Hydrocephalus in toddlers: the place of shunts in sub-Sahara African countries

Djientcheu, Vincent de Paul; Nguefack, Séraphin; Mouafo, Tff; Mbarnjuk, A. Stephane; Yamgoue, T; Figuim, Bello; Kagmeni, Giles; Mbonda, Elie; Rilliet, Bénédict

doi:10.1007/s00381-011-1548-0

Cited by 9 publications

(3 citation statements)

References 21 publications

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“…Bien que les méthodes de choix pour l´étude de l´hydrocéphalie soient l´IRM et la TDM [ 17 - 19 ], l´échographie trans-fontanellaire joue un rôle important dans le diagnostic et la caractérisation des lésions cérébrales chez le nouveau-né. Elle est considérée comme une méthode de choix pour l´évaluation du nouveau-né à risque, étant même, dans la plupart des cas, la seule méthode nécessaire [ 20 ]. En Mauritanie, l´ETF n´est pas utilisée de manière routinière.…”

Section: Discussionunclassified

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Salem-Memou¹,

Chavey²,

Elmoustapha³

et al. 2020

Pan Afr Med J

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L´hydrocéphalie du nouveau-né et du nourrisson constitue un facteur important de mortalité et de morbidité dans les pays en voie de développement avec des moyens diagnostiques et thérapeutiques limités. Cette étude avait pour objectif de rapporter notre expérience dans la prise en charge de cette pathologie en Mauritanie. Il s´agissait d´une étude rétrospective portant sur 126 dossiers d´enfants d´âge compris entre 0 et 24 mois, pris en charge pour hydrocéphalie dans le service de neurochirurgie du CHN de Nouakchott, de juin 2014 au juin 2018. Le délai moyen de suivi était de 15 mois (9-27 mois). L´âge moyen au diagnostic était de 5 mois (2 jours à 20 mois). On notait une prédominance féminine (sex-ratio de 0,77). La série était composée de 45 nouveau-nés (35,7%) et de 81 nourrissons (64,3%). Un antécédent infectieux de la grossesse avait été retrouvé dans 19,8% et une infection néonatale dans 23,8%. Sur le plan clinique, 87,3% avaient une macrocéphalie, 35,7% un retard du développement psychomoteur et 15,8% un refus de téter. La principale étiologie était représentée par les myéloméningoceles (23,8%), suivie de la méningite (15,8%). La dérivation ventriculo-péritonéale (DVP) était le principal traitement chez le nouveau-né (68,8%), tandis que la ventriculocisternostomie endoscopique (VCE) était préférée chez le nourrisson (74,1%). Le taux global de complications était de 26,1% (57,6% pour les DVP et 4,1% pour la VCE). L´hydrocéphalie est la principale pathologie de la neurochirurgie pédiatrique en Afrique. Sa prise en charge reste tardive, d´où l´importance de la prévention surtout des anomalies du tube neural et des infections.

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Section: Discussionunclassified

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Salem-Memou¹,

Chavey²,

Elmoustapha³

et al. 2020

Pan Afr Med J

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“…Although the methods of choice for the study of hydrocephalus are MRI and CT scan [24] [25], transfontanellar ultrasound plays an important role in the diagnosis and characterization of brain damage in newborn. It is considered to be a method of choice for the evaluation of the newborn at risk, being, in most cases, the only method necessary [25]. In our study, it could be performed in 20 newborns (51.3%), a higher rate than that found by Salem-Memou in Mauritania [19].…”

Section: Discussionmentioning

confidence: 50%

Epidemiological and Clinical Aspects of Congenital Hydrocephalus in the Neonatal Department of Gabriel Touré Teaching Hospital Bamako Mali

