Hydrocephalus and CSF stuff

Question 1

Non-communicating hydrocephalus

Answer 1

That’s when there is a structural blockage of CSF.. causes massive headache, can cause death

Question 2

Communicating CSF

Answer 2

Non- obstructive….Poor absorption by arachnoid granulations leads to increased intracranial pressure, papilledema and herniation

Question 3

Normal pressure hydrocephalus

Answer 3

Expansion of ventricles without any increase in CSF

Triad of Wet, Wobbly, Wacky
Urinary incontinence, ataxia, confusion

Question 4

What is pseudotumor cerebri

Answer 4

Benign intracranial hypertension

You see high intracranial pressure but no increase in CSF. Patients are generally younger obese women. They’ll have daily headaches, can progress to loss of vision if it gets bad. WILL HAVE PAPILLEDEMA!!!

Question 5

Tx of psuedotumorcerebri

Answer 5

Remove any causative agents: Vit A, tetracyclines, corticosteroid withdrawl)

Use the diuretic acetazolamide as first line tx