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Hydrocephalus 9

Hydrocephalus 9

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Published by Shesly Philomina

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Published by: Shesly Philomina on Aug 15, 2010
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10/26/2013

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TimeSpecificobjectiveContentTeachinglearningactivityAVaidsEvaluat-ionIntroduce thetopicDefine theconditionEnlist theincidenceDiscuss therelated Anatomy
HYDROCEPHALUSIntroduction
 “Hydrocephalus is a condition in which there is excessive fluid accumulation in the brain.” The word Hydrocephalus derived from two words -hydro means water, cephalusmeans head
Definition:-
“is a condition in which portion of the entire ventricular system is abnormallydilated & the CSF has been under increased pressure.”
Incidence
Sex
Bickers adam syndrome
 NPHAge
Infancy
Adulthood (40%)Mortality and morbidity
Due to brain herniation and resp. arrest
Related anatomy
CSF circulation & pathwayExplainingExplainingusing LCDslidesExplainingExplainingusing LCDslidesLCDslidesLCDslides
 
male
 
Identify theetiologyEnumerate theclassificationDiscuss the pathophysiology
Classification and etiology:
A.Depending on the type of bloc
 Non communicating (block is intraventricular)
  
Mal development of the aqueduct
  
Obstruction due to mass lesions
  
Obstruction secondary to exudate , haemorrhage or paracsites
  
Obstruction of the fourth ventricle outlet foramina- dandy Walker malformation
Communicating type(block is extra ventricular)
  
Post infectious, post hemorrhagic, or developmental adhesions of basal cisternsor surface arachnoid space
  
Commonly after neonatal meningitis or intra ventricular haemorrhage
  
Arachnoid villi obstruction by erythrocytes, exudates
  
Skeletal defects- achondroplasiaB ) depending on the time of presentation
Congenital hydrocephalus
  
Intra utrerine infections- TORCH
  
Congenital malformations of the aqueduct
  
Congenital midline tumors of CNS
Acquired hydrocephalus
  
TB/ Bacterial meningitis
  
Posterior fossa tumors
Pathophysiology : internal
Explainingusing LCDslidesExplainingusing LCDslidesLCDslicesLCDslides
 
Discuss the pathophysiologyIdentify theclinical featuresEnlist thediagnosticmeasures
External hydrocephalusClinical features
  
Enlargement of the head(speed of enlargement proportional to ICP ) & small
 face
  
Sunsetting eye sign
  
Separation of the sutures &
  
widening , fullness of ant. Frontanelle
  
Prominent scalp vein
  
Wasting is common with progression of hydro cephalus
  
CRACK POT RESONANCE(Macewen sign)
  
Epileptic attack 
Diagnosis
  
Head circumference
  
Radiographs
  
CT
  
USG
  
MRIExplainingusing LCDslidesExplainingusing LCDslidesExplainingLCDslidesLCDslides

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