Chahlavi A, El-Babaa S K, Luciano M G
Section of Pediatric and Congenital Neurosurgery, Department of Neurological Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Neurosurg Clin N Am. 2001 Oct;12(4):753-60, ix.
Adult-onset hydrocephalus can be acquired from other pathologies, congenital with a late onset, or idiopathic. Subarachnoid hemorrhage, normal-pressure hydrocephalus, tumors, and aqueductal stenosis are the most frequent causes, and clinical presentation may be acute or chronic. The pathophysiology of the more chronic form involves hypoxia and blood vessel changes. The treatment of adult hydrocephalus is dependent on its setting and may involve ventroposterior or ventroanterior shunting or endoscopic procedures.
成人脑积水可由其他病理状况引起、先天性但起病较晚或病因不明。蛛网膜下腔出血、正常压力脑积水、肿瘤和导水管狭窄是最常见的病因，临床表现可能为急性或慢性。较慢性形式的病理生理学涉及缺氧和血管变化。成人脑积水的治疗取决于其病情，可能包括脑室后或脑室前分流术或内镜手术。
