Hematome sous dural, complication du traitement chirurgical des hydrocephalies. Notre experience a Dakar

Ba, MC; Ba, Alekseev; Beketi, AK; Ouiminga, A.K.; Ndoye, Ndèye Aby; Thiam, AB; Sakho, Y; Badiane, Seydou Boubakar

doi:10.4314/ajns.v24i2.7572

Cited by 3 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Short series are seldom found in the African literature [19,20]. Fronto-ethmoidal cephaloceles were the most frequent in our study (5/6) as well as in the study performed at Fann University Hospital in Dakar (78%) [15] (Table 1). In the latter series, all patients were males and underwent surgery.…”

Section: Discussionsupporting

confidence: 62%

“…Many cases of facial tumefactions initially taken as cephaloceles were further correctly diagnosed by neuroimaging (CT, MRI) [18,19]. Table 1 We compare the features of our series to those of the series from Dakar [15]. The sex ratio and surgical management are the striking differences.…”

Section: Discussionmentioning

confidence: 95%

“…We have compiled observational data in a series of children with nasofrontal cephaloceles in Burkina Faso, in order to describe their CT features and associated facial dysmorphic appearances. Our series accounts among the rare reports of CT-facial correlations of craniocephalic malformations [4,[8][9][10][11][12][13][14][15][16][17]. We had the opportunity to perform such a study because of local conditions which include the lack of prenatal care and prevention as well as adequate surgery for malformation repair.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

CT Imaging in Pediatric Nasofrontal Cephaloceles

Diallo

Jissendi-Tchofo

Kabré

et al. 2015

J Pediatr Neuroradiol

View full text Add to dashboard Cite

The purpose of this study was to describe the use of cranial computerized tomography (CT) imaging in children with nasofrontal cephaloceles. We report the results in six children, four females and two males, aged day 1 to ten years. We include clinical notes, photographs and CT images collected over 2 years in Burkina Faso. We found various aspects of facial dysmorphisms and cranial CT associated with nasofrontal cephaloceles as observed in five children; the sixth showed a complex form of mixed nasofrontal and nasoorbital defects. Other common malformations were interhemispheric cysts and agenesis of the corpus callosum. The joint description of facial dysmorphism and cranial CT features in nasofrontal cephaloceles emphasizes the importance of making the correct diagnosis in developing countries. This allows planning for reconstructive surgery, which can have a favorable impact on the family?s and society?s attitude towards these children.

show abstract

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

CT Imaging in Pediatric Nasofrontal Cephaloceles

Diallo

Jissendi-Tchofo

Kabré

et al. 2015

J Pediatr Neuroradiol

View full text Add to dashboard Cite

show abstract

“…Several more recent studies from the western African countries of Nigeria and Senegal have reported only 8%-12% of lesions as being sincipital, with the great majority being occipital. 1,2,6,14 The 30% sincipital location in our East African population of Uganda is 3 times greater.…”

Section: Encephalocele Location and Ethnic Predispositionmentioning

confidence: 95%

“…1,2,6,14 To date, there have been no clinical series of EC reported from an East or Central African country. We present the largest surgical series of ECs to be reported from the African continent, and the first from East Africa.…”

mentioning

confidence: 99%

Encephalocele in Uganda: ethnic distinctions in lesion location, endoscopic management of hydrocephalus, and survival in 110 consecutive children

