Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea

Ibrahima Sory Souare; Luc Kezely Beavogui; Soriba Naby Camara; Sneha Ballah; Naby Daouda Camara; Amara Cisse

doi:doi:10.11648/j.ass.20160404.11

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Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea

Ibrahima Sory Souare, Luc Kezely Beavogui, Soriba Naby Camara, Sneha Ballah, Naby Daouda Camara, Amara Cisse

Published in Advances in Surgical Sciences (Volume 4, Issue 4)

Received: 11 July 2016 Accepted: 28 July 2016 Published: 2 September 2016

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Abstract

Dandy-Walker Malformations (or cysts) are developmental malformations in which the Cerebellar Vermis may be partially or completely absent, with resulting dilation of the 4th Ventricle forming a "Cyst". It is thought that the defect arises from abnormal embryogenesis of the roof of the 4th Ventricle. A milder form is termed the "Dandy-Walker Variant". This disorder may account for approximately 5% to 10% of cases of Ventriculomegaly. This study aims to reveal particular cases of Danty Walker Cases when associated with hydrocephalus, in the African context. It is a retrospective and descriptive study carried out at the Neurosurgery department of the Friendship hospital of Kipe in Guinea for 36 months, from June 2012 to August 2015. Of the 120 patients hospitalized for hydrocephalus, 32 cases have exhibited the Dandy Walker cyst. Among the 32 patients, 15 were of male and 17 were of female gender at a sex ratio (H/F) of 0.88; 1. The dominant clinical symptoms that were observed in our subjects were macrocrania (32 cases), bulging fontanelle (25 cases), sunsetting eyes (19 cases). The degree of macrocrania was noted to be minimal in 1 case only, mild in 5 cases, moderate in 8 cases, and excessive in 18 cases. Furthermore, CT scan results showed evidence of triventricular hydrocephalus in 14 cases, and tetraventricular hydrocephalus in 18 cases. The anatomical variations encountered among others were, MDW in 15 cases, DWV in 11 cases et DWC in 6 cases. The calculated Evan’s index was equal to 0.3 in 6 patients and greater than 0.3 in 26 patients. The operative techniques most commonly widely conducted were DVP (16 caes), VCS (13 cases) and DKP (3 cases). The average duration of hospitalization was 20 days with extreme range of 1 to 49 days. The post operative period was uneventful in 16 cases, clinically unchanged in 5 cases and post operative deaths were reported in 11 cases. The principal causes of death originated from the presence co-existing infections, respiratory distress, anemia and malarial sickness.

Published in	Advances in Surgical Sciences (Volume 4, Issue 4)
DOI	10.11648/j.ass.20160404.11
Page(s)	18-22
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Hydrocephalus, Dandy Walker, Cyst, Friendship Hospital of Kipe

