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A random Abstract
Our Project
Our Team
On the changing epidemiology of hydrocephalus.
[hydrocephalus with stenosis of the aqueduct of sylvius]
The
purpose
of
this
study
is
to
evaluate
the
changing
epidemiology
of
paediatric
hydrocephalus
over
the
past
three
decades
in
a
single
institution
.
All
children
treated
for
newly
diagnosed
hydrocephalus
during
the
1985
-
1990
(
group
A
)
and
the
2000
-
2005
periods
(
group
B
)
were
enrolled
and
classified
according
to
the
associated
cause
of
hydrocephalus
.
A
significant
8
.
8
%
decrease
of
the
incidence
of
hydrocephalus
was
noticed
between
the
two
time
periods
,
resulting
from
the
reduction
of
hydrocephalus
associated
to
myelomeningocele
,
aqueduct
stenosis
(
p
=
0
.
04
)
,
CNS
infection
(
p
=
0
.
03
)
,
cranio-
cerebral
malformation
and
head
injuries
;
post-haemorrhagic
hydrocephalus
remained
stable
,
while
the
tumour-associated
one
increased
(
p
<
0
.
0001
)
.
No
consistent
differences
in
terms
of
rate
of
adjunctive
surgery
(
30
.
3
%
versus
23
.
9
%
)
and
number
revision
procedures
(
200
versus
104
)
were
recorded
.
The
present
study
confirmed
data
from
the
literature
about
the
declined
incidence
of
paediatric
hydrocephalus
,
which
mainly
results
from
the
decrease
of
congenital
malformations
.
In
spite
of
the
recent
advances
in
neuroendoscopy
and
in
the
shunting
valve
design
,
the
impact
of
hydrocephalus
in
the
paediatric
neurosurgical
practice
remains
high
.
