Hydrocephalus in infancy and childhood: diagnosis and indication for operation.

Abstract:

:Improvement of the prognosis for children suffering from hydrocephalus requires prompt diagnosis and reliable indication of surgical treatment. Today, intrauterine hydrocephalus is detectable within the first three months of pregnancy; in infancy, before the cranial sutures have fused, pathological growth of the head is the principal sign confirming together with anatomical examinations (ultrasound, CT scan) the indication of operative treatment. In later childhood, surgical treatment is only definitely indicated by symptoms and morphological examination of clearly active hypertensive hydrocephalus. Intermittently normotensive hydrocephalus (not "normal-pressure-hydrocephalus"!) showing symptoms adapted to childhood, however, often requires exact examination of intracranial pressure dynamics, including quantitative volume provocation test. "Step-by-step-procedure" is advisable (Table III).

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Gaab MR,Koos WT

doi

10.1055/s-2008-1052363

subject

Has Abstract

pub_date

1984-10-01 00:00:00

pages

173-9

issue

4

eissn

0174-304X

issn

1439-1899

journal_volume

15

pub_type

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