I. Ogunlaja, O. Ogunlaja, A. Oyaromade, A. Olasinde
Prolapse of cervical fibroid is a rare but life threatening occurrence. This complication may occur early in some patients while in others it may follow complications like constipation, difficulty in micturition to mention a few. A 47 +o year old Para o lady presented to the Accident and Emergency Unit of our hospital with a two(2) day history of a huge mass protruding per vagina and a history of significant bleeding per vagina. Packed Cell Volume was 19% on admission and she had Four(4) units of blood transfused. She subsequently had examination under general anaesthesia and cervical myomectomy was done. Her Post Operative clinical state was satisfactory.
{"title":"Inadvertent prolapse of a huge cervical fibroid mimicking acute uterine inversion: A case report","authors":"I. Ogunlaja, O. Ogunlaja, A. Oyaromade, A. Olasinde","doi":"10.4314/rejhs.v12i1.3","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.3","url":null,"abstract":"Prolapse of cervical fibroid is a rare but life threatening occurrence. This complication may occur early in some patients while in others it may follow complications like constipation, difficulty in micturition to mention a few. A 47 +o year old Para o lady presented to the Accident and Emergency Unit of our hospital with a two(2) day history of a huge mass protruding per vagina and a history of significant bleeding per vagina. Packed Cell Volume was 19% on admission and she had Four(4) units of blood transfused. She subsequently had examination under general anaesthesia and cervical myomectomy was done. Her Post Operative clinical state was satisfactory. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O.O. Olaofe, B.A. Adewara, C. C. Okongwu, E.E. Ewoye
Background: Optic nerve gliomas are rare tumors that constitute less than 5% of all pediatric central nervous system tumors. Case Presentation: We present the case of a 5-year-old girl with complaints of progressive protrusion of the right eye and poor vision of 3 years duration who was referred to the ophthalmologist. Ophthalmological evaluation of the right eye revealed tearing, no perception of light, inferior dystopia, severe proptosis, and a firm non-tender orbital mass palpable posterior to the eyeball. The cranial CT-scan was suggestive of a right optic nerve glioma. Histology showed Optic Glioma with extensive proliferation of meningothelial cells. Conclusion: Optic gliomas can be associated with extensive proliferation of meningothelial cells that can histologically mimic a meningioma. It is important to be cautious about making a diagnosis of meningioma for tumors in locations that are also characteristic of optic nerve gliomas especially in appropriate clinical settings. French title: Rapport de cas : Un rapport de cas de gliome du nerf optique chez une fillette africaine de 5 ans Titre en cours - Gliome optique chez une fillette africaineContexte de l'étude : Les gliomes du nerf optique sont des tumeurs rares qui constituent moins de 5 % de toutes les tumeurs pédiatriques du système nerveux central. Présentation de cas : Nous présentons le cas d'une fillette de 5 ans présentant des plaintes de protrusion progressive de l'œil droit et une mauvaise vision depuis 3 ans qui a été référée à l'ophtalmologiste. L'évaluation ophtalmologique de l'œil droit a révélé un larmoiement, une absence de perception de la lumière, une dystopie inférieure, une exophtalmie sévère et une masse orbitaire ferme et non douloureuse, palpable en arrière du globe oculaire. Le scanner crânien était évocateur d'un gliome du nerf optique droit. L'histologie montrait un gliome optique avec une prolifération étendue de cellules méningothéliales. Conclusion : Les gliomes optiques peuvent être associés à une prolifération étendue de cellules méningothéliales pouvant mimer histologiquement un méningiome. Il est important d'être prudent avant de poser un diagnostic de méningiome pour des tumeurs situées dans des localisations également caractéristiques des gliomes du nerf optique, en particulier dans des contextes cliniques appropriés.
背景：视神经胶质瘤是一种罕见肿瘤，在所有小儿中枢神经系统肿瘤中所占比例不到 5%。病例介绍：本病例是一名 5 岁女孩，主诉右眼进行性突出，视力差，病程 3 年，转诊至眼科医生。对右眼进行眼科检查后发现，她流泪、无光感、下斜视、严重眼球突出，眼球后方可触及一个坚实无触痛的眼眶肿块。头颅 CT 扫描提示右侧视神经胶质瘤。组织学检查显示，视神经胶质瘤伴有广泛的脑膜上皮细胞增生。结论：视神经胶质瘤可能伴有广泛的脑膜上皮细胞增生，组织学上可与脑膜瘤相似。重要的是，在适当的临床环境下，对同样具有视神经胶质瘤特征的部位的肿瘤做出脑膜瘤诊断时要谨慎。 法文标题：Rapport de cas ：研究背景：视神经胶质瘤是一种罕见肿瘤，在所有儿科中枢神经系统肿瘤中所占比例不到 5%。病例介绍：本病例是一名 5 岁女孩的病例，她主诉右眼进行性突出和视力不佳已有 3 年之久，被转诊至眼科医生。眼科检查发现她右眼流泪、缺乏光感、下斜视、严重眼球外翻，眼球后方可触及坚实无痛的眼眶肿块。头部 CT 扫描提示右侧视神经胶质瘤。 组织学检查显示，视神经胶质瘤伴有广泛的脑膜上皮细胞增生。结论：视神经胶质瘤可能伴有广泛的脑膜上皮细胞增生，组织学上可能与脑膜瘤相似。重要的是，在对视神经胶质瘤也具有特征性的部位的肿瘤做出脑膜瘤诊断之前要谨慎，尤其是在适当的临床环境中。