References

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[2]	Kone. M. A. Apport de l’échographie et de la Tomodensitométrie dans la prise en charge des hydrocéphalies au CHME-BAMAKO Thèse de doctorat en Médecine université de Bamako 2011: 1-60.
[3]	Sanoussi. S; Kelani. A; Chaibou. M. S; Baoua. M; Assoumane. I; Sani. R. M. Dandy - Walker malformations: Diagnosis features and endoscopic management African Journal of Neurological Sciences (Niger) 2013; 32 (1): 1-13.
[4]	Rouviere H, Delmas A. Système nerveux central Anatomie humaine; descriptive; topographique et Fonctionnelle, Paris: Masson, 15ème édition 2002; IV, 217
[5]	Cherif-Ech. N; Kettani El, Benelhosni K., Youssoufi L. El; Fikri. M, Hassani. M. R. El, Chakir. N; Jiddane. M Malformation de Dandy-Walker variant, J. Frad Feuillets de radiologie (Maroc) 2010; 50: 103-104
[6]	Garel. C; Guibaud. L Malformation de Dandy- Walker et autres malformations kystique de la fosse cérébrale postérieure Mt. Médecine de la Reproduction, Gynécologie endocrinologie, (France). 2010; 12 (2): 103-105.
[7]	Basraoul. D, Jalal. H, Zougari. A, Essadki. O, Ousehal. A Imagerie de la malformation de Dandy Walker chez l’enfant (à propos de 18 cas), JFR-Marrakech (Maroc), congrès 2010; 9-51.
[8]	Ba M C; Kpelao. S; Thioub. M; Kouara. M; Thiam. A. B; Ndoye. N; Sackho. Y; Badiane S. B Hydrocéphalie post-méningitique du nourrisson à Dakar, African Journal of Neurological Sciences, (DAKAR). 2012; 31, (1): 8-14.
[9]	Adjenou K. V; Amadou. A. A; Adiogo. A. M. Y; Agoda K. L; Sonhaye. L; Adambounou. K. F; Ahoulou. A; Belo. M; N’Dakena. K; Egnonglo ETF et TDM dans le diagnostic des hydrocéphalies chez l’enfant à Lomé, J. Rech. Sci. Univ. Lomé, (Togo). 2012; Série D, 14 (2): 39 45
[10]	Barkovich A, Kjos B, Norman D, et al. Revised classification of posterior fossa cysts and cystlike malformations based on the results of multiplanar MR imaging. AJNR 1989; 10: 977-988.
[11]	Bordarier C, Aicardi J. Dandy-Walker syndrome and agenesis of the cerebellar vermis: diagnostic problems and genetic counseling. Dev Med Child Neurol 1990: 32 (4): 285-294.
[12]	Ecker J Shipp T, Bromley B, et al. The sonographic diagnosis of Dandy-Walker and Dandy-Walker variant: associated findings and outcomes. Prenat Diagn 2000; 20 (4): 328-32.
[13]	Grinberg I, Northrup H, Ardinger H, et al. Heterozygous deletion of the linked genes ZIC1 and ZIC4 is involved in Dandy-Walker malformation. Nature Genetics 2004; 36: 1053-1055.
[14]	Kalidasan V, Carroll T, Allcutt D. et al. The Dandy-Walker syndrome-a 10 year experience of its management and outcome. Eur J Pediatr Surg 1995: 5 suppl 1: 16-18.
[15]	Kolble N, Wisser J, Kurmanavicius J, et al. Dandy-Walker malformation: prenatal diagnosis and outcome. Prenat Diagn 2000; 20 (4): 318-327.

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Ibrahima Sory Souare, Luc Kezely Beavogui, Soriba Naby Camara, Sneha Ballah, Naby Daouda Camara, et al. (2016). Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Advances in Surgical Sciences, 4(4), 18-22. https://doi.org/10.11648/j.ass.20160404.11

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Ibrahima Sory Souare; Luc Kezely Beavogui; Soriba Naby Camara; Sneha Ballah; Naby Daouda Camara, et al. Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Adv. Surg. Sci. 2016, 4(4), 18-22. doi: 10.11648/j.ass.20160404.11

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Ibrahima Sory Souare, Luc Kezely Beavogui, Soriba Naby Camara, Sneha Ballah, Naby Daouda Camara, et al. Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Adv Surg Sci. 2016;4(4):18-22. doi: 10.11648/j.ass.20160404.11

