Neurosurgical burden of hydrocephalus in a tertiary care hospital in the developing world.

  • Bilal Khan LADY READING HOSPITAL, PESHAWAR.
  • Muhammad Usman Khan Govt. Naseer Ullah Babar Memorial Hospital, Peshawar.
  • Aftab Ahmad Tehsil Headquarter Hospital, Shabqadar, District Charsadda.
  • Usman Haqqani MTI-Lady Reading Hospital, Peshawar.
Keywords: Burden, Hydrocephalus, Tertiary Care Neurosurgical

Abstract

Objectives: To know about the Neurosurgical burden of Hydrocephalus in a tertiary care hospital, in developing world. Study Design: Cross sectional study. Setting: Department of Neurosurgery, MTI/LRH Peshawar. Period: September 2015 to August 2016. Material & Methods: The age, gender, indication for surgery, type of surgery and mode of surgery i.e. whether as elective or emergency, was recorded on a proforma.  All patients undergoing surgery primarily for hydrocephalus due to any cause were included in the study. Patients undergoing surgery for indications other than hydrocephalus as well as patients primarily explored for other etiologies and intervened for hydrocephalus in the midst of procedure were excluded from the study. Results: During the study period a total of 2844 patients were operated and amongst them were 437 (15.34%) cases operated for hydrocephalus. Of them were 242 males and 195 females, and the male to female ratio was 1.24.  The age range was one month to 68 years and the mean age was 5±4.8 years. There were 250 new shunts and 69 revisions and 13 removal procedures, 70(2.4%) endoscopic hydrocephalus related procedures, 28 external ventricular drains and 7 lumboperitoneal shunts. 189 cases were done on elective list while 248 as emergency. Conclusion: Every 3rd case done on emergency list and every 10th case done on elective list was related to hydrocephalus and accounted for 16% of all the cases done in the neurosurgery.

Author Biographies

Bilal Khan, LADY READING HOSPITAL, PESHAWAR.

MBBS, FCPS, FRCS (SN, ENG), FEBNS

Assistant Professor Neurosurgery

 

Muhammad Usman Khan, Govt. Naseer Ullah Babar Memorial Hospital, Peshawar.

MBBS, FCPS

Associate Professor Neurosurgery

 

Aftab Ahmad, Tehsil Headquarter Hospital, Shabqadar, District Charsadda.

MBBS, FCPS (Med)

Medical Officer

 

Usman Haqqani, MTI-Lady Reading Hospital, Peshawar.

MBBS, FCPS

Medical Officer

 

Published
2020-03-10