{"title":"Case report: A case report of optic nerve glioma in a 5-year-old African girl","authors":"O.O. Olaofe, B.A. Adewara, C. C. Okongwu, E.E. Ewoye","doi":"10.4314/rejhs.v12i1.10","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.10","url":null,"abstract":"Background: Optic nerve gliomas are rare tumors that constitute less than 5% of all pediatric central nervous system tumors. \u0000Case Presentation: We present the case of a 5-year-old girl with complaints of progressive protrusion of the right eye and poor vision of 3 years duration who was referred to the ophthalmologist. Ophthalmological evaluation of the right eye revealed tearing, no perception of light, inferior dystopia, severe proptosis, and a firm non-tender orbital mass palpable posterior to the eyeball. The cranial CT-scan was suggestive of a right optic nerve glioma. Histology showed Optic Glioma with extensive proliferation of meningothelial cells. \u0000Conclusion: Optic gliomas can be associated with extensive proliferation of meningothelial cells that can histologically mimic a meningioma. It is important to be cautious about making a diagnosis of meningioma for tumors in locations that are also characteristic of optic nerve gliomas especially in appropriate clinical settings. \u0000 \u0000 \u0000French title: Rapport de cas : Un rapport de cas de gliome du nerf optique chez une fillette africaine de 5 ans Titre en cours - Gliome optique chez une fillette africaineContexte de l'étude : Les gliomes du nerf optique sont des tumeurs rares qui constituent moins de 5 % de toutes les tumeurs pédiatriques du système nerveux central. \u0000Présentation de cas : Nous présentons le cas d'une fillette de 5 ans présentant des plaintes de protrusion progressive de l'œil droit et une mauvaise vision depuis 3 ans qui a été référée à l'ophtalmologiste. L'évaluation ophtalmologique de l'œil droit a révélé un larmoiement, une absence de perception de la lumière, une dystopie inférieure, une exophtalmie sévère et une masse orbitaire ferme et non douloureuse, palpable en arrière du globe oculaire. Le scanner crânien était évocateur d'un gliome du nerf optique droit. L'histologie montrait un gliome optique avec une prolifération étendue de cellules méningothéliales. \u0000Conclusion : Les gliomes optiques peuvent être associés à une prolifération étendue de cellules méningothéliales pouvant mimer histologiquement un méningiome. Il est important d'être prudent avant de poser un diagnostic de méningiome pour des tumeurs situées dans des localisations également caractéristiques des gliomes du nerf optique, en particulier dans des contextes cliniques appropriés. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Otaigbe, C. Elikwu, T. Oluwole, A.E. Ogunlolu, O.E. Oseni, O.D. Bello, P.O. Olayiwola, V.C. Dike-Israel, G.J. Atuk
Objectives: Children infected with tuberculosis, including drug resistant tuberculosis serve as reservoirs for Tuberculosis (TB) and as indicators of recent or ongoing transmission in the community. The aim of this study was to evaluate the prevalence of rifampicin resistance in paediatric tuberculosis in Babcock University Teaching Hospital, Ilishan Remo, Ogun State, Nigeria Methodology: This was a retrospective study that involved a review of medical microbiology laboratory records to analyze GeneXpert results of sputum samples obtained from pediatric patients with tuberculosis between January 2017 and March 2022. Aconvenience sampling method was used to select cases who met the study's inclusion criteria until the sample size was attained. Results: The medical laboratory records of 1046 subjects were analyzed in this study of which 556 (53.2%) were males. The mean age of all the patients was 10.77±4.38 years and majority of the respondents 445 (42.5%) were in the age group 11-15 years. Fifty patients (4.8%) had positive GeneXpert results of which 3 (6.0%) were Rifampicin resistant. Conclusion: In order to lower the burden of TB globally more efforts should be made to reduce paediatric TB. French title: Une évaluation rétrospective de la résistance à la rifampicine dans la tuberculose pédiatrique dans un hôpital tertiaire du sud-ouest du NigériaObjectif de l'étude: Les enfants infectés par la tuberculose, y compris la tuberculose pharmaco résistante, servent de réservoirs de tuberculose (TB) et d'indicateurs de transmission récente ou en cours dans la communauté. Le but de cette étude était d'évaluer la prévalence de la résistance à la rifampicine dans la tuberculose pédiatrique à l'hôpital universitaire Babcock, Ilishan Remo, État d'Ogun, Nigéria. Méthode de l'étude : Il s'agissait d'une étude rétrospective qui impliquait un examen des dossiers de laboratoire de microbiologie médicale pour analyser les résultats GeneXpert d'échantillons d'expectorations obtenus auprès de patients pédiatriques atteints de tuberculose entre janvier 2017 et mars 2022. Une méthode d'échantillonnage de commodité a été utilisée pour sélectionner les cas répondant aux critères d'inclusion de l'étude. Critères jusqu'à ce que la taille de l'échantillon soit atteinte. Résultat de l'étude : Les dossiers de laboratoire médical de 1 046 sujets ont été analysés dans cette étude, dont 556 (53,2 %) étaient des hommes. L'âge moyen de tous les patients était de 10,77 ± 4,38 ans et la majorité des répondants, 445 (42,5 %), appartenaient à la tranche d'âge de 11 à 15 ans. Cinquante patients (4,8 %) ont eu des résultats GeneXpert positifs, dont 3 (6,0 %) étaient résistants à la rifampicine. Conclusion : Afin de réduire le fardeau de la tuberculose à l'échelle mondiale, des efforts supplémentaires doivent être déployés pour réduire la tuberculose pédiatrique.
