Hydrocephalus in the child with dysraphism.

Mark Dias, D. G. McLone

Research output: Contribution to journalReview article

63 Citations (Scopus)

Abstract

Hydrocephalus develops in approximately 85% of patients with myelomeningoceles and appears most frequently to result from obstruction to cerebrospinal fluid (CSF) flow within the posterior fossa subarachnoid space and at the tentorial hiatus, due to posterior fossa crowding from the Chiari malformation. The presenting features of hydrocephalus are legion; although signs and symptoms of intracranial hypertension are most common, many patients exhibit more subtle and confusing signs, such as intellectual deterioration or behavioral changes, or those that mimic brainstem compression from the Chiari malformation or spinal cord dysfunction due to tethering or syringomyelia. Prompt recognition of these signs and symptoms will direct appropriate therapy toward shunt revision and will help the clinician avoid potentially unnecessary and more dangerous procedures.

Original languageEnglish (US)
Pages (from-to)715-726
Number of pages12
JournalNeurosurgery Clinics of North America
Volume4
Issue number4
StatePublished - Oct 1993

Fingerprint

Hydrocephalus
Signs and Symptoms
Syringomyelia
Meningomyelocele
Subarachnoid Space
Intracranial Hypertension
Brain Stem
Cerebrospinal Fluid
Spinal Cord
Therapeutics

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

Cite this

Dias, Mark ; McLone, D. G. / Hydrocephalus in the child with dysraphism. In: Neurosurgery Clinics of North America. 1993 ; Vol. 4, No. 4. pp. 715-726.
@article{271080ca1b7544fb8a1a0cfd0975fa8a,
title = "Hydrocephalus in the child with dysraphism.",
abstract = "Hydrocephalus develops in approximately 85{\%} of patients with myelomeningoceles and appears most frequently to result from obstruction to cerebrospinal fluid (CSF) flow within the posterior fossa subarachnoid space and at the tentorial hiatus, due to posterior fossa crowding from the Chiari malformation. The presenting features of hydrocephalus are legion; although signs and symptoms of intracranial hypertension are most common, many patients exhibit more subtle and confusing signs, such as intellectual deterioration or behavioral changes, or those that mimic brainstem compression from the Chiari malformation or spinal cord dysfunction due to tethering or syringomyelia. Prompt recognition of these signs and symptoms will direct appropriate therapy toward shunt revision and will help the clinician avoid potentially unnecessary and more dangerous procedures.",
author = "Mark Dias and McLone, {D. G.}",
year = "1993",
month = "10",
language = "English (US)",
volume = "4",
pages = "715--726",
journal = "Neurosurgery Clinics of North America",
issn = "1042-3680",
publisher = "W.B. Saunders Ltd",
number = "4",

}

Hydrocephalus in the child with dysraphism. / Dias, Mark; McLone, D. G.

In: Neurosurgery Clinics of North America, Vol. 4, No. 4, 10.1993, p. 715-726.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Hydrocephalus in the child with dysraphism.

AU - Dias, Mark

AU - McLone, D. G.

PY - 1993/10

Y1 - 1993/10

N2 - Hydrocephalus develops in approximately 85% of patients with myelomeningoceles and appears most frequently to result from obstruction to cerebrospinal fluid (CSF) flow within the posterior fossa subarachnoid space and at the tentorial hiatus, due to posterior fossa crowding from the Chiari malformation. The presenting features of hydrocephalus are legion; although signs and symptoms of intracranial hypertension are most common, many patients exhibit more subtle and confusing signs, such as intellectual deterioration or behavioral changes, or those that mimic brainstem compression from the Chiari malformation or spinal cord dysfunction due to tethering or syringomyelia. Prompt recognition of these signs and symptoms will direct appropriate therapy toward shunt revision and will help the clinician avoid potentially unnecessary and more dangerous procedures.

AB - Hydrocephalus develops in approximately 85% of patients with myelomeningoceles and appears most frequently to result from obstruction to cerebrospinal fluid (CSF) flow within the posterior fossa subarachnoid space and at the tentorial hiatus, due to posterior fossa crowding from the Chiari malformation. The presenting features of hydrocephalus are legion; although signs and symptoms of intracranial hypertension are most common, many patients exhibit more subtle and confusing signs, such as intellectual deterioration or behavioral changes, or those that mimic brainstem compression from the Chiari malformation or spinal cord dysfunction due to tethering or syringomyelia. Prompt recognition of these signs and symptoms will direct appropriate therapy toward shunt revision and will help the clinician avoid potentially unnecessary and more dangerous procedures.

UR - http://www.scopus.com/inward/record.url?scp=0027686419&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027686419&partnerID=8YFLogxK

M3 - Review article

C2 - 8241792

AN - SCOPUS:0027686419

VL - 4

SP - 715

EP - 726

JO - Neurosurgery Clinics of North America

JF - Neurosurgery Clinics of North America

SN - 1042-3680

IS - 4

ER -