Presentation
[…] if the condition was present at the time of inpatient admission. [icd.codes]
We report a patient with compensated aqueduct of sylvius obstruction by web who presented in his late twenties. A 28 year old man presented with episodes of headache on and off for three months. [ijri.org]
The clinical presentation depends on the severity and age of presentation as well as whether or not it is X-linked. In the infant enlarging head size, bulging fontanelles and gaping cranial sutures are seen. [radiopaedia.org]
) hydrocephalus due to congenital toxoplasmosis ( P37.1 ) hydrocephalus with spina bifida ( Q05.0- Q05.4 ) Congenital hydrocephalus Approximate Synonyms Aqueduct of sylvius anomaly Present On Admission POA Help "Present On Admission" is defined as [icd10data.com]
A categorization of these anomalies is presented in Table 6–1. [obgyn.mhmedical.com]
Entire Body System
- Developmental Delay
Mild developmental delay is characterized by motor and neurological development that is no greater than 2 standard deviations below average for the age of the child, and moderate delay is characterized by greater than 2 standard deviations below. [en.wikipedia.org]
Clinical Picture of Hydrocephalus Symptoms For infants with hydrocephalus, the first symptom is usually an enlarged head with failure to thrive and developmental delays. [lecturio.com]
WWS is associated with generalized hypotonia, muscle weakness, developmental delay with mental retardation and, in some children, seizures. [slideshare.net]
The development of the sylvian fissure is one of the major brain maturational processes occurring in fetal life, and abnormalities in this process are frequent in children with developmental delay. [clinicalgate.com]
- Developmental Disorder
Tethered cord: Abnormal attachment and scarring of the spinal cord or its coverings (meninges) can occur as the result of a developmental disorder such as a small mass of fatty tissue, a tight filum terminale or a midline bone spur. [chiariproject.org]
Psychiatrical
- Abnormal Behavior
In adults, the complaints are usually headache, nausea, vomiting, vision abnormalities, behavioral changes and sometimes confusion and disturbed conscious level in acute cases. [lecturio.com]
Neurologic
- Stroke
Causes can include head injuries, strokes, infections, tumors, and bleeding in the brain. [icdlist.com]
Please see the National Institute of Neurological Disorders and Stroke (NINDS) for more information on brain tumors. [hydroassoc.org]
Vascular dementia : dementia and focal neurological lesions but with a history of vascular disease and previous stroke. [lecturio.com]
[…] enlargement – Hippocampus is normal (distinguishes from atrophy) • ± aqueductal flow void • Periventricular high signal transependymal CSF flow • 50-60% periventricular & deep white matter lesions • MRS: Lactate peaks in lateral ventricles in NPH • Aqueduct stroke [slideshare.net]
This is a common sequel of wasting brain diseases (leukodystrophies, multiple sclerosis, multiple strokes, Alzheimer's disease, Huntington's disease, etc.). [neuropathology-web.org]
- Paresthesia
Paresthesia: Abnormal sensation such as numbness, prickling and tingling. Paucity: Smallness or lower in number. Peduncle: Stalk-like structures in the brain connecting different functioning areas. [chiariproject.org]
The pain and paresthesia in the right legalmost disappeared, and walking improved to the extent that the patient was able toascend stairs unaided. [flickr.com]
- Spastic Paraplegia
Mutations in the L1-CAM in two families with X linked complicated spastic paraplegia, MASA syndrome, and HSAS. J. Med. Genet. 32: 549-552, 1995. [med2000eco.it]
The L1 syndrome encompasses the following 4 phenotypes: HSAS (X-linked hydrocephalus with stenosis of the aqueduct of Sylvius) MASA (mental retardation, adducted thumbs, shuffling gait, and aphasia) SPG1 (X-linked complicated hereditary spastic paraplegia [neuropathology-web.org]
- Nystagmus
Nystagmus: Constant, involuntary, cyclical movement of the eyeball. Movement may be in any direction; i.e. sideways, up, down or rotatory. May be present continually or only with looking in a certain direction. [chiariproject.org]
[…] anomalies of lacrimal passages Absence, agenesis of: lacrimal apparatus punctum lacrimale Accessory lacrimal canal 743.66 Specified congenital anomalies of orbit 743.69 Other Accessory eye muscles 743.8 Other specified anomalies of eye Excludes: congenital nystagmus [theodora.com]
- Tingling
