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Comparison of hydrocephalus appearance at spinaldysraphia
Besnik Elshani1, Basri Lenjani
1Neurosurgery Clinic, University Clinical Center of Kosovo, Pristine, Kosovo. besniku71@yahoo.com
Insights
Hydrocephalus is more common and severe in myelomeningocele spinal dysraphism compared to meningocele. This necessitates prompt neurosurgical intervention for better outcomes in affected infants.
Area of Science:
- Pediatric Neurosurgery
- Developmental Biology
- Clinical Neurology
Background:
- Congenital malformations like spinal dysraphism can lead to hydrocephalus during fetal development.
- Hydrocephalus, an abnormal buildup of fluid in the brain, is a significant concern in infants with spinal dysraphism.
Purpose of the Study:
- To compare the occurrence and characteristics of hydrocephalus in patients with meningocele versus myelomeningocele.
- To evaluate the need for neurosurgical intervention in different forms of spinal dysraphism.
Main Methods:
- A retrospective and prospective epidemiological study was conducted.
- Data from 90 patients with spinal dysraphism treated between 2000-2006 were analyzed.
- Patients were classified based on the type of spinal dysraphism and hydrocephalus involvement.
Main Results:
- Hydrocephalus was significantly more prevalent and acute in myelomeningocele (97%) compared to meningocele (60%).
- Myelomeningocele cases often presented with lower paraplegia, requiring ventriculo-peritoneal shunts.
- Fewer neurological deficits were observed in meningocele cases, with a lower indication for shunting.
Conclusions:
- Hydrocephalus is a dominant and persistent complication of myelomeningocele, requiring urgent neurosurgical intervention.
- The management and outcomes differ significantly between meningocele and myelomeningocele associated hydrocephalus.
Unlabelled:
Congenital malformation of spinal dysraphism followed by hydrocephalus are phenomenon reveals during intrauterine child growth.
Objective:
Prime objective of this work was to present Comparison of hydrocephalus appearance at spinal dysraphism respectively at its meningocele and myelomeningocele forms in Neurosurgery Clinic in UCC in Prishtina.
Material And Methods:
It is perfected with retrospective and prospective method precisely of its epidemiologic part summarizing notices from patients' histories which in 2000-2006 are hospitalized in Neurosurgery Clinic from (QFLPK)--Pediatric Clinic and Children Box (Department)--Gynecology Clinic and from Sanitary Regional Center throughout Kosova. Our study objects were two groups, as the first group 90 patients with spinal dysraphism where neurosurgery operations were done and classified types of dysraphism.
Results And Discussion:
At myelomeningocele hydrocephalus has dominated and in a percent of appearance and as acute of its active form was 97% of hydrocephalus form where subjected to cerebrospinal liquid derivation with ventriculo -peritoneal shunt in comparison with meningocele we do not have involvation of spinal nerve element, hydrocephalus takes active form with intervention indication in 60% of cases. Reflection in shown deficit aspect is totally different at myelomeningoceles where lower paraplegia dominate more than paraparesis. The second patient operative technique developed by hydrocephalus with neurosurgical intervention indication has to do with placing of (VP) ventriculo- peritoneal system (shant) at myelomeningoceles with hydrocephalus 58 cases and 12 cases meningoceles with hydrocephalus. Post operative meningitis (shant meningitis): from 70 operated cases of hydrocephalus with spinal dysraphism shunts complications from all types are just cases.
Conclusion:
Finally that appearance of hydrocephalus compared at spinal dysraphism dominate at myellomeningoceles as in notice time aspect, it is persisting and further acute, with vital motivation for neurosurgical intervention.
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