Warf

Stagno

Mugamba

2011

PED

View full text Add to dashboard Cite

Object This study characterizes the first clinical series of encephalocele (EC) from East or Central Africa, and is the largest reported from the African continent. The authors explored survival, the efficacy of primary endoscopic management of associated hydrocephalus, and ethnic differences in EC location. Methods One hundred ten consecutive children presented to CURE Children's Hospital of Uganda for treatment of EC over a 9-year period. Clinical data, including patient demographic information, birth date, lesion type (sincipital, parietal, or occipital), operative data, and subsequent course had been entered prospectively into a clinical database. Home visits to update the status of those lost to follow-up were done when possible. With appropriate institutional approvals, the database was reviewed for this retrospective study. Two-tailed probability values calculated using the Fisher exact test were used to assess the significance of differences among groups, with p < 0.05 being considered significant. The Kaplan-Meier method was used for analysis of survival and treatment success probabilities. Results There were 53 (48%) occipital, 33 (30%) sincipital, and 24 (22%) parietal lesions. Occipital lesions were significantly more common among children of Bantu origin (p = 0.02). Nilotes demonstrated a roughly equal distribution among sincipital, parietal, and occipital locations. The female/male ratio was 1.2, with no difference between EC types (range 1.0–1.4, p = 0.6–0.8). Of 110 patients, 108 (98%) underwent surgical repair at a median age of 1 month (mean 15.7 months), whereas 2 had treatment for hydrocephalus only. Wound revision was required in 13% of cases. Surgery-related mortality was 3%. One-year and 5-year survival rates were 87% (95% CI 0.79–0.93) and 61% (95% CI 0.51–0.70), respectively. Hydrocephalus required treatment in 32%, and was equally common among the 3 EC types. Thirteen patients were treated with combined endoscopic third ventriculostomy/choroid plexus cauterization (ETV/CPC) and 2 with ETV alone, whereas 18 patients received primary shunt placement. Predicted treatment success at 1 year was 79% for ETV or ETV/CPC (95% CI 0.50–0.94) and 47% for shunt placement (95% CI 0.24–0.71). Conclusions Analysis of this first EC series from this region suggests that sincipital lesions are 3 times more common in East than in West Africa. Occipital lesions predominate in patients of Bantu origin, but not among those of Nilotic descent. Hydrocephalus incidence was equally common among different EC types, and endoscopic treatment was more successful (79%) than shunting (47%) at 1 year. The 5-year mortality rate was similar to that for infants with myelomeningocele in Uganda, and more than twice that for their unaffected peers.

show abstract

CT Profile of Hydrocephalus in Children at the Charles de Gaulle Pediatric Teaching Hospital in Ouagadougou

Zanga,

Nagalo,

Nonkané

et al. 2023

OJRad

View full text Add to dashboard Cite

Aim of the Study: The aim is to analyse the epidemiological, clinical and CT aspects of hydrocephalus in children. Method: This was a cross-sectional descriptive study with retrospective collection from 1 June 2021 to 31 December 2022 within the radiology department of Charles De Gaulle Pediatric Teaching Hospital in Ouagadougou, Burkina Faso. The study included the records of patients with hydrocephalus who underwent cerebral computed tomography within this radiology department. Results: Hydrocephalus is due to a disorder of the hydrodynamics of the cerebrospinal fluid causing an increase in the volume allocated to this fluid in the brain and being accompanied by an increase in the pressure of this fluid. Its diagnosis is established by Doppler ultrasound or MRI prenatally, transfontanellar ultrasound in newborns and young children whose fontanel is permeable and by CT or MRI in older children, who can also determine the etiology. MRI remains an imaging technique that is less available and less accessible than CT in developing countries like ours. In Burkina Faso, MRI is only available in two private health facilities. The objective of this study was to describe the epidemiological, clinical and computed tomography aspects of hydrocephalus in children at the Charles de Gaulle pediatric teaching hospital in order to contribute to the diagnostic assessment and better management of this pathology. Over 19 months, 105 cases of hydrocephalus were recorded out of a total population of 115 children, or an average of 6 cases per month. The mean age was 17.52 months, with extremes of 03 days and 13 years, and the sex ratio was 1.38. Macrocrania, convulsions and psychomotor retardation were the main clinical signs, with rates of 49%, 34% and 30% respectively. On cerebral CT scan, hydrocephalus was triventricular (41.90%), tetraventricular (40%)

show abstract

Hematome sous dural, complication du traitement chirurgical des hydrocephalies. Notre experience a Dakar

Cited by 3 publications

References 0 publications

CT Imaging in Pediatric Nasofrontal Cephaloceles

CT Imaging in Pediatric Nasofrontal Cephaloceles

Encephalocele in Uganda: ethnic distinctions in lesion location, endoscopic management of hydrocephalus, and survival in 110 consecutive children

CT Profile of Hydrocephalus in Children at the Charles de Gaulle Pediatric Teaching Hospital in Ouagadougou

Contact Info

Product

Resources

About