OBJECTIVE: This study seeks to find out the presentation, management and complications of encephaloceles in an African setting. DESIGN: a retrospective study reviewing the age and sex of the patients, type and contents of encephaloceles, associated anomalies, preoperative evaluation and investigations, surgical approaches, intra- and post-operative complications as well as follow-up outcomes. SETTING: Bethany Crippled Children's centre and Bethanykids at Kijabe Hospital (BKKH), between January 1998 and August 2006. PATIENTS: Of the 53 patients seen, 23 were males and 30 females. The median age at presentation was four months. RESULTS: The follow-up period extended to eight years. Twenty nine patients had occipital encephaloceles, and 39 were operated using the direct external approach. Cererobrospinal fluid leak was the most common post-operative complication. Recurrence occurred in four patients and death in six. CONCLUSIONS: Most of the encephalocele patients manage d at BKKH had good outcomes and proceeded to live normal or near-normal lives. Our study confirms that even in resource-constrained areas, children with encephaloceles can be successfully managed with acceptable outcomes.
OBJECTIVE: This study seeks to find out the presentation, management and complications of encephaloceles in an African setting. DESIGN: a retrospective study reviewing the age and sex of the patients, type and contents of encephaloceles, associated anomalies, preoperative evaluation and investigations, surgical approaches, intra- and post-operative complications as well as follow-up outcomes. SETTING: Bethany Crippled Children's centre and Bethanykids at Kijabe Hospital (BKKH), between January 1998 and August 2006. PATIENTS: Of the 53 patients seen, 23 were males and 30 females. The median age at presentation was four months. RESULTS: The follow-up period extended to eight years. Twenty nine patients had occipital encephaloceles, and 39 were operated using the direct external approach. Cererobrospinal fluid leak was the most common post-operative complication. Recurrence occurred in four patients and death in six. CONCLUSIONS: Most of the encephalocelepatients manage d at BKKH had good outcomes and proceeded to live normal or near-normal lives. Our study confirms that even in resource-constrained areas, children with encephaloceles can be successfully managed with acceptable outcomes.
Authors: Matthew C Davis; Brandon G Rocque; Ash Singhal; Thomas Ridder; Jogi V Pattisapu; James M Johnston Journal: J Neurosurg Pediatr Date: 2017-05-19 Impact factor: 2.375
Authors: Jane N Githuku; Alejandro Azofeifa; Diana Valencia; Trong Ao; Heather Hamner; Samuel Amwayi; Zeinab Gura; Jared Omolo; Leland Albright; Jing Guo; Wences Arvelo Journal: Pan Afr Med J Date: 2014-05-18
Authors: Hugues Jean Thierry Gandaho; Madougou Soumaila; Isaac Hoinsou-Hans; Gautier M M Djrolo; Audrey A S Zevounou; Amos O Adeleye Journal: J Neurosci Rural Pract Date: 2016-12