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Clinical and evolutional remarks on the congenital hydrocephaly

Domenii publicaţii > Ştiinţe medicale + Tipuri publicaţii > Articol în revistã ştiinţificã

Autori: E. S. Boia, M. Boia, V. Botiu, M. J. Puiu, C. Budisan, D. Iacob, A. Manea, F. Isfan, E. Nedelea, C. Cojocaru, S. Raicu

Editorial: European Journal of Human Genetics, 2004.


Objective: diagnostical framing of the echography find out disease, correlation between the imaging and clinical marks, setting of the evolutional stage and therapeutical
Material and Method: The study contained 34 cases of ventriculomegaly, selected by clinical and imaging criteria from the premature newborn hospitalized in the Clinic of Neonatology. Head ultrasonography was used as method of diagnosis and prognosis evaluation.
Results: Hydrocephaly was associated with: meningomyelocele in 8 cases, meningoencephalocele in 3 cases, Dandy-Walker malformation in 4 cases, agenesis of the corpus callosus in 5 cases, malformation of the Galen’s vein in 2 cases, arachnoid kyst in 4 cases, lobar holoprosencephaly in 3 cases. In 4 of the cause couldn’t be found at they didn’t present any associated malformations. 5 of the cases from those with cranio-vertebral dysraphism presented Arnold/Chiari II malformations associated with meningomyelocele and 3 of those cases presented Arnold/Chiari III malformation associated with meningoencephalocele . The clinical manifestations were those of the classic hydrocephaly associated with: recurring seizures, paresis, paralysis of the inferior limbs in 4 cases, apnea crisis, acrocyanosis. Cerebral imaging was used to appreciate the ventricular enlargement and the degree of compression of the cerebral tissue. The evolution of the cases showed a high rate of decease- 51,4 %.
Conclusions: The fast evoluting hydrocephaly was the primary cause of death at the cases with associated malformations. The most frequently met malformation types were: cranio- cerebral dysraphism and agenesis of the corpus callosum .

Cuvinte cheie: hydrocephaly, congenital, child