Pediatric Neurosurgery Unit, Department of Neurosurgery, School of Medicine, Faculty of Health Sciences, University of Pretoria, Steve Biko Academic Hospital, Pretoria, South Africa.
Department of Neurosurgery, School of Medicine, Faculty of Health Sciences, University of Pretoria, Steve Biko Academic Hospital, Pretoria, South Africa.
Childs Nerv Syst. 2021 Nov;37(11):3397-3406. doi: 10.1007/s00381-021-05237-1. Epub 2021 Jun 19.
The management of post-infective hydrocephalus in infants remains a challenging task for the pediatric neurosurgeon. The decision-making curve is often complex in that appropriate temporizing measures need to be implemented to properly clear any infection within the CSF before any decision can be made regarding a permanent solution. The etiology differs at varying stages of neonatal development, and the weight of the child, skin fragility, and relevant surgical treatment options are often important limiting factors. Deciding on the optimal treatment option involves assessing the etiology, age, and clinical and radiological features of the individual case and selecting the most appropriate surgical option.
婴儿感染后脑积水的管理仍然是儿科神经外科医生面临的一项挑战。决策曲线通常很复杂，因为在决定永久性解决方案之前，需要采取适当的临时措施来清除脑脊液中的任何感染。病因在新生儿发育的不同阶段有所不同，患儿的体重、皮肤脆弱性和相关的手术治疗选择往往是重要的限制因素。选择最佳治疗方案涉及评估个体病例的病因、年龄以及临床和影像学特征，并选择最合适的手术方案。
