TITLE:
Results of the Management of Paediatric Hydrocephalus at Teaching Hospital of Conakry-Guinea: Series of 167 Cases
AUTHORS:
Ibrahima Berete, Houéfa Sylanda Kéren Adangninou, Mohamed Cherif, Seylan Diawara, M’mah Aboubacar Camara, Cheick Komara, Laiba Mansare, Alpha Boubacar Bah, Kezely Luc Beavogui, Ibrahima Sory Souaré
KEYWORDS:
Results, Paediatric Hydrocephalus, Management, VP Shunt, ETV
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.15 No.4,
October
28,
2025
ABSTRACT: Objective: The main goal of this study was to evaluate the long-term results of the management of paediatric hydrocephalus in the neurosurgery department of teaching hospital of Conakry. Methods: This was a retrospective multicentre study of descriptive and analytical type covering the period from January 1, 2012 to October 31, 2019. We collected 167 cases of paediatric hydrocephalus treated during our study period. Results: an annual average frequency of 21 cases/year. The mean age of the patients was 12,0158 ± 23,0889 months. The male sex was the most represented (sex ratio = 1.16). Macrocrania was the main reason for consultation (95.81%) and acquired aetiologies represented 56.84% of cases. The most performed surgical technique was the VP shunt (55.09%) and the timing of surgery was 13.38 ± 31.88 days. The shunt disfunction rate was 32.93% and the average rate of revision of the shunt was 1.25 revisions/patient. During our study we recorded 43.84% of death. Conclusion: The results of the management of paediatric hydrocephalus depend on the time to perform the surgery. Short and long-term follow-up is of paramount importance in the progression of the child treated for hydrocephalus. The transition period from paediatric age to adulthood would make it possible to better appreciate the impact of hydrocephalus on the psychomotor development of the child and his socio-professional integration.