hydrocephalus
| Headline | |
|---|---|
| Etiology | communicating (aqueduct stenosis, post fossa/other tumours) or non-communicating (meningitis, SAH, IVH) |
| Epidemiology | |
| Clinical presentation | macrocephaly, bulging fontanelle, ‘sunsetting’, spasticity, developmental delay |
| Pathogenesis | |
| Diagnostic investigations | CT/MRI: enlarged ventricles, congenital abnormalities e.g. Arnold-Chiari |
| Management | Neurosurgical referral for VP shunt placement Shunt placement with acute ∆ behaviour, new headache, persistent fever: think blockage, infection or subdural haematoma |