Novel Insights from Clinical Practice

Diallo O. · Dama M. · Konan L. · Coulibaly O. · Sissoko D. · Maiga A.H.

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Article / Publication Details Abstract

ABSTRACT Introduction Pediatric Hydrocephalus is a common disease in sub-Saharan Africa. In Mali, 350-400 new cases are diagnosed in our center yearly. With a total land mass of 1.241.000 km2, patients in remote areas must travel up to 1500km to access neurosurgical care. Hence, treatment and follow-ups of “shunted” patients are difficult. In this context, endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) provides an opportunity for an affordable and less-constraining treatment for hydrocephalus children under 12 months of age. Methods We performed a retrospective analysis of ETV/CPC performed on infants from July 2013 to January 2015. Patients were followed post operatively on Day 15, Month 6 and Month 12. Statistical analysis was conducted using Prism 9 GraphPad software. ETV successes were categorized according to the patient’s age in 03 groups:

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