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@article{10.11648/j.ass.20160404.11,
  author = {Ibrahima Sory Souare and Luc Kezely Beavogui and Soriba Naby Camara and Sneha Ballah and Naby Daouda Camara and Amara Cisse},
  title = {Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea},
  journal = {Advances in Surgical Sciences},
  volume = {4},
  number = {4},
  pages = {18-22},
  doi = {10.11648/j.ass.20160404.11},
  url = {https://doi.org/10.11648/j.ass.20160404.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20160404.11},
  abstract = {Dandy-Walker Malformations (or cysts) are developmental malformations in which the Cerebellar Vermis may be partially or completely absent, with resulting dilation of the 4th Ventricle forming a "Cyst". It is thought that the defect arises from abnormal embryogenesis of the roof of the 4th Ventricle. A milder form is termed the "Dandy-Walker Variant". This disorder may account for approximately 5% to 10% of cases of Ventriculomegaly. This study aims to reveal particular cases of Danty Walker Cases when associated with hydrocephalus, in the African context. It is a retrospective and descriptive study carried out at the Neurosurgery department of the Friendship hospital of Kipe in Guinea for 36 months, from June 2012 to August 2015. Of the 120 patients hospitalized for hydrocephalus, 32 cases have exhibited the Dandy Walker cyst. Among the 32 patients, 15 were of male and 17 were of female gender at a sex ratio (H/F) of 0.88; 1. The dominant clinical symptoms that were observed in our subjects were macrocrania (32 cases), bulging fontanelle (25 cases), sunsetting eyes (19 cases). The degree of macrocrania was noted to be minimal in 1 case only, mild in 5 cases, moderate in 8 cases, and excessive in 18 cases. Furthermore, CT scan results showed evidence of triventricular hydrocephalus in 14 cases, and tetraventricular hydrocephalus in 18 cases. The anatomical variations encountered among others were, MDW in 15 cases, DWV in 11 cases et DWC in 6 cases. The calculated Evan’s index was equal to 0.3 in 6 patients and greater than 0.3 in 26 patients. The operative techniques most commonly widely conducted were DVP (16 caes), VCS (13 cases) and DKP (3 cases). The average duration of hospitalization was 20 days with extreme range of 1 to 49 days. The post operative period was uneventful in 16 cases, clinically unchanged in 5 cases and post operative deaths were reported in 11 cases. The principal causes of death originated from the presence co-existing infections, respiratory distress, anemia and malarial sickness.},
 year = {2016}
}

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TY - JOUR
T1 - Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea
AU - Ibrahima Sory Souare
AU - Luc Kezely Beavogui
AU - Soriba Naby Camara
AU - Sneha Ballah
AU - Naby Daouda Camara
AU - Amara Cisse
Y1 - 2016/09/02
PY - 2016
N1 - https://doi.org/10.11648/j.ass.20160404.11
DO - 10.11648/j.ass.20160404.11
T2 - Advances in Surgical Sciences
JF - Advances in Surgical Sciences
JO - Advances in Surgical Sciences
SP - 18
EP - 22
PB - Science Publishing Group
SN - 2376-6182
UR - https://doi.org/10.11648/j.ass.20160404.11
AB - Dandy-Walker Malformations (or cysts) are developmental malformations in which the Cerebellar Vermis may be partially or completely absent, with resulting dilation of the 4th Ventricle forming a "Cyst". It is thought that the defect arises from abnormal embryogenesis of the roof of the 4th Ventricle. A milder form is termed the "Dandy-Walker Variant". This disorder may account for approximately 5% to 10% of cases of Ventriculomegaly. This study aims to reveal particular cases of Danty Walker Cases when associated with hydrocephalus, in the African context. It is a retrospective and descriptive study carried out at the Neurosurgery department of the Friendship hospital of Kipe in Guinea for 36 months, from June 2012 to August 2015. Of the 120 patients hospitalized for hydrocephalus, 32 cases have exhibited the Dandy Walker cyst. Among the 32 patients, 15 were of male and 17 were of female gender at a sex ratio (H/F) of 0.88; 1. The dominant clinical symptoms that were observed in our subjects were macrocrania (32 cases), bulging fontanelle (25 cases), sunsetting eyes (19 cases). The degree of macrocrania was noted to be minimal in 1 case only, mild in 5 cases, moderate in 8 cases, and excessive in 18 cases. Furthermore, CT scan results showed evidence of triventricular hydrocephalus in 14 cases, and tetraventricular hydrocephalus in 18 cases. The anatomical variations encountered among others were, MDW in 15 cases, DWV in 11 cases et DWC in 6 cases. The calculated Evan’s index was equal to 0.3 in 6 patients and greater than 0.3 in 26 patients. The operative techniques most commonly widely conducted were DVP (16 caes), VCS (13 cases) and DKP (3 cases). The average duration of hospitalization was 20 days with extreme range of 1 to 49 days. The post operative period was uneventful in 16 cases, clinically unchanged in 5 cases and post operative deaths were reported in 11 cases. The principal causes of death originated from the presence co-existing infections, respiratory distress, anemia and malarial sickness.
VL - 4
IS - 4
ER -

