Hydrocephalus Flashcards
IOC FOR HYDROCEPHALUS
MRI Brain
MacEwan’s Sign
Crack Pot resonance on percussion of skull
⭐ Hydrocephalus
Sunset sign seen in
HYDROCEPHALUS
Upward Gaze Palsy
Downward rotation of eyeball DUE TO: pressure on tectum
Dandy Walker SYNDROME
🧠⚡D4NDY Walker Syndrome ⚡
Evan’s ratio used in
🧠⚡LV-H Works ⚡
NORMAL value : 33%
Indication of surgery in HYDROCEPHALUS
ER= Lateral Ventricular Width/Hemispheric Width
ER>33% ➡️ SURGICAL INTERVENTION needed
VP SHUNT NAME
Chhabra shunt
Upadhyay shunt
Screening test for Hydrocephalus
NEUROSONOGRAM
Communicating Hydrocephalus
Non-Obstructive Hydrocephalus
Causes CHAMp
CHoroidal Papilloma
Achondroplasia
Meningeal malignancy
Metastasis
Meningitis
Non COMMUNICATING Hydrocephalus
OBSTRUCTIVE Hydrocephalus
Causes: MA³D HIV
Mass lesions
Abscess
Aqueductal stenosis MCC
Arnold Chiari Malformation
DANDY Walker syndrome
Hematoma
Infections MUMPS TOXOPLASMA
Vein of Galen malformation
CSF PRODUCTION RATE
500-600 ml/day
600-700 ml GREYS
Choroid plexus of LATERAL VENTRICLE and 3rd VENTRICLE
Anterior Choroidal Artery (internal carotid artery)
Posterior Choroidal Artery (POSTERIOR CERBRAL ARTERY)
Choroidal plexus of 4th Ventricle
PICA > AICA
Tela choroidae
Tuft of capillaries
⬇️
Aggregation of Tela choroidae is known as CHOROIDAL PLEXUS
Normal Values of CSF
Adults
Infants
150 ml
50 ml infants
RECYCLING OF CSF OCCURS HOW MANY TIMES IN A DAY?
3.7 times/day