Hemmer R
Z Geburtshilfe Perinatol. 1986 Nov-Dec;190(6):233-42.
This article begins with a description of physiological and pathophysiological knowledge of CSF dynamics with special regard to the pathogenesis of hydrocephalus. This includes findings obtained by electron-microscopic examination of the cerebral cortex in infants. Clinical diagnosis and CT findings show that it is not possible to postulate a relationship between ventricle size and subsequent mental development. Surgery and postsurgical complications are briefly discussed. Calculations of survival probability and intellectual development--including school education and careers chosen by the patients, now aged between 17 and 25--complete this review.
本文开篇描述了脑脊液动力学的生理和病理生理知识,特别关注脑积水的发病机制。这包括通过对婴儿大脑皮质进行电子显微镜检查所获得的结果。临床诊断和CT检查结果表明,无法假定脑室大小与随后的智力发育之间存在关联。文中简要讨论了手术及术后并发症。对生存概率和智力发育的计算——包括对目前年龄在17至25岁之间的患者的学校教育和职业选择情况的计算——完善了本综述。