Modern Imaging of Pediatric Hydrocephalus

  • Francis Brunelle


Hydrocephalus is defined as an increased volume of intracranial CSF. It is usually but not always associated with an increase in intracranial pressure. CSF accumulates in the ventricles, which become enlarged, or around the periphery of the brain (so-called external hydrocephalus). In acute hydrocephalus the ventricles may not have time to dilate, while with chronic hydrocephalus the ventricles may be very large. A new equilibrium between reabsorption and production of CSF is then reached at a higher pressure.


Fourth Ventricle Arachnoid Cyst Aqueductal Stenosis Choroid Plexus Papilloma Choroid Plexus Carcinoma 
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  1. 1.
    Baraton J, Brunelle F, Pierre Kahn A, et al: Tomodensitometrie couplée a la cisternographie dans les epanchements chroniques péricérébraux de l’enfant. Neurochirurgie 35:395–400, 1989PubMedGoogle Scholar
  2. 2.
    Barkovich AJ, Newton TH: MR of aqueductal stenosis: evidence of a broad spectrum of tectal distortion. AJNR Am J Neuroradiol 10:471–476, 1989PubMedGoogle Scholar
  3. 3.
    Barkovich AJ, Kjos BO, Norman D, et al: Revised classification of posterior fossa cysts and cyst-like formations based on results of multiplanar MR imaging. AJNR Am J Neuroradiol 10:977–988, 1989Google Scholar
  4. 4.
    Bradley WG Jr, Whittemore AR, Kortman KE, et al: Marked cerebrospinal fluid void: indicator of successful shunt in patients with suspected normal-pressure hydrocephalus. Radiology 178:459–466, 1991PubMedGoogle Scholar
  5. 5.
    Brann BS, Quails C, Papile L, et al: Measurement of progressive cerebral ventriculomegaly in infants after grades III and IV intraventricular haemorrhages. J Paediatr 117:615–621, 1990CrossRefGoogle Scholar
  6. 6.
    Briners S, Bodensteiner J: Benign subdural collections of infancy. Pediatrics 67:802–804, 1980Google Scholar
  7. 7.
    Coker SB, Anderson CL: Occluded fourth ventricle after multiple shunt revisions for hydrocephalus. Paediatrics 83:981–985, 1989Google Scholar
  8. 8.
    Drugen A, Krause B, Canady A, et al: The natural history of prenatally diagnosed cerebral ventriculomegaly. JAMA 261:1785–1788, 1989CrossRefGoogle Scholar
  9. 9.
    Dykes FD, Dunbar B, Lazarra A, et al: Posthaemorragic hydrocephalus in high risk preterm infants: natural history, management and long term outcome. J Paediatr 114:611–618, 1989CrossRefGoogle Scholar
  10. 10.
    Enzmann DR, Pelc NJ: Normal flow pattterns of intracranial and spinal cerebrospinal fluid defined by phase contrast cine MR imaging. Radiology 178:467–474, 1991PubMedGoogle Scholar
  11. 11.
    Epstein F, Lapras C, Wisoff JH: Slit ventricle syndrome: etiology and treatment. Pediatr Neurosci 14:5–10, 1988PubMedCrossRefGoogle Scholar
  12. 12.
    Evans WA: An encephalographie ratio for estimating ventricular enlargement and cerebral atrophy. Arch Neurol Psychiatr 47:931–937, 1942CrossRefGoogle Scholar
  13. 13.
    Gaskill SJ, Marlin AE: Pseudocysts of the abdomen associated with ventriculoperitoneal shunts: a report of twelve cases and a review of the literature. Pediatr Neurosci 15:23–26, 1989PubMedCrossRefGoogle Scholar
  14. 14.
    Gaston BM, Jones BE: Prenatal unilateral hydrocephalus. Atresia of the foramen of Monro. Paediatr Radiol 19:328–329, 1989CrossRefGoogle Scholar
  15. 15.
    Greitz D, Franck A, Nordell B: On the pulsatile nature of intracranial and spinal CSF circulation demonstrated by MR imaging. Acta Radiol 34:1–8, 1993Google Scholar
  16. 16.
    Hecht JT, Butler IJ: Neurologic morbidity associated with achondroplasia. J Child Neurol 5:84–97, 1990PubMedCrossRefGoogle Scholar
  17. 17.
    Hirsch JF, Pierre-Kahn A, Renier D, et al: The Dandy-Walker malformation: a review of 40 cases. J Neurosurg 61:515–522, 1984PubMedCrossRefGoogle Scholar
  18. 18.
    Kochi M, Mihara Y, Takada A, et al: MRI of subarachnoid dissemination of medulloblastoma. Neuroradiology 33:264–267, 1991PubMedCrossRefGoogle Scholar
  19. 19.
    Laurin RL, Olivi A: Slit ventricle syndrome review of 15 cases. Paediatr Neurosci 13:118–124, 1987CrossRefGoogle Scholar
  20. 20.
    Martin AJ, Drake JM, Lemaire C, et al: Cerebrospinal fluid shunts: flow measurements with MR imaging. Radiology 173:243–247, 1989PubMedGoogle Scholar
  21. 21.
    Minns RA, Hamilton AH: Benign intracranial hypertension pseudo tumor cerebri. Clin Dev Med 113/114:400–425, 1991Google Scholar
  22. 22.
    Missir O, Dormont P, Pierot L: MR visualisation of CSF flow through a ventriculocisternostomy. Neuroradiology 31:93–94, 1989PubMedGoogle Scholar
  23. 23.
    Oi S, Matsumoto S: Infantile hydrocephalus and the slit ventricle syndrome in early infancy. Child’s Nerv Syst 3:145–150, 1987CrossRefGoogle Scholar
  24. 24.
    Pattern RM, Mack LA, Fribert HJ: Unilateral hydrocephalus prenatal sonographic diagnosis. AJR Am J Radiol 156:359–363, 1991Google Scholar
  25. 25.
    Rifkinson-Mann S, Wisoff JH, Epstein F: The association of hydrocephalus with intramedullary spinal cord tumours: a series of 25 patients. Neurosurgery 27:749–754, 1990PubMedCrossRefGoogle Scholar
  26. 26.
    Sainte-Rose C, Lacombe J, Pierre-Kahn A, et al: Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants. J Neurosurg 60:727–736, 1984PubMedCrossRefGoogle Scholar
  27. 27.
    Scotti G, Musgrave MA, Fitz CR, et al: The isolated fourth ventricle in children: CT and clinical review of 16 cases. AJR Am J Radiol 135:1233–1238, 1980Google Scholar
  28. 28.
    Steinbock P, Hall J, Flodmark O: Hydrocephalus in achondroplasia: the possible role of intracranial venous hypertension. J Neurosurg 71:42–48, 1989CrossRefGoogle Scholar
  29. 29.
    Twickler DM, Reichel T, Mclntire DD, Magee KP, Ramus RM: Fetal central nervous system ventricle and cisterna magna measurements by magnetic resonance imaging. Am J Obstet Gynecol 187:927–931, 2002PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • Francis Brunelle
    • 1
  1. 1.Department of Pediatric RadiologyHôpital Necker-Enfants MaladesParisFrance

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