BACKGROUND: Children with hydrocephalus represent a heterogeneous group with various aetiologies and disability profiles. Over the years, continuous changes in medical care have occurred and updated information is important. AIM: To study disability profiles in aetiological and gestational age subgroups of children with hydrocephalus in the 1990s. METHOD: A population-based series of 114 children, 70 with infantile hydrocephalus and 44 with hydrocephalus associated with MMC. All the children were examined clinically and interviewed. RESULTS: Learning disabilities were present in 47 \% of children with infantile hydrocephalus compared with 16 \% of those with MMC, cerebral palsy in 27 \% vs. zero and epilepsy in 34 vs. 11 \%. Even after excluding children with cerebral palsy, the majority had abnormal tendon reflexes and scored below the 5th centile on a motor test. Hydrocephalus overt at birth, low gestational age, a perinatal origin, enlarged ventricles at follow-up and several shunt revisions all indicated risk factors for a poor outcome. CONCLUSIONS: In spite of major advances in management, hydrocephalus in children still has a considerable impact on outcome. Being born very preterm and with a hydrocephalus that is already overt at birth involve the highest risk of a poor outcome. Apart from major impairments, the children frequently have definite motor problems.
%0 Journal Article
%1 Persson2006
%A Persson, E-K.
%A Hagberg, G.
%A Uvebrant, P.
%D 2006
%J Neuropediatrics
%K Cerebral Palsy; Cerebrospinal Fluid Shunts; Child; Child, Preschool; Comorbidity; Cross-Sectional Studies; Developmental Disabilities; Epilepsy; Female; Follow-Up Humans; Hydrocephalus; Infant; Infant, Newborn; Premature, Diseases; Very Low Birth Weight; Learning Disorders; Male; Meningomyelocele; Neurologic Examination; Neuropsychological Tests; Population Surveillance; Postoperative Complications; Psychomotor Reflex, Abnormal; Risk Factors; Sweden
%N 6
%P 330--336
%R 10.1055/s-2007-964868
%T Disabilities in children with hydrocephalus--a population-based study of children aged between four and twelve years.
%U http://dx.doi.org/10.1055/s-2007-964868
%V 37
%X BACKGROUND: Children with hydrocephalus represent a heterogeneous group with various aetiologies and disability profiles. Over the years, continuous changes in medical care have occurred and updated information is important. AIM: To study disability profiles in aetiological and gestational age subgroups of children with hydrocephalus in the 1990s. METHOD: A population-based series of 114 children, 70 with infantile hydrocephalus and 44 with hydrocephalus associated with MMC. All the children were examined clinically and interviewed. RESULTS: Learning disabilities were present in 47 \% of children with infantile hydrocephalus compared with 16 \% of those with MMC, cerebral palsy in 27 \% vs. zero and epilepsy in 34 vs. 11 \%. Even after excluding children with cerebral palsy, the majority had abnormal tendon reflexes and scored below the 5th centile on a motor test. Hydrocephalus overt at birth, low gestational age, a perinatal origin, enlarged ventricles at follow-up and several shunt revisions all indicated risk factors for a poor outcome. CONCLUSIONS: In spite of major advances in management, hydrocephalus in children still has a considerable impact on outcome. Being born very preterm and with a hydrocephalus that is already overt at birth involve the highest risk of a poor outcome. Apart from major impairments, the children frequently have definite motor problems.
@article{Persson2006,
abstract = {BACKGROUND: Children with hydrocephalus represent a heterogeneous group with various aetiologies and disability profiles. Over the years, continuous changes in medical care have occurred and updated information is important. AIM: To study disability profiles in aetiological and gestational age subgroups of children with hydrocephalus in the 1990s. METHOD: A population-based series of 114 children, 70 with infantile hydrocephalus and 44 with hydrocephalus associated with MMC. All the children were examined clinically and interviewed. RESULTS: Learning disabilities were present in 47 \% of children with infantile hydrocephalus compared with 16 \% of those with MMC, cerebral palsy in 27 \% vs. zero and epilepsy in 34 vs. 11 \%. Even after excluding children with cerebral palsy, the majority had abnormal tendon reflexes and scored below the 5th centile on a motor test. Hydrocephalus overt at birth, low gestational age, a perinatal origin, enlarged ventricles at follow-up and several shunt revisions all indicated risk factors for a poor outcome. CONCLUSIONS: In spite of major advances in management, hydrocephalus in children still has a considerable impact on outcome. Being born very preterm and with a hydrocephalus that is already overt at birth involve the highest risk of a poor outcome. Apart from major impairments, the children frequently have definite motor problems.},
added-at = {2014-07-19T21:00:18.000+0200},
author = {Persson, E-K. and Hagberg, G. and Uvebrant, P.},
biburl = {https://www.bibsonomy.org/bibtex/27237b02a79b62277c57fe72949c21e9a/ar0berts},
doi = {10.1055/s-2007-964868},
groups = {public},
interhash = {48664420bd6f430d9e207bd3d80c77a5},
intrahash = {7237b02a79b62277c57fe72949c21e9a},
journal = {Neuropediatrics},
keywords = {Cerebral Palsy; Cerebrospinal Fluid Shunts; Child; Child, Preschool; Comorbidity; Cross-Sectional Studies; Developmental Disabilities; Epilepsy; Female; Follow-Up Humans; Hydrocephalus; Infant; Infant, Newborn; Premature, Diseases; Very Low Birth Weight; Learning Disorders; Male; Meningomyelocele; Neurologic Examination; Neuropsychological Tests; Population Surveillance; Postoperative Complications; Psychomotor Reflex, Abnormal; Risk Factors; Sweden},
month = Dec,
number = 6,
pages = {330--336},
pmid = {17357034},
timestamp = {2014-07-19T21:00:18.000+0200},
title = {Disabilities in children with hydrocephalus--a population-based study of children aged between four and twelve years.},
url = {http://dx.doi.org/10.1055/s-2007-964868},
username = {ar0berts},
volume = 37,
year = 2006
}