Spina Bifida Flashcards
discuss hydrocephalus
inc in CSF production
discuss diff types of hydrocephalus
communicating - inability to reabsorb
non-communicating - obstructions
hydrocephalus ex vacuo - inc volum s inc in CSF pressure
flow of CSF
lat vent
3rd vent
monroe and AS
4th vent
magendie and luschka
SC
central canal
arachnoid vili granulations in brain
non comm hydrocephalus
obstruction at foramen of monroe - tumor or space-occupying lesions
entrapped CSF at lat vent
buth 3rd and 4th will still supply
prob is local kaya non comm
comm hydrocephalus
prob on arachnoid granulations - cannot reabsorb but normal production
comm sha bet lat to 3rd to 4th to SC
need to control earyl kasi late na pag nakita sa SC
discuss hydrocephalus ex vacuo
may cerebral atrophy kaya di nag inc psi depsite inc CSF
common features of hydrocephalus
sunsetting sign
crackpot sign
dementia, incontinence, ataxia if chronic
PT guidelines for hydrocephalus
gradual resistive
careful in pos changes esp concerning the head since mabigat
supine muna and prone is not advocated d/t pressure changes
no heavy ex as may risk for seizures
discuss VPS malfunction
ventriculoperitoneal shunt - ddrain CSF sa to peritoneum
emergency case
sx:
- inc irritability
- inc tone
- seizures
- vomiting
- bulging fontanelles
- H/A
- redness along shunt
