Abstract
Hydrocephalus is a pathologic dilatation of the ventricles which occurs progressively when provoked by a disruption in the production, circulation and reabsorption of the cerebrospinal fluid (CSF). This study aims to report the impact of co-morbidities on the surgical outcome of pediatric hydrocephalus in Guinea. It was a retrospective clinical study carried out at Friendship hospital, Sino-Guinea of Kipe, for 13 months. 107 patients were scheduled for hydrocephalus surgery. The incidence of Hydrocephalus was 8.20% related to the 107 patients admitted during our period of study. The main co-morbitdies encounter were, anemia (73 cases), respiratory infection (38 cases) malaria (malaria 37 cases), malnutrition (14 cases), deshydratation (11 cases), candidosis (7 cases), respiratory detress (6 cases), cutaneous infections (6 cases), convulsion (6 cases), meningitis (5 cases), otorhinolaryngology infection (2 cases), septicemia (2 cases) tardive neonatal infection (91 cases). The outcome of pediatric hydrocephalus, including surgical complications, neurological sequelae and academic achievement, has been the matter of many studies. However, much uncertainty remains, regarding the very long-term and social outcome, and the determinants of complications and clinical outcome. Hydrocephalus is a commonly encountered pediatric pathology in sub-Saharan Africa where it constitutes a major public health concern. The etiologies are still dominated by neonatal infections. The treatment is essentially a surgical approach.
Highlights
Hydrocephalus is a pathologic dilatation of the ventricles, which occurs progressively when provoked by a disruption in the production, circulation and reabsorption of the cerebrospinal fluid (CSF) [1]
The incidence of hydrocephalus has been found to be 8.20% related to 107 patients who were admitted during our period of study
The impact of co morbid conditions affecting the management of hydrocephalus in the tropical region remains evident
Summary
Hydrocephalus is a pathologic dilatation of the ventricles, which occurs progressively when provoked by a disruption in the production, circulation and reabsorption of the cerebrospinal fluid (CSF) [1].In the infant, it can occur at any age and may originate from a malformation, or post hemorrhagic process during the neonatal period, or following an episode of meningitis in the breastfeeding infant; or due a tumor obstruction in a toddler [2].Pediatric hydrocephalus (HC) is a surgical disease. Hydrocephalus is a pathologic dilatation of the ventricles, which occurs progressively when provoked by a disruption in the production, circulation and reabsorption of the cerebrospinal fluid (CSF) [1]. In the infant, it can occur at any age and may originate from a malformation, or post hemorrhagic process during the neonatal period, or following an episode of meningitis in the breastfeeding infant; or due a tumor obstruction in a toddler [2]. The outcome of hydrocephalic patients has been the subject of many studies, some presenting conflicting results, and Ibrahima Sory Souare et al.: Hydrocephalus in the Pediatric Population in the Tropic
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