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Hydrocephalus

  • Nadine Nielsen
  • Amanda Breedt
Chapter

Abstract

Hydrocephalus is the most common neurosurgical problem encountered by pediatric neurosurgeons. The overall incidence is difficult to determine, as hydrocephalus can occur as an isolated condition or in conjunction with many other neurological diseases and conditions.

It is important that the neurosurgery nurse understands how to assess the child with hydrocephalus and to have accurate information to provide to families.

This informative chapter is one of the most popular in the book, as it reviews the history of hydrocephalus and current research and treatments. The authors have included many new photographs, as well as classic ones. The patient examples and personal stories help to make the concepts more clear.

Keywords

Cerebral Spinal Fluid Endoscopic Third Ventriculostomy Arachnoid Cyst Shunt Infection Aqueductal Stenosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Abtin K, Walker ML (1999) Congenital arachnoid cysts and the Dandy-Walker complex. In: Albright AL, Pollack IF, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 125–139Google Scholar
  2. Adzick NS, Thom EA, Spong CY, Brock JW et al (2011) A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med 364(11):993–999PubMedCrossRefGoogle Scholar
  3. Albright A, Pollak I, Adelson P (eds) (2007) Principals and practice of pediatric neurosurgery. Thieme, New YorkGoogle Scholar
  4. Boop F (2004) Posthemorrhagic hydrocephalus of prematurity. In: Cinalli G, Maixner WJ, Sainte-Rose C (eds) Pediatric hydrocephalus. Springer, Milano, pp 121–131Google Scholar
  5. Brack M, Taylor AG, Walker ML (1994) Hydrocephalus: etiology, pathologic effects, diagnosis and natural history. In: Cheek WE, Marlin AE, McLone DG, Reigel DH, Walker ML (eds) Pediatric neurosurgery. Surgery of the developing nervous system. WB Saunders, Philadelphia, pp 185–199Google Scholar
  6. Choux M, Dirocco C, Hockley AD, Walker ML (1999) Pediatric neurosurgery. Churchill Livingstone, LondonGoogle Scholar
  7. Cinalli G, Saint-Rose C, Chumas P, Zerah M, Brunelle G, Lot G, Pierre-Kahn A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448–453PubMedCrossRefGoogle Scholar
  8. Cinalli G, Spennato P, Del Basso De Caro ML, Buonocore MC (2004) Hydrocephalus and the Dandy-Walker malformation. In: Cinalli G, Maixner WJ, Sainte-Rose G (eds) Pediatric hydrocephalus. Springer, Milano, pp 259–277Google Scholar
  9. Ciurea AV, Coman TC, Mircea D (2004) Postinfectious hydrocephalus in children. In: Cinalli G, Maixner WJ, Sainte-Rose G (eds) Pediatric hydrocephalus. Springer, Milano, pp 201–218Google Scholar
  10. Committee on Infectious Diseases (2000) Report of the committee of infectious diseases, 25th edn. The American Academy of Pediatrics, Elk Grove VillageGoogle Scholar
  11. Da Silva MD, Michowicz S, Drake JM et al (1995) Reduced local cerebral blood flow in periventricular white matter in experimental neonatal hydrocephalus restoration with CSF shunt. J Cereb Blood Flow Metab 15:1057–1065PubMedCrossRefGoogle Scholar
  12. Dandy WE, Blackfan KD (1914) Internal hydrocephalus. An experimental, clinical and pathological study. Am J Dis Child 8:406–482Google Scholar
  13. Dias MS (2005) Neurosurgical management of myelomeningocele spina bifida. Pediatr Rev 26:50–58PubMedCrossRefGoogle Scholar
  14. Ditmyer S (2004) Hydrocephalus. In: Jackson PL, Vessey JA (eds) Primary care of the child with a chronic condition. Mosby, St. Louis, pp 543–559Google Scholar
  15. Greenberg MS (2010) Handbook of neurosurgery. Thieme, New YorkGoogle Scholar
  16. Haines SJ (1999) Shunt infections. In: Albright AL, Pollack IF, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 1177–1185Google Scholar
  17. Hoang S, Chowdhri O, Edwards M, Guzman R (2009) Vein of Galen malformation. Neurosurg Focus 27(5):E8PubMedCrossRefGoogle Scholar
