小儿脑积水与初级保健提供者

Pediatric Hydrocephalus and the Primary Care Provider.

作者信息

Patel Smruti K, Tari Rabia, Mangano Francesco T

机构信息

Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2016, Cincinnati, OH 45229-3026, USA.

Department of Neurological Surgery, Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, MLC 2016, Cincinnati, OH 45229-3026, USA.

出版信息

Pediatr Clin North Am. 2021 Aug;68(4):793-809. doi: 10.1016/j.pcl.2021.04.006.

DOI:10.1016/j.pcl.2021.04.006

PMID:34247710

Abstract

Hydrocephalus is a pathologic condition that results in the disruption of normal cerebrospinal fluid flow dynamics often characterized by an increase in intracranial pressure resulting in an abnormal dilation of the ventricles. The goal of this article was to provide the necessary background information to understand the pathophysiology related to hydrocephalus, recognize the presenting signs and symptoms of hydrocephalus, identify when to initiate a workup with further studies, and understand the management of pediatric patients with a new and preexisting diagnosis of hydrocephalus.

摘要

脑积水是一种病理状况，会导致正常脑脊液流动动力学受到破坏，其特征通常是颅内压升高，进而导致脑室异常扩张。本文的目的是提供必要的背景信息，以了解与脑积水相关的病理生理学，识别脑积水的临床表现和症状，确定何时启动进一步检查的诊断流程，并了解对新发和既往诊断为脑积水的儿科患者的管理方法。