Challenges in the Management of Hydrocephalic Children in Northern Mozambique

Salvador, Sérgio F.; Henriques, João Carlos; Munguambe, Missael; Vaz, Ruí; Barros, Henrique

doi:10.1016/j.wneu.2015.03.064

Cited by 4 publications

(1 citation statement)

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“…Studies in Bangladesh by Mukherjee et al 8 Reported ToRCH is a significant cause in Hydrocephalus in intrauterine infection, where commonest age group was 31 to 90 days (45.0%). Mozambique have an incidence of congenital hydrocephalus equivalent to or greater than developed countries and that post-infectious acquired hydrocephalus occurs at even higher rates 9 . Studies conducted in Uganda had demonstrated infection accounting for 60.0% of hydrocephalus cases.…”

Section: Introductionmentioning

confidence: 99%

Multi Loculated Hydrocephalus and Simple Hydrocephalus: Comparison of Outcomes in a Paediatric Population

Mukherjee

Rehman

Roy

et al. 2023

J. Natl Inst. Neurosci Bangladesh

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Background: Management for simple hydrocephalus in low/middle income countries include insertion of a ventriculoperitoneal shunt (VPS) or performance of an endoscopic third ventriculostomy (ETV). Objective: This present study was carried out to compare presenting features, surgical management and outcomes for patients with simple and loculated hydrocephalus. Methodology: This case-control study was performed in the Department of Paediatric Neurosurgery at National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from July 2017 to June 2019. The patients with loculated hydrocephalus were included in the analysis and comparison made to case matched simple hydrocephalus controls. Presenting features, operative details, and outcomes measured by the Glasgow Outcome Scale- Paediatric (GOS) were recorded over a follow up period of one year. Results: A total number of 17 patients with loculated hydrocephalus were recruited for this study. Loculated patients underwent ETV (n=3), VPS (n=7), aqueductoplasty (n=1) and no procedure (n=6). Simple hydrocephalus patients underwent ETV (n=4), VPS (n=7), no procedure (n=2). Patients undergoing intraoperative irrigation had a mean GOS of 3 compared to a GOS of 6 in non-irrigated patients (p=0.0434). Mortality occurred in 9 patients (5 loculated HCP and 4 simple HCP). Mortality was seen to be higher in male patients (p<0.0001) and those with congenital aetiologies (p<0.0001). Conclusion: There is no statistically significant difference in mortality or GOS at follow up between the 2 groups. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):112-120

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Section: Introductionmentioning

confidence: 99%