  18. Hoppe-Hirsch E, Laroussinie F, Burnett L, Sainte-Rose C, Reiner D, Cinalli G et al (1998) Late outcome of the surgical treatment of hydrocephalus. Childs Nerv Syst 14:97–99PubMedCrossRefGoogle Scholar
  19. Huber-Okrainec J, Dennis M, Brettschneider J, Spiegler BJ (2002) Neuromotor speech deficits in children and adults with spina bifida and hydrocephalus. Brain Lang 80:592–602PubMedCrossRefGoogle Scholar
  20. Kestle JR, Riva-Cambrin J, Wellons JC, Kulkarni A, Whitehead WE et al (2011) A standardized protocol to reduce cerebrospinal fluid shunt infection: the hydrocephalus clinical research network quality improvement initiative. J Neurosurg Pediatr 8:22–29PubMedCrossRefGoogle Scholar
  21. Kulkarni AV, Drake JM, Mallucci CL, Sgouros S, Roth J, Constantini S (2009) Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr 155(2):254–259PubMedCrossRefGoogle Scholar
  22. Langingham MV, Nguyen TV, Robert A, Parent AD, Zhang J (2009) Risk factors of congenital hydrocephalus: a 10 year retrospective study. J Neurol Neurosurg Psychiatry 80:213–217CrossRefGoogle Scholar
  23. Laurance LM, Coates S (1962) The natural history of hydrocephalus. Detailed analysis of 182 unoperated cases. Arch Dis Child 37:345–361CrossRefGoogle Scholar
  24. Lockhart PB, Loven B, Brennan MT, Fox PC (2007) The evidence base for the efficacy of antibiotic prophylaxis in dental practice. J Am Dent Assoc 138:458–465PubMedGoogle Scholar
  25. Mapstone TB, Rekate HL, Nulson FE (1984) Relationship of CSF shunting and IQ in children with myelomeningocele: a retrospective analysis. Childs Brain 11:112–118PubMedGoogle Scholar
  26. Marlin AE, Gaskill ST (1994) Cerebrospinal fluid shunts: complications and results. In: Cheek WR, Marlin AE, McLone DG, Reigel DH, Walker ML (eds) Pediatric neurosurgery. Surgery of the developing nervous system. W. B. Saunders Company, Philadelphia, pp 221–231Google Scholar
  27. McLone DG (2001) Pediatric neurosurgery. Surgery of the developing nervous system, 4th edn. W. B. Saunders Company, PhiladelphiaGoogle Scholar
  28. Milhorat TH (1982) Hydrocephalus historical notes, etiology, and clinical diagnosis. In: Section of Pediatric Neurosurgery of the American Association of Neurological Surgeons (ed) Pediatric neurosurgery. Surgery of the developing nervous system. Grune & Stratton, New York, pp 192–210Google Scholar
  29. Oertel JM, Mondork J, Baldauf J, Schroeder HW, Gaab MR (2009) Endoscopic third ventriculostomy for obstructive hydrocephalus due to intracranial hemorrhage with intraventricular extension. J Neurosurg 111:1119–1126PubMedCrossRefGoogle Scholar
  30. Olson S (2004) The problematic slit ventricle syndrome. Pediatr Neurosurg 40:264–289PubMedCrossRefGoogle Scholar
  31. Penzkofer AK, Pfluger T, Pochmann Y, Meissner O, Leinsinger G (2002) MR imaging of the brain in pediatric patients: diagnostic value of HASTE sequences. AJR Am J Roentgenol 179:509–514PubMedCrossRefGoogle Scholar
  32. Raffel C, McComb G (1994) Arachnoid cysts. In: Cheek WR, Marlin AE, Reigel DG, Walker ML (eds) Pediatric neurosurgery. Surgery of the developing nervous system. W. B. Saunders Company, Philadelphia, pp 104–110Google Scholar
  33. Rekate HL (1999) Treatment of hydrocephalus. In: Albright A, Pollack I, Adelson D (eds) Principals and practice of pediatric neurosurgery. Thieme Medical Publishers, Inc., New York, pp 47–73Google Scholar
  34. Rekate HL, Wallace D (2003) Lumboperitoneal shunts in children. Pediatr Neurosurg 38:41–46PubMedCrossRefGoogle Scholar
  35. Rosen S (1998) Educating students who have visual impairments with neurological disabilities. In: Sacks SZ, Silberman RK (eds) Educating students who have visual impairments with other disabilities. Paul H. Brooks, BaltimoreGoogle Scholar
  36. Said RR, Rosman NP (2004) A negative cranial computed tomographic scan is not adequate to support a diagnosis of pseudotumor cerebri. J Child Neurol 19:609–613PubMedCrossRefGoogle Scholar
  37. Sainte R (2004) Hydrocephalus in pediatric patients with posterior fossa tumours. In: Cinalli G, Maixner WJ, Sainte-Rose G (eds) Pediatric hydrocephalus. Springer, Milano, pp 155–162Google Scholar
