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Our experience in the management of infantile hydrocephalus: a study on thirty-five regrouped cases in Yaounde, Cameroon.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Hydrocephalus
is
a
frequent
central
nervous
system
disorder
in
children
,
and
despite
its
importance
,
it
has
not
been
sufficiently
studied
in
developing
countries
.
A
prospective
and
descriptive
study
on
35
cases
of
infantile
hydrocephalus
was
carried
out
in
the
neurosurgery
unit
of
the
Yaounde
Central
Hospital
,
from
March
2008
to
January
2010
.
The
mean
age
of
the
patients
was
6
.
69
±
1
.
58
months
,
and
the
majority
of
them
were
in
the
0
-
6
months
age
group
(
71
.
43
%
)
.
The
most
frequent
causes
were
congenital
malformations
,
with
stenosis
of
the
aqueduct
of
Sylvius
being
the
most
represented
(
31
.
43
%
)
.
As
radiological
workup
,
a
CT
scan
was
done
in
more
than
half
of
the
cases
(
57
.
15
%
)
,
and
ventriculo-peritoneal
shunting
was
the
main
surgical
method
of
management
used
(
94
.
29
%
)
.
Infectious
complications
were
observed
in
22
.
86
%
of
our
cases
.
Hydrocephalus
is
a
frequent
disorder
in
this
Cameroonian
setting
affecting
mostly
the
0
-
6
months
age
group
.
For
early
diagnosis
to
be
made
,
the
head
circumference
of
neonates
should
be
routinely
measured
in
the
labour
room
and
followed-up
in
all
medical
visits
.
To
avert
complications
following
surgery
,
rigorous
surgical
procedures
with
effective
asepsis
and
appropriate
methods
and
materials
for
shunting
should
be
used
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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