{"title":"A retrospective assessment of rifampicin resistance in paediatric tuberculosis in a tertiary hospital in south west Nigeria","authors":"I. Otaigbe, C. Elikwu, T. Oluwole, A.E. Ogunlolu, O.E. Oseni, O.D. Bello, P.O. Olayiwola, V.C. Dike-Israel, G.J. Atuk","doi":"10.4314/rejhs.v12i1.6","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.6","url":null,"abstract":"Objectives: Children infected with tuberculosis, including drug resistant tuberculosis serve as reservoirs for Tuberculosis (TB) and as indicators of recent or ongoing transmission in the community. The aim of this study was to evaluate the prevalence of rifampicin resistance in paediatric tuberculosis in Babcock University Teaching Hospital, Ilishan Remo, Ogun State, Nigeria \u0000Methodology: This was a retrospective study that involved a review of medical microbiology laboratory records to analyze GeneXpert results of sputum samples obtained from pediatric patients with tuberculosis between January 2017 and March 2022. Aconvenience sampling method was used to select cases who met the study's inclusion criteria until the sample size was attained. \u0000Results: The medical laboratory records of 1046 subjects were analyzed in this study of which 556 (53.2%) were males. The mean age of all the patients was 10.77±4.38 years and majority of the respondents 445 (42.5%) were in the age group 11-15 years. Fifty patients (4.8%) had positive GeneXpert results of which 3 (6.0%) were Rifampicin resistant. \u0000Conclusion: In order to lower the burden of TB globally more efforts should be made to reduce paediatric TB. \u0000 \u0000French title: Une évaluation rétrospective de la résistance à la rifampicine dans la tuberculose pédiatrique dans un hôpital tertiaire du sud-ouest du NigériaObjectif de l'étude: Les enfants infectés par la tuberculose, y compris la tuberculose pharmaco résistante, servent de réservoirs de tuberculose (TB) et d'indicateurs de transmission récente ou en cours dans la communauté. Le but de cette étude était d'évaluer la prévalence de la résistance à la rifampicine dans la tuberculose pédiatrique à l'hôpital universitaire Babcock, Ilishan Remo, État d'Ogun, Nigéria. \u0000Méthode de l'étude : Il s'agissait d'une étude rétrospective qui impliquait un examen des dossiers de laboratoire de microbiologie médicale pour analyser les résultats GeneXpert d'échantillons d'expectorations obtenus auprès de patients pédiatriques atteints de tuberculose entre janvier 2017 et mars 2022. Une méthode d'échantillonnage de commodité a été utilisée pour sélectionner les cas répondant aux critères d'inclusion de l'étude. Critères jusqu'à ce que la taille de l'échantillon soit atteinte. \u0000Résultat de l'étude : Les dossiers de laboratoire médical de 1 046 sujets ont été analysés dans cette étude, dont 556 (53,2 %) étaient des hommes. L'âge moyen de tous les patients était de 10,77 ± 4,38 ans et la majorité des répondants, 445 (42,5 %), appartenaient à la tranche d'âge de 11 à 15 ans. Cinquante patients (4,8 %) ont eu des résultats GeneXpert positifs, dont 3 (6,0 %) étaient résistants à la rifampicine. \u0000Conclusion : Afin de réduire le fardeau de la tuberculose à l'échelle mondiale, des efforts supplémentaires doivent être déployés pour réduire la tuberculose pédiatrique.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of chronic hepatitis B infection in Nigeria: The need for a paradigm shift","authors":"A.R. Yusuf, A.D. Dauda","doi":"10.4314/rejhs.v12i1.8","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.8","url":null,"abstract":"No Abstract.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139844966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: There has been ongoing concern that prolonged use of headphones/earphones that amplify the sound intensity can lead to noise induced hearing loss. This study therefore aimed at determining the correlation between hearing thresholds and habitual usage of headphones/earphones among undergraduates of tertiary institutions in Northwestern Nigeria. Method: A cross-sectional study was conducted on young adults, who are undergraduate students of tertiary institutions, to assess the hearing thresholds of individuals who frequently use headphones or earphones. Ethical clearance was obtained, and participants who met specific criteria were selected. Amultistage sampling technique was used, and 272 participants (representing 544 ears) with equal number of controls were recruited. They completed questionnaires and underwent otoscopic examination and pure tone audiometry (PTA). Those having wax or foreign bodies in the ears had it removed before performing PTA. The data was recorded and analyzed using SPSS version 20. Frequency tables and variable relationships were examined to determine significance, which was set at a p-value of <0.05. Result: The study involved 272 users of headphones/earphones (representing 544 ears) and an equal number of age- and sex-matched controls. The participants' ages ranged between 18 and 33, with 50.4% being male. The pure tone average among the headphones/earphones users and the controls ranged from 11.0 – 43.8dB, with a mean of 20.2±6.0 and 10.6 – 43.2dB, with a mean of 19.6 ± 4.5, respectively. More than half, 280/544 ears (51.5%) of the participants used headphones/earphones for over 4 years, and of these, 222/280 ears (79.3%) used them for 1 – 4 hours daily. Moderate volume was the preferred listening mode for 63.2% of the users. A moderate positive correlation was observed between hearing thresholds and hours of headphone/earphone use, and a weak positive correlation between hearing thresholds and preferred level of loudness (r = 0.290, p < 0.0001) while no correlation was found between hearing threshold and long-term use (r = 0.003, p = 0.937). Conclusion: This study suggests that individuals who use headphones or earphones for prolonged periods of listening hours daily or at higher listening levels tend to have poorer hearing thresholds.
