Hydrocephalus and Its Diagnosis - A Review
DOI:
https://doi.org/10.51985/JBUMDC2019139Abstract
Hydrocephalus is enlargement of the ventricular system of the brain due to increased cerebrospinal fluid (CSF) volume
and pressure. Congenital hydrocephalus is further classified as communicating and non-communicating depending on
whether there is an obstruction to the flow of CSF or not.
Multiple causes have been identified in literature which has been summarized as an imbalance in the production and
absorption of CSF. It can lead to cognitive impairment, cerebral palsy and visual field defects.
It is crucial to identify this condition prenatally as it can leave a debilitating impact on the fetus. Several modalities like
ultrasound, computed tomography scans (CT) and magnetic resonance imaging (MRI) have been used to diagnose
hydrocephalus. These can help reduce the disease burden and provide means for timely decisions.
References
Leinonen V, Vanninen R, Rauramaa T. Cerebrospinal fluid circulation and hydrocephalus. In Handbook of clinical neurology. Elsevier. 2018; 45: 39-50.
Venkataramana NK. Hydrocephalus Indian scenario–A review. Journal of pediatric neurosciences. 2011;6(l):S11-S22
Tully HM & Dobyns WB. Infantile hydrocephalus: a review of epidemiology, classification and causes. European journal of medical genetics. 2014 ;57(8):359-368.
Shakeri M, Vahedi P, Lotfinia I. A review of hydrocephalus: history, etiologies, diagnosis, and treatment. Neurosurgery quarterly. 2008;18(3):216-220.
Aschoff A, Kremer P, Hashemi B, Kunze S. The scientific history of hydrocephalus and its treatment. Neurosurgical review. 1999;22(2-3):67-93.
Brinker T, Stopa E, Morrison J, Klinge P. A new look at cerebrospinal fluid circulation. Fluids and Barriers of the CNS. 2014;11(1):10.
Brodbelt A & Stoodley M. An anatomical and physiological basis for CSF pathway disorders. InCerebrospinal Fluid Disorders 2010 (pp. 1-17). Cambridge Univ. Press.
Sakka L, Coll G, Chazal J. Anatomy and physiology of cerebrospinal fluid. European annals of otorhinolaryngology, head and neck diseases. 2011;128(6):309-16.
Rekate HL. A consensus on the classification of hydrocephalus: its utility in the assessment of abnormalities of cerebrospinal fluid dynamics. Child's nervous system. 2011;27(10):1535.
Rekate HL. A contemporary definition and classification of hydrocephalus. InSeminars in pediatric neurology 2009; 16 (1):9-15
Raimondi AJ. A unifying theory for the definition and classification of hydrocephalus. Child's nervous system. 194;10(1):2-12.
Mori K, Shimada J, Kurisaka M, Sato, K, Watanabe K. Classification of hydrocephalus and outcome of treatment. Brain and Development. 1995;17(5):338-348.
Oi S & Di Rocco C. Proposal of “evolution theory in cerebrospinal fluid dynamics” and minor pathway hydrocephalus in developing immature brain. Child's nervous system. 2006;22(7):662-669.
Liu J, Jin L, Li Z, Zhang Y, Zhang L, Wang L, et al. Prevalence and trend of isolated and complicated congenital hydrocephalus and preventive effect of folic acid in northern China, 2005–2015. Metabolic brain disease. 2018; 33 (3): 837-842
Kalyvas AV, Kalamatiano, T, Pantazi M, Lianos GD, Stranjalis G, Alexiou GA. Maternal environmental risk factors for congenital hydrocephalus: a systematic review. Neurosurgical focus. 2016 ;41(5):1-7.
Van Landingham M, Nguyen TV, Roberts A, Parnt AD, Zhang J, et al. Risk factors of congenital hydrocephalus: a 10 year retrospective study. J Neurol Neurosurg Psychiatry.2009; 80:213–221
Norton M, Lockwood C, Levine D. Fetal cerebral ventriculomegaly. Up To Date. 2017;1.
Pisapia JM, Sinha S, Zarnow DM, Johnson MP, Heuer GG. Fetal ventriculomegaly: Diagnosis, treatment, and future directions. Child's Nervous System. 2017 ;33(7):1113-1123.
Tully HM, Capote RT, Saltzman BS. Maternal and infant factors associated with infancy-onset hydrocephalus in Washington State. Pediatric neurology. 2015 ;52(3):320-325.
Wilson CD, Safavi-Abbasi S, Sun H, Kalani MY, Zhao YD & Levitt MR et al. Meta-analysis and systematic review of risk factors for shunt dependency after aneurysmal subarachnoid hemorrhage. Journal of neurosurgery. 2017;126(2):586-95
Raut T, Garg RK, Jain A, Verma R, Singh MK & Malhotra HS et al. Hydrocephalus in tuberculous meningitis: Incidence, its predictive factors and impact on the prognosis. Journal of Infection. 2013;66(4):330-7.
Jit M. The risk of sequelae due to pneumococcal meningitis in high-income countries: a systematic review and meta- analysis. Journal of Infection. 2010;61(2):114-24.
