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[Idiopathic hydrocephalus in adolescence].
W A Dauch1, E Wranze-Bielefeld, A Lütcke
1Neurochirurgische Klinik, Philipps-Universität, Marburg.
Summary
Adolescent hydrocephalus, often presenting in the mid-teens, may involve tri-ventricular dilation and signs of elevated intracranial pressure. Early diagnosis via skull X-ray is recommended for pubertal children experiencing neurological symptoms.
Area of Science:
- Neurology
- Pediatrics
- Radiology
Context:
- Chronic idiopathic hydrocephalus can decompensate at any age, with a notable frequency in mid-adolescence.
- This age-specific presentation raises questions about unique hydrocephalus manifestations and their etiological implications.
Purpose:
- To investigate the characteristics of hydrocephalus in adolescents presenting with decompensation.
- To explore the potential link between adolescent hydrocephalus presentation and the pathogenesis of aqueductal stenosis.
Summary:
- A case series of six patients aged 12-16 years with symptomatic hydrocephalus is presented.
- All patients exhibited tri-ventricular hydrocephalus and radiological signs of chronic elevated intracranial pressure, despite varied clinical symptoms.
- Findings suggest a potential connection to aqueductal stenosis pathogenesis.
Impact:
- Highlights the importance of considering hydrocephalus in adolescents with neurological symptoms during puberty.
- Recommends skull X-ray for detecting signs of elevated intracranial pressure in this demographic.
- Underscores the need for further investigation when such signs are present, particularly in the context of potential aqueductal stenosis.