Surgical Repair of Encephaloceles in Gabriel TouréHospital: Review of 17 Cases

• 作者: Belco Maiga Boubacar Sogoba Broulaye Samaké Djenè Kourouma Djibo M. Diango Drissa Kanikomo Fousseyni Traoré Hamidou Almeimoune Maiga Issa Amadou Leonie Diakité Madani Thierno Diop Moustapha Mangané Oumar Coulibaly Seybou Hassane Diallo Yacaria Coulibaly Youssouf Sogoba Youssoufa Maiga
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: Encephalocele Neural Tube DEFECT HYDROCEPHALUS CONGENITAL MALFORMATION
• 年，卷（期）: 2018,（4）
• 页码范围: 375-382
• 页数: 8页
• 分类号: R73

摘要

Background: Encephaloceles are congenital neural tube defects characterized by the protrusion of meninges and/or brain tissue from a defect in the skull. The incidence of the disease is about 0.8 - 5.6/10,000 live births. They are classified based on the location and type of skull defect as occipital encephalocele, encephalocele of the cranial vault, frontoethmoidal encephalocele, and basal encephaloceles. Surgical reduction being the first line treatment and resection of herniated structures may be necessary when the encephalocele is large. In the present study, the authors present their experience in treating 17 patients with encephaloceles. Methods: This study is a retrospective analysis of 17 patients from January 2013 to December 2016 in Gabriel Touré Hospital, Bamako, Mali. A history was obtained from the family at presentation. Medical information before and during the pregnancy was compiled. All patients underwent CT scan as a routine preoperative imaging study, to evaluate the encephalocele and to plan the surgical procedure. The following data were recorded for analysis: age, sex, location of encephalocele, neurological status, operative method, postoperative complications and surgical results. Results: There were 10 (58.8%) female and 7 (41.2%) male patients. The patients ranged in age from 3 days to 36 months. The most common site of encephalocele sac was the occipital region in 14 (82.4%) cases followed by the frontal region in 2 (11.8%) cases and the vertex in 1 (5.9%) case. The sac size was less than 3 cm in 5 (17.6%) cases, 3 - 5 cm in 8 (47.1%) cases and more than 5 cm in 4 (23.5%) cases. Three (17.6%) children presented with CSF leakage. Hydrocephalus was present in the preoperative period in 6 (35.3%) cases;all of them required VP shunt procedure. None of the cases had a preoperative neurologic deficit. Surgical excision was performed in all cases. In the postoperative period, meningitis developed in 2 cases (11.8%), wound infection in 1 case (5.9%) and seizure in 1 case (5.9%). Three patients