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.