E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


External ventricular drainage: indications and outcome among Sudanese Children

Mohammed Awad Elzain, Moayad Moawia Ahmed, Abubakr Darrag Salim.

Abstract
This study reflects on our experience in managing Sudanese children with different cranial conditions through external ventricular drain (EVD); indications for EVD, pathologies faced, and early outcome. A prospective review of cases operated at the National Center for Neurological Sciences was performed during the period from February 2014 to February 2016. The patients were closely followed till EVD removal and patient discharge. Thirty-five Sudanese children were included in the study (age range between 6 days to 7 years). The majority of the cases had posterior fossa tumor with obstructive hydrocephalus (n=19, 54.3%). Twenty patients (57.1%) presented with decreased level of consciousness while 28 (80%) patients presented with symptoms and signs of raised intracranial pressure (ICP). The decision for EVD was made preoperatively based on positive cranial computed tomography/magnetic resonance imaging (CT/MRI) findings in 10 patients (28.6%). Additionally, 28 patients (80%) responded to single injectable antibiotic therapy with an average duration of 22 days. Subsequently, 25 patients improved or got cured (71.4%), 5 deteriorated and 11 died. We concluded that EVD can be used for many indications including obstructive, post-infectious and post-meningitic hydrocephalus as well as intraventricular hemorrhage. Most patients may present with either deteriorating level of consciousness or symptoms and signs of raised ICP but few of them may have positive brain imaging findings and therefore the decision for EVD was made intra-operatively. The average duration for EVD use was 3 weeks with single antibiotic therapy use which was found as effective as when combined with intraventricular therapy.

Key words: External Ventricular drain, Children, indications, outcome


 
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How to Cite this Article
Pubmed Style

Elzain MA, Ahmed MM, Salim AD. External ventricular drainage: indications and outcome among Sudanese Children. Sudan J Paed. 2022; 22(1): 36-46. doi:10.24911/SJP.106-1642444214


Web Style

Elzain MA, Ahmed MM, Salim AD. External ventricular drainage: indications and outcome among Sudanese Children. https://www.sudanjp.com/?mno=6115 [Access: August 01, 2022]. doi:10.24911/SJP.106-1642444214


AMA (American Medical Association) Style

Elzain MA, Ahmed MM, Salim AD. External ventricular drainage: indications and outcome among Sudanese Children. Sudan J Paed. 2022; 22(1): 36-46. doi:10.24911/SJP.106-1642444214



Vancouver/ICMJE Style

Elzain MA, Ahmed MM, Salim AD. External ventricular drainage: indications and outcome among Sudanese Children. Sudan J Paed. (2022), [cited August 01, 2022]; 22(1): 36-46. doi:10.24911/SJP.106-1642444214



Harvard Style

Elzain, M. A., Ahmed, . M. M. & Salim, . A. D. (2022) External ventricular drainage: indications and outcome among Sudanese Children. Sudan J Paed, 22 (1), 36-46. doi:10.24911/SJP.106-1642444214



Turabian Style

Elzain, Mohammed Awad, Moayad Moawia Ahmed, and Abubakr Darrag Salim. 2022. External ventricular drainage: indications and outcome among Sudanese Children. Sudanese Journal of Paediatrics, 22 (1), 36-46. doi:10.24911/SJP.106-1642444214



Chicago Style

Elzain, Mohammed Awad, Moayad Moawia Ahmed, and Abubakr Darrag Salim. "External ventricular drainage: indications and outcome among Sudanese Children." Sudanese Journal of Paediatrics 22 (2022), 36-46. doi:10.24911/SJP.106-1642444214



MLA (The Modern Language Association) Style

Elzain, Mohammed Awad, Moayad Moawia Ahmed, and Abubakr Darrag Salim. "External ventricular drainage: indications and outcome among Sudanese Children." Sudanese Journal of Paediatrics 22.1 (2022), 36-46. Print. doi:10.24911/SJP.106-1642444214



APA (American Psychological Association) Style

Elzain, M. A., Ahmed, . M. M. & Salim, . A. D. (2022) External ventricular drainage: indications and outcome among Sudanese Children. Sudanese Journal of Paediatrics, 22 (1), 36-46. doi:10.24911/SJP.106-1642444214





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