Post-hemispherectomy Hydrocephalus in Children: Results of a ...
Post-hemispherectomy Hydrocephalus in Children: Results of a ... Post-hemispherectomy Hydrocephalus in Children: Results of a ...
Results-HCP presentation and work-up Presenting signs or sx Incidence Failure to wean drain 48% Change in imaging findings 41% Headache 23% Emesis 23% Diminished LOC 22% Other neurologic symptoms 12% Cognitive decline 8% Behavioral changes 8% Wound issues 8% Evaluation Incidence Temporary CSF drainage 14% Diagnostic LP 10% ICP monitoring 4% Other invasive test 1% No significant differences between “early” and “late” patients
Conclusions • Hydrocephalus is a common sequela of hemispherectomy surgery • Surgical technique and prior brain surgery influence the occurrence of posthemispherectomy hydrocephalus • A significant portion of patients develop hydrocephalus on a delayed basis, indicating the need for long-term surveillance.
- Page 1 and 2: Post-hemispherectomy Hydrocephalus
- Page 3 and 4: Year N Surg details HCP Incidence R
- Page 5 and 6: Center Children’s Hospital-Denver
- Page 7 and 8: Methods • Second tier data collec
- Page 9 and 10: Etiology of epilepsy Dysplasia 237
- Page 11 and 12: Basal ganglia and/or thalamus inclu
- Page 13 and 14: HCP-free 1.0 0.9 0.8 0.7 0.6 0.5 Ti
- Page 15 and 16: Predictive variables - Univariate V
- Page 17: Results - Non-predictive variables
Conclusions<br />
• <strong>Hydrocephalus</strong> is a common sequela <strong>of</strong><br />
<strong>hemispherectomy</strong> surgery<br />
• Surgical technique and prior bra<strong>in</strong> surgery<br />
<strong>in</strong>fluence the occurrence <strong>of</strong> post<strong>hemispherectomy</strong><br />
hydrocephalus<br />
• A significant portion <strong>of</strong> patients develop<br />
hydrocephalus on a delayed basis, <strong>in</strong>dicat<strong>in</strong>g<br />
the need for long-term surveillance.
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