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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
"high rate"
symptom
alpha-thalassemia
classical phenylketonuria
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cystinuria
dystrophic epidermolysis bullosa
erythropoietic protoporphyria
esophageal carcinoma
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
krabbe disease
liposarcoma
omenn syndrome
papillon-lefèvre syndrome
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
thoracic outlet syndrome
trochlear dysplasia
x-linked adrenoleukodystrophy
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