{"title":"Correlation between Hearing Thresholds and Habitual use of Headphones/Earphones among Students of Tertiary Institutions in Northwestern Nigeria","authors":"K. Haruna, A.D. Salisu, S. Labaran, M.B. Fufore","doi":"10.4314/rejhs.v12i1.4","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.4","url":null,"abstract":"Background: There has been ongoing concern that prolonged use of headphones/earphones that amplify the sound intensity can lead to noise induced hearing loss. This study therefore aimed at determining the correlation between hearing thresholds and habitual usage of headphones/earphones among undergraduates of tertiary institutions in Northwestern Nigeria. \u0000Method: A cross-sectional study was conducted on young adults, who are undergraduate students of tertiary institutions, to assess the hearing thresholds of individuals who frequently use headphones or earphones. Ethical clearance was obtained, and participants who met specific criteria were selected. Amultistage sampling technique was used, and 272 participants (representing 544 ears) with equal number of controls were recruited. They completed questionnaires and underwent otoscopic examination and pure tone audiometry (PTA). Those having wax or foreign bodies in the ears had it removed before performing PTA. The data was recorded and analyzed using SPSS version 20. Frequency tables and variable relationships were examined to determine significance, which was set at a p-value of <0.05. \u0000Result: The study involved 272 users of headphones/earphones (representing 544 ears) and an equal number of age- and sex-matched controls. The participants' ages ranged between 18 and 33, with 50.4% being male. The pure tone average among the headphones/earphones users and the controls ranged from 11.0 – 43.8dB, with a mean of 20.2±6.0 and 10.6 – 43.2dB, with a mean of 19.6 ± 4.5, respectively. More than half, 280/544 ears (51.5%) of the participants used headphones/earphones for over 4 years, and of these, 222/280 ears (79.3%) used them for 1 – 4 hours daily. Moderate volume was the preferred listening mode for 63.2% of the users. A moderate positive correlation was observed between hearing thresholds and hours of headphone/earphone use, and a weak positive correlation between hearing thresholds and preferred level of loudness (r = 0.290, p < 0.0001) while no correlation was found between hearing threshold and long-term use (r = 0.003, p = 0.937). \u0000Conclusion: This study suggests that individuals who use headphones or earphones for prolonged periods of listening hours daily or at higher listening levels tend to have poorer hearing thresholds. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139783511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C.R. Madubuko, N. Onunu, A. A. Kubeyinje, J. I. Obijiaku
Introduction: Most emergency departments in Nigeria are usually merged (Surgical and Medical). The recently established Adult medical emergency unit of the University of Benin Teaching hospital (UBTH) is novel in Southern Nigeria. We sought to determine the pattern of purely medical emergency cases seen over a 6 months' period in our hospital. Methods: It was a cross-sectional descriptive study involving all patients treated in the medical ED at University of Benin Teaching Hospital, Benin city over a six month period (August 2019-January 2020). An interviewer administered questionnaire was used to collect data on sociodemographic characteristics, presenting complaints, diagnosis, sub-specialty involved in management and outcome (discharge, admission, referral or death). Results: A total of 875 patients were recruited for the study. There were 410(46.9%) males and 465(53.1%) females. The mean age was 57.8±19.94 years (range: 17 - 107 years). The top 10 clinical diagnosis included stroke 146(16.7%), chronic kidney disease 59(6.7%), diabetic emergency 59(6.7%), pneumonia 57(6.5%), congestive cardiac failure 53(6.1%), type- 2 Diabetes mellitus with chronic complications50(5.7%), malaria49(5.6%), retroviral disease 33(3.8%), hypertensive emergency29(3.3%) and Tuberculosis28(3.2%). Conclusion: Neurological and infectious diseases were the most frequent reason for consultation. Stroke was the singular most common diagnosis in the medical emergency. A prior consultation to a peripheral center was high amongst patients observed during the study period French title: Modèle d'admissions aux services d'urgence médicale dans un hôpital tertiaire : une étude prospective en milieu hospitalierIntroduction: La plupart des services d'urgence au Nigeria sont généralement fusionnés (chirurgicaux et médicaux). L'unité d'urgence médicale pour adultes récemment créée à l'hôpital universitaire du Bénin (UBTH) est une nouveauté dans le sud du Nigeria. Nous avons cherché à déterminer la répartition des cas d’urgence purement médicale vus sur une période de 6 mois dans notre hôpital. Méthodes:Il s'agissait d'une étude descriptive transversale portant sur tous les patients traités à l'urgence médicale de l'hôpital universitaire du Bénin, ville de Benin, sur une période de six mois (août 2019-janvier 2020). Un questionnaire administré par un intervieweur a été utilisé pour collecter des données sur les caractéristiques sociodémographiques, la présentation des plaintes, le diagnostic, la sous-spécialité impliquée dans la gestion et les résultats (sortie, admission, référence ou décès). Résultats: Au total, 875 patients ont été recrutés pour l'étude. Il y avait 410 (46,9 %) hommes et 465 (53,1 %) femmes. L'âge moyen était de 57,8 ± 19,94 ans (extrêmes : 17 - 107 ans). Les 10 principaux diagnostics cliniques comprenaient un accident vasculaire cérébral 146 (16,7 %), une maladie rénale chronique 59 (6,7 %), une urgence diabétique 59 (6,7 %), une pneu
