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Neuro-Behcet (NB) African studies are mainly North African, but Sub-Saharan Africa is not to be outdone. Our aim was to describe diagnostic and therapeutic features of NB in a Senegalese series collected in Dakar. This was a descriptive and retrospective study conducted at the Neurology department of Fann Teaching Hospital in Dakar, Senegal. All patients who met the NB's diagnostic criteria were included. Sixteen patients were collected, 14 males and 2 females with an average age of 40 years [18-71]. The main neurological signs were motor deficit (13 cases), headache (10 cases), and language disorders (4 cases). Extra-neurological signs were dermatological (14 cases), ocular (2 cases), and articular (2 cases) with aseptic unilateral gonarthritis. Fever was present in 9 patients. Neurological involvement was mostly isolated parenchymal (8 cases) or mixed (6 cases). The main clinical forms of NB were rhombencephalitis (8 cases) and retrobulbar optic neuritis (4 cases). Seven patients had a cerebral angio-Behcet with cerebral venous thrombosis (3 cases), ischemic stroke (2 cases), and intracerebral hematoma (2 cases). Under prednisone (16 cases) and azathioprine (3 cases), the short-term clinical outcome was mostly favorable (14 cases) with a modified Rankin scale at 2. NB is an under-diagnosed adult male disease in Sub-Saharan Africa and further studies are needed.

Il est rare d’observer une infection a Morganella morganii du systeme nerveux central. Nous decrivons un premier cas diagnostique au Service de neurologie de l’hopital universitaire Fann de Dakar au Senegal. Un garcon de 12 ans a ete hospitalise pour une meningoencephalite aigue. Le scanner etait normal et l’analyse du liquide cephalorachidien (LCR) avait mis en evidence des anomalies cytologiques et biochimiques, ainsi que la presence de M. morganii. Les serologies VIH et syphilitique etaient negatives et le taux sanguin de lymphocytes CD4 etait de 354/mm3. Un traitement de six semaines par cefotaxime associe a la gentamicine a ete efficace. L’issue de l’infection depend de nombreux facteurs, tels que la rapidite de mise en oeuvre et la qualite du traitement, la virulence du germe et l’etat immunitaire du patient.

Children's headaches are frequently primary. Their diagnosis is difficult because of anamnesis discomfort. Aetiologies are numerous, above all functional ones as migraine. As in adults, symptomatic headache has to be taken into account among these.

Migraine is the most frequent primary headache, one of the main complaint of our neurological out-patients department, but it has not been studied enough in our structure.