Hydrocephalus: Epidemiology, Etiology & Clinical Outcomes
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Background: Hydrocephalus is a condition wherein excess of cerebrospinal fluid (CSF) accumulates within the ventricular system and cisterns of the brain. The aim of this study to evaluate the epidemiology, etiology and clinical outcomes of hydrocephalous patients in paediatrics in PBM hospital Bikaner. Material & Methods: This is a prospective observational hospital based study conducted in paediatrics and neurosurgery department of PBM hospital Bikaner. All children diagnosed as having hydrocephalus, aged from birth up to 16 years. Clinical examinations were also done. Results: The present study observed that out 100 cases of hydrocephalus 52 cases had acquired hydrocephalus & 48 cases had congenital. Out of 100 cases, 33% cases present with TBM, 20% had Aq. stenosis, 16% cases had NTD, 8% had pyogenic meningitis. So the most common cause is TBM and children below 2 yrs of age were commonly affected. Males were more commonly affected than females & 30%of cases had hydrocephalous without macrocephaly.Out of 100 cases, 72% were discharge after treatment, 4% were lost to follow up and 24% cases expired and 57% cases had epilepsy. Ophthalmological outcome shows that out of 40 children 30% children had refractive error & out of 100 cases 20% optic atrophy, 18% had squint, 11% had nystagmus and out of 52 children 58% children shows impaired speech. Conclusion: Hydrocephalus cases are associated with high mortality and morbidities like epilepsy, ophthalmological and speech problems. Early detection and treatment of hydrocephalus plays crucial role to prevent its complications and mortality.
Authors and Affiliations
Rahul Sethiya, Pulak Agarwal, Renu Agarwal, Dinesh Sodhi, Kuldeep Singh Bittu, Ramesh Subramanian
Keywords
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- EP ID EP546619
- DOI 10.21276/ijmrp.2017.3.4.011
- Views 106
- Downloads 0
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