Hydrocephalus Flashcards

1
Q

Build up of CSF in the head/brain

A

Hydrocephalus

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2
Q

Where do CSF normally flow

A

Ventricles of the brain

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3
Q

It serves as a nutrient delivery and waste removal system of brain and protect brain from injury

A

Cerebrospinal Fluid

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4
Q

Excess fluid in the brain can cause

A

brain damage and increase intracranial pressure

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5
Q

Flow of the CSF

A

Is formed in the first and second ventricles of the brain and passes through the aqueduct of sylvius and the fourth ventricle to empty into the subarachnoid space of the spinal cord where it is absorbed.

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6
Q

An excess of CSF in the ventricles or the subarachnoid space

A

Hydrocephalus

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7
Q

Other causes of skull enlargement

A

If cranial sutures are not firmly knitted

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8
Q

Types of Hydrocephalus

A

Communicating or Extraventricular Hydrocephalus and Noncommunicating or Obstructive or Intraventricular Hydrocephalus

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9
Q

A type of hydrocephalus where the fluid can reach the spinal cord and ventricles are open

A

Communicating or Extraventricular Hydrocephalus

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10
Q

A type of hydrocephalus where there is a block to passage fluid

A

Noncommunicating or Obstructive or Intraventricular Hydrocephalus

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11
Q

It occurs at birth

A

Congenital Hydrocephalus

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12
Q

It occurs from an incident later in life

A

Acquired Hydrocephalus

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13
Q

Causes of hydrocephalus

A

Unknown
overproduction of fluid
obstruction of the passage of fluid
Interference with the absorption of the CSF from the subarachnoid space if the portion if removed

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14
Q

Assessment

A

Excess fluid accumulates and dilates the system above the point of obstruction
Fontanelles are widen and tensed
Separate suture lines
Enlarged head diameter
Shiny Scalp and prominent veins
Brow bulges (bossing)
Sunset eyes

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15
Q

Signs of Increase Intracranial Pressure

A

Decrease pulse and respiration
Increased temperature and BP
Hyperactive Reflexes
Strabismus and Optic atrophy
Irritable or Lethargic
Fail to thrive
High Pitched Cry

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16
Q

What ages should we measure the head circumference

A

all children under 2 years old

17
Q

When to measure the HC of the infant

A

Within an hour of birth and before discharge

18
Q

What happens to the motor of the infant as the head enlarges

A

Become impaired

19
Q

Hydrocephalus can be demonstrated by

A

Sonogram
Computed Tomography
Magnetic Resonance Imaging

20
Q

Holding a bright light against the skull with the child in the darkened room will reveal that the skull is filled with fluid

A

Transillumination

21
Q

It is a therapeutic management that promotes the excretion of fluid (medicine)

A

Acetazolamide (Diamox)

22
Q

It is a therapeutic management where it re opens the route of flow or bypassing the point of obstruction by shunting the fluid to another point of absorption

A

Laser surgery

23
Q

It involves threading of a thin polyenthylene catheter under the skin from the ventricles to the peritoneum

A

Shunting procedure