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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Management and Outcome of Infantile Hydrocephalus in a Tertiary Health Institution in Nigeria
Ayodeji Salman Yusuf1, Habeeb Kayodele Omokanye2, Nurudeen Abiola Adeleke1
1Department of Surgery, College of Health Sciences, University of Ilorin, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
Insights
This study audited infant hydrocephalus care, finding congenital cases common and ventriculoperitoneal shunts the primary treatment. Improving surgical options like endoscopic third ventriculostomy is recommended for better outcomes.
Area of Science:
- Pediatric Neurosurgery
- Global Health
Background:
- Hydrocephalus is a major global childhood disability.
- Outcomes vary based on insult timing and morphology.
- Disparities in care exist between developed and low-income countries due to resource limitations.
Purpose of the Study:
- To audit hydrocephalus management in infants at our institution.
- To identify common etiologies and treatment outcomes.
Main Methods:
- Retrospective review of patient records.
- Data collected included hydrocephalus type, onset, treatment, outcomes, and complications.
- Analysis of 58 infants with complete data.
Main Results:
- Congenital hydrocephalus was most common (69%).
- Myelomeningocele was associated in 35% of cases.
- Ventriculoperitoneal shunt insertion was the predominant treatment (91%).
Conclusions:
- Endoscopic third ventriculostomy should be considered for suitable patients.
- Reducing care costs for indigent patients is important.
Background:
Hydrocephalus is a leading cause of disability among children worldwide. The outcome depends on morphology and whether insult is pre- or post-natal. There has been improvement in morbidity in developed countries due to improved surgical care. A paucity of trained personnel impacts negatively on care and outcome of infants with hydrocephalus in many low-income countries resulting poorer outcome. We conducted an audit of patients with hydrocephalus managed in our institution to determine common etiology and outcome.
Object:
The objective of this retrospective review was to conduct an audit of hydrocephalus care in our institution.
Materials And Methods:
Information was retrieved from case notes, ward records, imaging results, operation notes, and follow-up clinic charts. Type of hydrocephalus, onset, treatment offered, outcome, complications, and follow-up duration were documented.
Results:
Management of 58 infants with complete data was analyzed. Most hydrocephalus 40 (69%) were congenital with 14 (35%) occurring in association with myelomeningocele and 8 patients confirmed with aqueductal stenosis. Ventriculoperitoneal shunts insertion 53 (91%) was the most common treatment modality.
Conclusions:
There is need to improve surgical intervention in the form of endoscopic third ventriculostomy in suitable patients. Subsiding cost of care may be considered for indigent patients.
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