Hydrocephalus Flashcards
1
Q
Defin
A
Excess CSF due to-
overproduc eg chorid plexus tum
flow disrup eg spina bif, aqueduct sten, IVH clot, SOL
abs disrup eg oblit arachnoiditis after bleed or trauma
2
Q
Ix
A
Obs, GCS, bm
Bloods incl ABG
CT head, MRI if unclear
Contin ICP monit
3
Q
RICP mx gen
A
Coma Mannitol, hypertonic saline Hyperventil Euglycaemia Antipyretic Elevate head Dex if oed Acetazolamide reduc CSF produc
4
Q
Mx
A
Ventricular peritoneal shunt
Ventricular right atrium shunt
Complics- blockage, infec, over/under drain, haematoma, seiz, bowel adhes etc
