The impact of hydrocephalus and other CNS conditions on case management.
Hydrocephalus affects most people with spina bifida and can impact upon continence management adversely in two main areas.  Firstly, increased intracranial pressure can cause a deterioration of  continence and mental status, which sometimes can be insidious and at other times dramatic.  Secondly, the effect of cognitive deficits secondary to central nervous system abnormalities can be subtle, but can be a profound barrier to achieving successful case management, including continence control and independent living.
D003072:Cognition Disorders / Q000209:etiology*; D019468:Disease Management; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000628:therapy; D007427:Intracranial Pressure; D010349:Patient Compliance; D016135:Spinal Dysraphism / Q000150:complications* / Q000628:therapy