TO DETERMINE THE ETIOLOGY AND OUTCOME OF INFANTILE

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Abstract

The aim of this study was to determine etiology and surgical outcome of infantile hydrocephalus.
Materials and Methods: This prospective descriptive study was carried out from February 2012 to January 2012, in
Neurosurgery Department of Hayatabad Medical Complex Peshawar Pakistan. The 75 infants included in this study
were from 0 to 12 months who presented in outpatient department with concern of large head. We excluded all those
children who already under went surgical correction and have hydrocephalus due to brain tumors. Etiology was
studied after the diagnosis of hydrocephalus. Surgery done in these patients and postsurgical short term outcome
was determined in these infants on follow up.
Results: Total 75 infants were included in the study. The children were divided in two age groups one from 0 to 6
months, accounting 55(73%), and 6 to 12 months accounting for 20(26%). 25(33%) were having stenosis of aque-
duct of sylvius, 20(26%) were post meningitic hydrocephalus, 15(20%) were with post hemorrhagic, 7(9.3%) were
having spina bifida, 5(6.6%) were of Dandy walker cyst and in 3(4%) no cause could be find out. 19(25.3%) devel-
oped complication after surgery, out of which 15(20%) had infection while 4(5.3%) had mechanical fault of VP shunt.
Conclusion: Infantile hydrocephalus is a common disorder and etiology can be find out in most of the cases. For
early diagnosis the head circumference of neonates should be routinely measured. To avert complications asepsis
and appropriate methods and materials for shunting should be used.
Key Words: Infantile Hydrocephalus, VP Shunt.

Authors: 
Shazia Aurangzeb
Muhammad Ali Noman

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