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Multiloculated Hydrocephalus: Diagnosis, Treatment, and Clinical Implications

  • Eric Anthony Sribnick
Chapter

Abstract

Pediatric patients with multiloculated hydrocephalus represent a neurosurgical challenge. While multiloculated hydrocephalus is a relatively rare occurrence, patients with this pathology may require multiple surgeries and complicated shunt designs. Additionally, their neurological outcome tends to be poorer than hydrocephalic patients without loculations. This chapter describes risk factors for multiloculated hydrocephalus such as neonatal infection and intraventricular hemorrhage. Diagnostic criteria and methods for imaging multiloculated hydrocephalus are also discussed. Several common treatments are discussed including shunting, craniotomy for fenestration of loculations, and neuroendoscopic fenestration of loculations. Finally, possible methods for the prevention of multiloculated hydrocephalus are discussed.

Keywords

hydrocephalus cerebral shunt neuroendoscopy magnetic resonance imaging computed tomography intraventricular hemorrhage meningitis pediatric neurosurgery 

Notes

Funding Source

This project was done with no specific funding support.

Financial Disclosure Statement

The author has no financial relationships to disclose regarding this manuscript.

Conflict of Interest Statement

The author has no conflicts of interests to report regarding this manuscript.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Neurosurgery, Nationwide Children’s Hospital, Department of NeurosurgeryThe Ohio State University College of MedicineColumbusUSA

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