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ETF et TDM dans le diagnostic des hydrocephalies chez l’enfant à Lomé
Abstract
Purpose: To determine the incidence of hydrocephalus, describe the different aspects ultrasound and CT brain transfontanellar and search for causes of hydrocephalus in children.
Material and Methods: It has been a descriptive prospective study of 12 months in radiology departments of Tokoin University Hospital, clinic Autel d’Elie and St. Joseph clinic in Lome. One hundred (101) children were collected with the main indications of macrocephaly and intracranial hypertension.
Results: a male predominance with a sex ratio of 1.5. The average age of onset is 19 months. The clinical indication is dominated by the intracranial hypertension and macrocephaly. The tetra ventricles and triventricles hydrocephalus are the most common ultrasound and CT aspects, respectively 43.64% and 41.82%. The hydrocephalus due to infection (56.36%) and malformation (21.82%) were the most observed causes. The post-meningitis hydrocephalus represents 41.82% of post-infectious hydrocephalus. Stenosis of the aqueduct of Sylvius (14.55% of cases) is the most frequently observed malformation.
Conclusion: The transfontanellar ultrasound and CT brain contribute to the etiologic diagnosis of hydrocephalus in children remains a disabling condition in our country very few nursing.
Keywords: hydrocephalus, transfontanellar ultrasound, computed tomography, child, Togo
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(2) : 39-45
Material and Methods: It has been a descriptive prospective study of 12 months in radiology departments of Tokoin University Hospital, clinic Autel d’Elie and St. Joseph clinic in Lome. One hundred (101) children were collected with the main indications of macrocephaly and intracranial hypertension.
Results: a male predominance with a sex ratio of 1.5. The average age of onset is 19 months. The clinical indication is dominated by the intracranial hypertension and macrocephaly. The tetra ventricles and triventricles hydrocephalus are the most common ultrasound and CT aspects, respectively 43.64% and 41.82%. The hydrocephalus due to infection (56.36%) and malformation (21.82%) were the most observed causes. The post-meningitis hydrocephalus represents 41.82% of post-infectious hydrocephalus. Stenosis of the aqueduct of Sylvius (14.55% of cases) is the most frequently observed malformation.
Conclusion: The transfontanellar ultrasound and CT brain contribute to the etiologic diagnosis of hydrocephalus in children remains a disabling condition in our country very few nursing.
Keywords: hydrocephalus, transfontanellar ultrasound, computed tomography, child, Togo
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(2) : 39-45
