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Management of Two Cases of Spina Bifida and Neonatal Genital Prolapse at the University Hospital of Parakou and Review of the Literature

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Open Journal of Modern Neurosurgery 2022年第4期12卷 216-221页

作者： Kouassi Jean Marie Maurin Kisito Quenum Ayaovi Armel Hadonou Toyifia Eudoxie Bernice Quenum Hountondji Sophonie Dokpe Zachée Agbo Matine Balagoun olatundji holden fatigba Service de Neurochirurgie du Centre hospitalo universitaire départemental/Borgou Alibori (CHUD/BA) Parakou Benin Service de chirurgie du Centre hospitalo universitaire départemental/Borgou Alibori (CHUD/BA) Parakou Benin Centre de prise en charge médicale intégrée des nourrissons et femmes enceintes atteints de la drépanocytose (CPMI-NFED) Parakou Benin

Spina bifida, or spinal dysraphism, is a malformative pathology related to an anomaly in the development of the nervous system, occurring during embryogenesis. The neural tube does not close properly around the 28th day of life and affects the development of the spinal column and spinal cord. Spina bifida is characterised by damage to the nervous system and will generate handicaps and damage of varying degrees: neurological motor, sensory, cognitive, genito-phincter (bladder and anorectal) deficits with consequences for the quality of life of these people. The literature describes the association between spinal dysraphism and genital prolapse. However, genital prolapse is an exceptional and rare entity in newborns. We report the observations of two newborns: the first case of a newborn born at term, at 7 days of age, who presented a prolapse of the uterine cervix in association with myelomeningocele, without any neuromuscular repercussions, and the second case of a newborn at 10 days of age, presenting with a lumbosacral spina bifida and a uterine prolapse. They benefited from conservative medical treatment characterised by manual reduction of the prolapse in both cases with a favourable evolution. In the case of spina bifida, a cure of myelomeningocele was performed surgically with simple postoperative course.

关键词： Spina Bifida Genital Prolapse Neonate Complications CHUD/BA

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Intentional Penetrating Craniocerebral Injury Caused by a Nail: Clinical Presentation and Management of Three Cases

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Open Journal of Modern Neurosurgery 2020年第4期10卷 458-463页

作者： Olatoundji holden fatigba Luphin Hodé Christian Padonou Unit of Neurosurgery Faculty of Medicine of Parakou University Parakou Benin Unit of Neurosurgery Teaching Hospital of Hubert Koutoukou Maga Cotonou Benin

The authors report on their experience in the medical and surgical management of three cases of penetrating craniocerebral injuries caused by a nail. In all three cases, it was an aggression. Two of the three patients were male. The cranial locations affected were respectively left parietal, right temporal and right frontal. The Glasgow coma score (GCS) was between 9 and 13. None of the patients had a motor deficit. A plain skull radiographs was performed for each patient. All patients underwent surgery and all received antibiotic therapy and tetanus vaccination. In two cases, post-operative outcome was simple. Recovery was complete without sequelae. The patient with a GCS of 9 died the day after surgery.

关键词： Penetrating Injury Craniocerebral Injury Nail

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Neuropsychological and Social Outcome of Patients Sustaining Traumatic Brain Injury in Cotonou

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Open Journal of Modern Neurosurgery 2021年第1期11卷 49-58页

作者： Hodé Luphin fatigba O. holden Doningo P. S. Arsénathe Azanlin A. K. Nelly University Clinic of Traumatology Orthopaedics and Restorative Surgery of the Centre National Hospitalier Universitaire Hubert Koutoukou Maga of Cotonou Cotonou Benin Neurosurgery Unit of the University Hospital Centre of Parakou Parakou Benin Department of Physical Medicine and Rehabilitation Centre Centre Hospitalier Universitaire de Yopougon Abidjan Ivory Cost

This inaugural study in Benin was aimed at assessing neuropsychological and behavioural problems of patients with traumatic brain injury managed at the Hubert Koutoukou Maga Teaching hospital in Cotonou, and the impact on their standard of leaving. This was a prospective and cross-cutting study with a descriptive and analytical aim. It was carried out from 1 July to 30 October 2018. The study population included patients over 15 years of age who had experienced TBI. A purposive sampling of 585 patients with TBI was done, of which 142 patients could not be reached by phone while. The mean age of patients was 37.16 ± 13.9 years, with extremes ranging from 16 to 87 years. The most frequent complaints were behavioural disorder (79.5%), headache (63.8%) and memory loss (50.4%). The average duration of post traumatic amnesia was 9.08 ± 38.56 days. Sixty-three patients (68.5%) had post-traumatic amnesia that lasted less than 30 minutes and 25 patients (19.2%) had post-traumatic amnesia that lasted over a month. Neuropsychological disorders were more frequent in patients with severe TBI. Attention disorders and difficulties in elaborating strategies were noticed without any statistically significant difference in mild, moderate as well as severe TBI. Nineteen patients lost their job, thus raising the unemployment rate in our sample from 6% to 21%. Among the 100 patients (75%) that recovered their job, 14% had medical follow-up and 10% returned to part-time work. Salary remained unchanged for 61.2% of TBI patients.

关键词： Traumatic Brain Injury Neuropsychological Disorder Standard of Living Bénin

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Management and Prognostic Factors of Penetrating Craniocerebral Wounds at One Teaching Hospital in Benin

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Open Journal of Modern Neurosurgery 2021年第1期11卷 34-48页

作者： Olatoundji holden fatigba Hamidath Bio Sika Yarou Kisito Quenum Armel Hadonou Luphin Hodé Christian Padonou Alexandre Salako Allodé Department of Neurosurgery Medicine School of Parakou University Borgou Benin Africa Department General Surgery Medicine School of Parakou University Borgou Benin Africa Department of Trauma and Orthopedic Surgery Medicine School of Abomey-Calavi University Benin Africa

Introduction. Penetrating craniocerebral wounds (PCCWs) are a particular lesion in the category of traumatic brain injury (TBI). The objective of this study was to describe the management of these lesions, and to identify signifiant risk factors associated with mortality in patients with a PCCW. Methods. It was a transversal, descriptive and analytical study performed in Departmental Teaching Hospital of Borgou and Alibori in Benin. From January 1, 2015 to June 30, 2020, patients with a PCCW were retained. Risk factors of mortality and morbidity associated to etiological, clinical and surgical parameters were assessed using the chi-square test. p value Results. During the study period, 1267 cases of traumatic brain injuries (TBI) were admitted. Of these patients, 77 (6.1%) cases of PCCW were retained. These patients were divided into 66 (85.7%) male and 11 (14.3%) female. The mean age of the patients was 22.6 ± 14.8 years (range from 2 years to 70 years). The circumstances of occurrence were a traffic accident in 42 (54.5%) cases, an assault in 33 cases (42.9%) and a fall 2 (2.6%). The PCCW was unilateral in 71 cases (92.2%). A brain CT-scan was performed in 60 (77.9%) patients. Surgery was performed in 69 (89.6%) patients. Post-operative outcomes were simple in 59 (85.5%) cases. GCS, pupillary abnormalities, motor deficit were a statistically significant risk factor associated with death or sequels (p Conclusion. The identification of risk factors of mortality or sequels is a major step for an efficient management of PCCWs and a reduction of morbidity and mortality. Whatever strategies are adopted, prevention must remain a priority.

关键词： Traumatic Brain Injuries Craniocerebral Wounds Glasgow Coma Scale Risk Factors Mortality

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