TITLE:
Epidemiological, Clinical, Histopathological, Therapeutic and Outcome Profile of Surgically Treated Intracranial Tumors at the Bouaké Regional Hospital: A Series of 43 Cases
AUTHORS:
Yao Bernard Fionko, Raissa Abibatou Yasmina Diaby, Faozo Landry Teti, Jean Baptiste Keke, Yves Soress Dongo, Konan Serge Yao, Christiane Désirée Koffi, Jean Jacques Kouassi, Adama Kouadio, Djoko Aboubacar Traore, Louis Derou, André Tokpa, Aderehime Haidara
KEYWORDS:
Brain Tumors, Central Nervous System, Intracranial Hypertension, Cerebellar Syndrome
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.16 No.4,
September
4,
2026
ABSTRACT: Introduction: The advent of therapeutic tools such as the operating microscope and neuronavigation has improved the management of tumors in general, and intracranial tumors in particular. Objective: To determine the epidemiological, clinical, histopathological, therapeutic and outcome profile of intracranial tumors surgically treated at the Bouaké Regional Hospital (CHR). Materials and Methods: This was a retrospective descriptive study covering a 14-month period from 1 November 2024 to 31 December 2025. All patients operated on for an intracranial tumor at the Bouaké Regional Hospital were included. Sociodemographic, clinical, paraclinical, therapeutic and outcome data were analyzed. 67 patients were admitted for the management of intracranial tumors during this study period and 43 were operated on. Results: During the study period, 43 cases of brain tumors were collected, corresponding to a hospital frequency of 0.64. The mean age was 44.43 years (range, 2 - 83 years). Children and adults accounted for 16.3% and 83.7% of cases, respectively. The sex ratio was 1.26. The time to consultation was less than 3 months in 25.58% of cases. Presenting signs were dominated by intracranial hypertension (72.09%), visual disturbances (60.46%), motor deficit (23.25%), cerebellar syndrome (18.6%) and seizures (18.6%). Comorbidities were present in 22 patients (51.16%) and were dominated by arterial hypertension (20.93%), followed by patients previously operated on for a pituitary adenoma (11.62%). Hormonal disturbances were present in 13.95% of cases. Supratentorial tumors predominated in adults (97.22%, n = 35), whereas the posterior fossa was the predominant location in children (n = 7). MRI was performed in 34 cases. Histopathologically, the most frequent tumors were meningothelial meningiomas grade I (40%), pituitary adenomas (15%), medulloblastomas (5%) and pilocytic astroma (5%). Macroscopically complete, neuronavigation-guided resection of meningiomas was achieved in 16 of 18 cases (88.9%). The mean hospital stay was 8.2 days. The outcome was favorable in 74.41% (32 cases), with an in-hospital mortality of 25.58% (11 cases). Conclusion: The advent of neuronavigation and the operating microscope has facilitated the management of brain tumors in Bouaké. This inaugural study allowed the characterization of patients admitted for the management of an intracranial tumor in Bouaké.