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A decade of "primary" hydrocephalus in the west of Scotland

R Melville, E Endeley, D G Young

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |December 1, 1981
    PubMed

    Insights

    This retrospective study of 110 pediatric patients with progressive hydrocephalus found a significant mortality rate, highlighting the need for effective treatments. The study excluded neural tube defects, focusing on other causes of hydrocephalus.

    Area of Science:

    • Pediatric Neurology
    • Neurosurgery
    • Clinical Pediatrics

    Background:

    • Hydrocephalus is a condition characterized by the buildup of fluid in the brain.
    • Progressive hydrocephalus in children presents significant management challenges.
    • Exclusion of neural tube defects allows focus on other etiologies.

    Purpose of the Study:

    • To retrospectively analyze the etiology, clinical course, and outcomes of pediatric hydrocephalus.
    • To determine the mortality rates associated with progressive hydrocephalus in a defined patient cohort.
    • To understand the long-term impact of hydrocephalus management in the absence of neural tube defects.

    Main Methods:

    • Retrospective analysis of 110 pediatric patients.
    • Study period: 1971-1980.
    • Inclusion criteria: progressive hydrocephalus; exclusion criteria: neural tube defects (myelomeningocele, encephalocele).

    Main Results:

    • A total of 110 patients were included in the study.
    • First-year mortality rate was 17.2%.
    • Overall mortality rate reached 28.2% over the study period.

    Conclusions:

    • Progressive hydrocephalus in children, excluding neural tube defects, carries a substantial mortality risk.
    • The findings underscore the severity and potential lethality of pediatric hydrocephalus.
    • Further research into the specific etiologies and improved management strategies is warranted.

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