{"title":"Pattern of the medical emergency department admissions in a tertiary hospital: Ahospital-based prospective study","authors":"C.R. Madubuko, N. Onunu, A. A. Kubeyinje, J. I. Obijiaku","doi":"10.4314/rejhs.v12i1.11","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.11","url":null,"abstract":"Introduction: Most emergency departments in Nigeria are usually merged (Surgical and Medical). The recently established Adult medical emergency unit of the University of Benin Teaching hospital (UBTH) is novel in Southern Nigeria. We sought to determine the pattern of purely medical emergency cases seen over a 6 months' period in our hospital. \u0000Methods: It was a cross-sectional descriptive study involving all patients treated in the medical ED at University of Benin Teaching Hospital, Benin city over a six month period (August 2019-January 2020). An interviewer administered questionnaire was used to collect data on sociodemographic characteristics, presenting complaints, diagnosis, sub-specialty involved in management and outcome (discharge, admission, referral or death). \u0000Results: A total of 875 patients were recruited for the study. There were 410(46.9%) males and 465(53.1%) females. The mean age was 57.8±19.94 years (range: 17 - 107 years). The top 10 clinical diagnosis included stroke 146(16.7%), chronic kidney disease 59(6.7%), diabetic emergency 59(6.7%), pneumonia 57(6.5%), congestive cardiac failure 53(6.1%), type- 2 Diabetes mellitus with chronic complications50(5.7%), malaria49(5.6%), retroviral disease 33(3.8%), hypertensive emergency29(3.3%) and Tuberculosis28(3.2%). \u0000Conclusion: Neurological and infectious diseases were the most frequent reason for consultation. Stroke was the singular most common diagnosis in the medical emergency. A prior consultation to a peripheral center was high amongst patients observed during the study period \u0000 \u0000French title: Modèle d'admissions aux services d'urgence médicale dans un hôpital tertiaire : une étude prospective en milieu hospitalierIntroduction: La plupart des services d'urgence au Nigeria sont généralement fusionnés (chirurgicaux et médicaux). L'unité d'urgence médicale pour adultes récemment créée à l'hôpital universitaire du Bénin (UBTH) est une nouveauté dans le sud du Nigeria. Nous avons cherché à déterminer la répartition des cas d’urgence purement médicale vus sur une période de 6 mois dans notre hôpital. \u0000Méthodes:Il s'agissait d'une étude descriptive transversale portant sur tous les patients traités à l'urgence médicale de l'hôpital universitaire du Bénin, ville de Benin, sur une période de six mois (août 2019-janvier 2020). Un questionnaire administré par un intervieweur a été utilisé pour collecter des données sur les caractéristiques sociodémographiques, la présentation des plaintes, le diagnostic, la sous-spécialité impliquée dans la gestion et les résultats (sortie, admission, référence ou décès). \u0000Résultats: Au total, 875 patients ont été recrutés pour l'étude. Il y avait 410 (46,9 %) hommes et 465 (53,1 %) femmes. L'âge moyen était de 57,8 ± 19,94 ans (extrêmes : 17 - 107 ans). Les 10 principaux diagnostics cliniques comprenaient un accident vasculaire cérébral 146 (16,7 %), une maladie rénale chronique 59 (6,7 %), une urgence diabétique 59 (6,7 %), une pneu","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Ogunlaja, O. Ogunlaja, A. Oyaromade, A. Olasinde
Prolapse of cervical fibroid is a rare but life threatening occurrence. This complication may occur early in some patients while in others it may follow complications like constipation, difficulty in micturition to mention a few. A 47 +o year old Para o lady presented to the Accident and Emergency Unit of our hospital with a two(2) day history of a huge mass protruding per vagina and a history of significant bleeding per vagina. Packed Cell Volume was 19% on admission and she had Four(4) units of blood transfused. She subsequently had examination under general anaesthesia and cervical myomectomy was done. Her Post Operative clinical state was satisfactory.
{"title":"Inadvertent prolapse of a huge cervical fibroid mimicking acute uterine inversion: A case report","authors":"I. Ogunlaja, O. Ogunlaja, A. Oyaromade, A. Olasinde","doi":"10.4314/rejhs.v12i1.3","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.3","url":null,"abstract":"Prolapse of cervical fibroid is a rare but life threatening occurrence. This complication may occur early in some patients while in others it may follow complications like constipation, difficulty in micturition to mention a few. A 47 +o year old Para o lady presented to the Accident and Emergency Unit of our hospital with a two(2) day history of a huge mass protruding per vagina and a history of significant bleeding per vagina. Packed Cell Volume was 19% on admission and she had Four(4) units of blood transfused. She subsequently had examination under general anaesthesia and cervical myomectomy was done. Her Post Operative clinical state was satisfactory. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A.K Akiseku, O.E. Jagun, H.O.A Kuku, A.B. Akinpelu, A. O. Olatunji, A.O. Sule-Odu
