Yangtze Medicine, 2018, 2, 114-128
http://www.scirp.org/journal/ym
ISSN Online: 2475-7349
ISSN Print: 2475-7330
DOI: 10.4236/ym.2018.22013 Jun. 11, 2018 114 Yangtze Medicine
Child Spinal Cord Compression without
Trauma about 113 Cases in Senegal
Nourou Dine A. Bankole
1,2
, Moustapha Ndiaye
2
, Thioub Mbaye
3
, Youssoupha Sakho
4
,
Momar Code Ba
3
1
Departement de Neurochirurgie, Hopital des Spécialités, Rabat, Morrocco
2
Département de Neurologie, CHNU de Fann, Dakar, Senegal
3
Département de Neurochirurgie, CHNU de Fann, Dakar, Senegal
4
Departement de Neurochirurgie, HOGGY de, Dakar, Senegal
Abstract
Introduction: No-trauma spinal cord compressions are serious conditions
not often described in children population. This study will discuss the epide-
miological, clinical, biology and radiology assessment, the etiologies, the the-
rapeutic and evolutionary aspects of this condition in children in Senegal. Pa-
tients and Methods: 113 children aged between 15 months and 18 years were
managed in a 10 years period (from January 2005 to July 2015) for a
non-traumatic spinal cord compression (average 8.3 years). Results: There
was 66 males (58%) and 47 females (42%) with sex ratio of 1.40. The main
reasons for consultation were spinal deformity (90 %). The syndrome was
complete in 52 patients (46%) and incomplete in 61 patients (54%). Plain ra-
diography performed in 63 patients. The CT scan was performed in 21 pa-
tients and myelography performed in 4 patients. MRI was performed in 22
patients. There was intradural extramedullary process (33.33%), the extra-
dural lesions (14.28%) and intramedullary process (28.57%). Dorsal lesions
were predominant (46%) followed by the lumbar spine (27%). The majority of
the etiology was Pott’s disease (80%) followed by tumors (17%). Spondylitis to
banal germs (2%) and parasitic spinal cord compression (1%) were rare. The
histology of 6 patients was revealed 5% neurofibroma Type II, 5% extrame-
dullary intradermal arachnoid cyst, 5% intramedullary arachnoid cyst with
cytochemistry of the CSF—like content, 5% Anaplastic pilocytic astrocytoma,
5% ganglioneuroma I terminal cone and 5% meningothelial meningioma.
Pott’s disease has been cured by TB chemotherapy associated with a corset in
88.89% of cases. 2 patients of this group had benefited fixation after lami-
nectomy. 68% of the patients had a favorable recovery, and 20% had com-
How to cite this paper: Bankole, N.D.A.,
Ndiaye, M., Mbaye, T., Sakho, Y. and Ba,
M.C. (2018) Child Spinal Cord Compres-
sion without Trauma about 113 Cases in
Senegal. Yangtze Medicine, 2, 114-128.
https://doi.org/10.4236/ym.2018.22013
Received: November 17, 2017
Accepted: June 8, 2018
Published: June 11, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access