The Life and Legacy of Honorable Professor Sanoussi Samuila: An Obituary

Kelani, Aminath; Shehu, BB; Badiane, S; Abbadi, Najia El; Kalangu, K

doi:10.1016/j.wneu.2023.05.079

Cited by 3 publications

(1 citation statement)

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“…He was instrumental in establishing the rst neurosurgery department (36 beds) and installing the country's rst computed tomography (CT) scanner. [5,30] Today, Niger has four functional neurosurgery departments, with fourteen active neurosurgeons, i.e., one neurosurgeon for every 1,685,142 inhabitants, half of whom live at the NHN hence a strong referral to this hospital. Multidisciplinary management of neurotrauma patients is di cult because of the lack of specialized medical staff ( ve intensive care physicians and one rehabilitation physician for the entire hospital).…”

Section: Contextmentioning

confidence: 99%

Decompressive Craniectomy at the National Hospital of Niamey: Prospective Study of the Epidemioclinical Profil, Indications, Surgical Techniques, and Results in a Context of Limited Resources

Hamma,

Kelani,

Ango

et al. 2024

Preprint

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Background: Decompressive craniectomy (DC) is a neurosurgical technique that is receiving renewed interest because of the resurgence of head injuries worldwide. Our aim was to analyze the quality of management and prognosis of patients who underwent this surgery in the context of limited resources. Methods: This was a prospective, longitudinal, descriptive, and analytical study following STROBE, lasting 36 months (October 2020 to October 2023) at the National Hospital of Niamey in patients who had undergone DC. A p value ≤ 0.05 was considered to indicate statistical significance. Results: During our study, we collected 74 cases of DC. The mean age was 32.04 years (10 to 75 years), and there was a male predominance (91.89%). DC was performed mainly following head trauma (95.95%; 71/74), the main cause of which was road traffic accidents (76%; 54/71). On admission, most patients presented with altered consciousness (95.95%) and pupillary abnormalities (62.16%). The average time to complete the brain scan was 31.28 hours, with parenchymal contusion being the most common lesion (90.54%). The majority of patients (94.59%) underwent decompressive hemicraniectomy. Postoperative complications occurred in 71.62% of all patients, 33.78% (25/74) of whom died. Among survivors, 55.10% had neurological sequelae at the last consultation (27/49). The main factors associated with the risk of death and morbidity were a Glasgow Coma Scale (GCS) ≤ 8, pupillary abnormality on admission, presence of signs of brain engagement, and a long admission delay. Conclusions: Our study showed that the impact of limited resources on our care is low. However, it is crucial to develop judgment criteria that are adaptable to our realities.

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Section: Contextmentioning

confidence: 99%

Decompressive Craniectomy at the National Hospital of Niamey: Prospective Study of the Epidemioclinical Profil, Indications, Surgical Techniques, and Results in a Context of Limited Resources

Hamma,

Kelani,

Ango

et al. 2024

Preprint

View full text Add to dashboard Cite

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In Memoriam: Honoring our Esteemed Neurosurgeons Who Left us in 2023

Chaurasia,

Beraldo,

Liebl

et al. 2024

World Neurosurgery

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Decompressive craniectomy at the National Hospital of Niamey: Prospective study of the epidemioclinical profile, indications, surgical techniques, and results in a context of limited resources

Hamma,

Kelani,

Ango

et al. 2024

Surgical Neurology International

View full text Add to dashboard Cite

Background: Decompressive craniectomy (DC) is a neurosurgical technique that is gaining renewed interest due to the worldwide resurgence of head injuries. We aimed to analyze the quality of management and prognosis of patients who underwent this surgery in the context of limited resources. Methods: This was a prospective, longitudinal, descriptive, and analytical study following STROBE, lasting 36 months at the National Hospital of Niamey in patients who had undergone DC. P ≤ 0.05 was considered significant. Results: During our study, we collected 74 cases of DC. The mean age was 32.04 years (10–75 years), with male predominance (91.89%). DC was mainly performed following head trauma (95.95%), the main cause of which was road traffic accidents (76%; 54/71). On admission, most patients presented with altered consciousness (95.95%) and pupillary abnormalities (62.16%). The average time between brain damage and brain scan was 31.28 h, with parenchymal contusion being the most frequent lesion (90.54%). The majority of patients (94.59%) underwent decompressive hemicraniectomy. Postoperative complications accounted for 71.62% of all cases, with 33.78% resulting in death. Among survivors, 55.10% had neurological sequelae at the last consultation (27/49). The main factors associated with the risk of death and morbidity were a Glasgow coma score ≤8, pupillary abnormality on admission, the presence of signs of brain engagement, and a long admission delay. Conclusion: Our study shows that the impact of limited resources on our care is moderate. Future research will concentrate on long-term monitoring, particularly focusing on the psychosocial reintegration of patients post-DC.

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The Life and Legacy of Honorable Professor Sanoussi Samuila: An Obituary

Cited by 3 publications

References 1 publication

Decompressive Craniectomy at the National Hospital of Niamey: Prospective Study of the Epidemioclinical Profil, Indications, Surgical Techniques, and Results in a Context of Limited Resources

Decompressive Craniectomy at the National Hospital of Niamey: Prospective Study of the Epidemioclinical Profil, Indications, Surgical Techniques, and Results in a Context of Limited Resources

In Memoriam: Honoring our Esteemed Neurosurgeons Who Left us in 2023

Decompressive craniectomy at the National Hospital of Niamey: Prospective study of the epidemioclinical profile, indications, surgical techniques, and results in a context of limited resources

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