College of Health Sciences

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Author: search.filters.author.Kwari Shiktira DanladiStart date: 2020

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    The Prevalence of Spinal Headache in Post Caesarean Section Patients in Nile University Teaching Hospital
    (Nile University of Nigeria, 2025-01-02) Nwokorie, R.M.; Kwari Shiktira Danladi; Acha. K.C.; Balogun, A.
    Background: Post-dural puncture headache (PDPH) is a known complication of dural puncture during epidural analgesia and subarachnoid block (SAB). It is common in pregnant women. The incidence is variable and is influenced by several factors. Method: A prospective study that involved all consenting patients who had caesarean section done under SAB between June 2023 and November 2023. SAB was performed using Quincke needles, sizes 25G to 27G. Patients were followed up and data were collected using a structured questionnaire. Results: One hundred and sixty-one (161) parturients were recruited and 36 had PDPH giving a prevalence of 22.36%. The majority 17 (47.22%) of the patients who developed PDPH, had mild headaches in severity, 14 (38.89%) had moderate headaches, and 5 (13.89%) had severe headaches. A higher incidence of headaches was found in women who had a successful procedure using 25G needles with multiple attempts than those who used 26 and 27 G needles and were successful at the first attempt. Conclusion: The high prevalence of PDPH observed in this study may be attributed to the traumatic Quincke needles and multiple attempts at the institution of the block
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    Post Partum Ptosis: Report of a Case at the Asokoro Hospital Abuja, North Central Nigeria.
    (Nile University of Nigeria, 2025-01-02) Okudo Adaora Chinwendu; Ofodile, N.; Kalambe Aisha Sheriff; Zubair, S.; Kwari Shiktira Danladi
    Post-partum ptosis is a rare cause of acquired ptosis which is mostly unilateral and occurs due to changes in the levator aponeurosis resulting from hormonal, fluid accumulation, and stress changes in labor and delivery. Risk factors include multiple pregnancies, advanced maternal age, and high body mass index. Presenting a 32-year-old businesswoman with drooping of the left upper eyelid which started 21 days after the delivery of her second child. There was no diplopia, deviation of eyes, variation during the day, or affection of daily living. No previous history. Her body mass index was 34.7 kg/m2 with a visual acuity of 6/5 and 6/4, intraocular pressures of 14 and 15 mmHg respectively. Normal extraocular eye movements. Her Margin Reflex distance 1, Margin Reflex distance 2, Upper lid excursion (levator function), and palpebral fissure height at presentation were 4,5,15and 9 mm in the right eye and 1, 5, 15, and 6 mm in the left eye. These measures started improving from the first month post-partum resolving at 1 year and 3 months post-presentation. Physicians should keep in view pregnancy-related ptosis as a rare cause of unilateral ptosis amongst women who recently gave birth.