Posthaemorrhagic hydrocephalus: Diagnosis, differential diagnosis, treatment, and long-term results
| Autor: | John Lorber, Usha S. Bhat |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
Male
Child abuse medicine.medical_specialty Adolescent medicine.medical_treatment Isosorbide Dinitrate Erythroblastosis Fetal Pregnancy Birth Injuries medicine Humans Meningitis Pneumoencephalography Child Abuse Spasticity Cerebral Ventriculography Child Cerebral Hemorrhage business.industry Infant Newborn Infant Original Articles Vitamin K Deficiency Bleeding medicine.disease Cerebrospinal Fluid Shunts Birth injury Hydrocephalus Surgery Hematoma Subdural Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom Differential diagnosis business Follow-Up Studies |
| Zdroj: | Archives of Disease in Childhood. 49:751-762 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/adc.49.10.751 |
| Popis: | The clinical features, investigations, and results of treatment are described in a series of 47 infants with posthaemorrhagic hydrocephalus. 7 were unfit for treatment; 3 had medical (isosorbide) treatment alone, 2 of whom made a good recovery; the remaining 37 were surgically treated. 32 (68%) survived for 18 months to 16 years, but 12 of them are severely affected mentally and/or physically. The results can be considered satisfactory in 19 (40%), though there are only 9 (19%) without detectable sequelae. The most serious adverse prognostic features on admission were acute illness with active bleeding or neurological signs such as spasticity, fits, visual defects, or subdural effusions, and such infants did not recover without severe sequelae. The degree of hydrocephalus was also of prognostic value. Since results could have been far better with better management, it is hoped that the publication of this series will lead to better care and prognosis. |
| Databáze: | OpenAIRE |
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