Management Outcomes of Hydrocephalus among Under Five Children in a Tertiary Hospital in Gombe North Eastern Nigeria


Authors : S. Adamu; S. Yusuf; K J Bwala.; J Iliya; A. S. Faruk; S. Olajide; IM Guduf; S Wabada

Volume/Issue : Volume 9 - 2024, Issue 2 - February

Google Scholar : https://tinyurl.com/yn5t3t39

Scribd : https://tinyurl.com/2etpx2w5

DOI : https://doi.org/10.5281/zenodo.10784146

Abstract : Introduction: Hydrocephalus is an abnormal excessive accumulation of the cerebrospinal fluid (CSF) in the ventricular systems of the brain; most of the causes are due to congenital malformations. Surgery remains the mainstay of treatment.  Aim: To give an audit of management outcomes of patients with hydrocephalus (HCP) in Federal Teaching Hospital Gombe (FTHG) within a three year period.  Materials and Method: A proforma questionnaire was filled for every child who presented to the Paediatric Surgery unit of FTHG with clinical features of hydrocephalus between January 2014 and December 2016. The data was analysed using the SPSS v25 statistical software.  Results: A total of 67 patients were managed during the period, the youngest been 1 day and the oldest was 3 years. About 90% were congenital only 10% were acquired and mainly linked to meningitis. Majority (90%) had Ventriculo-peritoneal shunt (VPS), with 80% resulting in satisfactory outcome while 20% developed complications.  Conclusion: Hydrocephalus is one of the commonest congenital malformations presenting to the Paediatric Surgery clinic. Ventriculo-peritoneal shunt remains the mainstay of treatment with satisfactory outcome in majority of cases. However those presenting late have bad prognosis and result in poor outcomes. Therefore, there should be a concerted effort by all stakeholders on public enlightenment about the disease.

Keywords : Hydrocephalus (HCP), Management Outcome, Children, Ventriculo-Peritoneal Shunt (VPS).

Introduction: Hydrocephalus is an abnormal excessive accumulation of the cerebrospinal fluid (CSF) in the ventricular systems of the brain; most of the causes are due to congenital malformations. Surgery remains the mainstay of treatment.  Aim: To give an audit of management outcomes of patients with hydrocephalus (HCP) in Federal Teaching Hospital Gombe (FTHG) within a three year period.  Materials and Method: A proforma questionnaire was filled for every child who presented to the Paediatric Surgery unit of FTHG with clinical features of hydrocephalus between January 2014 and December 2016. The data was analysed using the SPSS v25 statistical software.  Results: A total of 67 patients were managed during the period, the youngest been 1 day and the oldest was 3 years. About 90% were congenital only 10% were acquired and mainly linked to meningitis. Majority (90%) had Ventriculo-peritoneal shunt (VPS), with 80% resulting in satisfactory outcome while 20% developed complications.  Conclusion: Hydrocephalus is one of the commonest congenital malformations presenting to the Paediatric Surgery clinic. Ventriculo-peritoneal shunt remains the mainstay of treatment with satisfactory outcome in majority of cases. However those presenting late have bad prognosis and result in poor outcomes. Therefore, there should be a concerted effort by all stakeholders on public enlightenment about the disease.

Keywords : Hydrocephalus (HCP), Management Outcome, Children, Ventriculo-Peritoneal Shunt (VPS).

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