Mori K
Department of Neurosurgery, Kochi Medical School, Japan.
Childs Nerv Syst. 1990 Jun;6(4):198-204. doi: 10.1007/BF01850971.
With the advent of computed tomography (CT) scan, much information has been obtained about the pathophysiology of hydrocephalus. It is now clear that hydrocephalus is not a disease entity but rather a syndrome or sign resulting from disturbances in the dynamics of cerebralspinal fluid (CSF) caused by various diseases. Consequently, it has become necessary to revise its definition and classification. In this paper, a contemporary definition and classification of hydrocephalus are presented. Also, a classification of "intractable hydrocephalus"--with its diagnostic criteria--which is a clinically unsolved problem, is attempted, bearing in mind its place in the clinical management and future investigation of the pathophysiology of hydrocephalus.
随着计算机断层扫描（CT）的出现，人们已经获得了许多关于脑积水病理生理学的信息。现在很清楚，脑积水不是一种疾病实体，而是由各种疾病引起的脑脊液（CSF）动力学紊乱所导致的一种综合征或体征。因此，有必要对其定义和分类进行修订。本文提出了脑积水的现代定义和分类。此外，还尝试对“顽固性脑积水”进行分类——包括其诊断标准——这是一个临床上尚未解决的问题，同时考虑到它在脑积水病理生理学临床管理和未来研究中的地位。
