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Trans-fontanelle ultrasound scans of childhood purulent meningitis in Abidjan


Cahiers d'études et de recherches francophones / Santé . Volume 7, Number 3, 169-72, Mai-Juin 1997, Étude originale


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Author(s) : Anne-Marie N’Goan, Roger-Daniel N’Gbesso, Flore Amon-Tanoh, Dilai Noël Ouattara, Kader Keita, André-Théodore Djedje , CHU de Yopougon, 21 BP 632 Abidjan 21, Côte d’Ivoire, Service de radiologie CHU de Treichville, BPV3, Abidjan, Côte d’Ivoire..

Summary : A prospective study of 100 newborns and young babies suffering from purulent meningitis was carried out over a period of 11 months in the radiology department of CHU in Treichville. All the children included in the study were hospitalised in the pediatric department of the CHU. We found cerebral complications in 76% of cases. The most frequent complication was ventricular dilation which occurred in 82.6% of cases. Pericerebral bleeding occurred in 9.3%, cerebral ischemia in 3.5%, brain abscesses in 2.3% and ventriculitis in 2.3% of cases. Our study demonstrated the two important uses of trans-fontanelle ultrasound scans in the study of meningitis: (i) in diagnosis, for the detection of cerebral complications\; (ii) in treatment, interventional use of ultrasound makes it possible to evacuate intra-cranial septic fluids.

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