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Related Experiment Videos

Optic nerve changes in hydrocephalus.

S Ghose

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Papilledema, or optic nerve swelling, is more common in congenital hydrocephalus than previously thought. Early diagnosis in children relies on objective signs, with venous engorgement being a key indicator.

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    Area of Science:

    • Ophthalmology
    • Pediatric Neurology
    • Neurosurgery

    Background:

    • Congenital hydrocephalus is often considered rarely associated with papilledema.
    • Limited literature exists on optic nerve changes in congenital hydrocephalus.

    Purpose of the Study:

    • To investigate the incidence of papilledema in congenital hydrocephalus.
    • To identify reliable ophthalmoscopic signs for early diagnosis.

    Main Methods:

    • Ophthalmoscopic examination of 200 consecutive congenital hydrocephalus cases.
    • Analysis of optic nerve changes, including papilledema.
    • Evaluation of specific signs like venous pulsations and engorgement.

    Main Results:

    • Papilledema appears to be more common in congenital hydrocephalus than widely believed.

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  • Spontaneous or induced venous pulsations are not definitive diagnostic indicators.
  • Venous engorgement is a more reliable sign of early papilledema.

    • Conclusions:

    • Early diagnosis of papilledema in congenital hydrocephalus is crucial for management.
    • Venous engorgement is a significant clinical sign for detecting papilledema in affected children.