The male sex was predominant (57.1%). The mean age at the seizure onset was 13.1 years, and the mean duration between onset of seizures and consultation was 83.5 months. The family history of epilepsy was present in 27.7%. Generalized tonic-clonic seizures were the most frequent (58.2%), followed by atonic generalized seizures (9.6%) and focal clonic seizures (8.5%). The etiology was found in 68 (38.4%) patients and was dominated by neurocysticercosis (26.5%), meningitis (25%), perinatal pathologies (20.6%), and head injury (20.6%). Conclusion. This study is a useful starting point from which health programs and health professionals can work to improve the diagnosis and quality of epilepsy management in our community.

scholarly journals Who Arrests those Accused by the ICC?

AJIL Unbound ◽  
2018 ◽  
Vol 112 ◽  
pp. 168-171
Author(s):  
Adrian Fulford
Keyword(s):  
International Criminal ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Criminal Court ◽  
Crimes Against Humanity ◽  
State Party ◽  
The Public ◽  
International Pressure ◽  
Initial Appearance ◽  
Set Up

In a world in which war crimes, crimes against humanity, and genocide are not uncommon, the institution that was set up to have jurisdiction over them is in danger of being unable to discharge its mandate. Put starkly, the International Criminal Court (ICC) suffers too frequently from an inability to arrest or otherwise detain alleged perpetrators, whether the prosecutor is acting proprio motu or is following a reference to the court by a state party or the Security Council. The situation of Saif al-Islam Gaddafi is a case in point: notwithstanding the Security Council's referral of Libya to the ICC, at least as a member of the public it is difficult to detect any substantial international pressure that has been applied to have Gaddafi transferred to the Court; instead, he has been mooted as a candidate in future presidential elections. In total, the Court has issued thirty-two arrest warrants and nine summonses to appear, yet has held only nine individuals in custody, with fifteen still at large. The fugitives include citizens of the Democratic Republic of Congo, Uganda, Sudan, Kenya, Libya, and the Ivory Coast. Once the present trials before the court have concluded, there is only one case potentially waiting in the wings. A sole outstanding individual, Al-Hassan Ag Abdoul Aziz Ag Mohamed Ag Mahmoud from Mali, has made an initial appearance, and later this year the pre-trial stage of his case should commence; otherwise, there are simply the three trials in progress. However, I urge careful reflection before the Court is blamed for periods in which its docket of cases is lean.

Can conversation analytic findings help with differential diagnosis in routine seizure clinic interactions?

2016 ◽  
Vol 12 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Katie Ekberg ◽  
Markus Reuber
Keyword(s):  
Differential Diagnosis ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Epileptic Seizures ◽  
Routine Clinical Setting ◽  
Choice Of Treatment ◽  
Transient Loss ◽  
Factual Content ◽  
Patient’S History ◽  
Linguistic Methods

There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors. The use of linguistic methods (particularly conversation analysis) in research settings has demonstrated that these approaches can provide hints likely to be useful in the differentiation of epileptic and non-epileptic seizures. This paper explores to what extent (and under which conditions) the findings of these previous studies could be transposed from a research into a routine clinical setting.

The Role of Gender in Agent Banking: Evidence from the Democratic Republic of Congo

2020 ◽  
Author(s):  
Richard Chamboko ◽  
Robert Cull ◽  
Xavier Gine ◽  
Soren Heitmann ◽  
Fabian Reitzug ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo
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