Abstract
At the Ahmadu Bello University Hospitals in northern Nigeria, 35 girls and 29 boys with cranium bifidum were registered between 1971 and 1985. Only 25% of the patients were brought to the hospital within 24 h of life; 57 had been delivered at home without the mothers having received formal prenatal care. The majority (69%) of the lesions occurred in the occipital region; 52 (81%) were encephaloceles while the others were cranial meningoceles. Resection and repair were performed in 35 patients by general surgeons who had no facilities for vertriculoperitoneal shunts in infants with hydrocephalus. Thirteen children died in the hospital, 3 moved away, and 34 were lost to follow-up at 1 month. Only 3 were seen up to 1 year. Improvement in the care of such patients is expected since a neurosurgical unit has now been established.
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References
Barrow N, Simpson DA (1966) Cranium bifidum. Investigations, prognosis and management. Aust Paediatr J 2:20–26
Field B (1974) The child with an encephalocele. Med J Aust 1:700–703
Guthkelch AN (1970) Occipital cranium bifidum. Arch Dis Child 45:104–109
Harrison KA, Ekanem AD, Chong H (1985) Easily identifiable congenital malformations. Br J Obstet Gynaecol 92 [Suppl 5]: 81–85
Karch SB, Urich H (1972) Occipital encephalocele: a morphologic study. J Neurol Sci 15:89–112
Leong ASY, Shaw CM (1979) The pathology of occipital encephalocele and a discussion of the pathogenesis. Pathology 11:223–234
Lesi FEA (1979) Congenital malformations of the central nervous system in Lagos, Nigeria. West Afr J Surg 3:11–16
Lorber J (1967) The prognosis of occipital encephalocele. Dev Med Child Neurol 9 [Suppl 13]:75–87
Mabogunje OA (1990) Spina bifida cystica in northern Nigeria. Child's Nerv Syst 6:103–106
Mealey J Jr, Dzenitis AJ, Hockey AA (1970) The prognosis of encephaloceles. J Neurosurg 32:209–218
Odeku EL (1967) Congenital malformations of the cerebro-spinal axis seen in western Nigeria. Int Surg 48:52–62
Ohaegbulam SC, Saddeqi N (1979) Congenital malformations of the central nervous system in Enugu, Nigeria. East Afr Med J 56:509–513
Olumide AA, Odeku EL, Adeloye A (1975) The problems of congenital malformations of the central nervous system in Ibadan, Nigeria. Niger Med J 5:113–116
Onuigbo WIB (1977) Encephaloceles in Nigerian Igbos. J Neurol Neurosurg Psychiatry 40:726
Suwanwela C (1972) Geographical distribution of fronto-ethmoidal encephalomeningocele. Br J Prev Soc Med 26:193–198
Tandon PN (1973) Anterior encephaloceles. In: Spillane JD (ed) Tropical neurology. Oxford University Press, Oxford, pp 108–113
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Mabogunje, O.A. Cranium bifidum in northern Nigeria. Child's Nerv Syst 6, 95–98 (1990). https://doi.org/10.1007/BF00307929
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DOI: https://doi.org/10.1007/BF00307929