Journal de la Faculté de Médecine
Volume 2, Numéro 5, Pages 377-383
2018-12-30

Apport De La Chirurgie Endoscopique Dans Le Traitement De L’hydrocéphalie Pédiatrique

Auteurs : Daoud Souad . Bouchakour Mammar .

Résumé

Abstract Introduction - For many years, internal derivations by implantation of shunts have been the only treatment for hydrocephalus but also the subject of many complications, which has led the neurosurgeon to develop endoscopic surgery, especially endoscopic third ventriculostomie and choroid plexus coagulation. Materials and methods - The objective of our work is to report the experience of the Neurosurgery Department of Oran university hospital in the treatment of pediatric hydrocephalus by endoscopic surgery, through a retrospective study, conducted from October 1st, 2015 to September 30th, 2016. Results - We performed 67 endoscopic procedures in 63 patients under the age of 15 years, four of whom were operated on twice. The average age of our patients was 20.38 +/- 3.6 months with a slight female predominance (3 girls for 2 boys) and 75% malformations. We identified 17 complications in the immediate postoperative, represented by seizures (15%), subdural collections (6%), cerebrospinal fluid fistulas through the scalp scar (3%) and infectious complications (1%). The success rate of endoscopic treatment of hydrocephalus in our series was 74.62%. We lamented two deaths (3%). Conclusion - Endoscopic surgery presents few complications. It represents an effective alternative for the treatment of pediatric hydrocephalus.

Mots clés

Endoscopic Third Ventriculostomy - coagulation of choroid plexuses hydrocephalus – pediatric patients.

Evaluation Medico-economique De La Prise En Charge De L’hydrocephalie Pediatrique A Bouake.

Broalet Espérance .  Jibia Alain .  Dongo Soress .  Derou Louis .  Djomand Eric .  Keke Jean . 
pages 18-21.


Sténose Hypertrophique Du Pylore En Chirurgie Pédiatrique Du Centre Hospitalier Universitaire Sylvanus Olympio (lomé-togo)

Kebalo Sosso Piham .  Damawu Victoire .  Teko Dede Virginie .  Salhadine Yacoub Ahmat .  Tchetike Pikabalo .  Folly Amavi .  Esso Balakibèwi .  Gnassingbe Komla . 
pages 907-914.