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Neurosurgery

Neurosurgery

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Published by susheewa

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Published by: susheewa on Jan 23, 2009
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09/29/2012

 
1/22/20091
Pediatric Surgery Care
Bby
By Susheewa Wichaikull
ระบบประสาท
 
Hydrocephalus (
อุทกเศียร
)
 
Meaningocele
 
Spina Bifida
Hydrocephalus is commonly known as'water on the brain'. A watery fluid ,known as cerebro-spinal fluid or CSF, 
Hydrocephalus
 of the four spaces or ventricles insidthe brain.
 
พยาธิสรีรภาพ
Choroid Plexus
ใน
 
Ventricle(Lateral)Third Ventricle,Fourth Ventricle
Foramen of MonroForamen of Luschka
Arachnoid
ไหล
 
Flow
ไปรอบสมองและไขสันห
Foramen of MagendieCistena Magna
Arachnoid Villi
ดูดซึมเข้ากระแสเลือด
 
1/22/20092
The condition is caused bythe inabiliof CSF to draininto the bloodstream.
What causes Hydrocephalus?
1
. The CSF abnormally flows through narrowpathways from one ventricle to the next.Such asTumor obstructionDand Walker C 
 
,
brain heamorrhage ,and so on.
2.
Communicate Hydrocephalus
 
The CSFis not absorbedinto the bloodstreamand recirculates well.Such as septicemia likMeaningitis,from mother disease , Genetic anfatiguegeneral malaise
Sign and Symtom
 
Acute HydrocephalusIncreasingIntracraneal Pressure
 
-•behavioural changes•Setting sun sign•Macewen’s sign
Cronic Hydrocephalus
How is Hydrocephalus Treated?
Some forms of hydrocephalus requireno specific treatment. Other forms aretemporary and do not require long-term . ,treatment, and this is usually surgical
.
Drugs have been used for many years butmay have unpleasant side effects andare not often successful.
The usual treatment is to inserta shunting device.Shunting controls the pressure bdraining excess CSF, so preventinge conon ecomng worse.An alternative treatment may be
 
third ventriculostomy. This treatmenif successful, avoids the need for a s
 
What is a Shunt?
A shunt is simply a device whichdiverts the accumulated CSF fromthe obstructed pathways andreturns it to the bloodstream.
 
1/22/20093
into the heart (ventriculo-atrial)into the abdomen (ventriculo-eritoneal.It is inserted surgically so that theupper end is in a ventricle of the brainand the lower end leads either,
 
into the outer lining of the lungs(ventriculo-pleural shunt
Treatment
•Ventriculo-atrial shuntVentriculo-peritonealshunt•Ventriculo-plural shuntVentriculo-atrial shunt•SB with Medication
What are the effects of hydrocephalus?
There can be learning difficulties associatedwith hydrocephalus such as problems with
 
concentration, reasoning and short-termmemor. Hdrocehalus can also result insubtle effects: giving problems withco-ordination, motivation and organisationalskills. Physical effects such asvisual problems,or early puberty in children, may also occur.
Nursing Care
Observe to precaution sign vomiting, headach,dizziness, photophobia (sensitivity to light)and other visual disturbances, drowsiness and fits
•Precaution In shunt infections•Observer Nuro sign , Vital sign
Semi Fowler’s positionTo measure abdomen and Head curcumcission
 
Spina Bifida
Spina Bifida is a fault in the spinal columnin which one or more vertebrae(the bones which form the backbone)fail to form roerl leavin a a or slitcausing damage to the centralnervous system.

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