%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 }