Post-traumatic Hydrocephalus in Children: Pathophysiology and classification
The specific nature of post-traumatic hydrocephalus occurring in the young immature brain was analyzed and classified into several categories on a pathophysiological basis. A hydrocephalic state developed in 12 cases (2.8%) out of 428 children admitted wi
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Classification of Hydrocephalus
cases died within 2 weeks after the onset of symptoms. Primary fungal infection of the brain could be major fatal complication among narcotic addicts. The necessity for early diagnosis and prompt treatment must be emphasized. (Surg Neurol28: 468-472, 1987) Key words: Heroin addiction, Phycomycosis, Brain, Unilateral hydrocephalus, Obstruction of interventricular foramen
Post-traumatic Hydrocephalus in Children: Pathophysiology and c1assification S. 01 and S. MATSUMOTO Department of Neurosurgery, Kobe University School of Medicine, Kob e, Japan
The specific nature of post-traum atic hydrocephalus occurring in the young immature brain was analyzed and classified into sever al categories on a pathophysiological basis. A hydrocephalic state developed in 12 cases (2.8%) out of 428 children admitted with head
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Figure. Classification of post traum atic hydroceph alus, based on pathophysiology. S. Matsumoto et al. (eds.), Annual Review of Hydrocephalus © Springer-Verlag Berlin Heidelberg 1990
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Annual Review Table
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Hydrocephalus
1. Type of head injury and onset of hydroceph alus in childre n, 12 cases
Cases
Age
*Type of Head Injur y
GCS ** or CCS***
Time from injury to diagnosis of hydroceph alus
Ventriculomeg aly
1. K.A.
2y
Brain contusion, Acute SDH , IVH
5
1V2 hour s
severe
2. T.H .
3y
contu sion, Brain Acut e SDH
5
2 days
moderate
vegetative
3. A .M.
3d
Perit entorial SDH
acute
8
3 days
moderate
good
4. Y.T .
6y
Posterior fossa acute SDH
6
12 days
mild
5. N.S.
8y
Brain stern contusion, syndrome, IVH
4
17 days
moderate
death in 9 months
Locked-in
Outc ome
death in 3 1/2 hours
good (IQ : 115)
6. A .H .
ly
Brain contusion, Acut e SDH
7
19 days
moder ate
fair (DQ : 47)
7. K.N.
1m
Brain contu sion, Acut e SDH
11
19 days
unilateral, moderate
good (DQ : 96)
8. T.Y .
12y
Brain contusion, Acut e SDH
5
21 days
moderate
good (DQ : 84)
9. N.N
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