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Published on: January 11, 2016
External obstructive hydrocephalus: a study of clinical and developmental aspects in ten children
Insights
This study suggests a rare syndrome often resolves independently over time. Affected children typically achieve normal developmental milestones, negating the need for surgical intervention.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
Background:
- Limited published cases exist for this specific pediatric syndrome.
- Previous research indicates a tendency for spontaneous resolution.
Purpose of the Study:
- To investigate the natural history and long-term prognosis of a specific pediatric syndrome.
- To determine if surgical intervention, such as cerebrospinal fluid (CSF) shunting, is necessary.
Main Methods:
- Review of existing literature and case studies.
- Longitudinal follow-up of affected children.
- Monitoring developmental progress and skill acquisition.
Main Results:
- The syndrome appears to self-correct over time.
- Children demonstrate catch-up growth and development compared to peers.
- Studies show a high percentage of infants developing within normal limits.
- Cerebrospinal fluid (CSF) shunting is not indicated.
Conclusions:
- The syndrome is likely benign with a favorable prognosis.
- Spontaneous resolution and developmental normalization are expected.
- Continued long-term follow-up is recommended to fully understand the syndrome's trajectory.
Abstract:
At this time there are few published cases on this problem, but we have found that the syndrome does seem to correct itself with time. As the patients become stronger and their age increases, they catch up with their peer group. A 1978 study by Robertson documented five of six children attaining normal levels of skills appropriately. In another recent study, Ment researched eighteen infants with seventeen eventually developing within normal limits. Shunting of CSF through surgical intervention does not seem to be needed. We hope to continue our study and follow these children on a long-term basis, seeking to find the total picture of this seemingly benign syndrome.
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