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Infantile hydrocephalus in southern saudi arabia
1Department of Pediatrics, College of Medicine, King Saud University - Abha Branch, Abha, Saudi Arabia.
Insights
The incidence of infantile hydrocephalus remains stable, but new trends show more prenatal central nervous system malformations and an increase in premature infants in the postnatal group. Prenatal factors remain the primary cause of infantile hydrocephalus.
Area of Science:
- Pediatric Neurology
- Developmental Biology
- Public Health
Background:
- Infantile hydrocephalus (IH) is a significant neurological condition in newborns.
- Understanding the incidence and etiological factors of IH is crucial for early intervention and management.
Purpose of the Study:
- To determine the prevalence of infantile hydrocephalus in a specific region.
- To investigate the various causes and contributing factors of infantile hydrocephalus.
- To compare regional trends with international data.
Main Methods:
- A retrospective study was conducted on registered live births.
- Cases of infantile hydrocephalus were identified and analyzed.
- Etiological factors were categorized into prenatal and postnatal causes.
Main Results:
- The overall incidence of infantile hydrocephalus was 0.71 per 1000 live births.
- Prenatal factors accounted for the majority of cases (74.2%), with spinal dysraphism and acqueductal stenosis being common.
- Postnatal causes included meningitis and post-hemorrhagic complications, with a notable increase in premature infants.
Conclusions:
- The incidence of infantile hydrocephalus in the region is statistically unchanged.
- Emerging trends include a higher prevalence of associated central nervous system malformations in prenatal cases.
- There is an observed increase in premature infants within the postnatal hydrocephalus group.
Objective:
To study the prevalence and causes of infantile hydrocephalus.
Methodology:
Retrospective study of cases of infantile hydrocephalus comparing results with regional and international trends.
Results:
Infantile hydrocephalus (IH) affected 62 infants from among 87,127 registered total live births giving an overall incidence of 0.71/1000. Eighteen cases (29%) with spinal dysraphism, 15 cases (24%) with acqueductal stenosis, 9 (14.5%) post meningitis, 6 (9.7%) post haemorrhagic, 6 (9.7%) with structural Central Nervous System (CNS) anomalies (holoprosencephaly 2, hemispheric cysts 2, brain dysgenesis 1, and vascular anomaly 1), 3 (4.9%) congenital idiopathic, 2 (3.2%) Dandy-Walker malformation, 2 (3.2%) toxoplasmosis and one case (1.6%) achondroplasia. Prenatal factors accounted for 46 cases (74.2%) of this series, while postnatal factors accounted for 16 cases (25,8%). Of the latter group, 9 (14.5%) were due to meningitis while 6 (9.7%) were post haemorrhagic. Of the postnatal group there were 8 preterm babies (4.7% of the total series and 53.3% of the postnatal group).
Conclusion:
While the incidence of infantile hydrocephalus in this region remains statistically unchanged, new characteristics have emerged. It is interesting to notice the increased number of premature babies in the postnatal group. More associated CNS malformations have been noticed in the prenatal group. Still prenatal causes form the bulk of all cases.
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