Objective: The aim of our work was to access the epidemiological and clinical
aspects of congenital hydrocephalus in the pediatrics department of Gabriel
Touré teaching Hospital Bamako. Methods: We conducted a retro and
prospective study that ran from January, 1st 2018 to July, 30, 2019. All
newborns of 72 hours of life or less with hydrocephalus confirmed by sonography
or CT scan were enrolled in this study. Results: During the study
period, 5416 patients were hospitalized in the neonatology department. Among
them, 39 patients (0.72%) presented congenital hydrocephalus and congenital infectious causes
accounted for 25.6%. The sex ratio (M/F) was 1.78. Mothers were housewives and not
educated in 79.5% and 64.1% respectively. The parents resided outside Bamako in
61.5% of cases. Prenatal consultations were conducted in 32 patients (82%). Consanguinity between the 2 parents was present
in 38.5%. The antenatal diagnosis was made in 8 patients (20.5%). Vaginal
delivery was the main mode of birth (67%). The average birth weight was 2930g (1000 to 5400
References
[1]
Tully, H.M., Capote, R.T. and Saltzman, B.Y. (2015) Maternal and Infant Factors Associated with Infancy-Onset Hydrocephalus in Washington State. Pediatric Neurology, 52, 320-325. https://doi.org/10.1016/j.pediatrneurol.2014.10.030
[2]
Muir, R.T., Wang, S. and Warf, B.C. (2016) Global Surgery for Pediatric Hydrocephalus in the Developing World: A Review of the History, Challenges, and Future Directions. Neurosurgical Focus, 41, E11.
https://doi.org/10.3171/2016.7.FOCUS16273
[3]
Munch, T.N., Rasmussen, M.H., Wohlfahrt, J., et al. (2014) Risk Factors for Congenital Hydrocephalus: A Nationwide, Register-Based, Cohort Study. Journal of Neurology, Neurosurgery and Psychiatry, 85, 1253-1259.
https://doi.org/10.1136/jnnp-2013-306941
[4]
McAllister, J.P. (2012) Pathophysiology of Congenital and Neonatal Hydrocephalus. Seminars in Fetal and Neonatal Medicine, 17, 285-294.
https://doi.org/10.1016/j.siny.2012.06.004
[5]
Zhang, J., Williams, M.A. and Rigamonti, D. (2006) Genetics of Human Hydrocephalus. Journal of Neurology, 253, 1255-1266.
https://doi.org/10.1007/s00415-006-0245-5
[6]
Mataro, M., Junque, C., Poca, M.A. and Sahuquillo, J. (2001) Neuropsychological Findings in Congenital and Acquired Childhood Hydrocephalus. Neuropsychology Review, 11, 169-178. https://doi.org/10.1023/A:1012904907249
[7]
Dewan, M.C., Rattani, A., Mekary, R., Glancz, L.J., Yunusa, I., Baticulon, R.E., et al. (2019) Global Hydrocephalus Epidemiology and Incidence: Systematic Review and Meta-Analysis. Journal of Neurosurgery, 130, 1065-1079.
[8]
Ndour, O., Faye, F.A., Alumeti, D., Gueye, K., Amadou, I., et al. (2009) Risk Factors for Neonatal Mortality Factors at the Paediatric Surgeon Service in Aristide Le Dantec University Hospital in Dakar. Mali Médical, 24, 33-38.
[9]
Ralahy, M.F., Rakotoarivony, S.T., Rakotovao, M.A., Hunald, F.A., Rabenasolo, M., et al. (2010) The Neonatal Mortality in the Emergency Unit of the JRA University Teaching Hospital in Antananarivo Madagascar. Revue d’Anesthésie-Réanimation et de Médecine d’Urgence, 2, 15-17.
[10]
Kalyvas, A.V., Kalamatianos, T., et al. (2016) Maternal Environmental Risk Factors for Congenital Hydrocephalus: A Systematic Review. Neurosurgical Focus, 41, E3.
https://doi.org/10.3171/2016.8.FOCUS16280
[11]
Tabarki, B. (2001) Hydrocéphalies de l’enfant, aspects étiologiques et évolutifs. A propos de 86 observations. Rev Magreb Pédiatrie Mars, XI-II, 65-70.
[12]
Kamla, J.I., Kamgaing, N., Fongang, E.N., et al. (2017) Epidémiologie des Malformations Congénitales Visibles à la Naissance à Yaoundé. Health Sciences and Diseases, 18, 53-62.
[13]
Dicko-Traoré, F., Diall, H., Koné, I., Samaké, B., Coulibaly, O., Amadou, I., Diakité, F.L., Ahmadou, I., Leyla, M., Diallo, S., Diallo, O., NZonou, E., Bocoum, A., Diallo, A., Diakité, A.A., Coulibaly, Y., Togo, A.P. and Sylla, M. (2019) Neonatal Surgical Emergencies in Gabriel Touré Teaching Hospital in Bamako: Epidemiological and Clinical Aspects. Pediatrics & Neonatal Biology Open Access, 4, Article ID: 000133.
