Increased intracranial pressure in myelomeningocele (MMC) patients never shunted: results of a prospective preliminary study.

Abstract:

STUDY DESIGN:In some young adults non-shunted myelomeningocele (MMC) patients without symptoms or with unspecific clinical findings, moderate or severe stabilised ventriculomegaly are observed in control CT scans. Physicians are then faced with the so-called 'Arrested Hydrocephalus' (AH) syndrome. The present study is part of a prospective protocol in which patients with hydrocephalus associated with MMC and long-term clinical diagnosis of AH were included. OBJECTIVES:To evaluate myelomeningocele patients never shunted with clinical and/or CT scan criteria compatible with AH. SETTING:Multidisciplinary Spina Bifida Unit in a tertiary university hospital in Barcelona, Spain. METHODS:Fourteen MMC patients were selected, in all of them, continuous intracranial pressure (ICP) monitoring was performed. Analysis of the ICP records was done using the method described by Borgesen in mmHg. All patients were also studied by intelligence quotient (IQ) testing before and after shunting. RESULTS:The CT in all the study cases showed an Evans ratio

journal_name

Spinal Cord

journal_title

Spinal cord

authors

Iborra J,Pagès E,Cuxart A,Poca A,Sahuquillo J

doi

10.1038/sj.sc.3101032

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

495-7

issue

8

eissn

1362-4393

issn

1476-5624

journal_volume

38

pub_type

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