Current trends in the diagnosis and management of hydrocephalus in children.
Hydrocephalus is a clinical condition caused by an imbalance between the production and absorption of cerebrospinal fluid (CSF). This imbalance results in dilated cerebral ventricles and increased intracranial pressure (ICP). It is more common in children and results from congenital or acquired disease processes including developmental anomalies, neoplasms, or inflammatory conditions. Technological advances in neuroradiology and neurosurgery have led to earlier diagnosis and treatment. Treatment includes insertion of a shunting device that diverts the excess CSF to another resorptive body cavity. Regardless of the etiology, hydrocephalus is a chronic illness requiring frequent medical and nursing involvement. This article focuses on the diagnosis and management of hydrocephalus in children, complications associated with management, and the role of the pediatric nurse in caring for these children.
Division of Pediatric Neurosurgery, New York University, NY.
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Shiminski-Maher
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Disabato
D002557:Cerebrospinal Fluid Shunts; D002648:Child; D002908:Chronic Disease; D004868:Equipment Failure; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D010347:Patient Care Planning; D010371:Pediatric Nursing; D011300:Preoperative Care; D014057:Tomography, X-Ray Computed