CERG-06 FROM IMPOSSIBLE TO FEASIBLE : SUCCESSFUL LAUNCH OF SURGERY FOR INTRACRANIAL TUMORS AT THE BOUAKE CHR

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Abstract Introduction Neurosurgery is an emerging discipline in several African hospitals. In Ivory Coast, the city of Bouaké could represent a pioneering center in the management of neurosurgical pathologies, particularly tumors, since the advent of the optical microscope and neuronavigation at the Bouaké CHR. Objective To determine the epidemioclinical, anatomopathological, therapeutic and evolutionary profile of intracranial tumors operated on at the Bouaké University Hospital Materials and methods This was a retrospective study with a descriptive aim covering a period of 5 months from November 1, 2024 to March 31, 2025. All patients operated on for an intracranial tumor were included. 20 cases were collected during the study period. Results The average age was 38.85 years with extremes (2 to 73 years). There was a slight male predominance of 55%. The main clinical signs found were headaches (100%), visual disturbance (65%), gait disturbance in 20%, cerebellar syndrome (20%), vomiting (15%), motor deficit (15%), vigilance disorder (7.69%), convulsive seizures (5.0%). MRI as a complement in 15 patients. Suprapentorial tumors represented 85% (17 cases). On histology, we found (30%) grade I meningothelial meningiomas, grade I neuroendocrine tumors (25%), gliomas (20%), medulloblastomas (15%), subependymal astrocytoma tumors (5%), rhabdomyosarcoma of the eye (5%) and adamantiomatous craniopharyngioma (5%). Management was carried out via the trans-sphenoidal endonasal route under neuronavigation for all pituitary tumors. Microscopic excision under neuronavigation in 90% (18 cases). It was complete in 10 cases. The evolution was favorable in 90% Conclusion The advent of neuronavigation and the microscope have made it possible to improve the management of intracranial tumors in Bouaké.

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