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Related Experiment Videos

Benign communicating hydrocephalus in children

B Kendall, I Holland

    Neuroradiology
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This study reviewed CT scans of 500 children, identifying a benign form of communicating hydrocephalus in 8% of cases. Many children showed improvement or stable conditions, with scan abnormalities often regressing over time.

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    Area of Science:

    • Pediatric Radiology
    • Neurology
    • Neuroimaging

    Background:

    • Computed tomograms (CTs) in children can present findings suggestive of cerebral atrophy.
    • Some cases with widened supratentorial subarachnoid spaces and normal brain parenchyma are misdiagnosed.

    Purpose of the Study:

    • To review CT findings in children with widened subarachnoid spaces and normal cerebral substance.
    • To identify and characterize a specific subgroup of pediatric patients with enlarged heads and normal ventricles.

    Main Methods:

    • Retrospective review of 500 pediatric CT scans initially reported with widened subarachnoid spaces.
    • Selection of 40 cases (8%) exhibiting large or enlarging heads with normal or minimally enlarged ventricles.
    • Clinical and radiological follow-up over 2 years.

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    Main Results:

    • The selected 40 children generally showed clinical improvement or stability.
    • Radiological abnormalities regressed in 22.5% and remained static in 67.5% of cases.
    • Only one case progressed to classical communicating hydrocephalus requiring a shunt.

    Conclusions:

    • The condition represents a generally benign and mild form of communicating hydrocephalus in children.
    • An apparent etiological factor was identified in approximately two-thirds of the studied cases.
    • This radiological finding often resolves or stabilizes without significant intervention.