Document Detail


The changing face of paediatric hydrocephalus: a decade's experience.
MedLine Citation:
PMID:  17822902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
All 253 children receiving neurosurgical intervention for hydrocephalus (HCP) at a single British Neurosurgical Unit over a decade were investigated by retrospective case note review. Referral rates and mean age at presentation remained stable throughout, as did proportions of children presenting due to myelomeningocoele or meningitis. Comparing the first and second halves of the decade, the predominant aetiologies (intraventricular haemorrhage [IVH] at <1 year and brain tumour at 1-16 years) reduced from comprising half (70/129) of all cases to just over one-third (43/124). Other significant changes included a 45% reduction in neonatal IVH and a 179% increase in rare miscellaneous disorders. Outcome after 4 years of follow-up for all patients showed 44.4% without deficit, 11.9% with non-cognitive neurological deficits only, 11.5% with cognitive impairment only, 13.5% with both cognitive and neurological impairments, and 15.5% mortality.
Authors:
Alexander L Green; Erlick A C Pereira; Dominic Kelly; Peter G Richards; Michael G Pike
Publication Detail:
Type:  Journal Article     Date:  2007-09-05
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  14     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-23     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1049-54     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, The Radcliffe Infirmary, Woodstock Road, Oxford, OX2 6HE, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Brain Neoplasms / complications,  epidemiology
Cerebral Hemorrhage / complications,  epidemiology
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Hydrocephalus* / epidemiology,  etiology,  surgery
Incidence
Infant
Male
Meningitis / complications,  epidemiology
Meningomyelocele / complications,  epidemiology
Morbidity
Reoperation / statistics & numerical data
Retrospective Studies
Treatment Outcome
Ventriculoperitoneal Shunt / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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