Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences; B J Wadia Hospital for Children, Mumbai, Maharashtra, India.
B J Wadia Hospital for Children, Mumbai, Maharashtra, India.
Neurol India. 2021 Nov-Dec;69(Supplement):S395-S405. doi: 10.4103/0028-3886.332283.
Hydrocephalus is a common clinical problem encountered in neurosurgical practice. With greater subspecialisation, pediatric neurosurgery has emerged as a special discipline in several countries. However, in the developing world, which inhabits a large pediatric population, a limited number of neurosurgeons manage all types of hydrocephalus across all ages. There are some essential differences in pediatric and adult hydrocephalus. The spectrum of hydrocephalus of dysgenetic origin in a neonate and that of normal pressure hydrocephalus of the old age has a completely different strategy of management. Endoscopic third ventriculostomy outcomes are known to be closely associated with age at presentation and surgery. Efficacy of alternative pathways of CSF absorption also differs according to age. Managing this disease in various age groups is challenging because of these differences in etiopathology, tempo of the disease, modalities of investigations and various treatment protocols as well as prognosis.
脑积水是神经外科实践中常见的临床问题。随着专业领域的不断细分，小儿神经外科学已在多个国家成为一门专门学科。然而，在发展中国家，由于人口众多，儿科患者基数庞大，只有少数神经外科医生能够治疗所有年龄段的各种类型的脑积水。小儿脑积水和成人脑积水存在一些本质上的区别。新生儿先天性脑积水和老年正常压力脑积水的范围有完全不同的管理策略。众所周知，内镜第三脑室造瘘术的效果与发病年龄和手术时间密切相关。脑脊液吸收的替代途径的效果也因年龄而异。由于病因学、疾病发展速度、检查方式以及各种治疗方案和预后的不同，在不同年龄段管理这种疾病具有挑战性。
