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Dr. VASHDEV KHIMANI ASSISTANT PROFESSOR DEPT. OF NEUROSURGERY LUMHS JAMSHORO
Hydrocephalus derived from Greek word means water on brain. It is an abnormal accumulation of CSF in ventricles or cavities of brain
Functions of CSF 1. Shock absorber 2. Delivering nutrients to the brain removing waste products. 3. Flow between cranium & spine & compensate for changes in intracranial blood volume.
Ventricular system is made up of 4 ventricles 2 lateral ventricles Third ventricle 4 th ventricle
Flow of CSF
Congenital: T hat present at birth Genetic defects (Aqueduct stenosis) Developmental defect (Neural tube defect) Intraventricular hemorrhage complication of premature birth.
Aqueduct of Stenosis.
Causes. ACQUIRED : That present after the birth Meningitis Brain tumor Traumatic head injury Subarachnoid hemorrhage.
Traumatic head injury
Normal pressure hydrocephalus (NPH) Triad of(Gate disturbance, urinary incontinence, dementia ).
Ex vacuo hydrocephalus Present when brain insult leads atrophy
Ex vacuo hydrocephalus
Pediatric age group Irritability, poor feeding, lethargic, vomiting, delayed milestones. SIGNS Increase OFC (occipitofrontal circumference) Visible scalp veins Sunset eye phenomenon Bulging fontenella
Adult age group Headache Vomiting Blurred vision Dizziness Altered level of consciousness Papilloedema Cushing triad (Bradycardia, Hypertension, Respiratory irregularities)
Routine hematological Ultrasound brain CT scan brain MRI brain
Ultrasound brain Size of ventricles Corticomantle thickness
Normal Ctscan Abnormal Ctscan
When CSF is clear Patient is a febrile Normal CSF status Glucose 40-60mg/dl protein 15-40mg/dl Cells 0-5/cm predominantly lymphocyte
Flow is essence of life
Specific Treatment Brain bypass surgery Ventriculoperitoneal shunt Ventriculoatrial shunt Ventriculoplural shunt
Complications of VP Shunt. Shunt Malfunctioning. Shunt block. Shunt Infection. Slit like
Assistant Professor Department of Paediatrics ANMC.
Congenital CNS abnormality إعــــداد م. د. علي طارق عبد الواحد إختصاص جراحة الجملة العصبية كلية الطب / جامعة بغداد 2015.
HYDROCEPHALUS. Definition: Increase the amount of CSF in the cranial cavity, with or without increase in its tension.
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Hydrocephalus. Definition Hydrocephalus is the result of buildup of CSF in the ventricles of the brain Fig Hydrocephalus and Ventriculoperitoneal Shunts.
Hydrocephalus. Hydrocephalus also known as "water on the brain", is a medical condition in which there is an abnormal accumulation of cerebrospinal fluid.
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Case presentation in normal pressure hydrocephalus 中國醫藥大學附設醫院神經部 楊玉婉.
The term hydrocephalus is derived from the Greek words “hydro” meaning water and “cephalus” meaning head. As the name implies, it is a condition in.
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HYDROCEPHALUS. Definition: Hydrocephalus is defined as abnormal accumulation of cerebrospinal fluid (CSF) within the ventricles and subarachnoid spaces.
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By: Sam Squires 3 rd period. Its scientific name is hydrocephalus In lamen’s terms it is referred to as “water on the head”. Titles.
1. Hydrocephalus is the buildup in the cavities (ventricles) deep within the brain. The excess fluid increases the size of the ventricles and puts extra.
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Edema Increased water in brain parenchyma.. Types of Herniations 1.Subfalcine herniation (cingulate gyrus) 2.Transtentorial Herniation (uncal gyral) 3.Tonsillar.
Diamond Speight 3/5/13 Psychology (honors). Hydrocephalus/ “water in the brain” Hydrocephalus is a medical condition in which there is an abnormal accumulation.
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Central Nervous System Disorders Unit II Syllabus Welcome to MS Nervous System Unit II 1) CNS Infections & Inflammatory disorders (activity) 2) Increased.
Hydrocephalus & Shunts Sean’s Story. What is hydrocephalous? Hydrocephalus is the medical term for a condition that is commonly called “water on the brain.”
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Bacterial Meningitis in Children Dr Rajesh Kumar MD (PGI), DM (Neonatology) PGI, Chandigarh, India Rani Children Hospital, Ranchi.
Lumber Puncture. Step 1: Body position 1.The patient is placed in a lateral recumbent position, the back as near the edge of the bed as possible. 2.The.
Sponge: Set up Cornell Notes on pg. 19 Topic: 11.2: Ventricles- CSF and TBI Essential Question: None. 2.1 Atoms, Ions, and Molecules 11.2:Ventricles-CSF-
Hydrocephalus From Greek hydrokephalos, from hydr- + kephalE head Definition: An abnormal increase in the amount of cerebrospinal fluid within the cranial.
Systematic Approach to Reading a Non-Contrast Head CT Scan.
Online Module: Hydrocephalus. Hydrocephalus Derived from Greek words: Derived from Greek words: “Hydro” – water “Hydro” – water “Cephalus” – head “Cephalus”
INTRAVENTRICULAR HEMORRHAGE IN THE NEONATE YURIDIA, KENNEDY RT-29 NEONATAL.
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The under drainage problems of Low-Pressure Hydrocephalus Patients: A clinical study Vaner Köksal /Recep Tayyip Erdoğan University Introduction; font size.
Hydrocephalus. Background What is hydrocephalus? Abnormal accumulation of cerebrospinal fluid in the ventricles of the brain Results in elevated intracranial.
An Overview of Neurosurgery and Spina Bifida Joseph H Piatt, Jr, MD, FAAP Section of Neurosurgery.
Cerebrospinal fluid. The subarachnoid space on the outside of the brain is in continuity with a similar space around the spinal cord and also with the.
Know the common types of congenital malformations of the CNS and have a basic knowledge of their pathological features. Correlate CNS normal development.
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Copyright © 2005 by Elsevier, Inc. All rights reserved. The Child with a Neurologic Alteration Chapter 52.
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Hemorrhagic stroke. Alternative names brain bleeding brain hemorrhage stroke – hemorrhagic hemorrhagic cerebrovascular disease.
Intracranial Hemorrhage of the newborn (ICH). purpose To be familiar with etiology, pathogenesis and prognosis To master clinical manifestation To master.
WARM UP 3/13 1. Make 6 multiple choice questions from any of the notes from this chapter.
Class grades 3 Quizzes 9/27: Ventricular System 11/20: Brainstem and Basal Ganglia 12/6: Cranial Nerves Clinical Notebooks Due: 11/13----no late submissions.
GOOD MORNING! Thursday, February 2, CSF Shunts Used in the setting of hydrocephalus to divert CSF to another part of the body for absorption Proximal.
Meningitis. complications Bacterial meningitis is serious condition and if not treated rapidly; may have mortality by 30%. Delay in treatment may lead.
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