Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Visual evoked potentials, intracranial pressure and ventricular size in hydrocephalus


Hydrocephalus in the newborn is frequently seen associated with perinatal asphyxia, birth trauma, or intracranial hemorrhage. Hydrocephalus produces enlargement of the cerebral ventricles and raised intracranial pressure secondary to increases in the amount of cerebrospinal fluid. In this study the relationship between the visual evoked potential and ventricular size in infantile hydrocephalus was investigated. Statistical analysis was used to define them and the role of the visual evoked potential in the clinical and structural assessment of infantile hydrocephalus. The results of these investigations demonstrated a significant relationship between ventricular size and evoked potential parameters and confirmed the usefulness of the flash visual evoked potential examination in the assessment of infants with hydrocephalus.

This is a preview of subscription content, log in to check access.


  1. Alani SM. Pattern-reversal visual evoked potentials in patients with hydrocephalus. J Neurosurg 1985; 62: 234–237.

  2. Bull JWD. The volume of the cerebral ventricles: The Robert Wartenberg Memorial Lecture. Neurology 1961; 1–9.

  3. Coupland SG, Cochrane DD. Serial VEP recording in hydrocephalus. Can J Neurol Sci 1984; 11: 341.

  4. Ehle A, Sklar F. Visual evoked potentials in infants with hydrocephalus. Neurology 1979; 29: 1541–1544.

  5. Engel RC. Abnormal electroencephalogram in the neonatal period. Springfield Ill.: Charles C. Thomas, 1975; 106–116.

  6. Guthkelch AN, Sclabassi RJ, Hirsch RP, Vries JK. Visual evoked potentials in hydrocephalus: relationship to head size, shunting, and mental development. Neurosurgery 1984; 14: 283–286.

  7. Halliday AM, Halliday E, Kriss A. The pattern-evoked potential in compression of the anterior visual pathways. Brain 1976; 99: 357–374.

  8. Kirkham TH, Coupland SG. Abnormal electroretinograms and visual evoked potentials in chronic papilledema using time-difference analysis. Can J Neurol Sci 1981; 8: 243–248.

  9. McSherry JW, Walters CL, Horbar JD. Acute visual evoked potential changes in hydrocephalus. Electroencephalogr Clin Neurophysiol 1982; 53: 331–333.

  10. Sklar F, Ehle A, Clark W. Visual evoked potentials: a noninvasive technique to monitor patients with shunted hydrocephalus. Neurosurgery 1979; 4: 529–533.

  11. York DH, Pulliam MW, Rosenfeld JG, Watts C. Relationship between visual evoked potentials and intracranial pressure. J Neurosurgery 1981; 55: 909–916.

Download references

Author information

Correspondence to Stuart G. Coupland Dr..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Coupland, S.G., Cochrane, D.D. Visual evoked potentials, intracranial pressure and ventricular size in hydrocephalus. Doc Ophthalmol 66, 321–329 (1987).

Download citation

Key words

  • cranial ultrasound
  • hydrocephalus
  • intracranial pressure
  • ventriculomegaly
  • visual evoked potential