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The Menace of Neglected Hydrocephalus Case Report And Review Of Literature


C.N Okafor
S.P.U Nkwerem
I.V Okpalike
N.L Ajani
G.I Nkwerem
D.A Modu
P.E Chilozie
I.E Nwaezeapu

Abstract

Timely diagnosis and management of hydrocephalus are crucial to mitigating adverse outcomes. The etiology of hydrocephalus in infants is diverse, while the clinical presentation of hydrocephalus in infants can be varied. Neuroimaging is crucial in diagnosis. Neglected hydrocephalus poses an even more serious challenge.  There is a high risk of scalp erosion and wound dehiscence following a ventriculoperitoneal shunting in very a stretched scalp. We present a case recently managed in our centre to highlight the menace of neglect. 


 


Case Summary/Result


A 7-month-old baby presented with a history of progressive enlargement of the head for five months duration. There was also poor progress in developmental milestone attainment. Antenatal history was unremarkable. Occipitofrontal circumference was 75cm (the normal range for 7 months was 42.5 -46.5cm). He was worked up for ventriculoperitoneal shunting, which he eventually had but developed shunt erosion and the overriding skull bones postoperatively


 


Conclusion


Neglected hydrocephalus is still a problem in our environment. Late presentation leads to unwanted complications.


Cite this article as: Okafor C.N, Nkwerem S.P.U, Okpalike I.V, Ajani N.L, Nkwerem G.I, Modu D.A, Chilozie P.E, Nwaezeapu I.E.


The Menace Of Neglected Hydrocephalus – Case Report And Review Of Literature.


Afrimedic Journal 2024; 10(2): 1-6.


Journal Identifiers


eISSN: 2536-6718
print ISSN: 2141-162X