Long-term Results in the Treatment of Hydrocephalus

O'Brien, Mark S.; Harris, Mark E.

doi:10.1016/s1042-3680(18)30555-2

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…Long-term outcome following CSF shunt placement in patients with hydrocephalus has been evaluated in numerous studies since the 1960s. 1,3,4,[8][9][10][11][12][13][14][15][16][17][18][19][21][22][23][24][25] To date, no authors have provided an analysis-based evaluation of the risk factors associated with death in shunt-treated patients. The present study was performed to determine the causes of death in a large cohort of patients with hydrocephalus who had been followed very closely at a single institution.…”

Section: Discussionmentioning

confidence: 99%

Predictors of death in pediatric patients requiring cerebrospinal fluid shunts

Tuli

Tuli²,

Drake³

et al. 2004

Journal of Neurosurgery: Pediatrics

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Section: Discussionmentioning

confidence: 99%

Predictors of death in pediatric patients requiring cerebrospinal fluid shunts

Tuli

Tuli²,

Drake³

et al. 2004

Journal of Neurosurgery: Pediatrics

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“…The DDST was not developed to predict developmental outcome, but the literature and clinical experience suggest that referrals for intervention or special education are often based solely on DDST results [20, 21, 22, 23, 24]. …”

Section: Discussionmentioning

confidence: 99%

Hydrocephalic Children Presenting to a Malaysian Community-Based University Hospital over an 8-Year Period

Abdullah¹,

Naing²

2001

Pediatr Neurosurg

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There are few local statistics on the incidence of hydrocephalus and the outcome of hydrocephalic shunts in the South East Asian region. We report a retrospective study on 285 hydrocephalic patients who underwent shunting procedures between 1990 and 1998 at the University Hospital Science Malaysia, a regional referral center. Multiple logistic regression analysis was applied to predict determinants of outcome in relation to the timing of diagnosis, other congenital abnormalities associated with the hydrocephalus, timing of surgery and cortical thickness from CT scan. The relationship of shunt infection was correlated to the age of the patient and surgical procedure. The predictors for developmental outcome reported by this study were age at diagnosis, type of brain abnormalities and gender. Time of operation and cortical thickness did not contribute to the outcome.

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“…Among childhood neurodevelopmental disorders IH causes significant disability and needs continuous and expensive medical care239 (shunting procedures, etc). Therefore, we should continue to observe its prevalence, causative factors and associated defects in order to implement effective preventive measures.…”

Section: Discussionmentioning

confidence: 99%

“…Infantile hydrocephalus (IH) remains an important problem as its causes both antenatal and postnatal are multi-factorial and always requires expensive management. The outcome is invariably unpredictable since a large proportion of the affected children end up with significant neurological and intellectual handicap 23. This places a heavy burden on the family and the community at large.…”

Section: Introductionmentioning

confidence: 99%

Infantile hydrocephalus in the south-western region of Saudi Arabia

Awad

1992

Annals of Tropical Paediatrics

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During the period January 1988 to December 1990, the overall incidence of infantile hydrocephalus in the south-western region of Saudi Arabia was 0.81/1000. The series comprised 61 infants affected by infantile hydrocephalus. The total number of live births in this period was 74,923. Hydrocephalus associated with spinal dysraphism (spina bifida cystica and encephalocoele) constituted 24 cases (39.3%), and there was aqueduct stenosis in 10 cases (16.4%). Nine cases (11.9%) were post-meningitic, and seven (14.8%) post-haemorrhagic. There was Dandy-Walker malformation in five cases (8.2%), three (4.9%) had congenital idiopathic hydrocephalus, two (3.3%) congenital toxoplasmosis, and one (1.6%) isolated Arnold Chiari malformation. There were congenital causes in 45 cases, 73.7% of all the cases in this series (incidence: 0.6/1000 births). Of the remaining 16 cases (26.3%) which were due to postnatal factors, seven (11.5%) were caused by acquired cerebral haemorrhage, only two of them being premature, and the other nine (14.8%) were due to meningitis. The data indicate the predominance of prenatal causes of infantile hydrocephalus and the relatively low contribution of extreme prematurity. This is possibly due to the high mortality of this group of infants in this region.

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Long-term Results in the Treatment of Hydrocephalus

Cited by 11 publications

References 15 publications

Predictors of death in pediatric patients requiring cerebrospinal fluid shunts

Predictors of death in pediatric patients requiring cerebrospinal fluid shunts

Hydrocephalic Children Presenting to a Malaysian Community-Based University Hospital over an 8-Year Period

Infantile hydrocephalus in the south-western region of Saudi Arabia

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