Diall¹,

Coulibaly²,

Sogoba³

et al. 2022

OJPed

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Objective: The aim of our work was to access the epidemiological and clinical aspects of congenital hydrocephalus in the pediatrics department of Gabriel Touré teaching Hospital Bamako. Methods: We conducted a retro and prospective study that ran from January, 1st 2018 to July, 30, 2019. All newborns of 72 hours of life or less with hydrocephalus confirmed by sonography or CT scan were enrolled in this study. Results: During the study period, 5416 patients were hospitalized in the neonatology department. Among them, 39 patients (0.72%) presented congenital hydrocephalus and congenital infectious causes accounted for 25.6%. The sex ratio (M/F) was 1.78. Mothers were housewives and not educated in 79.5% and 64.1% respectively. The parents resided outside Bamako in 61.5% of cases. Prenatal consultations were conducted in 32 patients (82%). Consanguinity between the 2 parents was present in 38.5%. The antenatal diagnosis was made in 8 patients (20.5%). Vaginal delivery was the main mode of birth (67%). The average birth weight was 2930 g (1000 to 5400 g) and the average head circumference was 37.82 cm (26 -55 cm). In 87.2% of cases, newborns were eutrophic. The main clinical signs were bulging anterior fontanel (46.2%), sunset gaze (20.5%), prominent forehead (48.7%), reduced face (20.5%), enlarged cranial sutures (43.6%), macrocrania (25.6%). Transfontanellar ultrasound and CT scan were performed in 51.

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“…For its safety and ease of implementation and for the possibility of serial exams to assess the evolution of brain lesions, transfontanellar ultrasound is considered a method of choice in the evaluation of the newborn at risk, being even, in most cases, the only method needed. [ 10 12 ] In Mozambique, this resource is not routinely used and it should be considered, since it is painless, relative easy to perform, more readily available than MRI and CT, and provides valuable clinical information. Capacitating Mozambican health care workers to perform this type of ultrasound examination is a priority.…”

Section: Discussionmentioning

confidence: 99%

Hydrocephalus in children less than 1 year of age in northern Mozambique

et al. 2014

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Background:In developed countries, the incidence of neonatal hydrocephalus ranges from 3 to 5 cases per 1000 live births, but little is known about the frequency of hydrocephalus in Africa. In Mozambique, there is no primary information related to this disorder, but using the above data, the expected incidence of neonatal hydrocephalus would range from 2900 to 4800 cases per year.Methods:This study is based on 122 children younger than 1 year with neonatal hydrocephalus, followed up between January 2010 and December 2012, their origin and treatment, and aims to evaluate difficulties with diagnosis, treatment, and follow-up in northern Mozambique.Results:Identified cases were mainly less than 6 months old (77%), with severe macrocephaly and the classic stigmata of this condition. A high rate of follow-up loss (44.3%) was detected, particularly among children from more distant locations. Our findings contrast with the expected 1000-1700 cases that would occur in the area during the study period, being considerably lower.Conclusions:Hydrocephalus is a serious problem in sub-Saharan Africa, whose effects can be minimized by a better organization of the health system in hydrocephalus prevention, referral, and follow-up. New management alternatives to provide treatment to more children with this disorder and reduction of the follow-up difficulties caused due to geographical reasons for the children undergoing treatment are essential.

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Hydrocephalus in toddlers: the place of shunts in sub-Sahara African countries

Cited by 9 publications

References 21 publications

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Epidemiological and Clinical Aspects of Congenital Hydrocephalus in the Neonatal Department of Gabriel Touré Teaching Hospital Bamako Mali

Hydrocephalus in children less than 1 year of age in northern Mozambique

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Hydrocephalus in toddlers: the place of shunts in sub-Sahara African countries

Cited by 9 publications

References 21 publications

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott

Epidemiological and Clinical Aspects of Congenital Hydrocephalus in the Neonatal Department of Gabriel Tour&#233; Teaching Hospital Bamako Mali

Hydrocephalus in children less than 1 year of age in northern Mozambique

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Epidemiological and Clinical Aspects of Congenital Hydrocephalus in the Neonatal Department of Gabriel Touré Teaching Hospital Bamako Mali