Prise en charge de l’hydrocéphalie malformative chez les enfants moins de 15 ans

Drai, B.; Benantar, L.; Aniba, K.

doi:10.1016/j.neuchi.2020.06.040

Cited by 2 publications

(3 citation statements)

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“…However, it is often associated with an abdominal CT scan, as in our patients. On the other hand, several studies have demonstrated the equivalence of sensitivity between ultrasound and CT to confirm the diagnosis of abdominal CSF pseudocyst [5] [8]. However, some authors consider CT more indicated in some instances of large or too painful pseudocysts or the search for other etiologies [6] [7].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Seck¹,

Wellé²,

Dieng³

et al. 2023

OJMN

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An abdominal cerebrospinal fluid pseudocyst is a rare complication of ventriculoperitoneal shunt. Several theories have been suggested to explain its occurrence. The main symptoms are painful abdominal distension and vomiting, abdominal distension on examination, as abdominal ultrasound and computed tomography confirm its diagnosis. The treatment involves drainage associated with drain relocation and resection of the pseudocyst's wall. We report two patients diagnosed with this condition who underwent surgical treatment. The first patient had an unremarkable 12-month follow-up, while the second died on the seventh postoperative day due to intravascular disseminated coagulation. In these patients, the cause has not been identified; however, an infection cannot be ruled out.

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Section: Discussionmentioning

confidence: 99%

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Seck¹,

Wellé²,

Dieng³

et al. 2023

OJMN

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“…In Cotonou, the financing of hospital care for hydrocephalus at the CNHU results in disproportionate expenses compared to the purchasing power of families [9]. ETV remains a safe alternative [4] [10] and less restrictive for families. The low number of SCVs is linked to the fact that this endoscopic practice only began in 2021 and to the fact that patients are selected according to international recommendations.…”

Section: Treatmentmentioning

confidence: 99%

“…The management of these pathologies requires specific material resources and a complete multidisciplinary team, including a neurosurgeon, a neuroanaesthetist, a pediatrician, an endocrinologist and a neuro-oncologist dedicated to the child. The Pediatric neurosurgery (PN) in Africa is faced with a lack of a pediatric neurosurgeon and appropriate technology [3] [4]. The difficulties of practicing in Congo are linked to the lack of human and material resources, in a hospital environment that does not have a pediatric neurosurgery department [2] [5].…”

Section: Introductionmentioning

confidence: 99%

Practice of Pediatric Neurosurgery at the “Hôpital Spécialisé Mère-Enfant Blanche Gomes” in the Republic of the Congo

Gerald¹,

Brice²,

Brieux³

et al. 2023

OJMN

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Introduction: Pediatric Neurosurgery is a growing specialty in its own right worldwide. Its practice in sub-Saharan Africa remains confronted with many challenges, notably the absence of a pediatric neurosurgeon, the lack of a dedicated service and the absence of multidisciplinary pediatric collaboration (neuroanesthesist, neurologist, oncologist and psychotherapist). The objective of this preliminary study is to describe the practice of pediatric neurosurgery at the HSMEBG and to present perspectives for its improvement. Methods: This is a retrospective, monocentric, descriptive study covering the period from March 2021 to March 2022 at the Pediatric Surgery Department of the HSMEBG. Résults: During the study period, 50 children were hospitalized for a neurosurgical condition. The sex ratio was 1.77. The average age was 6 years with extremes of 2 weeks and 16 years. Most children were from the emergency department (46%). Computed tomography (CT) was performed in 35 patients (70%), magnetic resonance imaging (MRI) in 4% and plain radiography in two patients (8%). Malformative, traumatic (cranial and spinal) and tumor pathology were the most frequent with 42%, 36% and 12% respectively. Twenty-six patients were operated (52%). We recorded one postoperative infection (2.5%). The overall mortality was 8% (N = 4). Conclusion: This preliminary study allowed us to identify the epidemiological and clinical profile of the patients treated in our context as well as the therapeutic approach. Malformative pathology remains the most frequent, followed by traumatic and tumor pathology.

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Prise en charge de l’hydrocéphalie malformative chez les enfants moins de 15 ans

Cited by 2 publications

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Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Practice of Pediatric Neurosurgery at the “Hôpital Spécialisé Mère-Enfant Blanche Gomes” in the Republic of the Congo

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Prise en charge de l’hydrocéphalie malformative chez les enfants moins de 15 ans

Cited by 2 publications

References 0 publications

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Practice of Pediatric Neurosurgery at the “H&#244;pital Sp&#233;cialis&#233; M&#232;re-Enfant Blanche Gomes” in the Republic of the Congo

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Practice of Pediatric Neurosurgery at the “Hôpital Spécialisé Mère-Enfant Blanche Gomes” in the Republic of the Congo