Background: Postoperative wound infections have an enormous impact on the quality of life and contribute substantially to the financial cost of patient care. The study aims to compare the clinical efficacy of two perioperative/postoperative antibiotic regimens, the wound outcome and difference in cost on healthcare between these regimens. Methods: This is an observational prospective cohort study of 290 women. Women scheduled for elective surgeries in the department were grouped to have either a combination of ampicillin/cloxacillin (Ampiclox), Gentamicin, and Metronidazole (triple regimen) or a combination of ceftriaxone and metronidazole (double regimen). Data was analysed using Statistical Package for Social Science (SPSS) Windows version 21. The wound outcome and the cost implication of the antibiotic regimen were compared by chi-square test and t-test as appropriate. A p-value less than 0.05 was considered significant. Results: The postoperative wound infection rate in this study was 7.24%. There was no statistical significant difference in postoperative infection in the triple regimen group compared to the double regimen group. However, there was a significantly longer duration of stay in the hospital in the triple regimen group (P <0.05). There was also a statistical significant difference in the cost of hospital stay and the cost of antibiotics in the triple regimen group (P<0.05). There was no statistically significant difference in the pattern of organisms cultured in both groups. Conclusions: Ceftriaxone/Metronidazole regime of antibiotics showed superiority over ampicillin/cloxacillin, Metronidazole, and Gentamicin in the prevention of postoperative wound infection, hospital stay, and reduced cost of healthcare. French title: Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients. L'étude vise à comparer l'efficacité clinique de deux régimes antibiotiques péri opératoires/postopératoires, l'issue de la plaie et la différence de coût des soins de santé entre ces régimes. Paramètres et conception : Il s'agit d'une étude de cohorte prospective observationnelle portant sur 290 femmes. Les femmes devant subir des interventions chirurgicales électives dans le département ont été regroupées pour recevoir soit une combinaison d'ampicilline/ cloxacilline (Ampiclox), de gentamicine et de métronidazole (triple régime), soit une combinaison de ceftriaxone et de métronidazole (double régime). Analyse statistique : les données ont été analysées à l'aide du progiciel statistique pour les sciences sociales (PSSS) Windows version 21. L'issue de la plaie et les implications financières du régime antibiotique ont été comparées par le test du chi carré et le te
背景：术后伤口感染对患者的生活质量有很大影响，并大大增加了患者护理的经济成本。本研究旨在比较两种围手术期/术后抗生素治疗方案的临床疗效、伤口疗效以及这两种治疗方案在医疗成本上的差异。方法：这是一项对 290 名妇女进行的前瞻性队列观察研究。计划在该科室进行择期手术的妇女被分组为氨苄西林/氯唑西林（氨苄西林）、庆大霉素和甲硝唑（三联疗法）或头孢曲松和甲硝唑（双联疗法）。数据使用社会科学统计软件包（SPSS）Windows 21 版本进行分析。通过卡方检验（chi-square test）和 t 检验（t-test）对伤口疗效和抗生素方案的成本影响进行比较。P 值小于 0.05 为显著。结果：本研究的术后伤口感染率为 7.24%。与双方案组相比，三方案组的术后感染率无明显统计学差异。然而，三联疗法组的住院时间明显更长（P <0.05）。三联疗法组的住院费用和抗生素费用也有明显差异（P<0.05）。两组培养出的病原菌模式差异无统计学意义。结论：在预防术后伤口感染、缩短住院时间和降低医疗成本方面，头孢曲松/甲硝唑抗生素方案优于氨苄西林/氯唑西林、甲硝唑和庆大霉素。 法文标题： Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients.本研究旨在比较两种围手术期/术后抗生素治疗方案的临床效果、伤口预后以及不同治疗方案的医疗成本差异。研究背景和设计：这是一项前瞻性观察性队列研究，共有 290 名妇女参加。计划在该科室接受择期手术的妇女被分组，分别接受氨苄西林/环丙西林（Ampiclox）、庆大霉素和甲硝唑（三联疗法）或头孢曲松和甲硝唑（双联疗法）的组合疗法。统计分析：使用社会科学统计软件包（SPSS）Windows 21 版本对数据进行分析。伤口疗效和抗生素方案的财务影响通过卡方检验（chi-square test）和t检验（t-test）进行比较。P 值小于 0.05 即为显著。研究结果：本研究的术后伤口感染率为 7.24%。三联疗法组与双联疗法组的术后感染率在统计学上没有明显差异。 不过，三联疗法组的住院时间明显更长（P<0.05）。三联疗法组的住院费用和抗生素费用也有显著差异（P<0.05）。两组培养出的微生物模式差异无统计学意义。 结论：头孢曲松/甲硝唑抗生素方案在预防术后伤口感染、缩短住院时间和降低医疗费用方面优于氨苄西林/氯唑西林、甲硝唑和庆大霉素。
{"title":"Antibiotic prophylaxis in obstetric and gynaecological procedures: Acomparative study between two regimens of antibiotics","authors":"A.K Akiseku, O.E. Jagun, H.O.A Kuku, A.B. Akinpelu, A. O. Olatunji, A.O. Sule-Odu","doi":"10.4314/rejhs.v12i1.5","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.5","url":null,"abstract":"Background: Postoperative wound infections have an enormous impact on the quality of life and contribute substantially to the financial cost of patient care. The study aims to compare the clinical efficacy of two perioperative/postoperative antibiotic regimens, the wound outcome and difference in cost on healthcare between these regimens. \u0000Methods: This is an observational prospective cohort study of 290 women. Women scheduled for elective surgeries in the department were grouped to have either a combination of ampicillin/cloxacillin (Ampiclox), Gentamicin, and Metronidazole (triple regimen) or a combination of ceftriaxone and metronidazole (double regimen). Data was analysed using Statistical Package for Social Science (SPSS) Windows version 21. The wound outcome and the cost implication of the antibiotic regimen were compared by chi-square test and t-test as appropriate. A p-value less than 0.05 was considered significant. \u0000Results: The postoperative wound infection rate in this study was 7.24%. There was no statistical significant difference in postoperative infection in the triple regimen group compared to the double regimen group. However, there was a significantly longer duration of stay in the hospital in the triple regimen group (P <0.05). There was also a statistical significant difference in the cost of hospital stay and the cost of antibiotics in the triple