Acta Neurochirurgica

, Volume 43, Issue 1–2, pp 13–17 | Cite as

Pitfalls in the diagnosis of arrested hydrocephalus

  • H. E. James
  • L. Schut


Arrested hydrocephalus probably results from improvement of CSF circulation during growth. Although a generally accepted condition, its mode of onset, its presence in a given patient, and time required to establish the absence of progressive hydrocephalus have not been defined. Five patients are presented with ostensibly arrested hydrocephalus due to: aqueductal stenosis, communicating hydrocephalus, and Dandy-Walker malformation. In a period ranging from 4 to 13 years, they presented clinical signs of decompensation with intracranial hypertension. One had never had a shunt procedure. Another two were performing well in school until they suddenly deteriorated. The diagnosis of arrested hydrocephalus requires close follow-up well into adolescence, with periodic neurological and psychomotor evaluations. Sequential observation of the ventricular size with computed tomography (CT) is recommended.


Public Health Compute Tomography Hypertension Clinical Sign Hydrocephalus 
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Copyright information

© Springer-Verlag 1978

Authors and Affiliations

  • H. E. James
    • 1
    • 2
    • 3
  • L. Schut
    • 1
    • 2
    • 3
  1. 1.University Hospital, Division of NeurosurgeryUniversity of California Medical CentreUSA
  2. 2.The Children's Hospital of PhiladelphiaUSA
  3. 3.University of PennsylvaniaUSA

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