| Titre |
Psychomotor Performance in Children Operated for Hydrocephalus: About 79 Cases |
| Auteurs |
GANDAHO HUGUES JEAN-THIERRY [1],
ALAO MODJÉRÉ OLA MAROUFOU JULES [2],
BAGNAN-TOSSA LÉHILA [3],
KPADONOU GODONOU TOUSSAINT [4],
Alassane leyla [5],
djrolo gauthier [6],
|
| Journal: |
Austin J Pediatr - Volume 2 Issue 2 - 2015 |
| Catégorie Journal: |
Internationale |
| Impact factor: |
1 |
| Volume Journal: |
2 |
| DOI: |
1024 |
| Resume |
Introduction: Ventricle enlargement is characteristic of hydrocephalus and
responsible of brain compression including ischemic disorders and alterations
of the myelinisation. Delayed management of children hydrocephalus could
induce definitive psychomotor impairment. Our aim was to assess children that
have been operated for hydrocephalus in psychomotor field before and after
operation.
Patients and Methods: It was a retrospective, cross sectional and
analytical survey. The study was conducted on children operated from 2003
through 2009. These children were reevaluated in 2013. Sometimes, clinical
data were obtained from their parents or relatives. The Denver test was used for
final neurological evaluation.
Results: From 2003 through 2009, 357 children were managed for
hydrocephalus. Seventy nine cases were included for this study. In 35 cases
(44.33%) families’ monthly incomes were below the minimum salary fixed
by the government. Prior to surgical procedure, 57.2% of these children had
macrocrania (>3 SD). Only three children (3.79%) underwent surgery within one
month after admission. With a medium follow up of 7.8 years, 41 of operated
children (51.9%) are still alive and 19 (24.05%) were symptomatic psychomotor
delay were identified in 18 cases, whereas major functions impairments were
present in 14 cases. Twenty three (56.1%) were attending schools.
Conclusion: In this report, difficulties in management of children with
hydrocephalus could be responsible of psychomotor impairments. More effort
must be done regarding the initial evaluation, surgical management and social
integration. |
| Mots clés |
Hydrocephalus; Psychomotor impairment; School |
| Pages |
1 - 3 |
| Fichier |
 (PDF) |