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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Factors implicated for late presentations of gross congenital anomaly of the nervous system in a developing nation
British Journal of Neurosurgery, Volume 22, No. 6, Year 2008
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Description
Background. Gross congenital lesions of the nervous system are obvious at birth and usually present early for management and corrective surgery. However in tropical and developing nations, late presentations are common. Aims: To determine the factors responsible for very late presentations of gross congenital lesions. Methods. We conducted a prospective study of all cases of congenital CNS anomalies that presented very late (>6 months after birth) to our neurosurgical clinic over an eight year period (2000-2008). Results. A total of 81 patients were seen during the study period. The age ranged from 6months to 47years. Hydrocephalus accounted for about half of the cases 37 (48.3%). The others were spina bifida 15 (18.5%), encephalocele 10 (12.4%), subgaleal inclusion dermoid cyst 7 (8.6%), and craniosynostosis 6 (7.4%), neurofibroma 4(4.9%), and anencephaly 2 (2.5%). Reasons given for late presentations were ignorance, poverty and in some the expectation that the baby would die. Other reasons for late presentation were that the patient was either about to start school or get married. Conclusion. Late presentations of congenital CNS lesions are associated with many complications most of which could have been avoided with early medical treatment. Health education should include issues regarding congenital malformations delivered by trained experts. © The Neurosurgical Foundation.
Authors & Co-Authors
Komolafe, Edward Oluwole
Nigeria, Ife
Obafemi Awolowo University
Nigeria, Ife
Lagere Post Office
Komolafe, Morenikeji Adeyoyin
Nigeria, Ife
Obafemi Awolowo University
Adeolu, Augustine Abiodun
Nigeria, Ife
Obafemi Awolowo University
Statistics
Citations: 18
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1080/02688690802485113
ISSN:
02688697
e-ISSN:
1360046X
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study