Hydrocephalus is a condition characterized by an excess of cerebrospinal fluid CSF within the ventricular and subarachnoid spaces of the cranial cavity. Hydrocephalus affects hundreds of thousands of Americans, in every stage of life, from infants to the elderly. The goal of treatment in clients with hydrocephalus is to reduce or prevent brain damage by improving the flow of CSF which may include surgery to provide shunting for drainage of the excess fluid from the ventricles to an extracranial space such as the peritoneum or right atrium in older children or management with medications to reduce ICP if progression is slow or surgery is contraindicated. Surgical intervention is the only effective means of relieving brain pressure and preventing additional damage to the brain tissue.
Gait disorder is the cardinal sign of normal pressure hydrocephalus: a case study.
Spina Bifida Nursing Care Plans Diagnosis and Interventions - zazoom.info
Central nervous system defects include a range of disorders resulting from malformations of the neural tube during embryonic development. Spina bifida can be classified into three:. Neural tube defects are the result of a teratogenic process that causes failed closure and abnormal differentiation of the embryonic neural tube. The occurrence of spina bifida in the United States and internationally are estimated in the following:. The etiology in most cases of spina bifida is multifactorial, involving genetic, racial, and environmental factors, in which nutrition, particularly folic acid intake, is key.
A Case of Hydrocephalus
Overall, there had been a significant deterioration in function which resulted in the patient and family strongly considering admission to a nursing home. NPH was probably rare and some patients will improve, but the complications of the procedure are substantial. For example, in Amsterdam, procedures were reviewed in 4 centers — 2 liberal, 2 conservative. Vanneste et al, Neurology ; The findings showed:. Diagnostic tests are not well validated and confusion remains on how best to determine who to shunt.
Please do not call our clinics or hospitals with questions. Subject: An otherwise healthy year-old man with no significant medical history reported sudden onset of lightheadedness, followed by a "popping" sensation in the back of his neck and a "thunderclap" headache. Patient went to bed and woke up with intense pain in the head and neck, disorientation and mild motor deficits. Diagnosis: A CT scan at a local hospital revealed significant subarachnoid hemorrhage and a degree of hydrocephalus, suggesting possible early obstructive hydrocephalus secondary to a recent subarachnoid hemorrhage.