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Hydrocephalus in children less than 1 year of age in northern Mozambique.

2015Journal article Open access
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dc.contributor.authorSalvador, SF
dc.contributor.authorHenriques, JC
dc.contributor.authorMunguambe, M
dc.contributor.authorVaz, RM
dc.contributor.authorBarros, HP
dc.date.accessioned2015-02-18T22:19:41Z
dc.date.available2015-02-18T22:19:41Z
dc.date.issued2015
dc.description.abstractBACKGROUND: In developed countries, the incidence of neonatal hydrocephalus ranges from 3 to 5 cases per 1000 live births, but little is known about the frequency of hydrocephalus in Africa. In Mozambique, there is no primary information related to this disorder, but using the above data, the expected incidence of neonatal hydrocephalus would range from 2900 to 4800 cases per year. METHODS: This study is based on 122 children younger than 1 year with neonatal hydrocephalus, followed up between January 2010 and December 2012, their origin and treatment, and aims to evaluate difficulties with diagnosis, treatment, and follow-up in northern Mozambique. RESULTS: Identified cases were mainly less than 6 months old (77%), with severe macrocephaly and the classic stigmata of this condition. A high rate of follow-up loss (44.3%) was detected, particularly among children from more distant locations. Our findings contrast with the expected 1000-1700 cases that would occur in the area during the study period, being considerably lower. CONCLUSIONS: Hydrocephalus is a serious problem in sub-Saharan Africa, whose effects can be minimized by a better organization of the health system in hydrocephalus prevention, referral, and follow-up. New management alternatives to provide treatment to more children with this disorder and reduction of the follow-up difficulties caused due to geographical reasons for the children undergoing treatment are essential.por
dc.identifier.citationSurg Neurol Int. 2014 Dec 8;5:175.por
dc.identifier.doi10.4103/2152-7806.146489
dc.identifier.urihttp://hdl.handle.net/10400.26/7770
dc.language.isoengpor
dc.peerreviewedyespor
dc.subjectCriançapor
dc.subjectMoçambiquepor
dc.subjectHidrocefaliapor
dc.subjectHydrocephaluspor
dc.subjectChildpor
dc.subjectMozambiquepor
dc.titleHydrocephalus in children less than 1 year of age in northern Mozambique.por
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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