https://doi.org/10.23880/PNBOA-16000133
[14]
Mouafo, F.F., Djientchen, V., Chiabi, A., Mbarnjuk, S.A., Walburga, Y.J., et al. (2011) Our Experience in Management of Infantile Hydrocephalus: A Study on Thirty-Five Regrouped Cases in Yaoundé, Cameroun. African Journal of Paediatric Surgery, 8, 199-202. https://doi.org/10.4103/0189-6725.86062
[15]
Barry, A., Bangoura M’mah, A., Camara, S.H., Diop, M.M., Cherif, M.S., Kouyaté, M. and Souare, I.S. (2021) Profil Sociodémographique et Clinique des Patients Suivis pour Hydrocéphalie Congénitale à l’Hôpital de l’Amitié Sino Guinéenne. Health Sciences and Disease, 22, 39-42. http://www.hsd-fmsb.org/index.php/hsd
[16]
Wilson, R.D., Davies, G., Désilets, V., et al. (2003) The Use of Folic Acid for the Prevention of Neural Tube Defects and Other Congenital Abnormalities. Journal of Obstetrics and Gynaecology Canada, 25, 959-965.
https://doi.org/10.1016/S1701-2163(16)30248-1
[17]
Ibrahimu, J.T., Beltchika, A.K., Bianda, J.N. and Ntsambi, G.E. (2018) Aspects épidémiologiques, cliniques et thérapeutiques de l’hydrocéphalie aux Cliniques Universitaires de Kinshasa. Annales Africaines de Medecine, 12, e3086-e3092.
[18]
Tapsoba, T.L., Sanon, H., Soubeiga, K.J. and Ouattara, T.F. (2010) Epidemiologic, Clinical and CT, Aspects Hydrocephalus among Children from 0 to 15 Years (Apropos of 53 Patients Colligated at the University Hospital Yalgado Ouedraogo). Médecine Nucléaire, 34, e3-e7. https://doi.org/10.1016/j.mednuc.2010.07.004
[19]
Salem-Memou, S., Chavey, S., Elmoustapha, H., Mamoune, A., Ahmedou, M., Salihy, S. and Boukhrissi, N. (2020) Hydrocéphalie du nouveau-né et du nourrisson au Centre Hospitalier National de Nouakchott. Pan African Medical Journal, 36, Article No. 184.
[20]
Schrander-Stummpel, C.T.R.M. and Vos, Y.J. (2004) From Gene to Disease; Xlinked Hydrocephalus and LiCAM. Nederlands Tijdschrift voor Geneeskunde, 148, 1441-1443.
[21]
Sabiri, N., Kabiri, M., Razine, R., et al. (2013) Congenital Malformations Risk Factors: Prospective Study of Rabat Souissi Maternity in Morocco. Journal de Pédiatrie et de Puériculture, 26, 198-203. https://doi.org/10.1016/j.jpp.2013.05.001
[22]
Valdez Sandoval, P., Hernández Rosales, P., Quiñones Hernández, D.G., Chavana Naranjo, E.A. and García Navarro, V. (2019) Intraventricular Hemorrhage and Posthemorrhagic Hydrocephalus in Preterm Infants: Diagnosis, Classification, and Treatment Options. Child’s Nervous System, 35, 917-927.
https://doi.org/10.1007/s00381-019-04127-x
[23]
Komlanvi, A., et al. (2012) ETF et TDM dans le diagnostic des hydrocéphalies chez l’enfant à LOME. Journal de la Recherche Scientifique de l’Université de Lomé, Série D, 14, 39-45.
[24]
Pomschar, A., Koerte, I., Peraud, A., Heinen, F., Herber-Jonat, S., Reiser, M., et al. (2012) Hydrocephalus in Childhood: Causes and Imaging Patterns. Der Radiologie, 52, 813-820. https://doi.org/10.1007/s00117-012-2334-z
[25]
de Paul Djientcheu, V., Nguefack, S., Mouafo, T.O., Mbarnjuk, A.S., Yamgoue, T.Y., Bello, F., et al. (2011) Hydrocephalus in Toddlers: The Place of Shunts in Sub-Sahara African Countries. Child’s Nervous System, 27, 2097-2100.
https://doi.org/10.1007/s00381-011-1548-0
[26]
Fatigba, O.H., Noudamadjo, A., Allode, S.A. and Ayivi, B. (2011) Facteurs étiologiques et pronostiques de l’hydrocéphalie non tumorale de l’enfant au Centre Hospitalier Départemental du Borgou (Bénin). Revue du CAMES Série A, 12, 18-21.
[27]
Ba, M.C., Kpelao, E.S., Thioub, M., Kouara, M., Thiam, A.B., Ndoye, N., Sakho, Y. and Badiane, S.B. (2012) Hydrocéphalie post-méningitidique du nourrisson à Dakar. African Journal of Neurological Sciences, 31, 8-14.
[28]
Warf, B.C. (2010) Pediatric Hydrocephalus in East Africa: Prevalence, Causes, Treatments, and Strategies for the Future. World Neurosurgery, 73, 296-300.
https://doi.org/10.1016/j.wneu.2010.02.009
[29]
Salvador, F.S., Henriques, J.C., Munguambe, M., Rui Vaz, M.C. and Henrique, B.P. (2014) Hydrocephalus in Children Less than 1 Year of Age in Northern Mozambique. Surgical Neurology International, 5, 175.
[30]
Gandaho, H.J.T., Hounton, S., Kelani, A., Darga, C., et al. (2017) Impact socio-économique et familial du traitement de l’hydrocéphalie au bénin. Santé Publique, 29, 271-278.
[31]
Meling, T.R., Egge, A. and Due-Tonnessen, B. (2005) The Gravity-Assisted Paedi-Gav Valve in the Treatment of Pediatric Hydrocephalus. Pediatric Neurosurgery, 41, 8-14. https://doi.org/10.1159/000084859