Paresthesia: Abnormal sensation such as numbness, prickling and tingling. Paucity: Smallness or lower in number. Peduncle: Stalk-like structures in the brain connecting different functioning areas. [chiariproject.org]
Treatment
Unique Challenge, Think About, and Emergency Treatment features help in applying the material to real-life situations. [books.google.com]
Prenatal diagnosis and treatment, pp. 349–377, Grune & Stratton, 1984. Hecht F. &Grix A.:Treatment of fetal hydrocephalus (Letter). N. Engl. J. Med. 307, 1211, 1982. Google Scholar Hendee R.W.:Intrauterine hydrocephalus (Letter). [link.springer.com]
With treatment, many people lead normal lives with few limitations. Treatment usually involves surgery to insert a shunt. A shunt is a flexible but sturdy plastic tube. [icdlist.com]
Treatment ranges from observation to surgical intervention, depending on severity and progression of symptoms. Hydrocephalus is the most common cause of abnormally large heads in neonates. [merckmanuals.com]
Prognosis
On the other hand, those with mild isolated ventriculomegaly of less than 12 mm have an excellent prognosis. [chop.edu]
Holoprosencephaly is one of the most severe disorders of ventral induction; it features incomplete separation of the cerebral hemispheres and has a very severe prognosis in most cases. [obgyn.mhmedical.com]
Prognosis was favorable in group A, while cases in groups B, C, D and E showed poor seizure prognosis. [jstage.jst.go.jp]
Treatment and prognosis Treatment is often either with a third ventriculostomy or VP shunting. There is small recurrence risk (~4%) for congenital cases even when it is not X linked. Promoted articles (advertising) [radiopaedia.org]
J Neursurg 31: 202-216, 1969 Renier D, Saint-Rose C, Pierre-Kahn A, et al: Prenatal hydrocephalus: outcome and prognosis. Childs Nerv Syst 4: 213-222, 1988 Robertson JA, Leggate JRS, Miller JD: Aqueductal stenosis-presentation and prognosis. [ispn.guide]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
In adults, as an acquired abnormality, AS has different etiologies and thus different demographics related to them. The clinical presentation depends on the severity and age of presentation as well as whether or not it is X-linked. [radiopaedia.org]
Etiology Several factors are implicated in the etiology of hydrocephalus in children with myelomeningocele, including the following: A degree of aqueductal stenosis Anomalous venous drainage in the posterior fossa caused by compression of the sigmoid [emedicine.medscape.com]
Group D was characterized by 1) symptomatic etiology, 2) a lower incidence of family history, 3) a higher incidence of early onset within the first 6 months, and 4) poor prognosis for mental and physical development and seizures. [jstage.jst.go.jp]
Etiology of Hydrocephalus Image : “Chiari II malformation showing the points of potential obstruction that yield different subtypes of hydrocephalus. With permission from Barrow Neurological Institute.” by Rekate HL. [lecturio.com]
Epidemiology
Epidemiology The incidence of infantile hydrocephalus has been estimated at 3-5 cases per 1000 live births. The peak ages of presentation in this group include the first few weeks of life, age 4-8 years, and early adulthood. [emedicine.medscape.com]
Pathophysiology
A concise, easy-to-understand introduction to the fundamentals, Pathophysiology for the Health Professions, 4th Edition helps you learn to identify disease processes and disorders. [books.google.com]
Childs Nerv Syst 2: 282-286, 1986 Oi S, Shimoda M, Shibata M, et al: Pathophysiology of long-standing overt ventriculomegaly in adults. [ispn.guide]
Report of four cases and discussion of pathophysiological, [neurologyindia.com]
Prevention
0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis [codelay.com]
Case studies revised to emphasize chronic diseases, prevention, and acute care, and to apply to a wider range of health professions. Appendices reorganized for improved reference and lookup. [books.google.com]
The goals of surgery are to preserve neural function, to prevent infection, and to prevent long-term complications such as an epidermal or dermal inclusion cyst and cord tethering. [1] For patient education information, see the Brain and Nervous System [emedicine.medscape.com]
Today, with prompt diagnosis and shunting, permanent neurological damage can be prevented in most cases. [neuropathology-web.org]
The attachment of the spinal cord to the meningocele sac (tethered cord syndrome) prevents the normal cephalad migration of the spinal cord with growth of the fetus (Steinbok,1995). [ispub.com]