Effectiveness of Ventriculo-Peritoneal Shunting Between Congenital and Post-Infective Childhood Hydrocephalus
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Background Hydrocephalus affects people of all ages with variable effects.Globally, the burden of hydrocephalus in the paediatric population is high.Childhood hydrocephalus can be congenital or acquired.Shunts are, and will continue to be the primary treatment for hydrocephalus. There is paucity of work on the effectiveness of ventriculo-peritoneal shunting among patients with congenital and acquired hydrocephalus and this work aimed to investigate the effectiveness of ventriculo-peritoneal shunt and compare it between patients with congenital hydrocephalus and patients with post-infective hydrocephalus. Method Hospital based prospective and comparative study. One hundred and forty-two children with hydrocephalus was recruited into two groups based on the aetiological factor; congenital and post-infective using systematic point sampling technique. All the patients had ventriculo-peritoneal shunt insertion. Preoperative and postoperative variables; occipitofrontal circumference(OFC), anterior fontanel, neurological symptoms were compared between the groups using multivariate analysis. Results The mean age of patients with congenital hydrocephalus was 3.1 ± 3.3 months and male to female ratio of 1.7:1, while the mean age of 8.0 ± 4.6 months and male to female ratio of 1:1 in patient with post-infective hydrocephalus. There was a step ladder reduction in occipitofrontal circumference (OFC) of the patients with congenital hydrocephalus during the period of follow up but there was no such pattern among the post-infective group (p = 0.005). Anterior fontanel at 3 months (0.001 vs 0.011). Conclusion Ventriculo-peritoneal shunt insertion is the treatment of choice for paediatric hydrocephalus, however, this treatment modality was more effective among patients with congenital hydrocephalus compared with patients with post-infective hydrocephalus.
Authors and Affiliations
Ogunleye Olabisi O. , Ismail Nasiru J. , Lasseini Ali, Shehu Bello B.
Keywords
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- EP ID EP370323
- DOI 10.9790/0853-1704016871.
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