Epilepsy in Childhood Shunted Hydrocephalus

  • Marie Bourgeois
  • Christian Sainte-Rose
  • Giuseppe Cinalli
  • Wirginia Maixner
  • Jean Aicardi


Although the association between hydrocephalus and epilepsy is well recognized, much controversy still exists about the incidence of epilepsy amongst hydrocephalic children. The reported occurrence varies from 6% to 59% in the literature [4, 6, 7, 12, 14, 16, 18, 22, 28–30, 36, 39, 41–>43]. There are many factors that may account for this, including the etiology of the hydrocephalus, its subsequent treatment and any resulting complications. A few studies indicate that the presence of a shunt [2, 13, 16, 26, 39], the number of shunt revisions [5, 6, 7, 13, 16, 28, 41], a history of shunt infection [2, 4, 5, 6, 16, 28, 39] and perhaps the shunt location [3, 7] increase the risk of developing seizures. However, long-term follow-up has rarely been provided and a number of important questions still remain unanswered. For example, the relationship between raised intracranial pressure and seizures and the way in which seizures in hydrocephalic children may affect developmental outcome have been poorly documented.


Shunt Infection Shunt Placement Ventricular Catheter Shunt Revision Shunt Malfunction 
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Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • Marie Bourgeois
    • 1
  • Christian Sainte-Rose
    • 1
  • Giuseppe Cinalli
    • 2
  • Wirginia Maixner
    • 3
  • Jean Aicardi
    • 4
  1. 1.Department of Pediatric NeurosurgeryHôpital Necker-Enfants MaladesParisFrance
  2. 2.Department of Pediatric NeurosurgerySantobono-Pausilipon HospitalNaplesItaly
  3. 3.Department of NeurosurgeryRoyal Children’s HospitalMelbourneAustralia
  4. 4.Department of Pediatric NeurologyHôpital Robert DebréParisFrance

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