El-Gaidi MA, El-Nasr AH, Eissa EM. Infratentorial complications following preresection CSF diversion in children with posterior fossa tumors. Journal of Neurosurgery: Pediatrics. 2015;15(1):4-11
Tully HM, Ishak GE, Rue TC, Dempsey JC, Browd SR, Millen KJ., et al. Two hundred thirty-six children with developmental hydrocephalus: causes and clinical consequences. Journal of child neurology. 2016;31(3):309- 20.
Ekanem TB, Okon DE, Akpantah AO, Mesembe OE, Eluwa MA, Ekong MB. Prevalence of congenital malformations in Cross River and Akwa Ibom states of Nigeria from 1980–2003. Congenital Anomalies. 2008;48(4):167-70.
Dewan MC, Rattani A, Mekary R, Glancz LJ, Yunusa I, Baticulon RE, et al. Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. Journal of Neurosurgery. 2018 ;1:1-5.
Eke CB, Uche EO, Chinawa JM, Obi IE, Obu HA, Ibekwe RC. Epidemiology of congenital anomalies of the central nervous system in children in Enugu, Nigeria: A retrospective study. Annals of African medicine. 2016;15(3):126.
Isaacs AM, Riva-Cambrin J, Yavin D, Hockely A, Pringsheim TM, Jette N, et al. Age-specific global epidemiology of hydrocephalus: Systematic review, metanalysis and global birth surveillance. PloS one. 2018;13(10):e0204926.
Munch TN, Rostgaard K, Rasmussen ML, Wohlfahrt J, Juhler M, Melbye M. Familial aggregation of congenital hydrocephalus in a nationwide cohort. Brain. 2012;135(8): 2409-15.
Yi L, Wan C, Deng C, Li X, Deng K, Mu Y, Zhu J, Li Q, Wang Y, Dai L. Changes in prevalence and perinatal outcomes of congenital hydrocephalus among Chinese newborns: a retrospective analysis based on the hospital-based birth defects surveillance system. BMC pregnancy and childbirth. 2017;17(1):406.
Vogt C, Blaas HG, Salvesen KÅ et al. Comparison between prenatal ultrasound and postmortem findings in fetuses and infants with developmental anomalies. Ultrasound in Obstetrics & Gynecology. 2012 ;39(6):666-672.
Hauerberg L, Skibsted L, Graem N, Maroun LL. Correlation between prenatal diagnosis by ultrasound and fetal autopsy findings in second-trimester abortions. Acta obstetricia et gynecologica Scandinavica. 2012;91(3):386-390.
Salat MS, Enam K, Kazim SF, Godil SS, Enam SA, Iqbal SP et al. Time trends and age-related etiologies of pediatric hydrocephalus: results of a groupwise analysis in a clinical cohort. Child's nervous system. 2012;28(2):221-227.
Ortega E, Muñoz RI, Luza N, Guerra F, Guerra M, Vio K et al. The value of early and comprehensive diagnoses in a human fetus with hydrocephalus and progressive obliteration of the aqueduct of Sylvius: Case Report. BMC neurology. 2016 ;16(1):45.
D'addario V & Rossi AC. Neuroimaging of ventriculomegaly in the fetal period. InSeminars in Fetal and Neonatal Medicine 2012; 17( 6): 310-318.
Emery SP, Hogge WA, Hill LM. Accuracy of prenatal diagnosis of isolated aqueductal stenosis. Prenatal diagnosis. 2015
;35(4):319-324.
D'Antonio F & Zafeiriou DI. Fetal ventriculomegaly: What we have and what is still missing. European journal of paediatric neurology: EJPN: official journal of the European Paediatric Neurology Society. 2018 ;22(6):898-899.
Rodriguez MA, Prats P, Rodríguez I, Cusi V, Comas C. Concordance between prenatal ultrasound and autopsy findings in a tertiary center. Prenatal diagnosis. 2014;34(8):784-789.
Perlman S, Shashar D, Hoffmann C, Yosef OB, Achiron R, Katorza E. Prenatal diagnosis of fetal ventriculomegaly: agreement between fetal brain ultrasonography and MR imaging. American Journal of Neuroradiology. 2014;35(6): 1214-18.
Tonni G, Vito I, Palmisano M, de Paula Martins W, Junior EA. Neurological outcome in fetuses with mild and moderate ventriculomegaly. Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(9):436-442.
Mahmoud MZ, Dinar HA, Abdulla AA, Babikir E, Sulieman
A. Study of the association between the incidences of congenital anomalies and hydrocephalus in Sudanese fetuses. Global journal of health science. 2014;6(5):1-8.
Simon TD, Riva-Cambrin J, Srivastava R, Bratton SL, Dean JM, Kestle JR. Hospital care for children with hydrocephalus in the United States: utilization, charges, comorbidities, and deaths. Journal of Neurosurgery: Pediatrics. 2008;1(2):131- 7.
Isaacs AM, Bezchlibnyk YB, Yong H, Koshy D, Urbaneja G, Hader WJ, Hamilton MG. Endoscopic third ventriculostomy for treatment of adult hydrocephalus: long-term follow-up of 163 patients. Neurosurgical focus. 2016;41(3):E3
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