All 253 children receiving neurosurgical intervention for hydrocephalus (HCP) at a single British Neurosurgical Unit over a decade were investigated by retrospective case note review. Referral rates and mean age at presentation remained stable throughout, as did proportions of children presenting due to myelomeningocoele or meningitis. Comparing the first and second halves of the decade, the predominant aetiologies (intraventricular haemorrhage [IVH] at <1 year and brain tumour at 1-16 years) reduced from comprising half (70/129) of all cases to just over one-third (43/124). Other significant changes included a 45% reduction in neonatal IVH and a 179% increase in rare miscellaneous disorders. Outcome after 4 years of follow-up for all patients showed 44.4% without deficit, 11.9% with non-cognitive neurological deficits only, 11.5% with cognitive impairment only, 13.5% with both cognitive and neurological impairments, and 15.5% mortality.

Original publication

DOI

10.1016/j.jocn.2006.11.004

Type

Journal article

Journal

J Clin Neurosci

Publication Date

11/2007

Volume

14

Pages

1049 - 1054

Keywords

Adolescent, Brain Neoplasms, Cerebral Hemorrhage, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Hydrocephalus, Incidence, Infant, Male, Meningitis, Meningomyelocele, Morbidity, Reoperation, Retrospective Studies, Treatment Outcome, Ventriculoperitoneal Shunt