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Hydrocephalus in children born in 1999-2002: epidemiology, outcome and ophthalmological findings.
[hydrocephalus with stenosis of the aqueduct of sylvius]
The
purpose
of
this
study
was
to
monitor
incidence
and
outcome
in
children
with
hydrocephalus
.
This
is
a
population-based
prospective
study
of
all
the
children
with
hydrocephalus
born
in
western
Sweden
in
1999
-
2002
.
Etiological
and
clinical
information
was
collected
from
records
,
neuroimaging
and
ophthalmological
examinations
.
Comparisons
with
208
children
born
in
1989
-
1998
were
made
.
The
incidence
was
0
.
66
per
1
,
000
live
births
,
0
.
48
for
infantile
hydrocephalus
and
0
.
18
for
hydrocephalus
associated
with
myelomeningocele
.
The
corresponding
rates
for
1989
-
1998
were
0
.
82
,
0
.
49
and
0
.
33
.
Ventriculo-peritoneal
shunt
treatment
was
used
in
42
of
the
54
children
and
endoscopic
third
ventriculostomy
in
12
.
Revisions
were
performed
in
33
(
61
%
)
.
Neurological
impairments
were
present
in
63
%
,
and
they
were
more
common
in
children
born
preterm
than
in
those
born
at
term
.
The
radiological
extent
of
parenchymal
lesions
correlated
significantly
with
outcome
.
Ophthalmological
abnormalities
were
found
in
80
%
,
including
visual
impairment
in
one
third
.
The
incidence
of
post-haemorrhagic
hydrocephalus
in
children
born
extremely
preterm
increased
;
a
group
running
a
high
risk
of
neurological
sequelae
.
Ophthalmological
abnormalities
were
frequent
and
need
to
be
assessed
in
all
children
with
hydrocephalus
.
The
high
rate
of
morbidity
and
complications
necessitates
the
further
development
of
preventive
and
treatment
methods
.
Diseases
Validation
Diseases presenting
"myelomeningocele"
symptom
22q11.2 deletion syndrome
congenital diaphragmatic hernia
hirschsprung disease
hydrocephalus with stenosis of the aqueduct of sylvius
This symptom has already been validated