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[ Article ] Constraints in the neurosurgical management of pituitary tumours in an African developing country: a 5-year observational study from Benin Republic

Date de soumission: 24-02-2017
Année de Publication: 2016
Entité/Laboratoire Unité de Chirurgie Traumatologie Ortopédie (UCTO)
Document type : Article
Discipline(s) : Chirurgie
Titre Constraints in the neurosurgical management of pituitary tumours in an African developing country: a 5-year observational study from Benin Republic
Auteurs GANDAHO HUGUES JEAN-THIERRY [1], Adeleye Amos O [2], KEREKOU ANNELIE CÉLESTINE [3], YEKPE ÉPSE AHOUANSOU HERMIONE PATRICIA FRIDA [4], DJROLO FRANÇOIS [4],
Journal: Afr. J. Med. med. Sci. (2016)
Catégorie Journal: Africaine
Impact factor: 1
Volume Journal: 45
DOI: -
Resume Introduction: Benin Republic, a very low-income sub- Saharan African developing country, has a severely resource-constrained health system. There is hardly any data available on the pattern of pituitary tumour in this country Methods: A single surgeon, hospital-based retrospective analysis of the pattern, presentation and clinical / surgical course of a prospective cohort of pituitary tumours seen over a 5-year period is presented Results: There were 38 cases, 20 (52.6%) females; 27% of all brain tumours seen. They were macroadenomas in 97. 4%, and greater than 4cm in 63.2%. They occurred mainly (86.8%) in people aged 15 to 59 years. Delayed neurosurgical presentation, mean 5.16years (range 1-23years) was the rule in 94.7%%; and, visual and endocrinological dysfunction the two most prominent symptomatology. Due to severe logistic constraints, neuroimaging evaluation was possible with cranial CT only in about 90% of the cases. Also only 9 cases (23.7%) did eventually receive the planned neurosurgical operative treatment, in 5 cases of which even this surgical treatment was only facilitated by some foreign neurosurgical missions. Conclusions: Pituitary adenomas represent a sizeable proportion of brain tumours in Benin Republic. National health care resources in this low income African country for their optimal clinical / radiological evaluation, and surgical treatment, are grossly inadequate; indeed, almostnon-existent.
Mots clés Pituitary adenomas, hospital management, Benin Republic.
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