1315. Management of child Hydrocephalus in the Chad
Authors: Yannick Canton Kessely, MD; Felicien Toudjingar, MD; Florent HIBE, MD; Succès Dobian, MD; Olivier Ngariguem, MD; Mahamat nour, MD; Momar Codé Ba, MD (N'djamena, Chad)
The care of child hydrocephalus in Chad remains acultural and scientific challenge. With the recent advent of the neurosurgeryin this country, several dificulties are to be overcome
It's about prospective studyconcerning 43 children having benefited from a ventriculoperitoneal shunt for hydrocephalus during the nine first months of the year 2018.
The patients were 31 month-old on average with extreme from 3 months to 12 years. The boys represented 65% of the patients. No mother has benefited during the pregnancy for acid folic supplementation. The prenatal ultrasound was realized in 8 cases (31%) and the prenatal diagnosis was made in 3 cases. the family consanguinity was found in 23% of cas and 37% of the mothed developped a feverish affection not documented during the pregnancy wich they qulified as 'Malaria'. The average cranial perimeter id 54,5 centimeter with the extremes from 47 to 81 centimeter; All the patient have done brain CT-scan. There were seven cas of obstructive hydrophalus by tumor of the posterieor fossa, one case by craniopharyngioma. 9 children presented with scarification as aftereffects of traditional treament. Th hydrocephalus was associated with cephalocele in 4 cases and with myelomeningocele in 3 cases. Ther was a death arisen in intensive care unit and 6 cases of death post-meningitidis. The avarege cost of coverageof the hydrocephalus is 944,9 dollars widely above theaverage wage.
The care of hydrocephalis in Chad remains expensive. The weight of the faith and the traditional treatment delay the coverage.