regimen group (P<0.05). There was no statistically significant difference in the pattern of organisms cultured in both groups. \u0000Conclusions: Ceftriaxone/Metronidazole regime of antibiotics showed superiority over ampicillin/cloxacillin, Metronidazole, and Gentamicin in the prevention of postoperative wound infection, hospital stay, and reduced cost of healthcare. \u0000 \u0000French title: Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques \u0000Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients. L'étude vise à comparer l'efficacité clinique de deux régimes antibiotiques péri opératoires/postopératoires, l'issue de la plaie et la différence de coût des soins de santé entre ces régimes. \u0000Paramètres et conception : Il s'agit d'une étude de cohorte prospective observationnelle portant sur 290 femmes. Les femmes devant subir des interventions chirurgicales électives dans le département ont été regroupées pour recevoir soit une combinaison d'ampicilline/ cloxacilline (Ampiclox), de gentamicine et de métronidazole (triple régime), soit une combinaison de ceftriaxone et de métronidazole (double régime). \u0000Analyse statistique : les données ont été analysées à l'aide du progiciel statistique pour les sciences sociales (PSSS) Windows version 21. L'issue de la plaie et les implications financières du régime antibiotique ont été comparées par le test du chi carré et le te","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C.R. Madubuko, N. Onunu, A. A. Kubeyinje, J. I. Obijiaku
Introduction: Most emergency departments in Nigeria are usually merged (Surgical and Medical). The recently established Adult medical emergency unit of the University of Benin Teaching hospital (UBTH) is novel in Southern Nigeria. We sought to determine the pattern of purely medical emergency cases seen over a 6 months' period in our hospital. Methods: It was a cross-sectional descriptive study involving all patients treated in the medical ED at University of Benin Teaching Hospital, Benin city over a six month period (August 2019-January 2020). An interviewer administered questionnaire was used to collect data on sociodemographic characteristics, presenting complaints, diagnosis, sub-specialty involved in management and outcome (discharge, admission, referral or death). Results: A total of 875 patients were recruited for the study. There were 410(46.9%) males and 465(53.1%) females. The mean age was 57.8±19.94 years (range: 17 - 107 years). The top 10 clinical diagnosis included stroke 146(16.7%), chronic kidney disease 59(6.7%), diabetic emergency 59(6.7%), pneumonia 57(6.5%), congestive cardiac failure 53(6.1%), type- 2 Diabetes mellitus with chronic complications50(5.7%), malaria49(5.6%), retroviral disease 33(3.8%), hypertensive emergency29(3.3%) and Tuberculosis28(3.2%). Conclusion: Neurological and infectious diseases were the most frequent reason for consultation. Stroke was the singular most common diagnosis in the medical emergency. A prior consultation to a peripheral center was high amongst patients observed during the study period French title: Modèle d'admissions aux services d'urgence médicale dans un hôpital tertiaire : une étude prospective en milieu hospitalierIntroduction: La plupart des services d'urgence au Nigeria sont généralement fusionnés (chirurgicaux et médicaux). L'unité d'urgence médicale pour adultes récemment créée à l'hôpital universitaire du Bénin (UBTH) est une nouveauté dans le sud du Nigeria. Nous avons cherché à déterminer la répartition des cas d’urgence purement médicale vus sur une période de 6 mois dans notre hôpital. Méthodes:Il s'agissait d'une étude descriptive transversale portant sur tous les patients traités à l'urgence médicale de l'hôpital universitaire du Bénin, ville de Benin, sur une période de six mois (août 2019-janvier 2020). Un questionnaire administré par un intervieweur a été utilisé pour collecter des données sur les caractéristiques sociodémographiques, la présentation des plaintes, le diagnostic, la sous-spécialité impliquée dans la gestion et les résultats (sortie, admission, référence ou décès). Résultats: Au total, 875 patients ont été recrutés pour l'étude. Il y avait 410 (46,9 %) hommes et 465 (53,1 %) femmes. L'âge moyen était de 57,8 ± 19,94 ans (extrêmes : 17 - 107 ans). Les 10 principaux diagnostics cliniques comprenaient un accident vasculaire cérébral 146 (16,7 %), une maladie rénale chronique 59 (6,7 %), une urgence diabétique 59 (6,7 %), une pneu
{"title":"Pattern of the medical emergency department admissions in a tertiary hospital: Ahospital-based prospective study","authors":"C.R. Madubuko, N. Onunu, A. A. Kubeyinje, J. I. Obijiaku","doi":"10.4314/rejhs.v12i1.11","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.11","url":null,"abstract":"Introduction: Most emergency departments in Nigeria are usually merged (Surgical and Medical). The recently established Adult medical emergency unit of the University of Benin Teaching hospital (UBTH) is novel in Southern Nigeria. We sought to determine the pattern of purely medical emergency cases seen over a 6 months' period in our hospital. \u0000Methods: It was a cross-sectional descriptive study involving all patients treated in the medical ED at University of Benin Teaching Hospital, Benin city over a six month period (August 2019-January 2020). An interviewer administered questionnaire was used to collect data on sociodemographic characteristics, presenting