Outcomes of Paediatric Hydrocephalus: Comparative Study between Congenital and Post-Infective Hydrocephalus in Sokoto, Nigeria

International Journal of Medical Science

© 2018 by SSRG - IJMS Journal

Volume 5 Issue 6

Year of Publication : 2018

Authors : Ogunleye Olabisi Oluwagbemiga

10.14445/23939117/IJMS-V5I6P106

How to Cite?

Ogunleye Olabisi Oluwagbemiga, "Outcomes of Paediatric Hydrocephalus: Comparative Study between Congenital and Post-Infective Hydrocephalus in Sokoto, Nigeria," SSRG International Journal of Medical Science, vol. 5,  no. 6, pp. 27-31, 2018. Crossref, https://doi.org/10.14445/23939117/IJMS-V5I6P106

Abstract:

Introduction: Hydrocephalus is the commonest neurosurgical disease among paediatrics; its management is very challenging. Ventriculo-peritoneal shunt is still the main treatment modality but its usage however, has high complications rate and which have continued to cause concern. The study aimed to compare the outcomes of paediatric hydrocephalus following ventriculo-peritoneal shunt insertion between children with congenital and post-infective hydrocephalus. Materials And Method: A prospective cross-sectional study of I42 children, (71 were congenital hydrocephalus while 71 were post-infective hydrocephalus) were included in the study. All patients had ventriculo-peritoneal shunt insertion and followed of the patients were done, reviewed, analysed and compared among the two groups. Results: Patients with congenital hydrocephalus have age range between 2 weeks and 12 months with a mean age of 3.1 ± 3.3 months, most of these patients were less than 12 months of age (93%) and male to female ratio of 1.7:1. While patients with post-infective hydrocephalus have age range of 3 - 12 months with a mean age of 8.0 ± 4.6 months, majority of these patients were less than 12 months of age (67.6%) and male to female ratio of 1:1. The incidence of shunt malfunction and shunt infection is higher among children with post-infective hydrocephalus compared with children with congenital hydrocephalus (malfunction; 18.3% vs 4.3% and infection; 4.2% vs 2.8%). However the difference noted was not statistically significant (malfunction, p = 0.561 vs 0.637; shunt infection, p = 0.623 vs 0.676). Conclusion: The complication rate was higher among patients with post-infective hydrocephalus but was not statistically significant when compared with congenital group

Keywords:

neurosurgical disease, hydrocephalus, Patients, hydrocephalus, VPS

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