Pitfalls in the diagnosis of arrested hydrocephalus
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.
KeywordsPublic Health Compute Tomography Hypertension Clinical Sign Hydrocephalus
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- 2.Anderson, M. F., Ventricularoauriculostomy in the treatment of hydrocephalus. J. Neurosurg.16 (1959), 551–557.Google Scholar
- 5.Discussion: from the Interim Meeting of the Pediatric Section of the American Association of Neurological Surgeons, Philadelphia, January, 1976.Google Scholar
- 10.Hagberg, B.,et al., The chronic brain syndrome of infantile hydrocephalus. Amer. J. Dis. Child.122 (1966), 189–196.Google Scholar
- 11.Ingraham, F. D.,et al., Neurosurgery of infancy and childhood. 2nd ed. Springfield, Ill.: Ch. C Thomas. 1969.Google Scholar
- 15.Lorber, J., Results of treatment of myelomeningocele. An analysis of 524 unselected cases, with special reference to possible selection for treatment. Developm. Med. & Child. Neurol.13 (1971), 279–303.Google Scholar
- 16.Milhorat, T. H., Hydrocephalus and the cerebrospinal fluid. Baltimore: The Williams & Wilkins Co. 1972.Google Scholar
- 17.Nulsen, F. E., Developmental outcome in children treated surgically in infancy for progressive hydrocephalus. Proc. Inst. Med. Chicago25 (1964), 122–125.Google Scholar
- 18.Ransohoff, J., New vistas in the treatment of hydrocephalus. From Workshop in Hydrocephalus. K. Shulman, ed., p. 135. Philadelphia: University of Pennsylvania Press. 1966.Google Scholar
- 19.Salmon, J. H., Management of the collapsed ventricle. Trans. of the Annual Meeting of the Congress of Neurological Surgeons, Atlanta. 1975.Google Scholar
- 22.Wislocki, G. B.,et al., Absorption from the ventricles in experimentally produced internal hydrocephalus. Amer. J. Anat.29 (1921), 313–320.Google Scholar