  38. Sato O, Yamguchi T, Ketaaka M, Toyoma (2001) Hydro­cephalus and epilepsy. Childs Nerv Syst 17:76–86PubMedCrossRefGoogle Scholar
  39. Schneider SJ, Wiscoff JS, Epstein FJ (1992) Complications of ventriculoperitoneal shunt procedures or hydrocephalus associated with vein of Galen malformations in childhood. Neurosurgery 30:906–908Google Scholar
  40. Scott MA (1998) Memory functions in children with early hydrocephalus. Neuropsychology 12:578–589PubMedCrossRefGoogle Scholar
  41. Sgouros S (2004a) Management of spina bifida, hydrocephalus and shunts. E-Medicine. Retrieved 9 Sept 2005, from http://www.emedicine.com/ped/topic2976.htm
  42. Sgouros S (2004b) Hydrocephalus with myelomeningocele. In: Cinalli G, Maixner WJ, Sainte-Rose G (eds) Pediatric hydrocephalus. Springer, Milano, pp 133–144Google Scholar
  43. Sgouros S, Malluci C, Walsh AR, Hockley AD (1995) Long term complications of hydrocephalus. Pediatr Neurosurg 23:127–132PubMedCrossRefGoogle Scholar
  44. Shurtleff DB, Foltz EL, Loeser JD (1973) Hydrocephalus, a definition of its progression and relationship to intellectual function, diagnosis and complications. Am J Dis Child 125:688–693PubMedGoogle Scholar
  45. Simon TD, Riva-Cambrin J, Srivastava R, Bratton SL, Dean JM, Kestle JR (2008) Hospital care for children with hydrocephalus in the United States: utilization, charges, comorbidities, and death. J Neurosurg Pediatr 1:131–137PubMedCrossRefGoogle Scholar
  46. Simon TD, Hall M, Riva-Cambrin J, Albert E, Jeffries HE, LaFleur B, Dean M, Kestle J (2009a) Infection rates following initial cerebrospinal fluid shunt placement across pediatric hospitals in the United States. J Neurosurg Pediatr 4(2):156–165PubMedCrossRefGoogle Scholar
  47. Simon TD, Lamb S, Murphy NA, Hom B, Walker ML, Clark EB (2009b) Who will care for me next? Transitioning to adulthood with hydrocephalus. Pediatrics 125:1431–1438CrossRefGoogle Scholar
  48. Sokoloff L (1989) Circulation and energy metabolism of the brain. In: Siegel GJ, Agranoff BW, Albers RW (eds) Basic neurochemistry. Molecular, cellular and medical aspects. Ravens Press, New York, pp 565–590Google Scholar
  49. Sutton LN (2005) Spinal dysraphism. In: Rengachary SS, Ellenbogen RG (eds) Principles of neurosurgery. Elsevier Mosby, New York, pp 99–115Google Scholar
  50. Teo C, Mobbs R (2005) Neuroendoscopy. In: Rengachary SS, Ellenbogen RG (eds) Principles of neurosurgery. Elsevier Mosby, New York, pp 145–156Google Scholar
  51. University of California, San Francisco (2000) About hydrocephalus – a book for families. (Brochure). Editor, FudgeGoogle Scholar
  52. Wang PP, Avellino AM (2005) Hydrocephalus in children. In: Rengachary SS, Ellenbogen RG (eds) Principles of neurosurgery. Elsevier Mosby, New York, pp 117–136Google Scholar
  53. Warf B, Campbell JW (2008) Combined endoscopic third ventriculostomy and choroid plexus cauterization as primary treatment of hydrocephalus for infants with myelomeningocele: long-term results of a prospective intent-to-treat study in 115 East African infants. J Neurosurg Pediatr 2:310–316PubMedCrossRefGoogle Scholar
  54. Whitelaw A, Kennedy CR, Brion LP (2001) Diuretic therapy for newborn infants with posthemorrhagic ventricular dilation. Cochrane Database Syst Rev (2):CD002270Google Scholar
  55. Yamada J (2002) Neurological origins of poor reading comprehension despite fast word decoding. Brain Lang 80:253–259PubMedCrossRefGoogle Scholar
  56. Zada G, Krieger MD, McNatt SA, Bowen I, McComb JG (2007) Pathogenesis and treatment of intracranial arachnoid cysts in pediatric patients younger than 2 years of age. Neurosurg Focus 22(2):1–5CrossRefGoogle Scholar
  57. Zahl S, Egge A, Helseth E, Wester K (2011) Benign external hydrocephalus: a review, with emphasis on management. Neurosurg Rev 34:417–432PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of NeurosurgeryChildren’s Hospital and Regional Medical CenterSeattleUSA

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