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Author Information

Ibrahima Sory Souare

Department of Neurosurgery Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Luc Kezely Beavogui

Department of Neurosurgery, Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Soriba Naby Camara

Department of Visceral Surgery, Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Sneha Ballah

Department of General Surgery, University of Mauritius, Mauritius, Mauritius
Naby Daouda Camara

Department of General Surgery Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Amara Cisse

Department of Neurology, Faculty of Medecinel, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

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APA Style

Ibrahima Sory Souare, Luc Kezely Beavogui, Soriba Naby Camara, Sneha Ballah, Naby Daouda Camara, et al. (2016). Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Advances in Surgical Sciences, 4(4), 18-22. https://doi.org/10.11648/j.ass.20160404.11

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ACS Style

Ibrahima Sory Souare; Luc Kezely Beavogui; Soriba Naby Camara; Sneha Ballah; Naby Daouda Camara, et al. Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Adv. Surg. Sci. 2016, 4(4), 18-22. doi: 10.11648/j.ass.20160404.11

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AMA Style

Ibrahima Sory Souare, Luc Kezely Beavogui, Soriba Naby Camara, Sneha Ballah, Naby Daouda Camara, et al. Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea. Adv Surg Sci. 2016;4(4):18-22. doi: 10.11648/j.ass.20160404.11

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@article{10.11648/j.ass.20160404.11,
  author = {Ibrahima Sory Souare and Luc Kezely Beavogui and Soriba Naby Camara and Sneha Ballah and Naby Daouda Camara and Amara Cisse},
  title = {Hydrocephalus and Danty Walker Cyst, a Study of 33 Cases in Friendship Hospital Sino-Guinea of Kipe in Guinea},
  journal = {Advances in Surgical Sciences},
  volume = {4},
  number = {4},
  pages = {18-22},
  doi = {10.11648/j.ass.20160404.11},
  url = {https://doi.org/10.11648/j.ass.20160404.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20160404.11},
  abstract = {Dandy-Walker Malformations (or cysts) are developmental malformations in which the Cerebellar Vermis may be partially or completely absent, with resulting dilation of the 4th Ventricle forming a "Cyst". It is thought that the defect arises from abnormal embryogenesis of the roof of the 4th Ventricle. A milder form is termed the "Dandy-Walker Variant". This disorder may account for approximately 5% to 10% of cases of Ventriculomegaly. This study aims to reveal particular cases of Danty Walker Cases when associated with hydrocephalus, in the African context. It is a retrospective and descriptive study carried out at the Neurosurgery department of the Friendship hospital of Kipe in Guinea for 36 months, from June 2012 to August 2015. Of the 120 patients hospitalized for hydrocephalus, 32 cases have exhibited the Dandy Walker cyst. Among the 32 patients, 15 were of male and 17 were of female gender at a sex ratio (H/F) of 0.88; 1. The dominant clinical symptoms that were observed in our subjects were macrocrania (32 cases), bulging fontanelle (25 cases), sunsetting eyes (19 cases). The degree of macrocrania was noted to be minimal in 1 case only, mild in 5 cases, moderate in 8 cases, and excessive in 18 cases. Furthermore, CT scan results showed evidence of triventricular hydrocephalus in 14 cases, and tetraventricular hydrocephalus in 18 cases. The anatomical variations encountered among others were, MDW in 15 cases, DWV in 11 cases et DWC in 6 cases. The calculated Evan’s index was equal to 0.3 in 6 patients and greater than 0.3 in 26 patients. The operative techniques most commonly widely conducted were DVP (16 caes), VCS (13 cases) and DKP (3 cases). The average duration of hospitalization was 20 days with extreme range of 1 to 49 days. The post operative period was uneventful in 16 cases, clinically unchanged in 5 cases and post operative deaths were reported in 11 cases. The principal causes of death originated from the presence co-existing infections, respiratory distress, anemia and malarial sickness.},
 year = {2016}
}

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