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Pediatric Hydrocephalus in Ethiopia: Treatment Failures and Infections: A Hospital-Based, Retrospective Study by Tsegazeab Laeke; Abenezer Tirsit; Hagos Biluts; Deeptha Murali; Knut Wester is a Medicine article available to read on EtoBox.

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## Objective/background: Treatment of pediatric hydrocephalus in sub-saharan countries is associated with significant complication rates. the objective of this study is to analyze the management of hydrocephalus and complication rates of surgical intervention in the ethiopian setting to improve future quality. ## Methods: A retrospective cohort study was conducted in a neurosurgical teaching hospital. two cohorts separated by 2.5 years were analyzed. ## Results: A total of 128 (58.6% male and 41.4% female) children with isolated hydrocephalus, meningomyelocele (mmc)-related hydrocephalus, or mmc without hydrocephalus were included. their age ranged from 1 day to 5 years, for a mean age of 7.2 months (median age 2 months). one hundred thirteen patients had hydrocephalus, of whom 57 (44.5.3%) had isolated hydrocephalus and 56 (43.8%) had hydrocephalus associated with mmc. seventy-seven (74.7%) patients underwent ventriculoperitoneal (vp) shunting, whereas 24 (23.3%) underwent endoscopic third ventriculostomy (etv). the incidence of shunt infection was 23.4%. reoperation was needed in 54 (52.4%) patients, with the most common indication being shunt failure. etv failed in 14 (58.3%) of

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Author

Tsegazeab Laeke; Abenezer Tirsit; Hagos Biluts; Deeptha Murali; Knut Wester

Publisher

Elsevier BV

Published

2017

Language

EN

Field

Medicine (Health Sciences)