title: [Neuro-surgical exophthalmias (retrospective study of 27 cases at the C.H.U. of Dakar)].
abstract: The report covers 27 cases of neuro-surgical exophthalmia treated at Dakar U.H.C. between 1970 and 1987. Unilateral forms are the most common (25 cases), usually discovered at the bulging stage. Exploration was undertaken by the usual means of X-ray without contrast, echography, arteriography, and fractioned, gaseous encephalography employed together in varying degrees. The main etiologies are tumours (70%), largely benign, and specific and non-specific inflammation (18.5%). Surgery was prescribed in 18 cases, including 11 orbitotomies--8 frontal and 3 fronto-temporal. Malformation syndromes, and above all very advanced pathologies challenged surgical skill in 9 of the cases. Generally speaking, post operational results are favourable, but 3 deaths are reported and one relapse. Tomodensitometry, modern anaesthetic and revival techniques, and the important collaboration between the ophthalmologist and the neuro-surgeon are all factors in successfully mastering neuro-surgical protrusions.
authors: Clinique Ophtalmologique C.H.U. Le Dantec, Dakar.
authors: O C
authors: OC
authors: Cheikh Tidiane
authors: P A
authors: PA
authors: Ndiaye
authors: M R
authors: MR
authors: Ndiaye
authors: M
authors: M
authors: Gueye
authors: A
authors: A
authors: Wade
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications; D006801:Humans; D007249:Inflammation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology
vernacular_title: Exophtalmies neuro-chirurgicales (etude rétrospective de 27 cas au C.H.U. de Dakar).