Browsing by Author "Lagunju, I. A."
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Item Cranial magnetic resonance imaging findings in kwashiorkor(2010) Atalabi, O. M; Lagunju, I. A.; Tongo, O. O.; Adeyinka, O. O.Protein energy malnutrition (PEM) is an important public health problem in the developing countries, although it is becoming uncommon in South West Nigeria. Cerebral changes have been associated with severe PEM. This is study evaluated the neurological changed using Magnetic Reonance Imaging (MRI) in Ibadan south west Nigeria. The 5 children evaluated had a median age of 16 months and all the children had brain changes compatible with cerebral atrophy. In addition two of the children had periventricular white matter changes, while one of these two had mega cisterna magna in addition. Though this study did not re-evalute the brains of these childrenafter nutritional rehabilitation, it is possible that changes are reversible as demostrated in earleir studies.Item Intrauterine fetal death of one of twins, coexisting with hydranencephaly in the surviving co-twin: a case report(West African College of Physicians and the West African College of Surgeons., 2006) Olowu, J. A.; Lagunju, I. A.; Tongo, O. O.; Atalabi, M. A.Hydraenencephaly, a relatively rare malformation of the brain, is characterised by absence of the cerebral hemispheres and their replacement by sacs filled with cerebrospinal fluid. It is one of the recognized forms of intracranial malformations associated with intrauterine fetal demise of one of twins in monochrionic twin gestation. This report illustrates the development of hydranencephaly in a surviving twin sequel to intrauterine fetal demise of the cotwin.Item Pediatric hearing thresholds post-bacterial meningitis(2020-07) Jatto, M. E.; Adeyemo, A. A.; Ogunkeyede, S. A.; Lagunju, I. A.; Nwaorgu, O. G.Introduction: Disabling hearing loss as a sequela of bacterial meningitis results from damage to the auditory system. This study was designed to ascertain the hearing thresholds in survivors of bacterial meningitis and the risk factors of hearing loss in childhood bacterial meningitis. Methodology: One hundred and two children admitted and treated for bacterial meningitis were recruited prospectively along with 102 age- and sex-matched controls who had auditory evaluation using otoacoustic emission and auditory brain stem response tests 48 h prior to hospital discharge. This was also repeated at the follow-up clinic at 1 month after hospital discharge, irrespective of the initial hearing assessment results. Result: There were 57 (55.9%) males and 45 (44.1%) females among the cases (mean age, 5.34 ± 4.40 years) and 55 (53.9%) males and 47 (46.1%) females among the controls (mean age, 5.31 ± 3.15 years). The prevalence of hearing loss was 30.4% among the cases, while it was 6.9% among the controls. The risk factors of hearing impairment in this study were the presence of anemia, leukocytosis, and hypoglycorrhachia. Conclusion: Hearing impairment with varying degrees of severity is a frequent complication of bacterial meningitis in children