Macrocephaly by obstructive hydrocephalus
Keywords:
Megaloencephaly, Hydrocephalus, Early diagnosis.Abstract
Introduction: the diagnosis of macrocephaly in children may be the clinical expression of a severe neurological damage. Hydrocephalus is found among the causes, which is characterized by a hydrodynamic disorder of cerebrospinal fluid [CSF], both in the production, circulation or reabsorption, leading to an increase of this, rising of volume and resulting in the dilation of the ventricles.Case report: a 5-month old infant, presenting macrocephaly, broad and bulging anterior fontanels, separated cranial sutures, sun-setting sign in eyes and slight hypotonia of the four limbs was admitted under the suspicion of hydrocephalus. A computed tomography [CT] and a brain ultrasound were performed, showing enlarged cerebral ventricles at the expense of the cerebrospinal fluid, the dilation is triventricular, and obstruction of the sylvian aqueduct was also observed. A ventriculoperitoneal shunt of right-side pediatric pressure was conducted as a therapeutic approach.
Conclusions: the early diagnosis of hydrocephalus is essential to improve the prognosis of the disease.
Downloads
References
1. Fenichel G. Trastornos en la forma y volumen del cráneo. En: Fenichel, G. Neurología pediátrica clínica. 6ta ed. Barcelona-España: Elsevier; 2010: 369-386.
2. Mallea Escobar G, Cortés Zepedo R, Avaria Benaprés MA, Kleinsteuber Sáa K. Enfrentamiento de macrocefalia en niños. Rev.Ped. Elec. [revista en la Internet]. 2014[citado 2015 abr 2]; 11(2): 41-53. Disponible en: http://www.revistapediatria.cl/vol11num2/pdf/5_ENFRENTARMIENTO_MACROCEFALIA_NINOS.pdf
3. Sevillano García MD, Cacabelos Pérez P, Cacho Gutiérrez J. Alteraciones del líquido cefalorraquídeo y de su circulación: hidrocefalia, pseudotumor cerebral, síndrome de presión baja. Medicine[revista en la Internet]. 2011[citado 2015 abr 2]; 10(71): 4814-24. Disponible en: http://www.elsevierinstituciones.com/ficheros/pdf/62/62v10n71a13191286pdf001.pdf
4. Castañeda Muciño G, Diegopérez Ramírez J, Hernández Jiménez JA, Mosco Peralta MR. Diagnóstico y manejo de la hidrocefalia congénita y adquirida en menores de 1 año de edad[Internet]. México: Secretaria de salud 2011. Disponible en: http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/248_GPC_Hidrocefalia/IMSS-248-09-GER_Hidrocefalia.pdf [citado 2015 abr 2]
5. Kinsman SL, Johnston MV. Hydrocephalus. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia: Saunders Elsevier; 2011
6. Rosenberg GA. Brain edema and disorders of cerebrospinal fluid circulation. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia: Saunders Elsevier; 2012
7. Álvarez Vázquez J. Trastornos y malformaciones del sistema nervioso central. Rev Hum Med[revista en la Internet]. 2011 ago[citado 2015 mar 21]; 11(2): 384-387. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202011000200011&lng=es
8. Erwinovna Mogrovejo E, Pichilingue Reto P, Bazan Q, Quintanilla Cabrera B. Complicaciones en el tratamiento quirúrgico de pacientes pediátricos con hidrocefalia operados en el Hospital Nacional Guillermo Almenara Irigoyan. Acta Med Per[revista en la Internet]. 2011[citado 2015 mar 11]; 28(1): 6-11. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172011000100002&lng=es&nrm=iso
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