complaints, diagnosis, sub-specialty involved in management and outcome (discharge, admission, referral or death). \u0000Results: A total of 875 patients were recruited for the study. There were 410(46.9%) males and 465(53.1%) females. The mean age was 57.8±19.94 years (range: 17 - 107 years). The top 10 clinical diagnosis included stroke 146(16.7%), chronic kidney disease 59(6.7%), diabetic emergency 59(6.7%), pneumonia 57(6.5%), congestive cardiac failure 53(6.1%), type- 2 Diabetes mellitus with chronic complications50(5.7%), malaria49(5.6%), retroviral disease 33(3.8%), hypertensive emergency29(3.3%) and Tuberculosis28(3.2%). \u0000Conclusion: Neurological and infectious diseases were the most frequent reason for consultation. Stroke was the singular most common diagnosis in the medical emergency. A prior consultation to a peripheral center was high amongst patients observed during the study period \u0000 \u0000French title: Modèle d'admissions aux services d'urgence médicale dans un hôpital tertiaire : une étude prospective en milieu hospitalierIntroduction: La plupart des services d'urgence au Nigeria sont généralement fusionnés (chirurgicaux et médicaux). L'unité d'urgence médicale pour adultes récemment créée à l'hôpital universitaire du Bénin (UBTH) est une nouveauté dans le sud du Nigeria. Nous avons cherché à déterminer la répartition des cas d’urgence purement médicale vus sur une période de 6 mois dans notre hôpital. \u0000Méthodes:Il s'agissait d'une étude descriptive transversale portant sur tous les patients traités à l'urgence médicale de l'hôpital universitaire du Bénin, ville de Benin, sur une période de six mois (août 2019-janvier 2020). Un questionnaire administré par un intervieweur a été utilisé pour collecter des données sur les caractéristiques sociodémographiques, la présentation des plaintes, le diagnostic, la sous-spécialité impliquée dans la gestion et les résultats (sortie, admission, référence ou décès). \u0000Résultats: Au total, 875 patients ont été recrutés pour l'étude. Il y avait 410 (46,9 %) hommes et 465 (53,1 %) femmes. L'âge moyen était de 57,8 ± 19,94 ans (extrêmes : 17 - 107 ans). Les 10 principaux diagnostics cliniques comprenaient un accident vasculaire cérébral 146 (16,7 %), une maladie rénale chronique 59 (6,7 %), une urgence diabétique 59 (6,7 %), une pneu","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139783880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O.O. Olaofe, B.A. Adewara, C. C. Okongwu, E.E. Ewoye
Background: Optic nerve gliomas are rare tumors that constitute less than 5% of all pediatric central nervous system tumors. Case Presentation: We present the case of a 5-year-old girl with complaints of progressive protrusion of the right eye and poor vision of 3 years duration who was referred to the ophthalmologist. Ophthalmological evaluation of the right eye revealed tearing, no perception of light, inferior dystopia, severe proptosis, and a firm non-tender orbital mass palpable posterior to the eyeball. The cranial CT-scan was suggestive of a right optic nerve glioma. Histology showed Optic Glioma with extensive proliferation of meningothelial cells. Conclusion: Optic gliomas can be associated with extensive proliferation of meningothelial cells that can histologically mimic a meningioma. It is important to be cautious about making a diagnosis of meningioma for tumors in locations that are also characteristic of optic nerve gliomas especially in appropriate clinical settings. French title: Rapport de cas : Un rapport de cas de gliome du nerf optique chez une fillette africaine de 5 ans Titre en cours - Gliome optique chez une fillette africaineContexte de l'étude : Les gliomes du nerf optique sont des tumeurs rares qui constituent moins de 5 % de toutes les tumeurs pédiatriques du système nerveux central. Présentation de cas : Nous présentons le cas d'une fillette de 5 ans présentant des plaintes de protrusion progressive de l'œil droit et une mauvaise vision depuis 3 ans qui a été référée à l'ophtalmologiste. L'évaluation ophtalmologique de l'œil droit a révélé un larmoiement, une absence de perception de la lumière, une dystopie inférieure, une exophtalmie sévère et une masse orbitaire ferme et non douloureuse, palpable en arrière du globe oculaire. Le scanner crânien était évocateur d'un gliome du nerf optique droit. L'histologie montrait un gliome optique avec une prolifération étendue de cellules méningothéliales. Conclusion : Les gliomes optiques peuvent être associés à une prolifération étendue de cellules méningothéliales pouvant mimer histologiquement un méningiome. Il est important d'être prudent avant de poser un diagnostic de méningiome pour des tumeurs situées dans des localisations également caractéristiques des gliomes du nerf optique, en particulier dans des contextes cliniques appropriés.
背景：视神经胶质瘤是一种罕见肿瘤，在所有小儿中枢神经系统肿瘤中所占比例不到 5%。病例介绍：本病例是一名 5 岁女孩，主诉右眼进行性突出，视力差，病程 3 年，转诊至眼科医生。对右眼进行眼科检查后发现，她流泪、无光感、下斜视、严重眼球突出，眼球后方可触及一个坚实无触痛的眼眶肿块。头颅 CT 扫描提示右侧视神经胶质瘤。组织学检查显示，视神经胶质瘤伴有广泛的脑膜上皮细胞增生。结论：视神经胶质瘤可能伴有广泛的脑膜上皮细胞增生，组织学上可与脑膜瘤相似。重要的是，在适当的临床环境下，对同样具有视神经胶质瘤特征的部位的肿瘤做出脑膜瘤诊断时要谨慎。 法文标题：Rapport de cas ：研究背景：视神经胶质瘤是一种罕见肿瘤，在所有儿科中枢神经系统肿瘤中所占比例不到 5%。病例介绍：本病例是一名 5 岁女孩的病例，她主诉右眼进行性突出和视力不佳已有 3 年之久，被转诊至眼科医生。眼科检查发现她右眼流泪、缺乏光感、下斜视、严重眼球外翻，眼球后方可触及坚实无痛的眼眶肿块。头部 CT 扫描提示右侧视神经胶质瘤。 组织学检查显示，视神经胶质瘤伴有广泛的脑膜上皮细胞增生。结论：视神经胶质瘤可能伴有广泛的脑膜上皮细胞增生，组织学上可能与脑膜瘤相似。重要的是，在对视神经胶质瘤也具有特征性的部位的肿瘤做出脑膜瘤诊断之前要谨慎，尤其是在适当的临床环境中。
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