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Hydrocephalus—Special Pathology

  • Reinhard L. Friede

Abstract

The recognition of hydrocephalus dates back to ancient times (Dandy, 1920, review), but no insights were obtained into the pathogenesis of the disease until the physiology of flow of CSF, reviewed in Chapter 21, was understood. Disturbances in the flow of CSF may result from its altered secretion, circulation or reabsorption. A comprehensive review of the morbid anatomy of hydrocephalus by Russell (1949) led her to conclude that at least 99 percent of her cases had resulted from impaired circulation of CSF caused by mechanical obstructions of the CSF spaces. Neoplasia is a common cause of obstruction, but description of these lesions is beyond the scope of the present text and they are mentioned only occasionally for reference. The most common nonneoplastic types of obstructions are shown in Table 3 from the statistics of Ford (1926) and Gilles and Shillito (1970). The description of lesions causing hydrocephalus in this chapter is arranged as to follow the normal flow of CSF: The problem of overproduction of CSF by the choroid plexus is considered first; next, the various obstructive lesions within and outside of the ventricles; and, last, impaired mechanisms of CSF reabsorption.

Keywords

Subarachnoid Space Superior Sagittal Sinus Aqueductal Stenosis Choroid Plexus Papilloma Arachnoid Granulation 
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Copyright information

© Springer-Verlag Wien 1975

Authors and Affiliations

  • Reinhard L. Friede
    • 1
    • 2
  1. 1.Case Western Reserve UniversityClevelandUSA
  2. 2.University of ZurichSwitzerland

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