Continuous Intracranial Pressure Monitoring during Treatment of Neonatal Hydrocephalus by Cranial Compression
In hydrocephalus, the relationship between cerebrospinal fluid (CSF) production and absorption is unbalanced, and the result is an abnormally enlarged ventricular system. In neonatal hydrocephalus, concomitant with ventricular enlargement, is an abnormal head growth. Hydrocephalus is treated surgically with a device that shunts the CSF into another body cavity. The aim of this treatment is to reduce ventricular volume and restore cortical mantle thickness to normal. Although this treatment if often initially successful, complications such as infection and shunt obstruction frequently develop, and periodic revisions to accommodate normal growth of the child are required. When a shunt becomes obstructed, a shunt-dependent patient develops rapidly increasing intracranial pressure (ICP) and prompt surgical intervention is required. Although shunting has proven to be a beneficial and simple treatment, it is essentially a non-physiological remedy. Therefore, other modes of treatment for neonatal hydrocephalus need to be considered.
Key wordsICP neonatal hydrocephalus cranial compression
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