| Peer-Reviewed

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

Received: 11 July 2016     Accepted: 28 July 2016     Published: 2 September 2016
Views:       Downloads:
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
[1] Klein. O, Khan-Pierre. A. La Malformation de Dandy-Walker J. Neurochirurgie (Paris). 2006; 52: 347-356.
[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.
Cite This Article
  • 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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • 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  - 

    Copy | Download

Author Information
  • Department of Neurosurgery Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Neurosurgery, Faculty of Medecine, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

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

  • Department of General Surgery, University of Mauritius, Mauritius, Mauritius

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

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

  • Sections