Hydrocephalus Flashcards

1
Q

what causes hydrocephalus

A

imbalance in the rate of production or absorption of CSF

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2
Q

where is CSF produced

A

lateral ventricles

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3
Q

where is CSF reabsorbed

A

subarachnoid space

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4
Q

communicating hydrocephalus is caused by a problem with

A

absorption

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5
Q

non-communicating hydrocephalus is caused by a problem with

A

increased production

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6
Q

what are the 3 types of congenital malformations

A

Arnold Chiari
Dandy Walker
stenosis of aqueduct of sylvius

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7
Q

which congenital malformation is often associated w/ meningomyelocele

A

Arnold Chiari

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8
Q

what are the 3 causes of acquired hydrocephalus

A

infection
trauma
tumor

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9
Q

in which ventricle does stenosis of the aqueduct of sylvius occur

A

4th ventricle

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10
Q

which diagnostic test shows visualization of fluid in the head

A

transillumination

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11
Q

what are some s/s in infants

A
bulging fontanel
cracked pot sound
sunset eyes
irritability 
shiny scalp
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12
Q

what are some s/s in older children

A
personality changes
frontal headache
nausea
projectile vomiting
diplopia
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13
Q

which 2 meds are given for treatment

A

Diamox

decadron

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14
Q

which med reduces cerebral edema

A

decadron

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15
Q

which med decreases production of CSF

A

diamox

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16
Q

what are 3 ways besides meds to treat hydrocephalus

A

shunt
laser
remove tumor

17
Q

what are the 2 types of shunts

A

ventricular atrial

ventricular peritoneal

18
Q

how long should the pt lay flat post op and why

A

24-48 hours - brain can separate from cranium

19
Q

how many surgical sites will there be

A

3

20
Q

what are the s/s of a blockage or infection of the shunt (4)

A

vomiting
headache
irritability
fever