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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
Central Nervous System Disorders Unit II Syllabus
Bacterial Meningitis in Children
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.
Dr. Amanj Burhan Special neurosurgeon 4/19/20151.
Hydrocephalus. Background What is hydrocephalus? Abnormal accumulation of cerebrospinal fluid in the ventricles of the brain Results in elevated intracranial.
Treatment of hydrocephalus at the Wessex Neurological Centre
Hemorrhagic stroke. Alternative names brain bleeding brain hemorrhage stroke – hemorrhagic hemorrhagic cerebrovascular disease.
CSF The cerebrospinal fluid is a colourless fluid that, as the name indicates, can be found around and inside the brain and spinal cord in the subarachnoid.
Class grades 3 Quizzes Clinical Notebooks Due: 2 Exams
Congenital Malformations and Hydrocephalus
VP Shunts Division of Child Neurology Department of Pediatrics
Epilepsy SierraLynn Johnson Maggie Trainor. Epilepsy Epilepsy is a brain disorder in which a person has repeated seizures (convulsions) over time. Seizures.
Hydrocephalus From Greek hydrokephalos, from hydr- + kephalE head
Diseases of CNS By Dr. Abdelaty Shawky Dr. Gehan Abdel-Monem.
Assistant Professor Department of Paediatrics ANMC.
Care of Children Experiencing Alterations in Neurologic Function Marydelle Polk, Ph.D., ARNP-CS Florida Gulf Coast University.
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.
HYDROCEPH ALUS NEIL BARRY 11/0537/1159 MEDICAL AND SURGICALCONDITIONS.
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