The treatment of hydrocephalus is surgical and uses two (2) main methods to date: ventriculoperitoneal shunt (DVP) and endoscopic ventriculocisternostomy (VCS). The latter offers the advantage of avoiding the implantation of a foreign body (valve) in the body. However, there are sometimes dysfunctions that can lead to the evolutionary continuation of hydrocephalus. The objective of this study is to identify factors predictive of VCS dysfunction in cases of obstructive hydrocephalus in children at the University Hospital Center (CHU) in Conakry. This is a mixed analytical study of 32 cases of children aged 0-15 years who received VCS during the study period. Outcomes were evaluated according to Drake and Canadian Pediatric Neurosurgery Group clinical criteria. The hospital frequency was 17% and a sex ratio (M/F) of 1.13. Clinical signs were dominated by progressive macrocraniality (93.8%), bulging fontanel (84.4%), ectasia of scalp veins (68.8%). CSF leakage (9.4%) was the most frequent post-operative complication. We recorded one case of death. The success rate of CSF according to Drake's criteria was 56%. The factors often associated with the dysfunction of the VCS found in this study are essentially: age, bulging fontanelle, ectasia of the scalp veins, arachnoid adhesions, closure of the Sylvius aqueduct and pulsation of the bottom of the 3rd V. In the absence of a statistically significant relationship, it would be useful to analyse these parameters closely on a much larger sample.
| Published in | International Journal of Neurosurgery (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijn.20210501.20 |
| Page(s) | 42-46 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Obstructive Hydrocephalus, Child, Ventriculocisternostomy, Conakry
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APA Style
Ibrahima Sory Souare, Mohamed Lamine Sylla, Hugues Ghislain Atakla, Ibrahima Sory Junior Souaré, Mohamed Cherif, et al. (2021). Obstructive Hydrocephalus in Children: Predictive Factors of Ventriculocisternostomy Dysfunction at the University Hospital Center of Conakry. International Journal of Neurosurgery, 5(1), 42-46. https://doi.org/10.11648/j.ijn.20210501.20
ACS Style
Ibrahima Sory Souare; Mohamed Lamine Sylla; Hugues Ghislain Atakla; Ibrahima Sory Junior Souaré; Mohamed Cherif, et al. Obstructive Hydrocephalus in Children: Predictive Factors of Ventriculocisternostomy Dysfunction at the University Hospital Center of Conakry. Int. J. Neurosurg. 2021, 5(1), 42-46. doi: 10.11648/j.ijn.20210501.20
AMA Style
Ibrahima Sory Souare, Mohamed Lamine Sylla, Hugues Ghislain Atakla, Ibrahima Sory Junior Souaré, Mohamed Cherif, et al. Obstructive Hydrocephalus in Children: Predictive Factors of Ventriculocisternostomy Dysfunction at the University Hospital Center of Conakry. Int J Neurosurg. 2021;5(1):42-46. doi: 10.11648/j.ijn.20210501.20
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author = {Ibrahima Sory Souare and Mohamed Lamine Sylla and Hugues Ghislain Atakla and Ibrahima Sory Junior Souaré and Mohamed Cherif and Seylan Diawara and Beavogui Luc Kezely},
title = {Obstructive Hydrocephalus in Children: Predictive Factors of Ventriculocisternostomy Dysfunction at the University Hospital Center of Conakry},
journal = {International Journal of Neurosurgery},
volume = {5},
number = {1},
pages = {42-46},
doi = {10.11648/j.ijn.20210501.20},
url = {https://doi.org/10.11648/j.ijn.20210501.20},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210501.20},
abstract = {The treatment of hydrocephalus is surgical and uses two (2) main methods to date: ventriculoperitoneal shunt (DVP) and endoscopic ventriculocisternostomy (VCS). The latter offers the advantage of avoiding the implantation of a foreign body (valve) in the body. However, there are sometimes dysfunctions that can lead to the evolutionary continuation of hydrocephalus. The objective of this study is to identify factors predictive of VCS dysfunction in cases of obstructive hydrocephalus in children at the University Hospital Center (CHU) in Conakry. This is a mixed analytical study of 32 cases of children aged 0-15 years who received VCS during the study period. Outcomes were evaluated according to Drake and Canadian Pediatric Neurosurgery Group clinical criteria. The hospital frequency was 17% and a sex ratio (M/F) of 1.13. Clinical signs were dominated by progressive macrocraniality (93.8%), bulging fontanel (84.4%), ectasia of scalp veins (68.8%). CSF leakage (9.4%) was the most frequent post-operative complication. We recorded one case of death. The success rate of CSF according to Drake's criteria was 56%. The factors often associated with the dysfunction of the VCS found in this study are essentially: age, bulging fontanelle, ectasia of the scalp veins, arachnoid adhesions, closure of the Sylvius aqueduct and pulsation of the bottom of the 3rd V. In the absence of a statistically significant relationship, it would be useful to analyse these parameters closely on a much larger sample.},
year = {2021}
}
TY - JOUR T1 - Obstructive Hydrocephalus in Children: Predictive Factors of Ventriculocisternostomy Dysfunction at the University Hospital Center of Conakry AU - Ibrahima Sory Souare AU - Mohamed Lamine Sylla AU - Hugues Ghislain Atakla AU - Ibrahima Sory Junior Souaré AU - Mohamed Cherif AU - Seylan Diawara AU - Beavogui Luc Kezely Y1 - 2021/06/21 PY - 2021 N1 - https://doi.org/10.11648/j.ijn.20210501.20 DO - 10.11648/j.ijn.20210501.20 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 42 EP - 46 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20210501.20 AB - The treatment of hydrocephalus is surgical and uses two (2) main methods to date: ventriculoperitoneal shunt (DVP) and endoscopic ventriculocisternostomy (VCS). The latter offers the advantage of avoiding the implantation of a foreign body (valve) in the body. However, there are sometimes dysfunctions that can lead to the evolutionary continuation of hydrocephalus. The objective of this study is to identify factors predictive of VCS dysfunction in cases of obstructive hydrocephalus in children at the University Hospital Center (CHU) in Conakry. This is a mixed analytical study of 32 cases of children aged 0-15 years who received VCS during the study period. Outcomes were evaluated according to Drake and Canadian Pediatric Neurosurgery Group clinical criteria. The hospital frequency was 17% and a sex ratio (M/F) of 1.13. Clinical signs were dominated by progressive macrocraniality (93.8%), bulging fontanel (84.4%), ectasia of scalp veins (68.8%). CSF leakage (9.4%) was the most frequent post-operative complication. We recorded one case of death. The success rate of CSF according to Drake's criteria was 56%. The factors often associated with the dysfunction of the VCS found in this study are essentially: age, bulging fontanelle, ectasia of the scalp veins, arachnoid adhesions, closure of the Sylvius aqueduct and pulsation of the bottom of the 3rd V. In the absence of a statistically significant relationship, it would be useful to analyse these parameters closely on a much larger sample. VL - 5 IS - 1 ER -
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