Epidemiological, therapeutic and evolution aspects of hydrocephalus in children in Madagascar

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Date
2022-05
Journal Title
Journal ISSN
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Publisher
Indian Society for Health and Advanced Research
Abstract
Hydrocephalus is a disorder of the hydrodynamics of the CSF resulting in an increase in the volume of CSF in the cranial cavity. Hydrocephalus is frequent in Madagascar. We conducted a multicenter and retrospective study of operated hydrocephalic children in 3 neurosurgical departments in Madagascar over a 3-year period. We report 71 cases of hydrocephalus in operated children. Infants predominated in 90.1% of cases. Postmeningeal etiology was found in 42.3%. Ventriculo-peritoneal shunting was undertaken in 92.9% of cases. After the operation, the evolution was favourable in 84.5% of cases. Complications were reported. After discharge from hospital, 59.1% of the children were lost to follow-up within the first month. Hydrocephalus in children predominates in infants. Meningitis remains the most frequent etiology. Ventriculo-peritoneal shunting is the technique most commonly used in Madagascar. The result is favourable in the majority of cases.
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Keywords
Child, Hydrocephalus, Meningitis, Ventriculoperitoneal shunt
Citation
Tony Andrianaivo Radotina, Andry Rakotoarivelo Joe, Mijoro Ramarokoto, Willy Ratovondrainy, Mamiarisoa Rabarijaona, Clement Andriamamonjy. Epidemiological, therapeutic and evolution aspects of hydrocephalus in children in Madagascar. Paripex - Indian Journal Of Research. 2022 May; 11(5): 48-50