Hydrocephalus - Revision history

Rossdonaldson1: /* Clinical Features */

2020-11-11T20:57:18Z

Clinical Features

← Revisión anterior		Revisión del 20:57 11 nov 2020
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	==Clinical Features==		==Clinical Features==
			[[File:Hydrocephalus with sunset eyes.jpg\|thumb\|Pediatric hydrocephalus with "sunset eyes."]]
	*[[Headache]]		*[[Headache]]
	*[[Diplopia]]		*[[Diplopia]]

2020-11-11T20:54:16Z

Evaluation

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	==Evaluation==		==Evaluation==
			[[File:Hydrocephalus (cropped).jpg\|thumb\|Typical hydrocephalus as seen on a brain CT. The lateral ventricles (black areas in the middle of the brain) are abnormally large and filled with fluid.]]
	[[File:Hydrocephalus.JPG\|thumb\|Obstructive hydrocephalus cause by a posterior fossa cyst in a 12 month old. Patient presented with loss of developmental milestones.]]		[[File:Hydrocephalus.JPG\|thumb\|Obstructive hydrocephalus cause by a posterior fossa cyst in a 12 month old. Patient presented with loss of developmental milestones.]]
	*Physical Exam to assess for papilledema or neuro defects		*Physical Exam to assess for papilledema or neuro defects

2019-10-03T03:20:07Z

Evaluation

← Revisión anterior		Revisión del 03:20 3 oct 2019
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	[[File:Hydrocephalus.JPG\|thumb\|Obstructive hydrocephalus cause by a posterior fossa cyst in a 12 month old. Patient presented with loss of developmental milestones.]]		[[File:Hydrocephalus.JPG\|thumb\|Obstructive hydrocephalus cause by a posterior fossa cyst in a 12 month old. Patient presented with loss of developmental milestones.]]
	*Physical Exam to assess for papilledema or neuro defects		*Physical Exam to assess for papilledema or neuro defects
	*CT Brain non contrast		*[[head CT\|CT Brain]] non contrast
	**In acute cases will see dilated ventricles and tight sulci		**In acute cases will see dilated ventricles and tight sulci
	**In chronic cases (loss of tissue with age, alcoholism, etc) will see dilated ventricles with large amount of CSF in sulci		**In chronic cases (loss of tissue with age, alcoholism, etc) will see dilated ventricles with large amount of CSF in sulci

2016-09-24T06:39:02Z

Differential Diagnosis

← Revisión anterior		Revisión del 06:39 24 sep 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Psuedotumor cerebri]]		{{Headache DDX}}
	*[[Meningitis]]
	*[[Temporal arteritis]]
	*[[Cavernous sinus]] or cerebral sinus thrombosis
	*[[Migraine]], [[Tension]], or Cluster [[headaches]]
	*[[Pre-eclampsia]]
	*Hypertensive urgency/emergency
	*Carbon monoxide poisoning
	*Febrile Headache ~~(ex: pyelonephritis, nonspecific viral infection)~~

	==Evaluation==		==Evaluation==

2016-09-24T06:37:42Z

Differential Diagnosis

← Revisión anterior		Revisión del 06:37 24 sep 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Psuedotumor cerebri		*[[Psuedotumor cerebri]]
	*Meningitis		*[[Meningitis]]
	*Temporal arteritis		*[[Temporal arteritis]]
	*Cavernous sinus or cerebral sinus thrombosis		*[[Cavernous sinus]] or cerebral sinus thrombosis
	*Migraine, Tension, or Cluster headaches		*[[Migraine]], [[Tension]], or Cluster [[headaches]]
	*Pre-eclampsia		*[[Pre-eclampsia]]
	*Hypertensive urgency/emergency		*Hypertensive urgency/emergency
	*Carbon monoxide poisoning		*Carbon monoxide poisoning

2016-09-24T06:37:07Z

Clinical Features

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	*[[Nausea and Vomiting]]		*[[Nausea and Vomiting]]
	*[[Altered Mental Status]]		*[[Altered Mental Status]]
	*Peds (in addition to above):
	**Large fontanelles		===Pediatric===
	**Dilated scalp veins		''In addition to above:''
	**"Cracked pot" sound on percussion		*Large fontanelles
	**Irritability		*Dilated scalp veins
	**Increased lower extremity tone		*"Cracked pot" sound on percussion
	**Remember that Babinski sign is normal up to 3 years of age		*Irritability
			*Increased lower extremity tone
			*Remember that Babinski sign is normal up to 3 years of age

	==Differential Diagnosis==		==Differential Diagnosis==

2016-09-24T06:36:10Z

Background

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	==Background==		==Background==
	~~Hydrocephalus is caused~~ by excessive cerebrospinal fluid ~~(CSF)~~ accumulation often from an obstructive process such as [[CSF shunt malfunction]] or [[subarachnoid hemorrhage]]. Patients can also suffer from nonobstructive hydrocephalus due to excessive production of CSF.<ref>Shprecher D. et al. Normal pressure hydrocephalus: diagnosis and treatment. Curr Neurol Neurosci Rep. 2008;8(5):371-376.</ref>		*Caused by excessive [[cerebrospinal fluid]] accumulation, often from an obstructive process such as [[CSF shunt malfunction]] or [[subarachnoid hemorrhage]]
			*Patients can also suffer from nonobstructive hydrocephalus due to excessive production of [[CSF]]<ref>Shprecher D. et al. Normal pressure hydrocephalus: diagnosis and treatment. Curr Neurol Neurosci Rep. 2008;8(5):371-376.</ref>

	==Clinical Features==		==Clinical Features==

2016-09-08T11:20:20Z

Differential Diagnosis

← Revisión anterior		Revisión del 11:20 8 sep 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Psuedotumor cerebri~~<br />~~		*Psuedotumor cerebri
	*Meningitis~~<br />~~		*Meningitis
	*Temporal arteritis~~<br />~~		*Temporal arteritis
	*Cavernous sinus or cerebral sinus thrombosis~~<br />~~		*Cavernous sinus or cerebral sinus thrombosis
	*Migraine, Tension, or Cluster headaches~~<br />~~		*Migraine, Tension, or Cluster headaches
	*Pre-eclampsia~~<br />~~		*Pre-eclampsia
	*Hypertensive urgency/emergency~~<br />~~		*Hypertensive urgency/emergency
	*Carbon monoxide poisoning~~<br />~~		*Carbon monoxide poisoning
	*Febrile Headache (ex: pyelonephritis, nonspecific viral infection)		*Febrile Headache (ex: pyelonephritis, nonspecific viral infection)

2016-09-03T16:28:03Z

added a ddx page

← Revisión anterior		Revisión del 16:28 3 sep 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
			*Psuedotumor cerebri<br />
			*Meningitis<br />
			*Temporal arteritis<br />
			*Cavernous sinus or cerebral sinus thrombosis<br />
			*Migraine, Tension, or Cluster headaches<br />
			*Pre-eclampsia<br />
			*Hypertensive urgency/emergency<br />
			*Carbon monoxide poisoning<br />
			*Febrile Headache (ex: pyelonephritis, nonspecific viral infection)

	==Evaluation==		==Evaluation==

2016-08-29T01:16:34Z

← Revisión anterior		Revisión del 01:16 29 ago 2016
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	==See Also==		==See Also==
	[[Normal pressure hydrocephalus]]		*[[Normal pressure hydrocephalus]]
			*[[Ventriculoperitoneal shunt obstruction]]

	==External Links==		==External Links==