Hypersexual Behavior Following Craniocerebral Trauma– an Experience with Five Cases

Hypersexual behaviour is a recognized complication of head injuries which can be a source of great distress to patients and persons with whom these patients share significant relationships. In this article, we describe 5 patients who exhibited aberrant sexual behaviours following traumatic brain injury and discuss the relevant literature. Keywords: keywBrain injury; Disinhibition; Hypersexuality Libyan Journal of Medicine Vol. 3 (4) 2008: pp. 42-4

Evolution of surgical interventions for hydrocephalus: patient preferences and the need for proper information

The treatment of hydrocephalus has undergone remarkable transformationsince it was first documented over two thousand years ago. Currently, the focus of hydrocephalus research is on minimally invasive techniques of treatment. This article reviews the evolution of hydrocephalus therapy, and examines current attitudes towards modern methods. We relied on journal publications, as well as literature on hydrocephalus obtained from the Internet (Google, Yahoo and PUBMED search) making use of the following search terms: “hydrocephalus: history; treatment; complications”, “cerebrospinal fluid shunt”, “endoscopic third ventriculostomy: indications of; complications of; advantages; disadvantages; successes; failure”. Numerous medical and surgical approaches have been adopted in the treatment of hydrocephalus in the past. However, the breakthrough that ushered in the modern era of hydrocephalus treatment was the introduction of valve-regulated systems in the middle of the last century. Endoscopic third ventriculostomy has evolved to become an alternative to traditional shunts. Cerebrospinal fluid shunt procedures are very effective in the treatment of hydrocephalus and have radically transformed the outcome of the disorder. However, they have a number of limitations. The alternative to shunts, endoscopic third ventriculostomy, is relatively safe,effective and durable. It does not, however, succeed in every patient; and also has some potentially devastating complications. Preoperative counseling is imperative to ensure that patients are properly guided.KEYWORDS: Cerebrospinal fluid shunt; Complications; Endoscopic thirdventriculostomy; Hydrocephalus; Indications; Patient selectio

The pattern of distribution of encephalocele in University of Port Harcourt Teaching Hospital - A three year experience

BACKGROUND: Encephalocele is a congenital anomaly that results from failure of complete neural tube closure during foetal development. It is a known cause of mortality and morbidity in infants. This study was carried out to highlight its distribution pattern in University of Port Harcourt Teaching Hospital over a three-year-period.METHODOLOGY: This is a retrospective study of children with encephalocele admitted from January 2007 to December 2009. The following information were obtained from their medical records: sex, age at diagnosis, distribution pattern, place of origin, detailed antenatal history, maternal occupation/level of education, family history, associated anomalies and outcome of surgery.RESULTS: 17 cases (10 females and 7 males) were seen over this period. 12 presented as frontal encephalocele while 5 were occipital. Their ages at diagnosis were: prenatal (determined by abdominal ultrasound) 5, 0-6 months 11, and 7-12 months 1. 9 of 17 mothers were unbooked. Pregnancy was uneventful in all cases. None had family history of encephalocele. 5 had multiple anomalies while 12 had only encephalocele. 10 patients had surgery, of which 9 were successful. 1 died in the immediate postoperative period. 7 patients did not have surgery. Among these, 3 died before surgery while the parents of 4 children refused operation. 10 mothers had primary education, 5 secondary, while 2 had attained tertiary education. CONCLUSION: Encephalocele may be frontal or occipital. The distribution pattern of our cases was in favour of frontal location, with slight female preponderance.KEYWORDS: Distribution Pattern; Encephalocele; Neural Tube Defects; Port Harcourt; Experienc

Hypersexual Behavior Following Craniocerebral Trauma– an Experience with Five Cases

Hypersexual behaviour is a recognized complication of head injuries which can be a source of great distress to patients and persons with whom these patients share significant relationships. In this article, we describe 5 patients who exhibited aberrant sexual behaviours following traumatic brain injury and discuss the relevant literature

Sylvian cleft meningioma: Surgical approach and postoperative morbidity

No Abstract. Nigerian Journal of Medicine Vol. 15 (4) October-December 2006: 437-44

Orgasmic cephalgia: an uncommon presentation

Background: Orgasmic cephalgia is rare; but it is likely that its prevalence is underestimated because of patients\' arrière pensée when it comes to disclosing personal information concerning their sexual activities. Aim: To report a case of orgasmic cephalgia in a 34-year-old housewife. Method: All information was obtained from her medical records and investigation results. Relevant literature on headaches associated with sexual activity was also reviewed. Result: Patient developed sudden onset severe headache at orgasm, which rapidly worsened over 6 months to the extent that she began to dread all forms of sexual activity. She had only used unprescribed medication. She responded well to naratriptan and anxiolytics. By the third month of treatment, her headaches had completely disappeared. Conclusion: Most cases of orgasmic cephalgia are benign and probably do not require specific treatment. Triptans are useful for those that do not respond to conventional analgesics. Keywords: Headache, Orgasm, Sexual activity, TriptansPort Harcourt Medical Journal Vol. 2 (3) 2008: pp. 268-27

Sylvian cleft meningioma: Surgical approach and postoperative morbidity

No Abstract. Nigerian Journal of Medicine Vol. 15 (4) October-December 2006: 437-44

Predicating Outcome Following Surgery For Myelomeningocele: A Upth Experience

Objectives: To evaluate outcome of treatment in children with myelomeningocele, and determine to what extent the clinical features at presentation can be utilized in predication of this outcome. Patients and methods: This study included patients with myelomeningocele admitted into the University of Port Harcourt Teaching Hospital over a two year period. All of them were operated upon by the same team using standard techniques. Results: Neurological impairment was least severe and outcome of surgery was most favorable in those children with small and lowlying defects. Conclusion: Management of the Neural Tube Defects, especially myelomeningocele, poses special problems. The results of surgery are not always satisfactory; and there is no consensus regarding surgical indications. The outcome following surgery probably depends on interplay of several factors. Our findings, however, confirm that the most important predictors of severity and perhaps the postoperative outcome are the level and size of the defect. KEY WORDS: Central Nervous System (CNS); clinical features; Myelomeningocele (MMC); Outcome prediction; Surgery. Nigerian Journal of Clinical Practice Vol.5(2) 2002: 103-10

Evaluation of the Level of Awareness of the Role of Folic Acid in the prevention of Neural Tube Defects amongst Women of Reproductive Age in a Tertiary Health Institution

No Abstrac